FNP 2 Exam 1 blueprint GNRS 5670 Latest

FNP 2 Exam 1 blueprint GNRS 5670 Latest Update - 150 Questions with 100% Verified Correct Answers Guaranteed A+ Verified by Professor

· Acute Concussion evaluation tool https://www.cdc.gov/headsup/pdfs/providers/ace-a.pdf - CORRECT ANSWER: A. Injury Characteristics Date/Time of Injury

• Injury Description

Reporter: __Patient __Parent __Spouse __Other________

1a. Is there evidence of a forcible blow to the head (direct or indirect)?1b. Is there evidence of intracranial injury or skull fracture?1c. Location of Impact: __Frontal __Lft Temporal __Rt Temporal __Lft Parietal __Rt Parietal __Occipital __Neck __Indirect Force

2. Cause: __MVC __Pedestrian-MVC __Fall __Assault __Sports (specify) Other

• Amnesia Before (Retrograde) Are there any events just BEFORE the injury that you/

person has no memory of (even brief)? __ Yes __No Duration

• Amnesia After (Anterograde) Are there any events just AFTER the injury that you/

person has no memory of (even brief)? __ Yes __No Duration

• Loss of Consciousness: Did you/ person lose consciousness? __ Yes __No Duration

6. EARLY SIGNS: __Appears dazed or stunned __Is confused about events __Answers

questions slowly __Repeats Questions __Forgetful (recent info)

7. Seizures: Were seizures observed? No__ Yes___ Detail _______Yes __No __Yes

__No__Unknown __Unknown

• Symptom Check List* Since the injury, has the person experienced any of these

symptoms any more than usual today or in the past day?Indicate presence of each symptom (0=No, 1=Yes).

PHYSICAL (10) 1 / 4

Headache Nausea Vomiting Balance problems Dizziness Visual problems Fatigue Sensitivity to light Sensitivity to noise Numbness/Tingling

COGNITIvE (4) Feeling mentally foggy Feeling slowed down Difficulty concentrating Difficulty remembering COGNITIvE Total (0-4)

EMOTIONAL (4)

_____

SLEEP (4)

Drowsiness Sleeping less than usual Sleeping more than usual Trouble falling asleep

SLEEP Total (0-4) _____ PHYSICAL Total (0-10) _____ 2 / 4

Irritability 0 1 Sadness 0 1 More emotional 0 1 Nervousness 0 1 EMOTIONAL Total (0-4) _____ (Add Physical, Cognitive, Emotion, Sleep total

· Health literacy- - CORRECT ANSWER: ● Mutual understanding and health planning ● Assessing and fostering health literacy- ability to read/communicate , evaluate/interpret health information ● Low health literacy affects health status- increased ED use, fewer preventative measures, poor treatment management ● Screening tools include FOG index, SMOG, Flesch-Kincaid Readability tests, Rapid estimate of Adolescent literacy in medicine ● Be clear in communication- avoid jargon, speak clearly, use a variety of education materials, written materials at 5th grade level.

· Know asthma severity and classification system - CORRECT ANSWER:

https://ginasthma.org/wp-content/uploads/2020/04/Main-pocket-guide_2020_04_03-

final-wms.pdf

· Know when to refer to cardiologist - CORRECT ANSWER: Refer all children with

family history of SCD, inheritable cardiomyopathies, Marfan syndrome, chest pain concerns, acquired or congenital heart disease, cardiac rhythm disturbances, palpitations

· Know your grades of murmurs p.763 - CORRECT ANSWER: Grade I- barely audible,

heard faintly after a period of attentive listening Grade II- soft but easily audible Grade III- Moderately loud 3 / 4

no thrill Grade IV- Loud present over widespread area thrill present Grade V- Loud audible with stethoscope barely on the chest precordial thrill present Grade VI- Heard without stethoscope (rare)

· Management of hypertension - CORRECT ANSWER: ● Management

○ BP annually all children 3 years and older

○ Prehypertension: two follow-up BPs

○ Hypertension: if overweight: treatment of obesity with lifestyle changes. Refer to nephrologist if HTN persistent ○ Medication management Table 31-11 Ch 38 - 7th edition Ch 30 - 5th edition, p. 695

■ Strep throat: History - CORRECT ANSWER: ● •Ill with no URI symptoms ● •Headache ● •Fever at home ● •Exposure

■ Bacterial conjunctivitis: Clinical findings - CORRECT ANSWER: ● Erythema ● Yellow-green purulent discharge ● Encrusted/matted eyelids on awakening

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