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44. A 16-year-old male presents with mild sore throat, fever, fatigue, posterior cervical adenopathy, in Palatine petechia. Without a definitive diagnosis for this patient, what drugs would be the least appropriate to prescribe? a. Ampicillin 45. What is an appropriate drug for prophylactic treatment of migraine headaches and a 21-year-old female? a. Propranolol (Inderal) 46. Introduction of solid foods to infants should begin: a. No earlier than 4 to 6 months of age, beginning we serial, then fruits, one at a time 47. A 16-year-old sexually active student presents with complaints of a greenish gray frothy vaginal discharge and vaginal itching. The nurse practitioner should suspect: a. Trichomoniasis 48. All of the following principles apply to drug therapy for elders except: a. Encourage the elderly to continue to self-medication administration to facilitate independence and self-sufficiency 49. Criteria for the diagnosis of Alzheimer’s disease include: a. Insidious and progressive decline of cognitive functions 50. A 10-year-old presents with hematuria, periorbital edema, and elevated blood pressure. He has a history of streptococcal pharyngitis two weeks earlier. What is the most likely diagnosis? a. Acute glomerulonephritis 51. After being thoroughly examined, a child is diagnosed with recurrent abdominal pain. Patient and parent counseling should include: a. Acknowledgment that the pain is real, although there is no physical cause 52. Eligibility requirements for the ANP or FNP exam include all of the following except: a. A master’s degree in nursing or an area 53. Which of the following can result from chronic inflammation of a Meibomian gland? a. A chalazion 54. The nurse practitioner is caring for a 19 year old female college student with iron deficiency anemia secondary to heavy menstrual bleeding. An appropriate initial treatment for this patient is: a. Oral ferrous sulfate 55. A 23-year-old female presents with scaly hypo pigmented macular lesions on her trunk, shoulders, and upper arms. The lesions flouresce under Wood’s lamp. Appropriate treatment for this condition is: a. Apply selenium sulfide (Versel) lotion and allow to dry for 10 minutes; then rinse off 56. P6 do-year-old male patient with a past history of glaucoma and frequent sinusitis presents today with hypertension. On his last two visits to the clinic, his blood pressures were 150 to 160 / 90 to 98. The nurse practitioner decides to treat the hypertension with long acting propranolol (Inderal). Before prescribing it the nurse practitioner should ask: a. What other medications have been prescribed for him 57. Once a competent adult patient is identified as a victim of domestic violence, the best plan is to: a. Suggest resources that will help the victim to develop survival skills 58. A patient has been taking enalapril (Vasotec) for a period of 14 months to treat heart failure. Despite feeling well otherwise, she has developed you dry, nonproductive cough. The nurse practitioner knows that: a. The cough should subside 1 to 4 days after discontinuing enalapril 59. A 20-year-old female patient presents to the emergency department with lower abdominal pain, moderate vaginal bleeding, and right shoulder pain. Her blood pressure is 90/50 mmHg, pulse is 120, respirations 20, and temperature 98°F. She has a history of pelvic inflammatory disease (PID). Her urine pregnancy test is positive. Which of the following is the most likely diagnosis? a. Ectopic pregnancy 60. A 27-year-old female patient with epilepsy is well controlled with phenytoin (Dilantin). She requests information about contraception. The nurse practitioner should instruct her that: a. The effectiveness of an oral contraceptive may be reduced 61. Microalbuminuria is a measure of: a. Protein lost in the urine