BARKLEY PNP DRT 2 EXAM 2024 ACTUALEXAM QUESTIONS AND CORRECT ANSWERS WITH RATIONALES<\/p>\n\n\n\n
You are taking the history of a new patient who is 8 month old. When
asked about day care the mother explains that her baby has been
attending day care since she was 2 months old, but lately her daughter,
screams and clings to her mother when she is being dripped off. What is
the best information to provide the mother concerning this behavior?
A. Something must be wrong in the environment, and she should
consider another option for care.
B. The baby is exhibiting signs of serious mental illness.
C. The infant is displaying separation anxiety, which is normal at this
age.
D. The child is exhibiting signs of a serious physiological condition. –
ANSWER- C
Manny is brought in for a check-up, He knowns how to say momma,
daddy and sits indecently to play. He cannot yet walk or speak many
other words, but he communicates by reaching and pointing. Manny
recognizes you, his nurse practitioner, from previous visits, and he
smiles at you. He sees the pen in your coat pocket and reaches for it.
What would you estimate Mannys age to be?
A. 13 to 18 months<\/p>\n\n\n\n
B. 6 to 9 monts
C. 19 to 24 months
D. 10 to 12 months – ANSWER- D
A mother bring her 18 month old infant who presents with lethargy and
a decreased appetite, and the mother says that she things her daughter
amy be having abdominal pain. After a thorough interview, you learn
that the family has been renovating their 1950s bungalow home. Lab
tests reveal the childs hemoglobin level is 11.2 g\/dL, and the lead level
is 46 mcg\/dL. Which of the following indicates the most appropriate
management option for this patient?
A. Order a blood tranfusion
B. Refer to a hematologist for chelation therpay
C. Notify Child Protection services
D. Re-evaluate the child in one month. – ANSWER- B
Michal, 17 years old, has type 2 diabetes. His treatment includes a
controlled diet and insulin regimen. His family informs you that he has
recently been abusing alcohol and admits that he likes to drink with his
friends at parties. Given this information, which of the follow is the least
approrpraie to prescribe as an oral antidiabetic?
A. Dipeptidyl-peptidase 4 inhibitors
B. Alpha-glucosidase inhibitors<\/p>\n\n\n\n
C. INsulin
D. Biguanides – ANSWER- D
A mother bring her 2 year old son for his immunizations. HIs history
indicates that he is allergic to eggs. Which of the following vaccines
should not be administered to this patient?
A. IPV
B. MMR
C. Varicella
D. Influenza – ANSWER- D
A feverish 5 year old present with productive coughing of yellow tinged
mucus, chills, and diarrhea. He appears lethargic, and crackles are heard
over the right lower lobe by auscultation. The x-ray is hazy in the right
lower lobe. Which of the following conditions does this patient most
likely have?
A. Bronchitis
B. Sinusitis
C. Bacterial pneumonia
D. Tuberculosis – ANSWER- C
You are beginning to work at a new clinic in your new town, New
Orleans. One of your primary concerns is the development of proper<\/p>\n\n\n\n
patient-nurse relationship. You want to make sure that you never
abandon you patient and that you properly terminate your patient
relationships. All of the following should be a part of terminating a
patient nurse relationship except:
A. Resonable notice
B. Referral to a different practitioner
C. Admission of lack of competence
D. Refual of assignment – ANSWER- B
Mandy arrives at your clinic with her 1.4 year old toddler, tamara, which
is bow-legged. A former dancer, mandy is distraught that her daughter
may not be able to dance herself unless corrective action are taken.
Tamara is otherwise perfectly healthy. What should the nurse
practitioner advise the mother concerning her childs bowlegs?
A. Braces for the legs
B. Limited walking
C. Exercise and physical therpay
D. Wait and continue to observe – ANSWER- D
Which of the following is a term that refers to a unexpected occurrence
inflating death or serious physical or psychological injury or risk thereof,
and requires immediate investigation or response?
A. Medical error<\/p>\n\n\n\n