MN568 MID-TERM EXAM NEWEST 2026 ACTUAL
EXAM| COMPLETE 200 REAL EXAM QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED ANSWERS)
ALREADY GRADED A+|| BRAND NEW!!
1. A 2-year-old child is brought in for a well-child visit. The
parent reports the child has a vocabulary of about 50 words
and is beginning to combine two words. Which statement by
the nurse practitioner is correct?
A) “This is significantly delayed; a speech evaluation is
needed.”
B) “This is normal for a 2-year-old.”
C) “At 2 years, a child should have at least 200 words.”
D) “You should be concerned only if the child is not
walking.”
1
,Correct Answer: B
Rationale: At 24 months, typical vocabulary is 50–100 words
with two-word phrases. 200 words is expected at 3 years.
2. A 15-year-old female presents with irregular menstrual
cycles since menarche at age 13. Cycles occur every 35–60
days. Physical exam and labs are normal. What is the most
appropriate management?
A) Oral contraceptives to regulate cycles
B) Reassurance that anovulatory cycles are common in the
first 2–3 years after menarche
C) Progesterone challenge test
D) Pelvic ultrasound to rule out PCOS
Correct Answer: B
Rationale: Anovulatory cycles are normal for up to 2–3 years
2
,post-menarche. No intervention is needed if no signs of androgen
excess or bleeding disorders.
3. A 6-month-old infant is due for immunizations. Which
vaccines are indicated at this visit?
A) DTaP, IPV, Hib, PCV13, Rotavirus, HepB
B) DTaP, IPV, Hib, PCV13, Rotavirus only
C) DTaP, IPV, Hib, PCV13, HepB
D) DTaP, IPV, Hib, PCV13, Rotavirus, HepA
Correct Answer: C
Rationale: At 6 months: DTaP (3rd dose), IPV (3rd dose), Hib
(3rd dose), PCV13 (3rd dose), HepB (3rd dose). Rotavirus series
completes by 8 months (last dose at 6 months if using Rotarix).
HepA starts at 12 months.
4. A 17-year-old male presents with unilateral breast
enlargement and tenderness. The exam reveals a 2 cm tender,
3
, mobile subareolar mass. The remainder of the exam is
normal. What is the most likely diagnosis?
A) Male breast cancer
B) Pubertal gynecomastia
C) Lipoma
D) Mastitis
Correct Answer: B
Rationale: Pubertal gynecomastia is common (up to 60% of
boys) and usually resolves within 6–24 months. No further
workup is needed unless concerning features exist.
5. A 3-year-old child has a fever of 102°F for 2 days, clear
rhinorrhea, and a cough. The child is playful when febrile.
What is the most appropriate next step?
A) Chest X-ray
B) Amoxicillin for suspected pneumonia
4
EXAM| COMPLETE 200 REAL EXAM QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED ANSWERS)
ALREADY GRADED A+|| BRAND NEW!!
1. A 2-year-old child is brought in for a well-child visit. The
parent reports the child has a vocabulary of about 50 words
and is beginning to combine two words. Which statement by
the nurse practitioner is correct?
A) “This is significantly delayed; a speech evaluation is
needed.”
B) “This is normal for a 2-year-old.”
C) “At 2 years, a child should have at least 200 words.”
D) “You should be concerned only if the child is not
walking.”
1
,Correct Answer: B
Rationale: At 24 months, typical vocabulary is 50–100 words
with two-word phrases. 200 words is expected at 3 years.
2. A 15-year-old female presents with irregular menstrual
cycles since menarche at age 13. Cycles occur every 35–60
days. Physical exam and labs are normal. What is the most
appropriate management?
A) Oral contraceptives to regulate cycles
B) Reassurance that anovulatory cycles are common in the
first 2–3 years after menarche
C) Progesterone challenge test
D) Pelvic ultrasound to rule out PCOS
Correct Answer: B
Rationale: Anovulatory cycles are normal for up to 2–3 years
2
,post-menarche. No intervention is needed if no signs of androgen
excess or bleeding disorders.
3. A 6-month-old infant is due for immunizations. Which
vaccines are indicated at this visit?
A) DTaP, IPV, Hib, PCV13, Rotavirus, HepB
B) DTaP, IPV, Hib, PCV13, Rotavirus only
C) DTaP, IPV, Hib, PCV13, HepB
D) DTaP, IPV, Hib, PCV13, Rotavirus, HepA
Correct Answer: C
Rationale: At 6 months: DTaP (3rd dose), IPV (3rd dose), Hib
(3rd dose), PCV13 (3rd dose), HepB (3rd dose). Rotavirus series
completes by 8 months (last dose at 6 months if using Rotarix).
HepA starts at 12 months.
4. A 17-year-old male presents with unilateral breast
enlargement and tenderness. The exam reveals a 2 cm tender,
3
, mobile subareolar mass. The remainder of the exam is
normal. What is the most likely diagnosis?
A) Male breast cancer
B) Pubertal gynecomastia
C) Lipoma
D) Mastitis
Correct Answer: B
Rationale: Pubertal gynecomastia is common (up to 60% of
boys) and usually resolves within 6–24 months. No further
workup is needed unless concerning features exist.
5. A 3-year-old child has a fever of 102°F for 2 days, clear
rhinorrhea, and a cough. The child is playful when febrile.
What is the most appropriate next step?
A) Chest X-ray
B) Amoxicillin for suspected pneumonia
4
