MN 580 FINAL EXAM
COMPLETE QUESTIONS AND DETAILED SOLUTIONS
LATEST UPDATE THIS YEAR JUST RELEASED
Question 1: New grade II vibratory, midsystolic murmur, louder
when patient is supine
Answer:
Stills murmur
Question 2: Harsh, blowing, grade IV/VI murmur at 6 month old.
What should the NP do?
Answer:
Refer to cardiology
Question 3: What should the NP prescribe for a 12 month old who
had a heart defect at 8 months?
Answer:
Amoxicillin
Question 4: 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
Question 5: 5 year old female with a history of transposition of the
great arteries has mild shortness of breath and dizziness. What
, should the NP do?
Answer:
Refer to cardiology ASAP
Question 6: What education should be included when prescribing
metformin to a 15 year old?
Answer:
Importance of checking BS 3-4x/day
Question 7: A 13-year-old Native American female has a BMI at the
90th percentile for age. 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.
Answer:
Counsel the child to lose weight to prevent type 2 diabetes. Diagnose type 2
diabetes if the child has a random glucose of 180 mg/dL.
Question 8: Order a fasting blood sample for a metabolic screen for
type 2 diabetes. Refer the child to a pediatric endocrinologist. A 7
year old female presents with pubic and axillary hair without breast
development. What should the NP be concerned for?
Answer:
PCOS
Question 9: A patient presents with diarrhea with foul smelling
odors, increase in flatulence, abdominal distention, and 2 week
lactose free trail fail. What should the NP do?
COMPLETE QUESTIONS AND DETAILED SOLUTIONS
LATEST UPDATE THIS YEAR JUST RELEASED
Question 1: New grade II vibratory, midsystolic murmur, louder
when patient is supine
Answer:
Stills murmur
Question 2: Harsh, blowing, grade IV/VI murmur at 6 month old.
What should the NP do?
Answer:
Refer to cardiology
Question 3: What should the NP prescribe for a 12 month old who
had a heart defect at 8 months?
Answer:
Amoxicillin
Question 4: 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
Question 5: 5 year old female with a history of transposition of the
great arteries has mild shortness of breath and dizziness. What
, should the NP do?
Answer:
Refer to cardiology ASAP
Question 6: What education should be included when prescribing
metformin to a 15 year old?
Answer:
Importance of checking BS 3-4x/day
Question 7: A 13-year-old Native American female has a BMI at the
90th percentile for age. 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.
Answer:
Counsel the child to lose weight to prevent type 2 diabetes. Diagnose type 2
diabetes if the child has a random glucose of 180 mg/dL.
Question 8: Order a fasting blood sample for a metabolic screen for
type 2 diabetes. Refer the child to a pediatric endocrinologist. A 7
year old female presents with pubic and axillary hair without breast
development. What should the NP be concerned for?
Answer:
PCOS
Question 9: A patient presents with diarrhea with foul smelling
odors, increase in flatulence, abdominal distention, and 2 week
lactose free trail fail. What should the NP do?
