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MN580 MIDTERM Exam With Correct
Solutions (2025)
The primary care pediatric nurse practitioner performs a well child
examination on
a 9monthold
infant who has a history of prematurity at 28 weeks' gestation. The infant was
treated for retinopathy of prematurity (ROP) and all symptomshave
resolved. When will the infant need an ophthalmologic exam?
A. At 12 months of age
B At 24 months of age
C. At 48 months of age
D. At 60 months of age - correct -answer-A. At 12 months of age
An adolescent takes ibuprofen, acetaminophen, and a tricyclic
antidepressant (TCA) to treat phantom limb pain and reports that the medications
are no longer effective. What will the primary care pediatric nurse practitioner do?
A. Change the TCA to a selective serotonin reuptake inhibitor.
B. Evaluate the adolescent for drug seeking behavior.
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C. Increase the TCA dose and reevaluate in 2 to 3 weeks.
D Refer the adolescent to a pain management specialist. - correct -answer-D.
Refer the adolescent to a pain management specialist.
The primary care pediatric nurse practitioner is examining a 2-week-old infant
and auscultates a wide splitting of S2 during expiration. What condition may this
finding represent?
A. Atrial septal defect
B. Coarctation of the aorta
C. Patent ductus arteriosis
D. Ventricular septal defect - correct -answer-A. Atrial septal defect
The primary care pediatric nurse practitioner auscultates a new grade II vibratory,
mid systolic murmur at the mid sternal border in a 4-year-old child that is louder
when the child is supine. What type of murmur is most likely?
A. Pathologic murmur
B. Pulmonary flow murmur
C. Still's murmur
D. Venous hum - correct -answer-C. Still's murmur
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During a well child assessment, the primary care pediatric nurse practitioner
auscultates a harsh, blowing grade IV/VI murmur in a 6 month old infant. What
will the nurse practitioner do next?
A. Get a complete blood count to rule out severe anemia
B. Obtain an electrocardiogram to assess for arrhythmia
C. Order a chest radiograph to evaluate for cardiomegaly
D. Refer to a pediatric cardiologist for further evaluation - correct -answer-D. Refer
to a pediatric cardiologist for further evaluation
The primary care pediatric nurse practitioner provides primary care for a
4-month-old infant who has a ventricular septal defect. The infant has been
breastfeeding well but in the past month has dropped from the 20th percentile to
the 5th for weight. What will the nurse practitioner recommend?
A. Adding solid foods to the infant's diet to increase caloric intake
B. Fortifying breast milk to increase the number of calories per ounce
C. Stopping breastfeeding and giving 30 kcal/ounce formula
D. Supplementing breastfeeding with 24 kcal/ounce formula - correct -answer-B.
Fortifying breast milk to increase the number of calories per ounce
A 12-month-old infant who had cardiopulmonary bypa ss with RBC and plasma
infusions during surgery at 8 months is seen for a well child examination. Which
vaccine may be administered at this visit?
A. MMR
B. OPV
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C. PCV13
D. Varivax - correct -answer-C. PCV13
The primary care pediatric nurse practitioner is performing a wellbaby
examination on a 7dayold
infant born to a Chlamydiapositive
mother. The infant's eyes are clear
without exudate. The infant is free from cough and lungs are clear. What willthe
primary
care pediatric
nurse practitioner do to prevent illness in this infant?
CCC. Administer a single dose of intramuscular ceftriaxone.DDD.
Obtain bacterial cultures of both conjunctivae.
EEE. Prescribe prophylactic erythromycin suspension.
FFF. Schedule a followup appointment in 1 week. Correct - correct -answer-
An infant with trisomy 21 has a complete AV canal defect. Which finding,
associated with having both of these conditions, will the primary care pediatric
nurse
practitioner
expect?
A. Crackles in both lungs
MN580 MIDTERM Exam With Correct
Solutions (2025)
The primary care pediatric nurse practitioner performs a well child
examination on
a 9monthold
infant who has a history of prematurity at 28 weeks' gestation. The infant was
treated for retinopathy of prematurity (ROP) and all symptomshave
resolved. When will the infant need an ophthalmologic exam?
A. At 12 months of age
B At 24 months of age
C. At 48 months of age
D. At 60 months of age - correct -answer-A. At 12 months of age
An adolescent takes ibuprofen, acetaminophen, and a tricyclic
antidepressant (TCA) to treat phantom limb pain and reports that the medications
are no longer effective. What will the primary care pediatric nurse practitioner do?
A. Change the TCA to a selective serotonin reuptake inhibitor.
B. Evaluate the adolescent for drug seeking behavior.
,2|Page
C. Increase the TCA dose and reevaluate in 2 to 3 weeks.
D Refer the adolescent to a pain management specialist. - correct -answer-D.
Refer the adolescent to a pain management specialist.
The primary care pediatric nurse practitioner is examining a 2-week-old infant
and auscultates a wide splitting of S2 during expiration. What condition may this
finding represent?
A. Atrial septal defect
B. Coarctation of the aorta
C. Patent ductus arteriosis
D. Ventricular septal defect - correct -answer-A. Atrial septal defect
The primary care pediatric nurse practitioner auscultates a new grade II vibratory,
mid systolic murmur at the mid sternal border in a 4-year-old child that is louder
when the child is supine. What type of murmur is most likely?
A. Pathologic murmur
B. Pulmonary flow murmur
C. Still's murmur
D. Venous hum - correct -answer-C. Still's murmur
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During a well child assessment, the primary care pediatric nurse practitioner
auscultates a harsh, blowing grade IV/VI murmur in a 6 month old infant. What
will the nurse practitioner do next?
A. Get a complete blood count to rule out severe anemia
B. Obtain an electrocardiogram to assess for arrhythmia
C. Order a chest radiograph to evaluate for cardiomegaly
D. Refer to a pediatric cardiologist for further evaluation - correct -answer-D. Refer
to a pediatric cardiologist for further evaluation
The primary care pediatric nurse practitioner provides primary care for a
4-month-old infant who has a ventricular septal defect. The infant has been
breastfeeding well but in the past month has dropped from the 20th percentile to
the 5th for weight. What will the nurse practitioner recommend?
A. Adding solid foods to the infant's diet to increase caloric intake
B. Fortifying breast milk to increase the number of calories per ounce
C. Stopping breastfeeding and giving 30 kcal/ounce formula
D. Supplementing breastfeeding with 24 kcal/ounce formula - correct -answer-B.
Fortifying breast milk to increase the number of calories per ounce
A 12-month-old infant who had cardiopulmonary bypa ss with RBC and plasma
infusions during surgery at 8 months is seen for a well child examination. Which
vaccine may be administered at this visit?
A. MMR
B. OPV
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C. PCV13
D. Varivax - correct -answer-C. PCV13
The primary care pediatric nurse practitioner is performing a wellbaby
examination on a 7dayold
infant born to a Chlamydiapositive
mother. The infant's eyes are clear
without exudate. The infant is free from cough and lungs are clear. What willthe
primary
care pediatric
nurse practitioner do to prevent illness in this infant?
CCC. Administer a single dose of intramuscular ceftriaxone.DDD.
Obtain bacterial cultures of both conjunctivae.
EEE. Prescribe prophylactic erythromycin suspension.
FFF. Schedule a followup appointment in 1 week. Correct - correct -answer-
An infant with trisomy 21 has a complete AV canal defect. Which finding,
associated with having both of these conditions, will the primary care pediatric
nurse
practitioner
expect?
A. Crackles in both lungs
