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FNP 652 Final Exam Spring–Summer Term (2025/2026) – Grand Canyon University | Verified Questions and Correct Answers with Rationales

HEAL100 Health Care — exam and revision material · Other

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Health Care exam material, 19 pages. Originally published on StudyMerit.

Pages
19
Academic year
2025/2026
Language
English

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NUR 652 - Final Exam Study online at https://quizlet.com/_dv8pld 1 . A 5-year-old child is hit in the face with a baseball bat and is brought to the clinic by a parent. An exam reveals three avulsed front teeth. Radiologic studies are negative for facial fractures. What is the recommended treatment?- : Refer the child to the dentist immediately for further evaluation 2 . A 13-year-old with cerebral palsy receives all nutrition via gastrostomy tube. What will the primary care nurse practitioner recommend to promote dental health in this child? : Daily chlorhexidine gluconate 3 . A teen who has otitis externa has severe swelling of the external auditory canal that persists after 2 days of therapy with ototopical antibiotic/corticos- teroid drops. What is the next step in treatment for this child? : Insert a wick into the external auditory canal 4 . An elderly patient has a permanent loss of the sense of smell and dimin- ished taste. What will be included in teaching this patient about managing these symptoms? : 1. The importance of installing smoke detectors 2. Putting dates on food in the fridge 3. Eating regular meals at scheduled times 5 . A toddler exhibits exotropia of the right eye during a cover-uncover screen. The primary nurse practitioner will refer to a pediatric ophthalmologist to initiate which treatment? : Patching of the unaffected eye for 2 hours each day 6 . An adolescent has localized bleeding of the gums when brushing the teeth. An exam of the mouth reveals the presence of plaque and calculus on the teeth which are not loose. What will the primary care nurse practitioner rec- ommend? : Consistently brushing and flossing the teeth twice daily 7 . A provider is recommending a cerumenolytic for a patient who has chronic cerumen buildup. The provider notes that the patient has dry skin in the ear canal. Which preparation is FDA approved for this use? : Carbamide peroxide 8 . A parent asks about ways to promote dental health in school-aged children while on family vacation that are convenient while camping and picnicking. What will the primary care nurse practitioner recommend? : Offering gum con- taining xylitol after meals 9 . A 7-month-old infant has had two prior acute ear infections and is currently on the 10th day of therapy with amoxicillin-clavulanate after a failed course of amoxicillin. The primary care nurse practitioner notes marker middle ear effusion and erythema of the TM. The child is irritable and has a temperature of 99.8. What is the next step in management of this child's infection? : Refer the child to an otolayngologist 10 . A patient reports painful swelling in the mouth with increased pain at mealtimes. The provider notes a mass in the salivary gland region. What is the likely cause of these symptoms? : Sialolithiasis 1 / 19

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NUR 652 - Final Exam Study online at https://quizlet.com/_dv8pld 11 . During a well child assessment of an African American infant, the primary care nurse practitioner notes a dark red-brown light reflex in the left eye and a slightly brighter, red-orange light reflex in the right eye. The nurse practitioner will... : Refer the infant to an opthalmologist 12 . A preschool age child who attend daycare has a 2 day history of matted eyelids in the morning and burning and itching of the eyes. The primary care NP notes yellow-green purulent discharge from both eyes, conjunctival erythema and mild URI symptoms. Which action is correct? : Prescribe topical antibiotic drops 13 . An 18-month-old child with no previous history of otitis media awoke during the night with right ear pain. The primary care NP notes an axillary tem- perature of 100.5 and an erythematous, bulging TM. A tympanogram reveals a peak of +15-mm H2O. What is the recommended treatment for this child? : An analgesic medication and watchful waiting 14 . During a well-child exam on a 4-year-old child, the primary care NP notes that the clinic nurse recorded 20/50 for the child's vision and noted that the child has difficulty cooperating with the exam. What will the NP recommend?- : Test the child's vision in 1 month 15 . Causes of cough, not related to pulmonary issues : Allergies, GERD, med- ications (lisinopril) 16 . The primary care NP is providing nutritional counseling for a 9-year-old female whose weight is at the 95th percentile for her age. What is the goal for this patient? : Maintenance of her current weight 17 . The primary care NP is performing a well child examination on a 12-year-old child who was diagnosed with type 1 DM at age 9. The child had a lipid screen at age 10 with an LDL cholesterol <100mg/dL. What will the NP recommend as part of ongoing management for this child? : Comprehensive ophthalmologic exams 18 . The primary care NP is reviewing lab work and diabetes management with a school-aged child whose HbA1C is 7.6% who reports usual blood sugars before meals as being 80-90mg/dL. The NP will consult with the child's endocrinologist to consider which therapy? : Continuous glucose monitoring 19 . The primary care NP notes a musty odor when examining a newborn at a 2-week checkup. What will the NP suspect? : Phenylketonuria 20 . A patient who has diabetes has a blood pressure of 140/90 and albumin- uria. Which initial action by the primary care NP is indicated for management of this patient? : Consulting with a nephrologist 21 . The primary care NP is performing a well-child examination on a 2-year-old child with a history of intrauterine growth retardation whose height remains 2 / 19

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NUR 652 - Final Exam Study online at https://quizlet.com/_dv8pld less than the 3rd percentile on a WHO growth chart. What will the NP do? : Refer the child to a pediatric endocrinologist 22 . An infant has congenital adrenal hyperplasia. At a routine well baby checkup, the primary care NP notes vomiting, poor feeding, lethargy, and mild dehydration. Which action is correct? : Refer the infant to the ED for fluids, dextrose, and steroids 23 . A patient recently diagnosed with T1DM is in clinic for a follow-up evalua- tion. The provider notes that the patient appears confused and irritable and is sweating and shaking. What intervention will the provider expect to perform once the POC blood glucose is known? : Giving a rapid acting carbohydrate 24 . A 15-year-old child has a recent history of increased thirst and frequent urination. The child's weight has been in the 95th percentile for several years. A dipstick UA is positive for glucose, and random plasma glucose is 350mg/dL. Which test will the primary care NP order to determine the type of diabetes in this child? : Pancreatic antibodies 25 . A patient has thyroid nodules and the provider suspects thyroid cancer. To evaluate thyroid nodules for potential malignancy, which test is performed? : - Thyroid ultrasound 26 . The primary care NP diagnoses a 14-year-old child with T1DM after a routine urine screen is positive for glucose and negative for ketones and plasma glucose is 350mg/dL. The child's weight is normal and the parents report a mild increase in thirst and urine output in the past few days. Which course of action is correct? : Begin insulin and refer the child to a children's diabetes center 27 . An initial key part of management of a child suspected of having an inborn error of metabolism is : Consulting a metabolic specialist 28 . The primary care NP is performing a well-child examination on a 5-year-old girl. The parents ask if the child's adult height can be predicted. The NP learns that the mother is 5'8" tall and the father is 5'11" tall. The NP will estimate which expected adult height for this child? : 5'7" 29 . A patient with T2DM has a low-density lipoprotein (LDL) level of 110mg/dL. What is recommended to manage this patient? : Prescription of a moderate or high intensity statin 30 . The primary care NP is performing a well child examination on a 13-year-old child who was diagnosed with T1DM at age 9. The child had a lipid screen at age 10 with an LDL of <100mg/dL. What will the NP recommend as part of ongoing management for this child? : Comprehensive ophthalmologic exam 3 / 19

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