The most common reason for precocious puberty in girls is: Correct Answer Early onset of normal puberty
When billing Medicaid, NPs get the authority to bill their services from: Correct Answer State and federal law
You have initiated therapy for an 18 yom with acne vulgaris and have prescribe...
MN 580: Final Exam Questions with 100% Correct Answers The most common reason for precocious puberty in girls is: Correct Answer Early onset of normal puberty
When billing Medicaid, NPs get the authority to bill their services from: Correct Answer State and federal law
You have initiated therapy for an 18 yom with acne vulgaris and have prescribed doxycycline. He returns in 3 weeks, complaining that his skin is no better. Your next action is to: Correct Answer Counsel him that 6-8 weeks of treatment is often needed before significant improvement is achieved
For a Grade I ankle sprain, weight-bearing should be avoided for at least: Correct Answer 24 hours
Hemoglobin A1c best provides information on glucose control over the past: Correct Answer 21-47 days
18 yom presents with periumbilical pain, vomiting, and abdominal cramping over the past 48 hours. Physical examination reveals rebound tenderness and laboratory analysis shows the presence of bandemia and a total WBC of 28,000. To support the diagnosis of acute appendicitis with suspected appendiceal rupture, you consider obtaining the following: Correct Answer CT scan
2 yof presents with a 3-day history of fever, crankiness, and congested cough. Her respiratory rate is more than 50% of the upper limits of normal for age. Tubular breath sounds are noted at the right lung base. Skin turgur and normal, and she is wearing a wet diaper. She is alert, resisting the examination as age appropriate, and engages in eye contact. Temperature is 38.3. Her diagnostic evaluation should include: Correct Answer Chest x-ray
Aortic stenosis in a 15 yom is: Correct Answer A result of a congenital defect
Which of the following laboratory tests can identify the causative organism of bronchiolitis? Correct Answer Nasal washing antigen test
A Still murmur: Correct Answer Has a humming or vibratory quality
A physiological murmur has which of the following characteristics? Correct Answer Becomes softer when the patient moves from supine to standing
Cyclic vomiting may: Correct Answer Not be associated with a headache 5 day old infant, jaundice, sunken anterior fontanel, difficulty latching, bilirubin 18, dehydrated and drinks breast milk, jaundice. Interventions? Correct Answer Interventions: all of the above (phototherapy, providing support, strict I/O)
Infant with dehydration. Weight 6kg, watching I/O, adequate hydration, urinary output. How much fluid would you give? Correct Answer 13 ml/kg/hour
PCP diagnosed 5 year old with asthma. Prescribes PO steroid and SABA via metered-
dose inhaler. What information is important to give? Correct Answer Make recommendations for disease mamagement
18 month old presents with rectal temperature of 100.4, acting normal. NP would recommend: Correct Answer Offering extra fluids and calling if symptoms change
10 year old child with shooting pain in both legs, aching, tingling, burning, unable to pin point specific location. What type of pain is this? Correct Answer Neuropathic pain
Parent concerned about vaccine reaction. What should NP tell them? Correct Answer MMR may be linked to febrile seizures in immunocompromised children
2 month old in the office to receive immunization, having fevers after. What would the NP recommend? Correct Answer Ibuprofen and Tylenol as needed
PCP has an 18 month old patient who received MMR 2 days prior to 1st birthday. What should the NP do? Correct Answer Recommend next dose of MMR at 4-5 years
5 year old with a history of pertussis. What immunizations do they need prior to starting kindergarten? Correct Answer DTaP
Trelarche stage in females? Correct Answer All of the above (pubic hair, breast tissue, 1st period)
How often should thyroid studies be performed? Correct Answer Yearly
Down Syndrome 18x greater in what population than that of the general population? Correct Answer Leukemia
Down syndrome spinal cord changes? Correct Answer All of the above
Patient presents with chronic otitis media, profuse purulent otorrhea, pearly white lesion on one tympanic membrane Correct Answer Cholestatoma
2 week old presents with wide spitting, S2 expiration Correct Answer Atrial septal defect
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