MN 580 Midterm Exam Study Guide 2025: Nursing
Leadership and Management Review, Practice Questions,
Key Concepts & Exam Preparation Strategies
Succeed on the MN 580 Midterm Exam with this comprehensive 2025 study guide focused on nursing
leadership and management principles. Covers leadership theories, delegation, communication, ethical
decision-making, staffing, patient safety, quality improvement, and conflict resolution. Includes high-
yield practice questions, concept summaries, and exam strategies to help nursing students perform
confidently on their MN 580 midterm assessment
MN 580 midterm exam
MN 580 nursing leadership midterm
MN 580 management in nursing exam
MN 580 midterm study guide
An infant with trisomy 21 has a complete AV canal defect. Which finding associated with having both of
these conditions will the primary care pediatric nurse practitioner expect?
A. Crackles in both lungs
B. Hepatomegaly
C. Oxygen desaturation
D. Peripheral edema - ANSWER-C. Oxygen desaturation
A 9 month old infant has a grade III/VI, harsh, rumbling, continuous murmur in the left infraclavicular
fossa and pulmonic area. A chest radiograph reveals cardiac enlargement. The primary care pediatric
nurse practitioner will refer the infant to a pediatric cardiologist and prepare the parents for which
intervention to repair the defect?
A. Cardiopulmonary bypass surgery
,B. Coil insertion in the catheterization lab
C. Indomethacin administration
D. Observation for spontaneous closure - ANSWER-B. Coil insertion in the catheterization lab
A 5 year old child who had a repair for transposition of the great arteries shortly after birth is growing
normally and has been asymptomatic since the surgery. The primary care nurse practitioner notes mild
shortness of breath with exertion and upon questioning learns that the child recently has complained of
dizziness. What will the nurse practitioner do?
A. Order an echocardiogram and chest radiograph
B. Perform pulmonary function testing
C. Reassure the parent that these symptoms are common
D. Refer the child to a cardiologist immediately - ANSWER-D. Refer the child to a cardiologist immediately
The primary care pediatric nurse practitioner (PNP) is performing a well child examination on a school-
age child who had complete repair of a tetralogy of Fallot (TOF) defect in infancy. What is important in
this child's health maintenance regime?
a.Cardiology clearance for sports participation
b.Restriction of physical activity to avoid pulmonary complications
c.Sub-acute bacterial endocarditis prophylaxis precautions
d.Teaching about management of hypercyanotic episodes - ANSWER-a.Cardiology clearance for sports
participation
An infant with trisomy 21 has a complete AV canal defect. Which finding,
associated with having both of these conditions, will the primary care pediatric nurse
practitioner
expect?
A. Crackles in both lungs
B. Hepatomegaly
C. Oxygen desaturation
D. Peripheral edema - ANSWER-C. Oxygen desaturation
, The primary care pediatric nurse practitioner performs a well child
examination on a 12 month old child who had repair of a congenital heart defect at 8 months of age. The
child has a normal exam. The parent reports that the child is not taking any medications. The nurse
practitioner
will contact the child's cardiologist to discuss whether the child needs which medication?
A. Amoxicillin
B. Capoten
C. Digoxin
D. Furosemide - ANSWER-A. Amoxicillin
During a well baby examination of a 6 week old infant, the primary care pediatric nurse practitioner
notes poor weight gain, acrocyanosis of the hands and feet, and a respiratory rate of 60 breaths per
minute. Oxygen saturation on room air is 93%. The remainder of the exam is unremarkable. Which
action is correct?
A. Follow up in 1 week to assess the infant's weight
B. Order a chest radiograph and electrocardiogram
C. Reassure the parents that the exam is within normal limits
D. Refer the infant to a pediatric cardiologist - ANSWER-D. Refer the infant to a pediatric cardiologist
A 3 month old infant who was previously healthy now has a persistent cough, bilateral lung crackles, and
poor appetite. The primary care pediatric nurse practitioner auscultates a grade III/VI, low-pitched,
holosystolic murmur over the left lower sternal border and palpates the liver at one centimeter below
the ribs. What diagnosis is likely?
A. Atrial septal defect
B. Corarctation of the aorta
C. Patent ductus arteriosis
D. Ventricular sepatal defect - ANSWER-D. Ventricular sepatal defect
The primary care pediatric nurse practitioner (PNP) is performing a sports physical on an adolescent
whose history reveals mild aortic stenosis (AS). What will the nurse practitioner recommend?
Leadership and Management Review, Practice Questions,
Key Concepts & Exam Preparation Strategies
Succeed on the MN 580 Midterm Exam with this comprehensive 2025 study guide focused on nursing
leadership and management principles. Covers leadership theories, delegation, communication, ethical
decision-making, staffing, patient safety, quality improvement, and conflict resolution. Includes high-
yield practice questions, concept summaries, and exam strategies to help nursing students perform
confidently on their MN 580 midterm assessment
MN 580 midterm exam
MN 580 nursing leadership midterm
MN 580 management in nursing exam
MN 580 midterm study guide
An infant with trisomy 21 has a complete AV canal defect. Which finding associated with having both of
these conditions will the primary care pediatric nurse practitioner expect?
A. Crackles in both lungs
B. Hepatomegaly
C. Oxygen desaturation
D. Peripheral edema - ANSWER-C. Oxygen desaturation
A 9 month old infant has a grade III/VI, harsh, rumbling, continuous murmur in the left infraclavicular
fossa and pulmonic area. A chest radiograph reveals cardiac enlargement. The primary care pediatric
nurse practitioner will refer the infant to a pediatric cardiologist and prepare the parents for which
intervention to repair the defect?
A. Cardiopulmonary bypass surgery
,B. Coil insertion in the catheterization lab
C. Indomethacin administration
D. Observation for spontaneous closure - ANSWER-B. Coil insertion in the catheterization lab
A 5 year old child who had a repair for transposition of the great arteries shortly after birth is growing
normally and has been asymptomatic since the surgery. The primary care nurse practitioner notes mild
shortness of breath with exertion and upon questioning learns that the child recently has complained of
dizziness. What will the nurse practitioner do?
A. Order an echocardiogram and chest radiograph
B. Perform pulmonary function testing
C. Reassure the parent that these symptoms are common
D. Refer the child to a cardiologist immediately - ANSWER-D. Refer the child to a cardiologist immediately
The primary care pediatric nurse practitioner (PNP) is performing a well child examination on a school-
age child who had complete repair of a tetralogy of Fallot (TOF) defect in infancy. What is important in
this child's health maintenance regime?
a.Cardiology clearance for sports participation
b.Restriction of physical activity to avoid pulmonary complications
c.Sub-acute bacterial endocarditis prophylaxis precautions
d.Teaching about management of hypercyanotic episodes - ANSWER-a.Cardiology clearance for sports
participation
An infant with trisomy 21 has a complete AV canal defect. Which finding,
associated with having both of these conditions, will the primary care pediatric nurse
practitioner
expect?
A. Crackles in both lungs
B. Hepatomegaly
C. Oxygen desaturation
D. Peripheral edema - ANSWER-C. Oxygen desaturation
, The primary care pediatric nurse practitioner performs a well child
examination on a 12 month old child who had repair of a congenital heart defect at 8 months of age. The
child has a normal exam. The parent reports that the child is not taking any medications. The nurse
practitioner
will contact the child's cardiologist to discuss whether the child needs which medication?
A. Amoxicillin
B. Capoten
C. Digoxin
D. Furosemide - ANSWER-A. Amoxicillin
During a well baby examination of a 6 week old infant, the primary care pediatric nurse practitioner
notes poor weight gain, acrocyanosis of the hands and feet, and a respiratory rate of 60 breaths per
minute. Oxygen saturation on room air is 93%. The remainder of the exam is unremarkable. Which
action is correct?
A. Follow up in 1 week to assess the infant's weight
B. Order a chest radiograph and electrocardiogram
C. Reassure the parents that the exam is within normal limits
D. Refer the infant to a pediatric cardiologist - ANSWER-D. Refer the infant to a pediatric cardiologist
A 3 month old infant who was previously healthy now has a persistent cough, bilateral lung crackles, and
poor appetite. The primary care pediatric nurse practitioner auscultates a grade III/VI, low-pitched,
holosystolic murmur over the left lower sternal border and palpates the liver at one centimeter below
the ribs. What diagnosis is likely?
A. Atrial septal defect
B. Corarctation of the aorta
C. Patent ductus arteriosis
D. Ventricular sepatal defect - ANSWER-D. Ventricular sepatal defect
The primary care pediatric nurse practitioner (PNP) is performing a sports physical on an adolescent
whose history reveals mild aortic stenosis (AS). What will the nurse practitioner recommend?
