MN 580: Final Exam Solved
Questions And Answers 2025
The most common reason for precocious puberty in girls is: - Answer - Early onset of normal puberty
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)
Infant with dehydration. Weight 6kg, watching I/O, adequate hydration, urinary output. How much fluid
would you give? - Answer - 13 ml/kg/hour
PCP diagnosed 5 year old with asthma. Prescribes PO steroid and SABA via metered-dose inhaler. What
information is important to give? - Answer - Make recommendations for disease mamagement
18 month old presents with rectal temperature of 100.4, acting normal. NP would recommend: - Answer
- Offering extra fluids and calling if symptoms change
10 year old child with shooting pain in both legs, aching, tingling, burning, unable to pin point specific
location. What type of pain is this? - Answer - Neuropathic pain
Parent concerned about vaccine reaction. What should NP tell them? - Answer - MMR may be linked to
febrile seizures in immunocompromised children
2 month old in the office to receive immunization, having fevers after. What would the NP recommend? -
Answer - Ibuprofen and Tylenol as needed
PCP has an 18 month old patient who received MMR 2 days prior to 1st birthday. What should the NP
do? - Answer - Recommend next dose of MMR at 4-5 years
Questions And Answers 2025
The most common reason for precocious puberty in girls is: - Answer - Early onset of normal puberty
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)
Infant with dehydration. Weight 6kg, watching I/O, adequate hydration, urinary output. How much fluid
would you give? - Answer - 13 ml/kg/hour
PCP diagnosed 5 year old with asthma. Prescribes PO steroid and SABA via metered-dose inhaler. What
information is important to give? - Answer - Make recommendations for disease mamagement
18 month old presents with rectal temperature of 100.4, acting normal. NP would recommend: - Answer
- Offering extra fluids and calling if symptoms change
10 year old child with shooting pain in both legs, aching, tingling, burning, unable to pin point specific
location. What type of pain is this? - Answer - Neuropathic pain
Parent concerned about vaccine reaction. What should NP tell them? - Answer - MMR may be linked to
febrile seizures in immunocompromised children
2 month old in the office to receive immunization, having fevers after. What would the NP recommend? -
Answer - Ibuprofen and Tylenol as needed
PCP has an 18 month old patient who received MMR 2 days prior to 1st birthday. What should the NP
do? - Answer - Recommend next dose of MMR at 4-5 years
