Anna is a 44 year-old, Asian-American female who presents to the clinic today with a complaint of a toenail discoloration for six months. She states that she has had a dark brown stripe in the middle of her great toenail on her left foot. She states that she has tried several over the counter anti-fungal medications without improvement.  Which of the following is the most appropriate diagnosis?

The primary care nurse practitioner is evaluating a 13-year-old girl who reports penile penetration of her vagina by her mother’s boyfriend the day before yesterday. The FNP reports this to the local child abuse hotline. What is the FNP’s next action?

Which of the following is one of the eight Millennial Development Goals (MDG)s?

The parent of a 4-year-old who has difficulty initiating and maintaining sleep has tried several nonpharmacological methods with variable success and asks about medications. What will the primary care nurse practitioner recommend?

The mother of a 3-month-old infant tells the primary care nurse practitioner that she is afraid her breast milk is “drying up” because her baby never seems satisfied and wants to nurse all the time. Which action is correct?

The parent of a 5-month-old is worried because the infant becomes fussy but doesn’t always seem interested in nursing. The infant has weight, height and a head circumference withing normal parameters on the growth chart. What will the nurse practitioner tell this parent?

The parent of a 12-month-old infant asks the primary care nurse practitioner why 2% cow’s milk is recommended instead of whole milk. What will the nurse practitioner tell this parent?

The parent of a 26-month-old child asks the family nurse practitioner when toilet training should begin. How will the family nurse practitioner respond?

The primary care family nurse practitioner sees a 3-day-old nursing infant whose newborn metabolic screen is positive for galactosemia. The nurse practitioner refers the newborn to a specialist for immediate evaluation and will tell the mother to do what?

The following findings are most consistent with which age group?   Physical: Starts regular bladder and bowel patterns Motor: Sits steadily unsupported for short periods of time Communication: Comprehends ‘no,’ responds to simple verbal commands Social: Increased anxiety when parent is unseen