MN 580 MIDTERM EXAM REVIEW 2026
FINAL PAPER COMPLETE QUESTIONS AND
ANSWERS.
⫸ When billing Medicaid, NPs get the authority to bill their services
from: Answer: State and federal law
⫸ You have initiated therapy for an 18 yom with acne vulgaris and
have prescribed doxycycline. He returns in 3 weeks, complaining that
his skin is no better. Your next action is to: Answer: Counsel him that
6-8 weeks of treatment is often needed before significant
improvement is achieved
⫸ For a Grade I ankle sprain, weight-bearing should be avoided for
at least: Answer: 24 hours
⫸ Hemoglobin A1c best provides information on glucose control
over the past: Answer: 21-47 days
⫸ 18 yom presents with periumbilical pain, vomiting, and abdominal
cramping over the past 48 hours. Physical examination reveals
rebound tenderness and laboratory analysis shows the presence of
bandemia and a total WBC of 28,000. To support the diagnosis of
acute appendicitis with suspected appendiceal rupture, you consider
obtaining the following: Answer: CT scan
, ⫸ 2 yof presents with a 3-day history of fever, crankiness, and
congested cough. Her respiratory rate is more than 50% of the upper
limits of normal for age. Tubular breath sounds are noted at the right
lung base. Skin turgur and normal, and she is wearing a wet diaper.
She is alert, resisting the examination as age appropriate, and engages
in eye contact. Temperature is 38.3. Her diagnostic evaluation should
include: Answer: Chest x-ray
⫸ Aortic stenosis in a 15 yom is: Answer: A result of a congenital
defect
⫸ Which of the following laboratory tests can identify the causative
organism of bronchiolitis? Answer: Nasal washing antigen test
⫸ A Still murmur: Answer: Has a humming or vibratory quality
⫸ A physiological murmur has which of the following
characteristics? Answer: Becomes softer when the patient moves from
supine to standing
⫸ Cyclic vomiting may: Answer: Not be associated with a headache
⫸ 5 day old infant, jaundice, sunken anterior fontanel, difficulty
latching, bilirubin 18, dehydrated and drinks breast milk, jaundice.
Interventions? Answer: Interventions: all of the above (phototherapy,
providing support, strict I/O)
FINAL PAPER COMPLETE QUESTIONS AND
ANSWERS.
⫸ When billing Medicaid, NPs get the authority to bill their services
from: Answer: State and federal law
⫸ You have initiated therapy for an 18 yom with acne vulgaris and
have prescribed doxycycline. He returns in 3 weeks, complaining that
his skin is no better. Your next action is to: Answer: Counsel him that
6-8 weeks of treatment is often needed before significant
improvement is achieved
⫸ For a Grade I ankle sprain, weight-bearing should be avoided for
at least: Answer: 24 hours
⫸ Hemoglobin A1c best provides information on glucose control
over the past: Answer: 21-47 days
⫸ 18 yom presents with periumbilical pain, vomiting, and abdominal
cramping over the past 48 hours. Physical examination reveals
rebound tenderness and laboratory analysis shows the presence of
bandemia and a total WBC of 28,000. To support the diagnosis of
acute appendicitis with suspected appendiceal rupture, you consider
obtaining the following: Answer: CT scan
, ⫸ 2 yof presents with a 3-day history of fever, crankiness, and
congested cough. Her respiratory rate is more than 50% of the upper
limits of normal for age. Tubular breath sounds are noted at the right
lung base. Skin turgur and normal, and she is wearing a wet diaper.
She is alert, resisting the examination as age appropriate, and engages
in eye contact. Temperature is 38.3. Her diagnostic evaluation should
include: Answer: Chest x-ray
⫸ Aortic stenosis in a 15 yom is: Answer: A result of a congenital
defect
⫸ Which of the following laboratory tests can identify the causative
organism of bronchiolitis? Answer: Nasal washing antigen test
⫸ A Still murmur: Answer: Has a humming or vibratory quality
⫸ A physiological murmur has which of the following
characteristics? Answer: Becomes softer when the patient moves from
supine to standing
⫸ Cyclic vomiting may: Answer: Not be associated with a headache
⫸ 5 day old infant, jaundice, sunken anterior fontanel, difficulty
latching, bilirubin 18, dehydrated and drinks breast milk, jaundice.
Interventions? Answer: Interventions: all of the above (phototherapy,
providing support, strict I/O)
