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NURS 5432 FNP 1 MODULE 1 EXAM QUESTIONS WITH 100% CORRECT ANSWERS
"· Adequate nutrition confirmed by weight gain up to 3 months - CORRECT ANSWER o 30
g/day (1 oz/day) for the first 3 months o Gain of 15-20 g/day during subsequent 3 months"
"· Vitamin Supplementation - CORRECT ANSWER o Vitamin D (400 IU per day at 2 months of
age to adolescence o Vitamin B12 for breastfeeding mothers who are strict vegetarians"
"Iron supplementation - CORRECT ANSWER o For exclusively breast-fed infants:
approximately 1 mg/kg/day of iron is recommended after 6 months of age o Bottle feeding should contain iron supplementation o Ideally iron should come from fortified cereals o Elemental iron supplements can be given if iron intake from diet is not adequate"
"· Fluoride Supplementation - CORRECT ANSWER o Supplements only when local water
supply is less than 0.3 parts per million (ppm) o Supplementation first 6 months of life"
"Initial weight loss after birth - CORRECT ANSWER 10%"
"Initial weight loss regained when - CORRECT ANSWER within 7-14 days"
"Weight should double by when - CORRECT ANSWER 5-6 months old"
"Weight should triple by when - CORRECT ANSWER 1 year of age"
"Weight should quadruple by when - CORRECT ANSWER 2 years of age"
"Weight gain for 3 year old - school age - CORRECT ANSWER 4-6 pounds per year"
"Weight gain for school age children - CORRECT ANSWER 5-7 pounds per year"
"Milestones at 6-9 months - CORRECT ANSWER · Turns to sound
· Babbles and combines vowel/consonant sounds · Responds to name
· Rolls over · Sits independently · Transfers objects · Supports weight on feet · Uses thumb and fingers to pick up objects · Crawls"
"Milestones at 10-12 months - CORRECT ANSWER · Takes simple action on request
· Purposefully says "mama" or "dada" · Sits independently and plays · Pulls to standing/cruise furniture · Communicates by reaching and pointing · Moves purposefully to get desired object · Has increasing curiosity · Recognizes people · Uses both hands well"
"Milestones at 13-18 months - CORRECT ANSWER · Scribbles with large crayon
· Walks alone · Feeds self with fingers and begins using a spoon · 4-10 word vocabulary · Follows simple directions · Coordinates use of both hands · Responds to name · Points to 2 pictures upon request · Long jabbering sentences · Throw ball overhead"
"Milestones at age 19-24 months - CORRECT ANSWER · Walks up/down stairs
· Jumps with both feet · Completes simple puzzles, circle shapes first · Stacks 6-7 blocks · Uses 2-word sentences · 30-50 word vocabulary" "Red flags
1 year: - CORRECT ANSWER · Is not imitating sounds
· Is not pulling to standing · Is not indicating desires by point/gesture"
Prefer separation of MMR by 1 month*"
"Hep A - CORRECT ANSWER Series of 2 (1 year to 2 years , 6 months apart)"
"Tanner Stage 1 - CORRECT ANSWER Female = 8 years
Male = 9-10 years brain begins to start to send signals but no physical changes"
"Tanner Stage 2 - CORRECT ANSWER Female: 9-11 years
-breast buds -darkening of areola -uterus enlarges -pubic hair starts on labia of vulva Male: 11 years -testes and scrotum enlarge -pubic hair begins at base of penis"
"Tanner Stage 3 - CORRECT ANSWER Growth spurt for both
Female = 12 years -breast buds continue -pubic hair thickens and begins to curl -armpit hair -acne begins -highest rate of linear growth = 3.2" per year -hips and thighs build fat Male = 13 years -penis and testes continue to grow -voice changes -muscles begin to build -height growth of 2 - 3.2" per year"
"Tanner Stage 4 - CORRECT ANSWER Female = 13 years
-breast become fuller -period begins -height begins to slow to 2-3" per year -pubic hair thickens Male = 14 years -penis and testes continue to grow, scrotum darkens -armpit hair begins
-voice deepens -acne begins"
"Tanner Stage 5 - CORRECT ANSWER Female = 15 years
-breast reach approx adult size -periods regular Male = 15 years -penis, testicles, scrotum approx adult size -facial hair -growth will slow but muscles continue to grow"
What are S/S of iron deficiency anemia? - CORRECT ANSWER Microcytic/hypochromic
anemia, presents with fatigue, SOB, PICA, soft spoon nails, cheilosis, sore tongue, and in children learning difficulties. PALLOR is late sign. May also be asymptomatic. Know labs are Low MCV, MCHC and HGB"
"What are the numbers on the DEXA scan and their corresponding diagnoses? - CORRECT
ANSWER T-Score -2.5 or below is osteoporosis
T-Score -1 to -2.4 is osteopenia"
"S/S of sickle cell crisis? Treatment? - CORRECT ANSWER joint or abd pain, microvascular
necrosis, MI, bone pain, swelling in the face. Treated with O2, hydration, analgesia and education to prevent further attacks"
"What is the presentation of cradle cap in an infant? Treatment? - CORRECT ANSWER This is
infantile seborrheic dermatitis and presents as oily, greasy, yellowish scales on the scalp. Parents can use olive or mineral oil or dawn dishwashing soap. May also try mizoram shampoo. Need to remove flakes with soft brush of some sort"
"What are the most common skin lesions in the elderly and how do they present? - CORRECT
ANSWER seborrheic keratosis-flaking skin lesions, will pull them off and they often return... use
moisturizer Actinic keratoses- dry, gritty lesions that could be early sign of skin cancer"
"What are the most important pieces of a post-partum assessment? - CORRECT ANSWER
Depression"
"What are conditions that can mimic dementia? - CORRECT ANSWER B-12 deficiency,
Hypothyroidism, infection and dementia as a SE to medication"
"S/S of syphillis? - CORRECT ANSWER Painless chancre/ macule papule that erodes. In
secondary will see rash all over including palms and soles, condolymata lata, and constitutional symptoms"
"S/S of Genital herpes? - CORRECT ANSWER Vesicles that lead to painful ulcerations and then
crusting. In women may have dysuria and white discharge."
"S/S Gonorrhea? - CORRECT ANSWER Urethritis in males and vaginal discharge, dysuria, labial
pain /swelling, and abd pain with females."
"S/S of chlamydia? - CORRECT ANSWER mostly asymptomatic. Could have cervicitis,
prostatitis, or PID. Will have mucopurulent cervix"
"S/S of trichomonas? - CORRECT ANSWER Strawberry cervix, possible green frothy discharge,
fishy smell, but most are asymptomatic"
"S/S bacterial vaginosis? - CORRECT ANSWER Fishy smelling discharge worse after sexual
intercourse. Clue cells on wet prep."
How does physical growth occur? - CORRECT ANSWER in a predictable sequence"
"Cephalo growth is to - CORRECT ANSWER caudal"
"Proximal growth is to - CORRECT ANSWER distal"
"What is the caloric requirement from birth to 6 months? 7months to a year? Two to ten years?
Adolscents? - CORRECT ANSWER 120kcal
100kcal 70kcal 45kcal"
"What are the benefits of breastfeeding? - CORRECT ANSWER decreases GI problems, fewer
allergies due to increases atopy, acts as a form or analgesia, decreases chance of child being obese"
"What is the recommendation for exclusive breastfeeding? - CORRECT ANSWER 6 months"
"What is the baby's weight gain the first three months? - CORRECT ANSWER 30g/day or 1
oz/day"
"What is the baby's weight gain after three months of age? - CORRECT ANSWER 15-20g/day"
"What is the recommended vitamin D supplementation? - CORRECT ANSWER 400 units/day
from two months until adolescence"
"When is it appropriate to give a baby iron supplementation? - CORRECT ANSWER if they are
being exclusively breastfed"
"How much iron supplement is recommended after six months of age? - CORRECT ANSWER
1kg/day"
"When is fluoride supplement necessary? - CORRECT ANSWER at 6 months of age if the water
supple is less than 0.3ppm"
"When will the initial weight be regained after the infant loses their birthweight? - CORRECT
ANSWER 7-14 days"
"When does a baby's weight double? Triple?
Quadruple? - CORRECT ANSWER 5-6 months
12 months 24 months"
"How much weight does a three year old gain annually? - CORRECT ANSWER 4-6 pounds"
"How much weight does a school-age child gain annually? - CORRECT ANSWER 5-7 pounds"
"What theorist developed the cognitive domain? - CORRECT ANSWER Jean Piaget"
3-4 months 5-6 months 6-7 months 7-9 months
8-10 months - CORRECT ANSWER 2-3 months: grasps and shakes rattle
3-4 months: reaches for objects 5-6 months: hand to hand transfer 6-7 months: raking grasp 7-9 months: finger grasp 8-10 months: pincer grasp" "Fine Motor Skills 10-12 months 17-18 months
22-24 months - CORRECT ANSWER 10-12 months: marks on paper
17-18 months: stacks 3 blocks 22-24 months: stacks 6 blocks" "Language Skills: 2-3 months 4-5 months 5-6 months 8-9 months
9-10 months - CORRECT ANSWER 2-3 months: smiles and coos
4-5 months: laughs 5-6 months: babbles 8-9 months: "mama, dada" and waves bye 9-10 months: understands "no"" "Language Skills: 15-18 months 18-22 months
22-24 months - CORRECT ANSWER 15-18 months: points to body parts
18-22 months: 2 word sentences 22-24 months: 30-50 word vocabulary"
"Milestones at 2-5 months - CORRECT ANSWER · Watches a person's face intently
· Follows people and object with eyes · Lifts head/chest when on stomach · Holds head steady when pulled to sit
· Startles to loud noise"
"Immunizations - CORRECT ANSWER The advisory committee on Immunization Practices
(ACIP) publishes updated immunization schedules annually in January Administration for all vaccines are typically 0.5 mL, IM or SQ depending on vaccine, with the exception of the influenza vaccine First dose must be monovalent vaccine Vaccine intervals need to be at least 6 weeks"
"Hep B - CORRECT ANSWER · All newborns: first dose before hospital discharge
· Second dose: 1-2 months of age; monovalent or a combination vaccine containing Hep B"
"Infants born to hepB antigen + mothers: - CORRECT ANSWER · Administer hep B vaccine
within 12 hr of birth · Test for HBsAG and antibody to HBsAg after 3 or more doses of Hep B series at 9-18 months"
"Rotavirus Vaccine - CORRECT ANSWER · Series of 3 from 6-32 weeks
· Administer first dose 6-14 weeks, and each subsequent dose at 4 week intervals · Must complete series before 32 weeks · Do not administer a dose after the age of 32 weeks"
"DTaP - CORRECT ANSWER Series of 3 primary (2-4-6 months ) and 2 boosters (15 months and
6 years) DTaP not indicated for children 7 or older"
"TdaP - CORRECT ANSWER Series of 1 at 11 or 12 with subsequent every 10 years"
"HIB conjugate - CORRECT ANSWER Series of 3 primary (2-4-6 months) and 1 booster (
months)"
"Pneumococcal Vaccine (PCV13) - CORRECT ANSWER Series of 3 primary (2-4-6 months) and 1
booster (12 months)"
"Pneumococcal Vaccine (PPSV23) - CORRECT ANSWER · Children 24-59 months if they have
the following: hemoglobinopathies; asplenia ;splenic dysfunction; HIV infection; congenital immunodeficiencies; · Renal failure; nephrotic syndrome; chronic cardiac disease; chronic pulmonary disease; diabetes; consider in this age group if of Native American, African American, Or Alaskan descent or attending daycare"
"Meningococcal - CORRECT ANSWER Series of 2: ages 11-12 and a booster at the age of 16
"What are the assessment findings in testicular torsion? How is it diagnosed? - CORRECT
ANSWER Pain in the testicle or abdomen, N/V, one testicle higher or at strange angle, swelling
of scrotum. Diagnosed with physical exam, cremasteric reflex, and scrotal ultrasound"
"What are common problems seen in Klinefelters? - CORRECT ANSWER Sterile males,
feminine characteristics, learning disabilities"
"What are common problems seen in Down's Syndrome? - CORRECT ANSWER Congenital
heart disease, hirschprungs, duodenal atresia, imperforate anus, expressive language difficulty, delayed development"
"What are common problems seen in Turner's Syndrome? - CORRECT ANSWER Short
statured, broad chested, often sterile or will need help to conceive,"
"What is included in a functional geriatric assessment? - CORRECT ANSWER Need to assess
basic self cares (ADLs) can use Katz index. Also need to assess instrumental ADLs which indicate their ability for independent community living... can use Lawton-Brody scale for this"
"How do you determine to use Progestin only vs combination HRT? - CORRECT ANSWER
Progestin only is useful in breastfeeding mothers. Can use estrogen only if local application. Unopposed systemic estrogen therapy not recommended due to risk of osteoporosis and worsening CV disease"
"Absolute contraindications for systemic HRT? - CORRECT ANSWER Pregnancy, VTE, Breast or
liver cancer, high triglycerides"
"Why is progesterone given in HRT? - CORRECT ANSWER To prevent endometrial thickening
which could potentially lead to endometrial cancers"
"What is the dosage of Vit D needed to prevent osteoporosis? - CORRECT ANSWER It is
thought we need about 800IU daily along with 1200-1500 mg calcium"
"Which vaccines need to be given in pregnancy? - CORRECT ANSWER Flu and Tdap"
"What is the treatment for atopic dermatitis? Education for families? - CORRECT ANSWER
Prevent moisture loss, moisturize, avoid allergens. May need to watch for skin infections. Some providers provide mupirocin to keep at home in case this occurs"
"What should the NP consider when prescribing medications to a lactating mother? - CORRECT
ANSWER Need to know if it is secreted in the milk"
"What labs need to be performed to diagnose menopause? - CORRECT ANSWER No labs are
routinely needed. It is diagnosed 12 months after menstruation has stopped. Could see rise of FSH and drop in estradiol as it occurs though"
"What is used to prevent neural tube defects in an infant? - CORRECT ANSWER A prenatal
vitamin for neural tube defect"
"What is hemophilia? - CORRECT ANSWER Condition where blood cannot clot properly.
usually deficiency in factor VIII."
"S/S of precocious puberty? - CORRECT ANSWER Breast growth or first period before age 8 in
girls Testicle or penis enlargement, facial hair growth or voice changes in boys prior to age 9"
"S/S of late puberty? - CORRECT ANSWER When changes have started to occur by age 14 in
boys and age 13 in girls"
"How do you differentiate PIH from pre-existing HTN in a pregnant woman? - CORRECT
ANSWER When blood pressure has been identified as high by two separate check prior to
pregnancy or before the 20th week it is usually a sign of chronic HTN. If it elevates after the 20th week and then returns to a normal range post pregnancy then it is PIH"
"What fundal height corresponds to what milestone in pregnancy? - CORRECT ANSWER
Measurement from the pubic bone to the top of the uterus in cm. After 20 weeks it often matches the number of weeks gestation of the pregnancy"
"Treatment of GERD in infants? - CORRECT ANSWER Small frequent feedings, thicken with rice
cereal, upright for 30 minutes after meals, avoid stimulation or abd pressure after meals, Zantac or Prevacid (not with AR formulas), Bethanecol, Reglan"
"S/S constipation in children? - CORRECT ANSWER More than 3 days with out stool, painful
stools, or blood streaked stools. Failure to pass meconium indicates hirschsprugs, hypothyroid, or meconium ileus."
"Treatment of constipation in children? - CORRECT ANSWER Increase water intake, add fruits
and veggies to diet for fiber intake, exercise, can add stool softness or laxatives PRN if needed"
