MN 580 MIDTERM EXAM
COMPLETE QUESTIONS AND DETAILED SOLUTIONS
LATEST UPDATE THIS YEAR JUST RELEASED
Question 1: 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
B. Hepatomegaly
C. Oxygen desaturation
D. Peripheral edema
Answer:
C. Oxygen desaturation
Question 2: The primary care pediatric nurse practitioner performs
a well child examination on a 12 month old child who had repair of
a congenital heart defect at 8 months of age. The child has a
normal exam. The parent reports that the child is not taking any
medications. The nurse practitioner will contact the child's
cardiologist to discuss whether the child needs which medication?
A. Amoxicillin
B. Capoten
C. Digoxin
D. Furosemide
Answer:
A. Amoxicillin
,Question 3: During a well baby examination of a 6 week old infant,
the primary care pediatric nurse practitioner notes poor weight
gain, acrocyanosis of the hands and feet, and a respiratory rate of
60 breaths per minute. Oxygen saturation on room air is 93%. The
remainder of the exam is unremarkable. Which action is correct?
A. Follow up in 1 week to assess the infant's weight
B. Order a chest radiograph and electrocardiogram
C. Reassure the parents that the exam is within normal limits
D. Refer the infant to a pediatric cardiologist
Answer:
D. Refer the infant to a pediatric cardiologist
Question 4: A 3 month old infant who was previously healthy now
has a persistent cough, bilateral lung crackles, and poor appetite.
The primary care pediatric nurse practitioner auscultates a grade
III/VI, low-pitched, holosystolic murmur over the left lower sternal
border and palpates the liver at one centimeter below the ribs. What
diagnosis is likely?
A. Atrial septal defect
B. Corarctation of the aorta
C. Patent ductus arteriosis
D. Ventricular sepatal defect
Answer:
D. Ventricular sepatal defect
Question 5: 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
B. Hepatomegaly
C. Oxygen desaturation
D. Peripheral edema
Answer:
C. Oxygen desaturation
Question 6: A 9 month old infant has a grade III/VI, harsh, rumbling,
continuous murmur in the left infraclavicular fossa and pulmonic
area. A chest radiograph reveals cardiac enlargement. The primary
care pediatric nurse practitioner will refer the infant to a pediatric
cardiologist and prepare the parents for which intervention to
repair the defect?
A. Cardiopulmonary bypass surgery
B. Coil insertion in the catheterization lab
C. Indomethacin administration
D. Observation for spontaneous closure
Answer:
B. Coil insertion in the catheterization lab
Question 7: A 5 year old child who had a repair for transposition of
the great arteries shortly after birth is growing normally and has
been asymptomatic since the surgery. The primary care nurse
practitioner notes mild shortness of breath with exertion and upon
questioning learns that the child recently has complained of
dizziness. What will the nurse practitioner do?
A. Order an echocardiogram and chest radiograph
B. Perform pulmonary function testing
C. Reassure the parent that these symptoms are common
, D. Refer the child to a cardiologist immediately
Answer:
D. Refer the child to a cardiologist immediately
Question 8: The primary care pediatric nurse practitioner (PNP) is
performing a well child examination on a school-age child who had
complete repair of a tetralogy of Fallot (TOF) defect in infancy.
What is important in this child's health maintenance regime?
A. Cardiology clearance for sports participation
B. Restriction of physical activity to avoid pulmonary complications
C. Sub-acute bacterial endocarditis prophylaxis precautions
D. Teaching about management of hypercyanotic episodes
Answer:
a.Cardiology clearance for sports participation
Question 9: The primary care pediatric nurse practitioner (PNP) is
performing a sports physical on an adolescent whose history
reveals mild aortic stenosis (AS). What will the nurse practitioner
recommend?
A. Avoidance of all sports to prevent sudden death
B. Clearance of any sports since this is mild
C. Evaluation by a cardiologist prior to participation
D. Low intensity sports, such as golf or bowling
Answer:
C. Evaluation by a cardiologist prior to participation
Question 10: During a routine well child exam on a 5 year old child,
the primary care pediatric nurse practitioner auscultates a grade
COMPLETE QUESTIONS AND DETAILED SOLUTIONS
LATEST UPDATE THIS YEAR JUST RELEASED
Question 1: 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
B. Hepatomegaly
C. Oxygen desaturation
D. Peripheral edema
Answer:
C. Oxygen desaturation
Question 2: The primary care pediatric nurse practitioner performs
a well child examination on a 12 month old child who had repair of
a congenital heart defect at 8 months of age. The child has a
normal exam. The parent reports that the child is not taking any
medications. The nurse practitioner will contact the child's
cardiologist to discuss whether the child needs which medication?
A. Amoxicillin
B. Capoten
C. Digoxin
D. Furosemide
Answer:
A. Amoxicillin
,Question 3: During a well baby examination of a 6 week old infant,
the primary care pediatric nurse practitioner notes poor weight
gain, acrocyanosis of the hands and feet, and a respiratory rate of
60 breaths per minute. Oxygen saturation on room air is 93%. The
remainder of the exam is unremarkable. Which action is correct?
A. Follow up in 1 week to assess the infant's weight
B. Order a chest radiograph and electrocardiogram
C. Reassure the parents that the exam is within normal limits
D. Refer the infant to a pediatric cardiologist
Answer:
D. Refer the infant to a pediatric cardiologist
Question 4: A 3 month old infant who was previously healthy now
has a persistent cough, bilateral lung crackles, and poor appetite.
The primary care pediatric nurse practitioner auscultates a grade
III/VI, low-pitched, holosystolic murmur over the left lower sternal
border and palpates the liver at one centimeter below the ribs. What
diagnosis is likely?
A. Atrial septal defect
B. Corarctation of the aorta
C. Patent ductus arteriosis
D. Ventricular sepatal defect
Answer:
D. Ventricular sepatal defect
Question 5: 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
B. Hepatomegaly
C. Oxygen desaturation
D. Peripheral edema
Answer:
C. Oxygen desaturation
Question 6: A 9 month old infant has a grade III/VI, harsh, rumbling,
continuous murmur in the left infraclavicular fossa and pulmonic
area. A chest radiograph reveals cardiac enlargement. The primary
care pediatric nurse practitioner will refer the infant to a pediatric
cardiologist and prepare the parents for which intervention to
repair the defect?
A. Cardiopulmonary bypass surgery
B. Coil insertion in the catheterization lab
C. Indomethacin administration
D. Observation for spontaneous closure
Answer:
B. Coil insertion in the catheterization lab
Question 7: A 5 year old child who had a repair for transposition of
the great arteries shortly after birth is growing normally and has
been asymptomatic since the surgery. The primary care nurse
practitioner notes mild shortness of breath with exertion and upon
questioning learns that the child recently has complained of
dizziness. What will the nurse practitioner do?
A. Order an echocardiogram and chest radiograph
B. Perform pulmonary function testing
C. Reassure the parent that these symptoms are common
, D. Refer the child to a cardiologist immediately
Answer:
D. Refer the child to a cardiologist immediately
Question 8: The primary care pediatric nurse practitioner (PNP) is
performing a well child examination on a school-age child who had
complete repair of a tetralogy of Fallot (TOF) defect in infancy.
What is important in this child's health maintenance regime?
A. Cardiology clearance for sports participation
B. Restriction of physical activity to avoid pulmonary complications
C. Sub-acute bacterial endocarditis prophylaxis precautions
D. Teaching about management of hypercyanotic episodes
Answer:
a.Cardiology clearance for sports participation
Question 9: The primary care pediatric nurse practitioner (PNP) is
performing a sports physical on an adolescent whose history
reveals mild aortic stenosis (AS). What will the nurse practitioner
recommend?
A. Avoidance of all sports to prevent sudden death
B. Clearance of any sports since this is mild
C. Evaluation by a cardiologist prior to participation
D. Low intensity sports, such as golf or bowling
Answer:
C. Evaluation by a cardiologist prior to participation
Question 10: During a routine well child exam on a 5 year old child,
the primary care pediatric nurse practitioner auscultates a grade
