37- Frequently diaper dermatitis is secondarily infected with which Organism
• candida albicans
• E coli
• proteus spp
• Staphylococcus
... [Show More] aureus
38- The history and physical of a patient indicates past occurrences of lichenification ,The family nurse practitioner identifies the characteristic of this lesion as :
• rough thickened epidermis accentuated skin margins
• dried crusty exit date slightly elevated
• keratinized cells shaped in an irregular pattern with exfoliation
• loss of epidermis with hollowed out area in dermis exposed
39- Which type of lesion is referred to as resembling a dewdrop on a rose petal
• varicella zoster
• rubella
• measles
• tinea
40- Which one of the following lesion is found in secondary syphilis?
• rough red or reddish Brown spot both on the palm of the hands and the bottom of the feet
• painless chancres
• there are no visible sign of symptoms of syphilis
• it can affect multiple organ system
• 41. A patient has a diagnosis of scabies. Which presentation would the family nurse practitioner expect to note on physical exam?
A)
B)
C)
D)
42. Which skin disorder is characterized by a vesicular eruption after prolonged exposure to perspiration, with subsequent obstruction of the eccrine ducts? (major sweat glands of the human body)
A) pediculosis
B) Tinea corporis C) Miliaria
D) Scabies
43. On exam of a patient’s skin, the family nurse practitioner finds a lesion that is about
0.75 cm in diameter, brown, circumscribed, flat, and nonpalpable. What is the correct term for this lesion?
A) Macule
B) Papule
C) Nodule
D) Wheal
44. Lesions on the elbows and knees that are well demarcated, thick, silvery, scaly, and erythematous characterized which type of psoriasis?
A) Plaque
B) Bullae
C) Vesicle
D) Lichen
45. The family nurse practitioner has made a diagnosis of psoria Vulgaris after noticing tiny bleeding points when one of the lesion is scrapped (Auspitz’s sign). Which image is consistent with the clinical presentation of psoriasis?
A) C
B) A
C) B D) D
46. What is true about Human Papilloma Virus (HPV). Please select all that apply: A) Viruses that cause warts.
B) Wart viruses are contagious
C) People with a weakened immune system (the body’s defense system) are prone to get them
D) There are a few different types of warts. The type is determined by where it grows on the body and what it looks like.
E) Children and teens are prone to get them.
47. The rash in syphilis has the following characteristics:
A) Itch rash is a hallmark of syphilis B) Usually does not cause itching
C) Always cause itching
D) Itch rash is a hallmark of syphilis
48. What kind of lesions are caused by the herpes simplex virus?
A) Scales B) Vesicles
C) Uticaria
D) Plaques
49. Which statements are true regarding a Nevus? A) Nevi are characterized by irregular borders. B) Nevi share a relationship with melanoma.
C) Nevi begin to form at the age of 3 to 5 years. D) A nevus is an aggregation of malanocytes
E) Nevi always warrant being removed.
50. The Wood’s lamp may be used to evaluate skin lesions. When the light is shone on the patient’s skin, a green-yellow fluorescence indicates:
A) Lichenification
B) Bacterial colonies
C) Keratinized cells D) Prescence of fungi
51. Please select all that apply regarding the following lesion describe as follows “ A pink or
flesh-colored bumps on the skin. These bumps can appear anywhere on the skin”. A) People who have a weakened immune system are more prone to have it.
B) it is highly contagious
C) Wrestlers and gymnasts may get it from touching infected mats. D) Children have a high risk to contact this lesion.
52. What type of skin infection is tinea corporis ( ringworm)?
A) Viral
B) Bacterial
C) Nematode D) Fungal
53. Optimal medical therapy for young infants with vomiting or regugitation of gastroesophageal reflux disease (GERD) consists of:
A) Frequent small feedings and burping after each feeding.
B) Placing the infant prone after frequent feedings.
C) Placing the infant supine after feedings.
D) Thickening the feedings and using proton pump inhibitors.
54. A 6-year-old patient with a history of asthma presents to the office for evaluation by the family nurse pratitioner. The child has never used a peak flowmeter. What quick tool can the family nurse practitioner use to assess the severity of the child’s distress?
A) ABG’s
B) Chest X-ray
C) Presence of runny nose
D) Child’s inability to complete a sentence
55. Indications for antibiotic use in a child with bronchiolitis would include:
A) History of two episodes in 4 months
B) Rhinitis and a productive cough
C) Low-grade fever and sibilant wheezes D) High fever and rales
56. A new born has a vascular lesion that will not fade as the child gets older. What is your diagnosis?
A) Port-wine stain
B) Salmon patch
C) Capillary hemangioma
D) Café au lait spot
57. A 5 year-old presents to the clinic with diffuse abdominal pain, irritability, and a low- grade fever. The mother states the child has not had a bowel movement since the previous morning. Physical examination reveals umbilical tenderness, guarding, and hypoactive bowel sounds. The family nurse practitioner’s next step is to:
A) Refer to physician/ surgeon for further evaluation
B) Prescribe pediatric Fleet enemas
C) Assess for rebound tenderness and do a rectal exam
D) Assess dietary intake for the past 24 hours
58. Antibiotic administration has been demonstrated to be of little benefit in the treatment of which of the following disease processes?
A) Bacterial sinusitis more 14 days
B) Chronic bronchitis C) Acute bronchitis
D) Aged-school child with pneumonia
59. A 3 year old child who is enrolled in Head Start is suspected of having developmental delays based on Denver Development II results at two separate clinic visits. What would be the next step in the plan of care?
A) Request Head Start complete an independent evaluation
B) Discuss interventions to foster development with the parents
C) Repeat testing in one year
D) Refer the child for a more definitive evaluation
60. A 10-year-old boy is experiencing problems with wheezing, coughing, and shortness of breath about 4 hours after basketball practice. He has normal respirations and only experiences the problems after exercise. He is experiencing no other respiratory problems,
and the physical findings are within normal limits. What is the treatment of choice for this child?
A) Cromolyn sodium (Intal) 2 puffs each morning. B)Theophylline (Theo-24; methylxanthine) 100mg po bid
C) Beciomethasone (Beclovent) 2 puffs 3-4 times daily
D) Albuterol (Ventolin) 2 puffs MDI 20-30 minutes before exercise
61. Which of the following is correct in response to a patient's Question concerning possible cause of testicular cancer?
A. Balanitis
B. Syphilis
C. Cryptorchidism
D. Gonorrhea
62. A common cause of acute abdominal pain in children under 5 years old is:
A. Incarcerated hernias B. Gastroenteritis
C. Intussusception
D. Appendicitis
63. The family nurse practitioner is preparing to examine the Abdomen of a patient. What is the correct. sequence in which to conduct the exam?
A. Percussion, palpitation, auscultation, inspection. B. Inspection, auscultation, percussion, palpitation
C. Palpitations, percussion, auscultation, inspection.
D. Inspection, Palpitation, percussion, auscultation
64. A family nurse practitioner knows. Normal breath sounds that have a low pitch and soft intensity and that all heard best on inspiration over the posterial long fields are called; A.Vesicular
B. Bronchial
C. Rhonchial
D. Bronchovesicular
65. Which of the following best measure of toddler's development
A. M-Chat
B. Vineland scale
C. Bayley scale6 D. Denver II
66. Cystic Fibrosis (CF) is the preliminary diagnosis For a young girl who was brought to the clinic for evaluation. The test that will be used to rule out CF is
Glucose tolerance test Hemocult test
Sweat chloride test
Sputum culture and sensitivity
67. In a 17 year old man which of the following likely responsible for epididymitis?
A. Chlamydia Trachomatis
B. Candida Albicans
C. Escherichia coli
D. Treponema palladium
68. A patient from 12 to 60 years old who has a (FEV) Forced expiratory volume greater than 80%, has been experiencing night time awakenings (4-5 X/month) and using a short acting B2 agonists 3-4X/Week and report minimal limitation to normal activity would be classified as:
A. Severe persistent.
B. Mild persistent
C. Intermittent
D. Severe persistent
69. An exam of the male genitalia that consist of inserting a finger into the Louis cordam and into the inguinal canal, and asking the patient to cough causes the nurse practitioner to feel a sudden presence of a viscus that lies within the inguinal canal and comes through the external canal passing into the scrotum is most likely called:
A. A direct inguinal hernia
B. An indirect inguinal hernia
C. A strangulated inguinal hernia
D. A femoral hernia
70. An illed pediatric patient with respiratory symptoms has the following CXR based on this imagery what is the most likely microorganism?
a. Haemophilus influenza
b. streptococcus pneumonia
c. rotavirus
d. mycoplasma pneumonia
71. An 18-month-old child is brought to the clinic by her mother and is complaining of abrupt onset of vomiting. Followed by more than 10 liquid stools with mucus for the past 48 hours. The temperature is 100 degrees F (37.8) orally. The stool smear by the family
nurse practitioner is negative for WBC’s. What is the most likely etiologic pathogen for this young child’s gastroenteritis?
a. Shigella dysenteriae
b. Salmonella
c. Campylobacter jejuni
d. Rotavirus
72. Missing??????
73. A 3-year-old child with up to date immunizations is brought to the office by his mother with a fairly rapid onset stridor and high-pitched wheeze. In view of this information, what would be the least important condition to consider for the differential diagnosis?
a. Croup
b. Bacterial tracheitis
c. Foreign body aspiration d. Epiglottitis
74. When determining the classification of asthma control in a patient from 12 to 60 years old, who has symptoms less than 2 days per week, no interference with normal activity, reports nighttime awakening 1 time or less per month and using a short acting B2 agonist 3-4 times per week, the family nurse practitioner would classify the patient as:
a. Well-controlled
b. Very poorly controlled c. Not well-controlled
d. Out of control
75. A 3-year-old child is seen in the clinic for chronic, relapsing diarrhea. A stool for ova and parasites is obtained and is positive for Giardia. What is the most appropriate pharmacologic intervention?
a. Metronidazole (Flagyl)
b. Erythromycin (E-Mycin)
c. Ampicillin (Omnipen)
76. Match the description of the skin lesions with the disorder where it is found.
1. Nevus (flat mole): Flat circumscribed area that is less than 1 cm in diameter
2. Psoriasis or seborrheic and actinic keratosis: Elevated, firm, and rough lesion with a flat top surface greater than 1 cm in diameter
3. Varicella (Chickenpox), herpes zoster (shingles): Elevated circumscribed superficial lesion filled with serous fluid, less than 1 cm in diameter
4. Urticaria allergic reaction: Elevated irregular-shaped area of cutaneous edema; solid and transient with a variable diameter
77. During examination of a 3-week-old it is noted that the child has irritability when lifted or carried, asymmetrical Moro reflex and spasms along the right sternocleidomastoid. What does this suggest?
a. Klippel-Feil syndrome
b. Torticollitis
c. Sprengel deformity d. Fractured clavicle
78. The family nurse practitioner is teaching a patient about the role of medications in the treatment of asthma. Which statement by the patient would require further teaching?
a. “The Salmeterol that I take provides me with long-term control”
b. “I need to use my peak-flow meter to self-monitor how I am doing” c. “I do not need to use a spacer with my MDI”
d. “My albuterol is my quick-relief mediation”
79. Which of the is a typical presentation of a dislocation in the hip of a child 6 months of older?
a. Asymmetry of skin folds
b. Negative Trendelensburg sign
c. Positive Barlow & Ortolani sign
d. Atrophied hip muscles
80. Lesions on the elbows and knees that are well demarcated, thick, silvery, scaly, and erythematous characterize which type of Psoriasis?
c. Guttate d. Plaque
81. On a routine physical exam, a patient expresses concern over the observation that one side of his scrotum is larger than the other side. He states it has been getting larger for the past few months and and that the scrotum is smaller in the morning and enlarges through the day. He has felt a heaviness in the scrotum, denies any acute pain. He reports no history
of trauma to the scrotal area. On exam, the family nurse practitioner confirms the enlargement and further exam reveals that the scrotum transilluminate and that manual manipulation of the scrotum does not cause pain. What is the initial diagnosis for the patient?
a. Traumatic injury
b. Orchitis c. Hydrocele
d. Epididymitis
82. Which medication inhibits bronchoconstriction and is used as an adjunct to bronchodilators and corticosteroids and is effective in promoting a decrease airway inflammation as well as providing long-term medication coverage in a patient with asthma?
a. Albuterol (Proventil; Ventolin)
b. Montelukast (Singulair)
c. Salmeterol (Serevent)
d. Beclomethasone (Vanceril; Beclovent)
83. Vomiting in infancy has a long list of differential diagnoses. Which accompanying symptom would most likely indicate pyloric stenosis?
a. Appropriate growth
b. Diarrhea
c. Acts hungry after vomiting
d. Sausage-shaped mass in abdomen
84. Which of the following findings could be expected to occur in a baby with intussusception?
a. Inconsolable screaming and bringing knees to chest
b. weight loss
c. left to right peristaltic waves
d. Olive shaped mass
85. A pediatric patient presents with symptoms consistent with the early phase of appendicitis. Which of the following would NOT be a likely presentation?
a. Severe localized right lower quadrant pain
b. Fever and Diarrhea
c. Abdominal pain after eating d. Anorexia and diffuse pain
86. The nurse Practitioner is completing education with parents of a child with Celiac disease. Which of the following foods would be most appropriate?
a. Oatmeal or whole grain cereal for breakfast
b. Cream of baked bread
c. Commercial backed bread
d. Boiled rice with Vegetable and butter
87. A male patient presents with symptoms consistent for a torsion. What would be the first priority for this patient?
a. Bedrest
b. Surgical referral
c. Ice
d. Scrotal elevation
88. The nurse practitioner has a differential diagnosis of Lyme Disease. Which of the following skin lesion would confirm the diagnosis?
a. Erythema migrans
b. Koplik spots
c. Pustules
d. Scales
89. Which of the following would best reflect the physical presentation in a newborn with Down Syndrome?
a. Pigeon-breasted chest, Brushfield spots, arachnodactyly
b. Hypotonia, large-appearing tongue, small mouth, upward eye slant
c. Microcephaly, flattened philtrum, downward eye slant
d. Lymphadenopathy, coarctation of the aorta, webbed neck. [Show Less]