MN580 MIDTERM EXAM 3 LATEST VERSIONS (VERSION A,B AND C) 2023-2024 ACTUAL EXAM ALL 130
QUESTIONS AND CORRECT DETAILED ANSWERS
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 - (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. - (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 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.
,MN580 MIDTERM EXAM 3 LATEST VERSIONS (VERSION A,B AND C) 2023-2024 ACTUAL EXAM ALL 130
QUESTIONS AND CORRECT DETAILED ANSWERS
d. Preschool is an optimal time to begin general learning. - (answer) 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 - (answer)
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
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 - (answer) C. recovery is
usually complete with minimal intervention and
treatments
, MN580 MIDTERM EXAM 3 LATEST VERSIONS (VERSION A,B AND C) 2023-2024 ACTUAL EXAM ALL 130
QUESTIONS AND CORRECT DETAILED ANSWERS
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. - (answer) 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
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.
An initial key part of management of a child suspected of having an inborn error of metabolism is
a. consulting a metabolic specialist
b. obtaining a complete family history
.c. ordering metabolic screening tests.
d. referring the family to a dietician. - (answer) a. consulting a metabolic specialist
QUESTIONS AND CORRECT DETAILED ANSWERS
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 - (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. - (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 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.
,MN580 MIDTERM EXAM 3 LATEST VERSIONS (VERSION A,B AND C) 2023-2024 ACTUAL EXAM ALL 130
QUESTIONS AND CORRECT DETAILED ANSWERS
d. Preschool is an optimal time to begin general learning. - (answer) 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 - (answer)
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
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 - (answer) C. recovery is
usually complete with minimal intervention and
treatments
, MN580 MIDTERM EXAM 3 LATEST VERSIONS (VERSION A,B AND C) 2023-2024 ACTUAL EXAM ALL 130
QUESTIONS AND CORRECT DETAILED ANSWERS
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. - (answer) 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
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.
An initial key part of management of a child suspected of having an inborn error of metabolism is
a. consulting a metabolic specialist
b. obtaining a complete family history
.c. ordering metabolic screening tests.
d. referring the family to a dietician. - (answer) a. consulting a metabolic specialist
