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MN 580 MIDTERM EXAM 2025 | ALL QUESTIONS
AND WELL VERIFIED ANSWERS 2025
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
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
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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
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.
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The mother of a female infant is concerned that her daughter is developing
breasts. The primary care pediatric nurse practitioner notes mild breast
development but no pubic or axillary hair. What is the likely diagnosis?
A Congenital adrenal hyperplasia causing breast development
B. Precocious puberty needing endocrinology management
C. Premature adrenarche which will lead to pubic hair onset
D. Premature thelarche which will resolve over time -ANSWER--D.
Premature thelarche which will resolve over time
Select the statement that best describes the thelarche stage of puberty in
females.
1. Appearance of pubic hair
2. Appearance of breast tissue maturation
3. Onset of first menstrual period
4. All the above -ANSWER--4. All the above
The parent of a school age child reports that the child is on a gluten free diet.
When questioned about the reason for this diet, the parent states that the
child has fewer stomach aches since beginning the diet but has never been
diagnosed with celiac disease. The parent reports using gluten free grain
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products for all family members. The nurse practitioner will tell this parent
that gluten free diets
A are generally low in sugar and fat.
B. are healthy and help prevent obesity.
C. may be deficient in essential nutrients.
D. provide adequate protein to meet daily needs -ANSWER--C. may be
deficient in essential nutrients.
A school age child has recurrent diarrhea with foul smelling stools,
excessive flatus, abdominal distension, and failure to thrive.
A 2week lactose free trial failed to reduce symptoms. What is the next step in
diagnosing this condition?
A. Lactose hydrogen breath test
B. Serologic testing for celiac disease
C. Stool for ova and parasites
D. Sweat chloride test for cystic fibrosis -ANSWER--B. Serologic testing for
celiac disease
Cyclic vomiting may:
1. Last for days.
MN 580 MIDTERM EXAM 2025 | ALL QUESTIONS
AND WELL VERIFIED ANSWERS 2025
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
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
,2|Page
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
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.
,3|Page
The mother of a female infant is concerned that her daughter is developing
breasts. The primary care pediatric nurse practitioner notes mild breast
development but no pubic or axillary hair. What is the likely diagnosis?
A Congenital adrenal hyperplasia causing breast development
B. Precocious puberty needing endocrinology management
C. Premature adrenarche which will lead to pubic hair onset
D. Premature thelarche which will resolve over time -ANSWER--D.
Premature thelarche which will resolve over time
Select the statement that best describes the thelarche stage of puberty in
females.
1. Appearance of pubic hair
2. Appearance of breast tissue maturation
3. Onset of first menstrual period
4. All the above -ANSWER--4. All the above
The parent of a school age child reports that the child is on a gluten free diet.
When questioned about the reason for this diet, the parent states that the
child has fewer stomach aches since beginning the diet but has never been
diagnosed with celiac disease. The parent reports using gluten free grain
, 4|Page
products for all family members. The nurse practitioner will tell this parent
that gluten free diets
A are generally low in sugar and fat.
B. are healthy and help prevent obesity.
C. may be deficient in essential nutrients.
D. provide adequate protein to meet daily needs -ANSWER--C. may be
deficient in essential nutrients.
A school age child has recurrent diarrhea with foul smelling stools,
excessive flatus, abdominal distension, and failure to thrive.
A 2week lactose free trial failed to reduce symptoms. What is the next step in
diagnosing this condition?
A. Lactose hydrogen breath test
B. Serologic testing for celiac disease
C. Stool for ova and parasites
D. Sweat chloride test for cystic fibrosis -ANSWER--B. Serologic testing for
celiac disease
Cyclic vomiting may:
1. Last for days.
