MN 580 Midterm Exam 2025 | All Questions
and Correct Answers | Graded A+ | Verified
Answers | Just Released
A 3 year old child with pressure equalizing tubes (PET) in both ears has otalgia in
one ear. The primary care pediatric nurse practitioner is able to visualize the tube
and does not see exudate in the ear canal and obtains a type A tympanogram.
What will the nurse practitioner do?
A. Order ototopical antibiotic/corticosteroid drops.
B. Prescribe a prophylactic antibiotic medication.
C. Reassure the parent that this is a normal exam.
D. Refer the child to an otolaryngologist for followup ---------CORRECT ANSWER----
-------------A. Order ototopical antibiotic/corticosteroid drops
The primary care pediatric nurse practitioner notes a small, round objectin a
child's external auditory canal, near the tympanic membrane. The child's parent
thinks it is probably a dried pea. What will the nurse practitioner do to remove
this object?
A. Irrigate the external auditory canal to flush out the object.
B.Refer the child to an otolaryngologist for removal.
C. Remove the object with a wire loop curette.
D. Use a bayonet forceps to grasp and remove the object. ---------CORRECT
ANSWER-----------------B.Refer the child to an otolaryngologist for removal.
,A 3-year-old child has had one episode of acute otitis media 3 weeks prior with
abnormal tympanogram just after treatment with amoxicillin. In the clinic today,
the child has a type B tympanogram, a temperature of 102.5°F, and a bulging
tympanic membrane. What will the primary care pediatric nurse practitioner
order?
A. A referral for tympanocentesis
B. Amoxicillin twice daily
C. Amoxicillin clavulanate twice daily
D. Intramuscular ceftriaxone ---------CORRECT ANSWER-----------------C.
Amoxicillinclavulanate twice daily
The primary care pediatric nurse practitioner performs a well child
examination on
a 9monthold
infant who has a history of prematurity at 28 weeks' gestation. The infant was
treated for retinopathy of prematurity (ROP) and all symptomshave
resolved. When will the infant need an ophthalmologic exam?
A. At 12 months of age
B At 24 months of age
C. At 48 months of age
D. At 60 months of age ---------CORRECT ANSWER-----------------A. At 12 months of
age
,An adolescent takes ibuprofen, acetaminophen, and a tricyclic
antidepressant (TCA) to treat phantom limb pain and reports that the medications
are no longer effective. What will the primary care pediatric nurse practitioner
do?
A. Change the TCA to a selective serotonin reuptake inhibitor.
B. Evaluate the adolescent for drug seeking behavior.
C. Increase the TCA dose and reevaluate in 2 to 3 weeks.
D Refer the adolescent to a pain management specialist. ---------CORRECT
ANSWER-----------------D. Refer the adolescent to a pain management specialist.
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
B. Coarctation of the aorta
C. Patent ductus arteriosis
D. Ventricular septal defect ---------CORRECT ANSWER-----------------A. Atrial septal
defect
The primary care pediatric nurse practitioner auscultates a new grade II vibratory,
mid systolic murmur at the mid sternal border in a 4-year-old child that is louder
when the child is supine. What type of murmur is most likely?
A. Pathologic murmur
B. Pulmonary flow murmur
, C. Still's murmur
D. Venous hum ---------CORRECT ANSWER-----------------C. Still's murmur
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 ---------
CORRECT ANSWER-----------------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?
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. ---------CORRECT ANSWER-----------------C
and Correct Answers | Graded A+ | Verified
Answers | Just Released
A 3 year old child with pressure equalizing tubes (PET) in both ears has otalgia in
one ear. The primary care pediatric nurse practitioner is able to visualize the tube
and does not see exudate in the ear canal and obtains a type A tympanogram.
What will the nurse practitioner do?
A. Order ototopical antibiotic/corticosteroid drops.
B. Prescribe a prophylactic antibiotic medication.
C. Reassure the parent that this is a normal exam.
D. Refer the child to an otolaryngologist for followup ---------CORRECT ANSWER----
-------------A. Order ototopical antibiotic/corticosteroid drops
The primary care pediatric nurse practitioner notes a small, round objectin a
child's external auditory canal, near the tympanic membrane. The child's parent
thinks it is probably a dried pea. What will the nurse practitioner do to remove
this object?
A. Irrigate the external auditory canal to flush out the object.
B.Refer the child to an otolaryngologist for removal.
C. Remove the object with a wire loop curette.
D. Use a bayonet forceps to grasp and remove the object. ---------CORRECT
ANSWER-----------------B.Refer the child to an otolaryngologist for removal.
,A 3-year-old child has had one episode of acute otitis media 3 weeks prior with
abnormal tympanogram just after treatment with amoxicillin. In the clinic today,
the child has a type B tympanogram, a temperature of 102.5°F, and a bulging
tympanic membrane. What will the primary care pediatric nurse practitioner
order?
A. A referral for tympanocentesis
B. Amoxicillin twice daily
C. Amoxicillin clavulanate twice daily
D. Intramuscular ceftriaxone ---------CORRECT ANSWER-----------------C.
Amoxicillinclavulanate twice daily
The primary care pediatric nurse practitioner performs a well child
examination on
a 9monthold
infant who has a history of prematurity at 28 weeks' gestation. The infant was
treated for retinopathy of prematurity (ROP) and all symptomshave
resolved. When will the infant need an ophthalmologic exam?
A. At 12 months of age
B At 24 months of age
C. At 48 months of age
D. At 60 months of age ---------CORRECT ANSWER-----------------A. At 12 months of
age
,An adolescent takes ibuprofen, acetaminophen, and a tricyclic
antidepressant (TCA) to treat phantom limb pain and reports that the medications
are no longer effective. What will the primary care pediatric nurse practitioner
do?
A. Change the TCA to a selective serotonin reuptake inhibitor.
B. Evaluate the adolescent for drug seeking behavior.
C. Increase the TCA dose and reevaluate in 2 to 3 weeks.
D Refer the adolescent to a pain management specialist. ---------CORRECT
ANSWER-----------------D. Refer the adolescent to a pain management specialist.
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
B. Coarctation of the aorta
C. Patent ductus arteriosis
D. Ventricular septal defect ---------CORRECT ANSWER-----------------A. Atrial septal
defect
The primary care pediatric nurse practitioner auscultates a new grade II vibratory,
mid systolic murmur at the mid sternal border in a 4-year-old child that is louder
when the child is supine. What type of murmur is most likely?
A. Pathologic murmur
B. Pulmonary flow murmur
, C. Still's murmur
D. Venous hum ---------CORRECT ANSWER-----------------C. Still's murmur
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 ---------
CORRECT ANSWER-----------------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?
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. ---------CORRECT ANSWER-----------------C
