MN 580 MIDTERM TEST PAPER QUESTIONS
AND SOLUTIONS 2026 100% CORRECT.
⫸ 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
⫸ 5 year old with a history of pertussis. What immunizations do they
need prior to starting kindergarten? Answer: DTaP
⫸ Trelarche stage in females? Answer: All of the above (pubic hair,
breast tissue, 1st period)
⫸ How often should thyroid studies be performed? Answer: Yearly
, ⫸ Down Syndrome 18x greater in what population than that of the
general population? Answer: Leukemia
⫸ Down syndrome spinal cord changes? Answer: All of the above
⫸ Patient presents with chronic otitis media, profuse purulent
otorrhea, pearly white lesion on one tympanic membrane Answer:
Cholestatoma
⫸ 2 week old presents with wide spitting, S2 expiration Answer:
Atrial septal defect
⫸ New grade II vibratory, midsystolic murmur, louder when patient
is supine Answer: Stills murmur
⫸ Harsh, blowing, grade IV/VI murmur at 6 month old. What should
the NP do? Answer: Refer to cardiology
⫸ What should the NP prescribe for a 12 month old who had a heart
defect at 8 months? Answer: Amoxicillin
⫸ A healthy 3 month old presents to the office with a cough, bilateral
crackles, decreased appetite, grade III/VI low-pitched, holosystolic
murmur Answer: Ventrical septal defect
AND SOLUTIONS 2026 100% CORRECT.
⫸ 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
⫸ 5 year old with a history of pertussis. What immunizations do they
need prior to starting kindergarten? Answer: DTaP
⫸ Trelarche stage in females? Answer: All of the above (pubic hair,
breast tissue, 1st period)
⫸ How often should thyroid studies be performed? Answer: Yearly
, ⫸ Down Syndrome 18x greater in what population than that of the
general population? Answer: Leukemia
⫸ Down syndrome spinal cord changes? Answer: All of the above
⫸ Patient presents with chronic otitis media, profuse purulent
otorrhea, pearly white lesion on one tympanic membrane Answer:
Cholestatoma
⫸ 2 week old presents with wide spitting, S2 expiration Answer:
Atrial septal defect
⫸ New grade II vibratory, midsystolic murmur, louder when patient
is supine Answer: Stills murmur
⫸ Harsh, blowing, grade IV/VI murmur at 6 month old. What should
the NP do? Answer: Refer to cardiology
⫸ What should the NP prescribe for a 12 month old who had a heart
defect at 8 months? Answer: Amoxicillin
⫸ A healthy 3 month old presents to the office with a cough, bilateral
crackles, decreased appetite, grade III/VI low-pitched, holosystolic
murmur Answer: Ventrical septal defect
