MN580 UPDATED ACTUAL QUESTIONS
AND CORRECT ANSWERS
COMPREHENSIVE STUDY GUIDE
●● Gina is 2 years old and 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 turgor is 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° C (101° F). Gina's
diagnostic evaluation should include: Question options:
1) Chest x-ray
2) urine culture and sensitivity measurement.
3) lumbar puncture.
4) sputum culture.
Answer: 1) Chest x-ray
●● Aortic stenosisin a 15-year-old male is most likely:
1) a sequela of rheumatic fever.
2) a result of a congenital defect.
3) calcific in nature.
,4) found with atrial septal defect.
Answer: 2) a result of a congenital defect.
●● Which of the following laboratory tests can identify the causative
organism of bronchiolitis? Question options:
1) Nasal washing antigen test
2) Antibody test via blood sample.
3) Urine culture.
4) A laboratory test is not available.
Answer: 1) Nasal washing antigen test
●● A Still murmur: Question options:
1) is heard in the presence of cardiac pathology
2) has a humming or vibratory quality
3) is a reason for denying sports participation clearance.
4) can become louder when the patient is standing.
Answer: 2) has a humming or vibratory quality
,●● A physiological murmur has which of the following characteristics?
Question options:
1) Occurslate in systole.
2) Is noted in a localized area of auscultation.
3) Becomes softer when the patient moves from supine to standing.
4) Frequently obliterates S2.
Answer: 3) Becomes softer when the patient moves from supine to
standing.
●● You anticipate that adult car seat belts fit correctly when a child is
approximately tall and is old. Question options:
1) 51 inches (129.5 cm), 6 to 8 years
2) 53 inches (134.6 cm), 5 to 7 years
3) 57 inches (144.8 cm), 8 to 12 years
4) 59 inches (150 cm), 12 to 14 years
Answer: 3) 57 inches (144.8 cm), 8 to 12 years
●● Physical examination findingsin otitis externa include: Question
options:
1) tympanic membrane immobility.
2) increased ear pain with tragus palpation
, 3) tympanic membrane erythema. 4) tympanic membrane bullae
Answer: 2) increased ear pain with tragus palpation
●● In infants, solid foods are best introduced no earlier than: Question
options:
1) 1-3 months.
2) 3-5 months.
3) 4-6 months.
4) 6-8 months.
Answer: 3) 4-6 months.
●● When advising a patient about injectable influenza immunization, the
nurse practitioner (NP) considers the following about the use of this
vaccine: Question options:
1) Its use is not recommended in sickle cell anemia.
2) Its use is limited to children older than 2 years.
3) Its use is limited due to containing live virus.
4) Its use is recommended for virtually all members of the population
Answer: 4) Its use is recommended for virtually all members of the
population`
AND CORRECT ANSWERS
COMPREHENSIVE STUDY GUIDE
●● Gina is 2 years old and 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 turgor is 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° C (101° F). Gina's
diagnostic evaluation should include: Question options:
1) Chest x-ray
2) urine culture and sensitivity measurement.
3) lumbar puncture.
4) sputum culture.
Answer: 1) Chest x-ray
●● Aortic stenosisin a 15-year-old male is most likely:
1) a sequela of rheumatic fever.
2) a result of a congenital defect.
3) calcific in nature.
,4) found with atrial septal defect.
Answer: 2) a result of a congenital defect.
●● Which of the following laboratory tests can identify the causative
organism of bronchiolitis? Question options:
1) Nasal washing antigen test
2) Antibody test via blood sample.
3) Urine culture.
4) A laboratory test is not available.
Answer: 1) Nasal washing antigen test
●● A Still murmur: Question options:
1) is heard in the presence of cardiac pathology
2) has a humming or vibratory quality
3) is a reason for denying sports participation clearance.
4) can become louder when the patient is standing.
Answer: 2) has a humming or vibratory quality
,●● A physiological murmur has which of the following characteristics?
Question options:
1) Occurslate in systole.
2) Is noted in a localized area of auscultation.
3) Becomes softer when the patient moves from supine to standing.
4) Frequently obliterates S2.
Answer: 3) Becomes softer when the patient moves from supine to
standing.
●● You anticipate that adult car seat belts fit correctly when a child is
approximately tall and is old. Question options:
1) 51 inches (129.5 cm), 6 to 8 years
2) 53 inches (134.6 cm), 5 to 7 years
3) 57 inches (144.8 cm), 8 to 12 years
4) 59 inches (150 cm), 12 to 14 years
Answer: 3) 57 inches (144.8 cm), 8 to 12 years
●● Physical examination findingsin otitis externa include: Question
options:
1) tympanic membrane immobility.
2) increased ear pain with tragus palpation
, 3) tympanic membrane erythema. 4) tympanic membrane bullae
Answer: 2) increased ear pain with tragus palpation
●● In infants, solid foods are best introduced no earlier than: Question
options:
1) 1-3 months.
2) 3-5 months.
3) 4-6 months.
4) 6-8 months.
Answer: 3) 4-6 months.
●● When advising a patient about injectable influenza immunization, the
nurse practitioner (NP) considers the following about the use of this
vaccine: Question options:
1) Its use is not recommended in sickle cell anemia.
2) Its use is limited to children older than 2 years.
3) Its use is limited due to containing live virus.
4) Its use is recommended for virtually all members of the population
Answer: 4) Its use is recommended for virtually all members of the
population`
