Barkley Nurse Practitioner Certification Exam 2023 (170 Questions with correct Answers 100%
The nurse practitioner is examining Martin, a 3-month-old
... [Show More] whose mother brought in because he has not been gaining weight. A physical examination indicates a palpable olive-shaped mass in the patient's abdomen. Which of the following would the NP expect to find in Martin's case?
A. Abdominal distention
B. Chocking and coughing
C. Projectile vomiting after feeding
D. Hematemesis {{Correct Ans- c
You are treating a 1-month-old whose presentation includes jaundice, malnutrition, and distention of the abdomen. His mother adds that the infant experiences infrequent bowel movement and that bile appears in his vomit. Which of the following is the best diagnosis?
A. Intussusception
B. Hirschsprung's disease
C. Pyloric stenosis
D. Appendicitis {{Correct Ans- b
You have just diagnosed a 10-year-old with gastroenteritis, nut now the parents are concerned that it may have spread to their newborn girl. Since babies cannot tolerate gastroenteritis as long as older children, what symptoms present in the infant should cause the parents to immediately bring their baby to see you?
A. The child has a fever of 101F with vomiting
B. The child has bouts of colicky pain every evening from 8pm to 8pm
C. The child cries with pain, is difficult to comfort, and has diarrhea three times in a day
D. The child has bloody stools, no wet diaper in 6 hours, and cries without tears {{Correct Ans- d
Evan 14-yeard-old presents with complaints of stomach pain that has concentrated in the lower right portion of his abdomen. Evan reports that his abdominal pain worsens when he coughs and that he vomited soon after the pain began, however, he denies any subsequent vomiting episodes. Suspecting appendicitis you begin physical examination and find that Evan experiences pain when he extends his right thigh. This finding is known as:
A. Obturator sign
B. McBurney's sign
C. String sign
D. Psoas sign {{Correct Ans- d
. You are treating Jake, a 2-month-old infant who was born with a low birth weight. Jake's parents are concerned that he appears to be losing further weight and frequently chokes and wheezes. Additionally, they state that he vomits on a recurring basis. You suspect a diagnosis of gastroesophageal reflux disease (GERD), however, you also know that Jake's presentation may also be indicative of Pyloric stenosis, and thus, you must conduct laboratory tests to rule out this diagnosis. Which of the following laboratory tests is most helpful in distinguishing GERD from pyloric stenosis?
A. Stoof for occult blood
B. Urinalysis
C. Abdominal ultrasonography
D. Complete blood count {{Correct Ans- c
. Max, the infant son of Mel and Anne, has exhibited a red rash on his pelvis due to the type of diaper he wears. Now raised bumps have appeared, although with no discoloration. Which of the following would best treat bumps
A. Emollients
B. Hydrocortisone
C. Topical antifungal
D. Domeboro {{Correct Ans- b
An 18-month-old boy is diagnosed with Coxsackie virus, also known as hand, foot and mouth disease. Which of the following is the most appropriate management for this condition?
A. Steroids
B. Acetaminophen
C. Doxycycline
D. Acyclovir {{Correct Ans- b
. In July, Marian brings in her 5-year-old son, Jensen, who has just started presenting with Varicella zoster virus. His contraction of the virus was intentional as Marian brought, Jensen to a "chicken pox party" where a child with the virus can spread it to other kids, so all the children can get the virus now and not when school is in session. Marian asks you for a treatment that specifically reduces the duration of his signs and symptoms. Which of the following is the best recommendation for treatment?
A. Antihistamine
B. Acetaminophen
C. Acyclovir
D. Calamine {{Correct Ans- c
. In July, Marian brings in her 5-year-old son, Jensen, who has just started presenting with Varicella zoster virus. His contraction of the virus was intentional as Marian brought, Jensen to a "chicken pox party" where a child with the virus can spread it to other kids, so all the children can get the virus now and not when school is in session. Marian asks you for a treatment that specifically reduces the duration of his signs and symptoms. Which of the following is the best recommendation for treatment?
A. Antihistamine
B. Acetaminophen
C. Acyclovir
D. Calamine {{Correct Ans- d
. Which of the following categories of burns present as moist?
A. First and second
B. First C. Second and third
D. Second {{Correct Ans- d [Show Less]