NRNP EXAM zm
Exam Solution zm
31 2026 A+ GRADE ASSURED COMPLETE SOLUTIONS A
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ND VERIFIED ANSWERS (ED9DE)
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QUESTION 1 zm
2. A 12-year-
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old child whose weight and BMI are in the 75th percentile has a diastolic blood press
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ure that is between the 95th and 99th percentiles for age, sex, and height on three se
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parate occasions. Initial tests for this child will include
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a. complete blood count.
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b. erythrocyte sedimentation rate.
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c. renal function and plasma renin tests.
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d. urinalysis and electrolytes.
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ANSWER
ANS: C Since the majority of children with stage 1 or 2 hypertension have renal or renovascular cau
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ses for elevated BP, renal function and plasma renin tests should be performed. Children under 10 y
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ears of age with stage 2 hypertension should have more aggressive laboratory evaluation, including
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CBC, ESR, UA, and electrolytes.
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QUESTION 2 zm
6. An infant with trisomy 21 has a complete AV canal defect. Which finding, associated
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with having both of these conditions, will the primary care pediatric nurse practition
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er expect?
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a. Crackles in both lungs
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b. Hepatomegaly
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c. Oxygen desaturation
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d. Peripheral edema
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ANSWER
ANS: C Because infants with trisomy 21 maintain neonatal high pulmonary vascular resistance, they
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often do not show signs of CHF but instead will have signs of pulmonary hypertension with loud sin
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gle S2 and desaturation with agitation or effort. Crackles, hepatomegaly, and edema are signs of CHF
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.
Exam Solution zm
31 2026 A+ GRADE ASSURED COMPLETE SOLUTIONS A
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ND VERIFIED ANSWERS (ED9DE)
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QUESTION 1 zm
2. A 12-year-
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old child whose weight and BMI are in the 75th percentile has a diastolic blood press
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ure that is between the 95th and 99th percentiles for age, sex, and height on three se
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parate occasions. Initial tests for this child will include
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a. complete blood count.
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b. erythrocyte sedimentation rate.
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c. renal function and plasma renin tests.
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d. urinalysis and electrolytes.
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ANSWER
ANS: C Since the majority of children with stage 1 or 2 hypertension have renal or renovascular cau
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ses for elevated BP, renal function and plasma renin tests should be performed. Children under 10 y
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ears of age with stage 2 hypertension should have more aggressive laboratory evaluation, including
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CBC, ESR, UA, and electrolytes.
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QUESTION 2 zm
6. An infant with trisomy 21 has a complete AV canal defect. Which finding, associated
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with having both of these conditions, will the primary care pediatric nurse practition
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er expect?
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a. Crackles in both lungs
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b. Hepatomegaly
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c. Oxygen desaturation
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d. Peripheral edema
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ANSWER
ANS: C Because infants with trisomy 21 maintain neonatal high pulmonary vascular resistance, they
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often do not show signs of CHF but instead will have signs of pulmonary hypertension with loud sin
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gle S2 and desaturation with agitation or effort. Crackles, hepatomegaly, and edema are signs of CHF
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.
