MN580 MIDTERM EXAM 3 LATEST
VERSIONS (VERSION A,B AND C) 2024-
2025 ACTUAL EXAM ALL 80 QUESTIONS
AND CORRECT DETAILED ANSWERS Latest
Update
The mother of a 16yearold male was recently divorced after several years of an abusive
relationship and tells the primary care pediatric nurse practitioner that the adolescent has
begun skipping school and hanging out with friends at the local shopping mall. When she
confronts her child, he responds by saying that he hates her. What will the nurse practitioner
tell this mother?
a. Adolescence is marked by an inability to comprehend complex situations
.b. Adolescence is typically marked by tempestuous and transient episodes.
c. Adolescents normally have extreme, disruptive conflicts with parents.
d. Adolescents often need counseling to help them cope with life events
✓ d
The primary care pediatric nurse practitioner performs a well baby examination on a 7-day-
old infant who is nursing well, according to the mother. The nurse practitioner notes that the
infant weighed 3250 grams at birth and 2990 grams when discharged on the second day of
life. The infant weighs 3080 grams at this visit. Which action is correct?
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a. Follow up at the 2-month checkup.
b. Refer to a lactation consultant.
c. Schedule a weight check in 1 week.
d. Suggest supplementing with formula.
✓ C
✓
✓ This infant lost about 8% of its birth weight, which is normal and, since discharge home,
has gained at least 15 grams per day, which is also normal. The PNP should schedule a
weight check in a week to make sure the infant regains its birth weight, since most should
regain this in 10 to 14 days and since this loss of birth weight is at the high end of
normal. It is not necessary to refer to a lactation consultant or supplement with formula,
since the infant is gaining weight adequately.
The parent of a newborn infant asks the primary care pediatric nurse practitioner when to
intervene to help the infant's future intellectual growth. What will the nurse practitioner tell the
parent?
a. Cognitive learning begins during the toddler years.
b. Intellectual growth begin when speech develops.
c. Language and literacy skills begin at birth.
d. Preschool is an optimal time to begin general learning.
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✓ c. Language and literacy skills begin at birth.
✓
✓ General learning and acquisition of skills for later reading and writing begin at birth, not
in kindergarten or first grade, and these skills grow with everyday loving interactions
between infants and caregivers. Cognitive learning changes during toddler years but
begins at birth. Intellectual growth is not tied to speech alone.
The parent of a 10 yearold boy tells the primary care pediatric nurse practitioner that the
child doesn't appear to have any interest in girls and spends most of his time with a couple of
other boys. The parent is worried about the child's sexual identity. The nurse practitioner will
tell the parent:
A. children at this age who prefer interactions with same gender peers usually have a
homosexual orientation.
B. children experiment with sexuality at this age as a means of deciding later sexual
orientation.
C.this attachment to other same gender children is how the child learns to interact with others.
D. to encourage mixed gender interactions in order to promote development of sexual values
✓ C.this attachment to other same gender children is how the child learns to interact with
others.
The parent of a 2weekold
infant reports that the infant was diagnosed with
transient tachypnea of the newborn shortly after birth. The primary carepediatric nurse
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practitioner understands that, in this condition,
A. antibiotic therapy is generally necessary to prevent severeinfection.
B. home oxygen therapy is needed until the infant grows out of thecondition.
C. recovery is usually complete with minimal intervention and
treatments.
D. treatment with exogenous surfactant and mechanical ventilation isneeded
✓ C. recovery is usually complete with minimal intervention and
✓ treatments
An infant has congenital adrenal hyperplasia. At a routine well baby
checkup, the
primary care pediatric nurse practitioner notes vomiting, poor feeding, lethargy, and
dehydration. Which action is correct?
A Administer an intramuscular stress dose of hydrocortisone succinate.
B Administer intravenous fluids in the clinic and reassess hydration status.
C Prescribe an oral hydrocortisone in a replacement dose of 8 to 10mg/M2.
D Refer the infant to the emergency department for fluids, dextrose,
and steroids.
✓ D Refer the infant to the emergency department for fluids, dextrose, and steroids.
The parent of a 4-day-old infant tells the primary care pediatric nurse
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