NR 602 final Exam Study set Latest Update -

NR 602 final Exam Study set Latest Update -

150 Questions and Verified Correct Answers Golden Ticket to Guaranteed A+ Verified by Professor

.In the sociological model of family violence, family violence is viewed as: - CORRECT

ANSWER: a pattern of behavior that is passed from generation to generation

• A sexually active adolescent female tests positive for N. gonorrhea

and Chalmydia. She tells the primary care pediatric nurse practitioner that she wants to be treated today since she is moving out of town the next day. What will the

nurse practitioner order?What is the treatment for her - CORRECT ANSWER:

Ceftriaxone 250 mg IM and azithromycin 1 g PO one time each

Rational- Remember the G in Gonorehea for or Ceftriaxone and Chlamydia you can give either Doxycycline 100 mg for 7 days or Azithromycin 1 g PO x1 because she is moving she are giving this combination.

5yearold child who exhibits ritualistic behaviors, avoids contact with other children, and has limited speech. The parent reports having had concerns more than 2 years ago about autism, but was told that it was too early to diagnose. What will the nurse practitioner do first? - CORRECT ANSWER: Ask the parent to describe the child's earlier behaviors from infancy through preschool

A 10yearold child has had abdominal pain for 2 days, which began in the periumbilical area and then localized to the right lower quadrant. The child vomited once today and then experienced relief from pain followed by an increased fever. What is the likely diagnosis? - CORRECT ANSWER: Appendicitis with perforation

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Rationalle- Start of appendicitis is periumbilical pain that moves to RLQ. If you are feeling relief from pain that is probably because it periflerated.

A 12monthold infant exhibits poor weight gain a fter previously normal growth patterns. There is no history of vomiting, diarrhea, or irregular bowel movements, and the physical exam is normal. What is the next step in evaluating these

findings - CORRECT ANSWER: Feeding and stooling history and 3day diet history

• Child is not throwing up and so you wonder if there is anything else that could be

causing issues such as an allergic reaction to food.

A 12yearold child whose BMI is greater than t he 95th percentile has a blood pressure at the 98th percentile for age, sex, and height. After lifestyle changes that include diet and exercise, the child's BMI drops to the 90th percentile, but the blood pressure remains the same. What is the primary care pediatric nurse practitioner's next step in treating this child? - CORRECT ANSWER: Referral to a nephrologist or cardiologist

A 12yearold child whose weight and BMI are in the 75th percentile has a diastolic blood pressure that is between the 95th and 99th percentiles for age, sex, and height on three separate occasions. Initial tests for this child will include -

CORRECT ANSWER: renal function and plasma renin tests.

A 14yearold female comes to the clinic with amenorrhea for 3 months. A pregnancy test is negative. The adolescent's body weight is at 82% of expected for height and age. The mother reports that her daughter often throws up and refuses to eat most foods. Which condition does the primary

care pediatric nurse practitioner suspect? - CORRECT ANSWER: Anorexia nervosa

Rationalle- Body weight is 82% less than the expected

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A 14yearold female has menometrorrhagia with moderate increase in menstrual flow and irregular periods. Her hemoglobin is 13.1 g/dL. How will this be managed? -

CORRECT ANSWER: Iron supplementation and prostaglandin inhibitors

Rationale: Her hemoglobin level is at 13.1 and the normal range for this age group is 11.9-15. It is better to give Iron because of the bleeding and for pain reliefe Prostoglandins such as Ibuprofen.

A 15yearold female basketball player who has secondary amenorrhea is evaluated by the primary care pediatric nurse practitioner who notes a BMI in the 3rd percentile. What will the nurse practitioner counsel this patient? - CORRECT

ANSWER: To work with a dietician to improve healthy weight gain

A 15yearold n female has a positive pregnancy test and asks the primary care pediatric nurse practitioner not to tell her parents. She is tearful and says she isn't sure she wants to keep the baby. What will the nurse practitioner do first? - CORRECT

ANSWER: Determine the state mandated reporting laws.

Rationale- Each state has different laws on reporting to parents about STIs and Pregnancy.

A 16yearold female has not had a menstrual period yet and is concerned. She denies sexual activity. An exam reveals an adult sexual maturity rating.Which laboratory test will the primary care pediatric nurse practitioner order initially? -

CORRECT ANSWER: Pregnancy Test

Rationale- All people lie and the number one reason for Ammenorrhea is pregnancy.After I rule out that then I can look at other things such as nutrition, is she an athlete and is it Primary Amenorrhea which is failure to have a period for 3 years or creast development or by age 15. or Secondary Anemia which is no menstrual periods for 3 months or absent of period for 6 months for those on irregular periods.

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