MN580 MIDTERM EXAM REVIEW QUESTIONS
AND ANSWERS 2026 FULL PRACTICE TEST
◉ The parent of a newborn infant asks the primary care pediatric
nurse practitioner when to intervene to help the infant's future
intellectual growth. What will the nurse practitioner tell the parent?
a. Cognitive learning begins during the toddler years.
b. Intellectual growth begin when speech develops.
c. Language and literacy skills begin at birth.
d. Preschool is an optimal time to begin general learning.. Answer: c.
Language and literacy skills begin at birth.
General learning and acquisition of skills for later reading and
writing begin at birth, not in kindergarten or first grade, and these
skills grow with everyday loving interactions between infants and
caregivers. Cognitive learning changes during toddler years but
begins at birth. Intellectual growth is not tied to speech alone.
◉ The parent of a 10 yearold boy tells the primary care pediatric
nurse practitioner that the child doesn't appear to have any interest
in girls and spends most of his time with a couple of other boys. The
parent is worried about the child's sexual identity. The nurse
practitioner will tell the parent:
,A. children at this age who prefer interactions with same gender
peers usually have a homosexual orientation.
B. children experiment with sexuality at this age as a means of
deciding later sexual orientation.
C.this attachment to other same gender children is how the child
learns to interact with others.
D. to encourage mixed gender interactions in order to promote
development of sexual values. Answer: C.this attachment to other
same gender children is how the child learns to interact with others.
◉ The parent of a 2weekold
infant reports that the infant was diagnosed with
transient tachypnea of the newborn shortly after birth. The primary
carepediatric nurse
practitioner understands that, in this condition,
A. antibiotic therapy is generally necessary to prevent
severeinfection.
B. home oxygen therapy is needed until the infant grows out of
thecondition.
C. recovery is usually complete with minimal intervention and
treatments.
,D. treatment with exogenous surfactant and mechanical ventilation
isneeded. Answer: C. recovery is usually complete with minimal
intervention and
treatments
◉ An infant has congenital adrenal hyperplasia. At a routine well
baby
checkup, the
primary care pediatric nurse practitioner notes vomiting, poor
feeding, lethargy, and dehydration. Which action is correct?
A Administer an intramuscular stress dose of hydrocortisone
succinate.
B Administer intravenous fluids in the clinic and reassess hydration
status.
C Prescribe an oral hydrocortisone in a replacement dose of 8 to
10mg/M2.
D Refer the infant to the emergency department for fluids, dextrose,
and steroids.. Answer: D Refer the infant to the emergency
department for fluids, dextrose, and steroids.
◉ The parent of a 4-day-old infant tells the primary care pediatric
nurse
practitioner that the infant was diagnosed with hydronephrosis
while in utero and asks what will be done. What will the nurse
practitioner tell this parent?
, A.Renal function will be abnormal and will require lifetime
treatment.
B. Spontaneous resolution often occurs within 6 months to a yearof
age.
C. The affected kidney will be nonfunctionalbut the
other kidney will
compensate.
D The infant will eventually require renal transplantation for that
kidney.. Answer: B. Spontaneous resolution often occurs within 6
months to a year of age.
◉ An initial key part of management of a child suspected of having
an inborn error of metabolism is
a. consulting a metabolic specialist
b. obtaining a complete family history
.c. ordering metabolic screening tests.
d. referring the family to a dietician.. Answer: a. consulting a
metabolic specialist
◉ The primary care pediatric nurse practitioner notes a musty odor
when
examining a newborn at a 2 week checkup. What will the nurse
practitioner suspect?
AND ANSWERS 2026 FULL PRACTICE TEST
◉ The parent of a newborn infant asks the primary care pediatric
nurse practitioner when to intervene to help the infant's future
intellectual growth. What will the nurse practitioner tell the parent?
a. Cognitive learning begins during the toddler years.
b. Intellectual growth begin when speech develops.
c. Language and literacy skills begin at birth.
d. Preschool is an optimal time to begin general learning.. Answer: c.
Language and literacy skills begin at birth.
General learning and acquisition of skills for later reading and
writing begin at birth, not in kindergarten or first grade, and these
skills grow with everyday loving interactions between infants and
caregivers. Cognitive learning changes during toddler years but
begins at birth. Intellectual growth is not tied to speech alone.
◉ The parent of a 10 yearold boy tells the primary care pediatric
nurse practitioner that the child doesn't appear to have any interest
in girls and spends most of his time with a couple of other boys. The
parent is worried about the child's sexual identity. The nurse
practitioner will tell the parent:
,A. children at this age who prefer interactions with same gender
peers usually have a homosexual orientation.
B. children experiment with sexuality at this age as a means of
deciding later sexual orientation.
C.this attachment to other same gender children is how the child
learns to interact with others.
D. to encourage mixed gender interactions in order to promote
development of sexual values. Answer: C.this attachment to other
same gender children is how the child learns to interact with others.
◉ The parent of a 2weekold
infant reports that the infant was diagnosed with
transient tachypnea of the newborn shortly after birth. The primary
carepediatric nurse
practitioner understands that, in this condition,
A. antibiotic therapy is generally necessary to prevent
severeinfection.
B. home oxygen therapy is needed until the infant grows out of
thecondition.
C. recovery is usually complete with minimal intervention and
treatments.
,D. treatment with exogenous surfactant and mechanical ventilation
isneeded. Answer: C. recovery is usually complete with minimal
intervention and
treatments
◉ An infant has congenital adrenal hyperplasia. At a routine well
baby
checkup, the
primary care pediatric nurse practitioner notes vomiting, poor
feeding, lethargy, and dehydration. Which action is correct?
A Administer an intramuscular stress dose of hydrocortisone
succinate.
B Administer intravenous fluids in the clinic and reassess hydration
status.
C Prescribe an oral hydrocortisone in a replacement dose of 8 to
10mg/M2.
D Refer the infant to the emergency department for fluids, dextrose,
and steroids.. Answer: D Refer the infant to the emergency
department for fluids, dextrose, and steroids.
◉ The parent of a 4-day-old infant tells the primary care pediatric
nurse
practitioner that the infant was diagnosed with hydronephrosis
while in utero and asks what will be done. What will the nurse
practitioner tell this parent?
, A.Renal function will be abnormal and will require lifetime
treatment.
B. Spontaneous resolution often occurs within 6 months to a yearof
age.
C. The affected kidney will be nonfunctionalbut the
other kidney will
compensate.
D The infant will eventually require renal transplantation for that
kidney.. Answer: B. Spontaneous resolution often occurs within 6
months to a year of age.
◉ An initial key part of management of a child suspected of having
an inborn error of metabolism is
a. consulting a metabolic specialist
b. obtaining a complete family history
.c. ordering metabolic screening tests.
d. referring the family to a dietician.. Answer: a. consulting a
metabolic specialist
◉ The primary care pediatric nurse practitioner notes a musty odor
when
examining a newborn at a 2 week checkup. What will the nurse
practitioner suspect?
