Page 1 of 58
MN 580 FINAL EXAM AND MIDTERM EXAM
COMPLETE 200 QUESTIONS AND VERIFIED
SOLUTIONS LATEST UPDATE THIS YEAR
MN 580 Final Exam
QUESTION: 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
QUESTION: 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
QUESTION: Aortic stenosis in a 15 yom is: - ANSWER-A result of a congenital defect
QUESTION: Which of the following laboratory tests can identify the causative organism of
bronchiolitis? - ANSWER-Nasal washing antigen test
QUESTION: A Still murmur: - ANSWER-Has a humming or vibratory quality
, Page 2 of 58
QUESTION: A physiological murmur has which of the following characteristics? - ANSWER-
Becomes softer when the patient moves from supine to standing
The most common reason for precocious puberty in girls is: - ANSWER-Early onset of normal
puberty
QUESTION: When billing Medicaid, NPs get the authority to bill their services from: - ANSWER-
State and federal law
QUESTION: 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
QUESTION: For a Grade I ankle sprain, weight-bearing should be avoided for at least: - ANSWER-
24 hours
QUESTION: Hemoglobin A1c best provides information on glucose control over the past: -
ANSWER-21-47 days
QUESTION: Cyclic vomiting may: - ANSWER-Not be associated with a headache
, Page 3 of 58
QUESTION: 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)
QUESTION: Infant with dehydration. Weight 6kg, watching I/O, adequate hydration, urinary
output. How much fluid would you give? - ANSWER-13 ml/kg/hour
QUESTION: 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
QUESTION: 18 month old presents with rectal temperature of 100.4, acting normal. NP would
recommend: - ANSWER-Offering extra fluids and calling if symptoms change
QUESTION: 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
QUESTION: Parent concerned about vaccine reaction. What should NP tell them? - ANSWER-
MMR may be linked to febrile seizures in immunocompromised children
, Page 4 of 58
QUESTION: 2 month old in the office to receive immunization, having fevers after. What would
the NP recommend? - ANSWER-Ibuprofen and Tylenol as needed
QUESTION: 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
QUESTION: 5 year old with a history of pertussis. What immunizations do they need prior to
starting kindergarten? - ANSWER-DTaP
QUESTION: Trelarche stage in females? - ANSWER-All of the above (pubic hair, breast tissue, 1st
period)
QUESTION: How often should thyroid studies be performed? - ANSWER-Yearly
QUESTION: Down Syndrome 18x greater in what population than that of the general
population? - ANSWER-Leukemia
QUESTION: Down syndrome spinal cord changes? - ANSWER-All of the above
QUESTION: Patient presents with chronic otitis media, profuse purulent otorrhea, pearly white
lesion on one tympanic membrane - ANSWER-Cholestatoma
MN 580 FINAL EXAM AND MIDTERM EXAM
COMPLETE 200 QUESTIONS AND VERIFIED
SOLUTIONS LATEST UPDATE THIS YEAR
MN 580 Final Exam
QUESTION: 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
QUESTION: 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
QUESTION: Aortic stenosis in a 15 yom is: - ANSWER-A result of a congenital defect
QUESTION: Which of the following laboratory tests can identify the causative organism of
bronchiolitis? - ANSWER-Nasal washing antigen test
QUESTION: A Still murmur: - ANSWER-Has a humming or vibratory quality
, Page 2 of 58
QUESTION: A physiological murmur has which of the following characteristics? - ANSWER-
Becomes softer when the patient moves from supine to standing
The most common reason for precocious puberty in girls is: - ANSWER-Early onset of normal
puberty
QUESTION: When billing Medicaid, NPs get the authority to bill their services from: - ANSWER-
State and federal law
QUESTION: 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
QUESTION: For a Grade I ankle sprain, weight-bearing should be avoided for at least: - ANSWER-
24 hours
QUESTION: Hemoglobin A1c best provides information on glucose control over the past: -
ANSWER-21-47 days
QUESTION: Cyclic vomiting may: - ANSWER-Not be associated with a headache
, Page 3 of 58
QUESTION: 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)
QUESTION: Infant with dehydration. Weight 6kg, watching I/O, adequate hydration, urinary
output. How much fluid would you give? - ANSWER-13 ml/kg/hour
QUESTION: 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
QUESTION: 18 month old presents with rectal temperature of 100.4, acting normal. NP would
recommend: - ANSWER-Offering extra fluids and calling if symptoms change
QUESTION: 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
QUESTION: Parent concerned about vaccine reaction. What should NP tell them? - ANSWER-
MMR may be linked to febrile seizures in immunocompromised children
, Page 4 of 58
QUESTION: 2 month old in the office to receive immunization, having fevers after. What would
the NP recommend? - ANSWER-Ibuprofen and Tylenol as needed
QUESTION: 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
QUESTION: 5 year old with a history of pertussis. What immunizations do they need prior to
starting kindergarten? - ANSWER-DTaP
QUESTION: Trelarche stage in females? - ANSWER-All of the above (pubic hair, breast tissue, 1st
period)
QUESTION: How often should thyroid studies be performed? - ANSWER-Yearly
QUESTION: Down Syndrome 18x greater in what population than that of the general
population? - ANSWER-Leukemia
QUESTION: Down syndrome spinal cord changes? - ANSWER-All of the above
QUESTION: Patient presents with chronic otitis media, profuse purulent otorrhea, pearly white
lesion on one tympanic membrane - ANSWER-Cholestatoma
