Frequently Tested Questions With ELABORATED 100% Correct COMPLETE SOLUTIONS
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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
a. Atrial septal defect
b. Coarctation of the aorta
c. Patent ductus arteriosis
d. Ventricular septal defect
2. The primary care pediatric nurse practitioner auscul-
tates a new grade II vibratory, mid systolic murmur at the
mid sternal border in a 4yearold child that is louder when
the child is supine. What type of murmur is most likely?
c. Still's murmur
a. Pathologic murmur
b. Pulmonary flow murmur
c. Still's murmur
d. Venous hum
During a well child assessment, the primary care pedi-
atric nurse practitioner auscultates a harsh, blowing grade
IV/VI murmur in a 6 month old infant. What will the nurse
practitioner do next?
d. Refer to a pediatric cardiologist for further evaluation.
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.
The primary care pediatric nurse practitioner provides
primary care for a 4monthold 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
, Nur 507 Exam 6 Comprehensive Resource To Help You Ace 2026-2027 Exams Includes
Frequently Tested Questions With ELABORATED 100% Correct COMPLETE SOLUTIONS
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increase caloric intake
b. Fortifying breast milk to increase the number of calories
per ounce
b. Fortifying breast milk to increase the number of calories
c. Stopping breastfeeding and giving 30 kcal/ounce for-
per ounce
mula
d. Supplementing breastfeeding with 24 kcal/ounce for-
mula
A 12-month-old infant who had cardiopulmonary by-
pass 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?
c. PCV13
a. MMR
b. OPV
c. PCV13
d. Varivax
The primary care pediatric nurse practitioner performs a
well child examination on a 12monthold 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
a. Amoxicillin
will contact the child's cardiologist to discuss whether the
child needs which medication?a. Amoxicillin
b. Capoten
c. Digoxin
d. Furosemide
During a well baby examination of a 6weekold infant,
the primary care pediatric nurse practitioner notes poor
weight gain, acrocyanosis of the hands and feet, and a
a. Follow up in 1 week to assess the infant's weight.
respiratory rate of 60 breaths per minute. Oxygen satu-
ration on room air is 93%. The remainder of the exam is
unremarkable. Which action is correct?
, Nur 507 Exam 6 Comprehensive Resource To Help You Ace 2026-2027 Exams Includes
Frequently Tested Questions With ELABORATED 100% Correct COMPLETE SOLUTIONS
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a. Follow up in 1 week to assess the infant's weight.
b. Order a chest radiograph and an electrocardiogram.
c. Reassure the parents that the exam is within normal
limits.
d. Refer the infant to a pediatric cardiologist.
3monthold infant who was previously healthy now has a
persistent cough, bilateral lung crackles, and poor ap-
petite. The primary care pediatric nurse practitioner aus-
cultates a grade III/VI, low pitched, holosystolic murmur
over the left lower sternal border and palpates the liver at
d. Ventricular septal defect
one centimeter below the ribs. What diagnosis is likely?
a. Atrial septal defect
b. Coarctation of the aorta
c. Patent ductus arteriosis
d. Ventricular septal defect
An 8yearold child is diagnosed with systemic lupus ery-
thematosus (SLE), and the child's parent asks if there is
a cure. What will the primary care pediatric nurse practi-
tioner tell the parent?
A. Complete remission occurs in some children at the age
of puberty. B. Periods of remission may occur but there is no perma-
B. Periods of remission may occur but there is no perma- nent cure.
nent cure.
C. SLE can be cured with ettective medication and treat-
ment.
D. The disease is always progressive with no cure and no
remissions.
The primary care pediatric nurse practitioner examines a
child who has had stittness and warmth in the right knee
and left ankle for 7 or 8 months but no back pain. The
nurse practitioner will refer the child to a rheumatology