FNP FINAL EXAM 2 WITH ACCURATE
SOLUTIONS
A school age child comes to the clinic for evaluation of excessive bruising. The primary
care pediatric nurse practitioner notes a history of an upper respiratory infection 2
weeks prior. The physical exam is negative for hepatosplenomegaly and
lymphadenopathy. Blood work reveals a platelet count of 60,000/mm3 with normal PT
and aPTT. How will the nurse practitioner manage this child's condition? - ANSWER-
Teach to avoid NSAIDS and contact sports
The family nurse practitioner sees a 12-month-old infant who is being fed goats milk and
vegetarian diet. The child is pale and has a beefy-red, sore tongue and oral mucous
membrane. Which tests will the nurse practitioner order to evaluate this childs
condition? - ANSWER-RBC folate, iron and B12 levels
Which types of lymphomas typically have an aggressive presentation? - ANSWER-
Diffuse large-B cell lymphoma
The family nurse practitioner reviews hematology reports on a child with beta-
thalassemia minor and notes an Hgb level of 8 g/dL. What will the nurse practitioner do?
- ANSWER-Evaluate serum ferritin
A patient reports a neck mass that has been present off and on for 5 to 6 weeks which
varies in size. The provider palpates a lymph node measuring 1.25cm. which test will
the provider proper histologic diagnosis for this patient? - ANSWER-Lymph node biopsy
A woman who is currently pregnant reports that she has had three previous
pregnancies: twins delivered at 35 weeks, gestation (both living), one at 38 weeks
gestation (living), and one miscarriage at 16 weeks gestation. How will this be recorded
as her G/TPAL in her electronic medical record? - ANSWER-G4P:1113
A female patient has lower abdominal pain, nausea, and vomiting and reports missing a
period 3 weeks prior. The patient reports using an intrauterine device for contraception.
A serum B-hCG is 1500 mIU/mL. what will the provider do, based on these findings? -
ANSWER-Perform a transvaginal ultrasound
The primary care pediatric nurse practitioner is examining a 5-year-old child who has
had recurrent fevers, bone pain, and a recent loss of weight. The physical exam reveals
scattered petechiae, lymphadenopathy, and bruising. A complete blood count shows
thrombocytopenia, anemia, and an elevated white cell blood count. The nurse
practitioner will refer this child to specialist for thrombocytopenia, anemia, and an
, elevated white cell blood count. The nurse practitioner will refer this child to specialist
for: - ANSWER-Bone marrow biopsy
Which is a distinctive finding in patients who have Churg-Strauss syndrome (CSS)? -
ANSWER-Increased Eosinophils
A patient is treated for a urinary tract infection and, 3 weeks later, presents with pain
and swelling of one knee and in one hand, along with inflammation in both eyes. What
will the provider suspect as the cause of these symptoms? - ANSWER-Reactive
Arthritis
Which patients with documented HIV infection may be classified has having acquired
immunodeficiency syndrome (AIDS)? - ANSWER-A patient with tuberculosis
A patient with systemic lupus erythematosus (SLE) has frequent symptoms and has
been taking prednisone for each episode. provider plans to start hydroxychloroquine
and the patient asks why this medication is necessary. What will the provider tell patient
about this medication? - ANSWER-It is effective in reducing disease flareups and for
tapering steroids
The parent of a school-age child who is diagnosed with oligoarticular JIA asks the
primary care nurse practitioner what exercises the child may do to help reduce
symptoms. What will the nurse practitioner recommend? - ANSWER-Swimming
A 60-year-old patient reports new onset of bilateral shoulder pain with morning stiffness
lasting approximately one hour. Which will be NOT be included in initial diagnostic
testing for this patient? - ANSWER-Serum Calcitonin
A patient reports a history of recurrent lower back pain for 6 months. The patient
describes the pain as a deep ache and stiffness that is worse upon wakening and
improves after walking. Which assessment would NOT be helpful to make a clinical
diagnosis of ankylosing spondylitis? - ANSWER-Noting the degree of cervical kyphosis
A patient has a palpable purpural rash. This finding is most consistent with? -
ANSWER-Small-vessel vasculitis
The primary care nurse practitioner is performing a well-baby checkup on a 6-month-old
infant and notes a candida diaper rash and oral thrush. The infant has had two ear
infections in the past 2 months and is in the 3rd percentile for weight. What will the
nurse practitioner do? - ANSWER-Order a CBC with differential and quantitative
immunoglobulins.
The primary care nurse practitioner is prescribing ibuprofen for a 25 kg child with JIA
who has oligoarthitis. If the child will take 4 doses per day, what is the maximum amount
the child will receive per dose? - ANSWER-250mg
SOLUTIONS
A school age child comes to the clinic for evaluation of excessive bruising. The primary
care pediatric nurse practitioner notes a history of an upper respiratory infection 2
weeks prior. The physical exam is negative for hepatosplenomegaly and
lymphadenopathy. Blood work reveals a platelet count of 60,000/mm3 with normal PT
and aPTT. How will the nurse practitioner manage this child's condition? - ANSWER-
Teach to avoid NSAIDS and contact sports
The family nurse practitioner sees a 12-month-old infant who is being fed goats milk and
vegetarian diet. The child is pale and has a beefy-red, sore tongue and oral mucous
membrane. Which tests will the nurse practitioner order to evaluate this childs
condition? - ANSWER-RBC folate, iron and B12 levels
Which types of lymphomas typically have an aggressive presentation? - ANSWER-
Diffuse large-B cell lymphoma
The family nurse practitioner reviews hematology reports on a child with beta-
thalassemia minor and notes an Hgb level of 8 g/dL. What will the nurse practitioner do?
- ANSWER-Evaluate serum ferritin
A patient reports a neck mass that has been present off and on for 5 to 6 weeks which
varies in size. The provider palpates a lymph node measuring 1.25cm. which test will
the provider proper histologic diagnosis for this patient? - ANSWER-Lymph node biopsy
A woman who is currently pregnant reports that she has had three previous
pregnancies: twins delivered at 35 weeks, gestation (both living), one at 38 weeks
gestation (living), and one miscarriage at 16 weeks gestation. How will this be recorded
as her G/TPAL in her electronic medical record? - ANSWER-G4P:1113
A female patient has lower abdominal pain, nausea, and vomiting and reports missing a
period 3 weeks prior. The patient reports using an intrauterine device for contraception.
A serum B-hCG is 1500 mIU/mL. what will the provider do, based on these findings? -
ANSWER-Perform a transvaginal ultrasound
The primary care pediatric nurse practitioner is examining a 5-year-old child who has
had recurrent fevers, bone pain, and a recent loss of weight. The physical exam reveals
scattered petechiae, lymphadenopathy, and bruising. A complete blood count shows
thrombocytopenia, anemia, and an elevated white cell blood count. The nurse
practitioner will refer this child to specialist for thrombocytopenia, anemia, and an
, elevated white cell blood count. The nurse practitioner will refer this child to specialist
for: - ANSWER-Bone marrow biopsy
Which is a distinctive finding in patients who have Churg-Strauss syndrome (CSS)? -
ANSWER-Increased Eosinophils
A patient is treated for a urinary tract infection and, 3 weeks later, presents with pain
and swelling of one knee and in one hand, along with inflammation in both eyes. What
will the provider suspect as the cause of these symptoms? - ANSWER-Reactive
Arthritis
Which patients with documented HIV infection may be classified has having acquired
immunodeficiency syndrome (AIDS)? - ANSWER-A patient with tuberculosis
A patient with systemic lupus erythematosus (SLE) has frequent symptoms and has
been taking prednisone for each episode. provider plans to start hydroxychloroquine
and the patient asks why this medication is necessary. What will the provider tell patient
about this medication? - ANSWER-It is effective in reducing disease flareups and for
tapering steroids
The parent of a school-age child who is diagnosed with oligoarticular JIA asks the
primary care nurse practitioner what exercises the child may do to help reduce
symptoms. What will the nurse practitioner recommend? - ANSWER-Swimming
A 60-year-old patient reports new onset of bilateral shoulder pain with morning stiffness
lasting approximately one hour. Which will be NOT be included in initial diagnostic
testing for this patient? - ANSWER-Serum Calcitonin
A patient reports a history of recurrent lower back pain for 6 months. The patient
describes the pain as a deep ache and stiffness that is worse upon wakening and
improves after walking. Which assessment would NOT be helpful to make a clinical
diagnosis of ankylosing spondylitis? - ANSWER-Noting the degree of cervical kyphosis
A patient has a palpable purpural rash. This finding is most consistent with? -
ANSWER-Small-vessel vasculitis
The primary care nurse practitioner is performing a well-baby checkup on a 6-month-old
infant and notes a candida diaper rash and oral thrush. The infant has had two ear
infections in the past 2 months and is in the 3rd percentile for weight. What will the
nurse practitioner do? - ANSWER-Order a CBC with differential and quantitative
immunoglobulins.
The primary care nurse practitioner is prescribing ibuprofen for a 25 kg child with JIA
who has oligoarthitis. If the child will take 4 doses per day, what is the maximum amount
the child will receive per dose? - ANSWER-250mg
