Page 1 of 47
MN 580 MIDTERM EXAM COMPLETE 150
QUESTIONS AND VERIFIED SOLUTIONS LATEST
UPDATE THIS YEAR
MN 580 MIDTERM EXAM
QUESTION: The parent of a 4-day-old infant tells the primary care pediatric nurse
practitioner that the infant was diagnosed with hydronephrosis while in utero and asks what
will be done. What will the nurse practitioner tell this parent?
A.Renal function will be abnormal and will require lifetime treatment.
B. Spontaneous resolution often occurs within 6 months to a yearof
age.
C. The affected kidney will be nonfunctionalbut the
other kidney will
compensate.
D The infant will eventually require renal transplantation for that kidney. - ANSWER-B.
Spontaneous resolution often occurs within 6 months to a year of age.
QUESTION: An initial key part of management of a child suspected of having an inborn error of
metabolism is
a. consulting a metabolic specialist
, Page 2 of 47
b. obtaining a complete family history
.c. ordering metabolic screening tests.
d. referring the family to a dietician. - ANSWER-a. consulting a metabolic specialist
QUESTION: The primary care pediatric nurse practitioner notes a musty odor when
examining a newborn at a 2 week checkup. What will the nurse practitioner suspect?
A.Galactosemia
B. Glucose6phosphatase
deficiency
C. Phenylketonuria
D. Urea cycle disorder - ANSWER-C. Phenylketonuria
QUESTION: A 16-year-old adolescent female whose BMI is at the 90th percentile reports
irregular periods. The primary care pediatric nurse practitioner notes widespread acne on her
face and back and an abnormal distribution of facial hair. The nurse practitioner will evaluate
her further based on a suspicion of which diagnosis?
A. Dyslipidemia
B. Hypothyroidism
C. Nonalcoholic steatohepatitis
D. Polycystic ovary syndrome - ANSWER-D. Polycystic ovary syndrome
, Page 3 of 47
QUESTION: The primary care pediatric nurse practitioner prescribes metformin for a 15yearold
adolescent newly diagnosed with type 2 diabetes. What will the nurse practitioner include
when teaching the adolescent about this drug?
A. That insulin therapy will be necessary in the future
B. The importance of checking blood glucose 3 or 4 times daily
C To consume a diet with foods that are high in vitamin B12
D To use a stool softener to prevent gastrointestinal side effects - ANSWER-B. The importance
of checking blood glucose 3 or 4 times daily
QUESTION: The primary care pediatric nurse practitioner notes the presence of a
hyperpigmented velvet like rash in skin folds. The child denies polydipsia, polyphagia, and
polyuria. The nurse practitioner will
A counsel the child to lose weight to prevent type 2 diabetes.
B. diagnose type 2 diabetes if the child has a random glucose of 180mg/dL.
C. order a fasting blood sample for a metabolic screen for type 2 diabetes.
D. refer the child to a pediatric endocrinologist - ANSWER-C. order a fasting blood sample for a
metabolic screen for type 2 diabetes.
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
, Page 4 of 47
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 - ANSWER-d
QUESTION: 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?
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. - ANSWER-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
MN 580 MIDTERM EXAM COMPLETE 150
QUESTIONS AND VERIFIED SOLUTIONS LATEST
UPDATE THIS YEAR
MN 580 MIDTERM EXAM
QUESTION: The parent of a 4-day-old infant tells the primary care pediatric nurse
practitioner that the infant was diagnosed with hydronephrosis while in utero and asks what
will be done. What will the nurse practitioner tell this parent?
A.Renal function will be abnormal and will require lifetime treatment.
B. Spontaneous resolution often occurs within 6 months to a yearof
age.
C. The affected kidney will be nonfunctionalbut the
other kidney will
compensate.
D The infant will eventually require renal transplantation for that kidney. - ANSWER-B.
Spontaneous resolution often occurs within 6 months to a year of age.
QUESTION: An initial key part of management of a child suspected of having an inborn error of
metabolism is
a. consulting a metabolic specialist
, Page 2 of 47
b. obtaining a complete family history
.c. ordering metabolic screening tests.
d. referring the family to a dietician. - ANSWER-a. consulting a metabolic specialist
QUESTION: The primary care pediatric nurse practitioner notes a musty odor when
examining a newborn at a 2 week checkup. What will the nurse practitioner suspect?
A.Galactosemia
B. Glucose6phosphatase
deficiency
C. Phenylketonuria
D. Urea cycle disorder - ANSWER-C. Phenylketonuria
QUESTION: A 16-year-old adolescent female whose BMI is at the 90th percentile reports
irregular periods. The primary care pediatric nurse practitioner notes widespread acne on her
face and back and an abnormal distribution of facial hair. The nurse practitioner will evaluate
her further based on a suspicion of which diagnosis?
A. Dyslipidemia
B. Hypothyroidism
C. Nonalcoholic steatohepatitis
D. Polycystic ovary syndrome - ANSWER-D. Polycystic ovary syndrome
, Page 3 of 47
QUESTION: The primary care pediatric nurse practitioner prescribes metformin for a 15yearold
adolescent newly diagnosed with type 2 diabetes. What will the nurse practitioner include
when teaching the adolescent about this drug?
A. That insulin therapy will be necessary in the future
B. The importance of checking blood glucose 3 or 4 times daily
C To consume a diet with foods that are high in vitamin B12
D To use a stool softener to prevent gastrointestinal side effects - ANSWER-B. The importance
of checking blood glucose 3 or 4 times daily
QUESTION: The primary care pediatric nurse practitioner notes the presence of a
hyperpigmented velvet like rash in skin folds. The child denies polydipsia, polyphagia, and
polyuria. The nurse practitioner will
A counsel the child to lose weight to prevent type 2 diabetes.
B. diagnose type 2 diabetes if the child has a random glucose of 180mg/dL.
C. order a fasting blood sample for a metabolic screen for type 2 diabetes.
D. refer the child to a pediatric endocrinologist - ANSWER-C. order a fasting blood sample for a
metabolic screen for type 2 diabetes.
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
, Page 4 of 47
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 - ANSWER-d
QUESTION: 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?
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. - ANSWER-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
