1|Page
MN 580 MIDTERM EXAM / ACTUAL EXAM NEWEST 2026/2027
COMPLETE ALL QUESTIONS AND CORRECT ANSWERS
(VERIFIED ANSWERS) |ALREADY GRADED A+||JUST OUT!!!
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?
A. Avoidance of all sports to prevent sudden death
B. Clearance of any sports since this is mild
C. Evaluation by a cardiologist prior to participation
D. Low intensity sports, such as golf or bowling - ANSWER-C.
Evaluation by a cardiologist prior to participation
During a routine well child exam on a 5 year old child, the
primary care pediatric nurse practitioner auscultates a grade
II/VI, harsh, late systolic ejection murmur at the upper left
sternal border that transmits to both lung fields. The child has
normal growth and development. What will the nurse
practitioner suspect?
A. Aortic stenosis
B. Patent ductus arteriosus
,2|Page
C. Pulmonic stenosis
D. Tricuspid artresia - ANSWER-C. Pulmonic stenosis
A 5 year old child has an elevated blood pressure during a well
child exam. The primary care pediatric nurse practitioner notes
mottling and pallor of the child's feet and lower legs and
auscultates a systolic ejection murmur in the left infraclavicular
region radiating to the child's back. The nurse practitioner will
suspect which condition?
A. Aortic stenosis
B. Coarctation of the aorta
C. Patent ductus arteriosus
D. Pulmonic stenosis - ANSWER-B. Coarctation of the aorta
An adolescent female has a history of repaired TOF. Which
longterm complication is a concern for this patient?
A. Aortic stenosis
B. Chronis cyanosis
C. Mitral valve prolapse
D. Ventricular failure - ANSWER-C. Mitral valve prolapse
,3|Page
A 6 year old child has a systolic blood pressure between 90th
and 95th percentile for age, sex, and height and a diastolic
blood pressure between the 90th and the 95th percentile on 3
separate clinic visits. This child's blood pressure is classified as
A. normotensive
B. prehypertensive
C. stage 1 hypertensive
D. stage 2 hypertensive - ANSWER-C. stage 1 hypertensive
A 12 year old child whose weight and BMI are in the 75th
percentile has a diastolic BP that is between the 95th-99th
percentile for age, sex, and height, on 3 separate occasions.
Initial tests for this child will include
A. Complete blood count
B. Erythrocyte sedimentation rate
C. renal function and plasma renin tests
D. Urinalysis and electrolytes - ANSWER-C. renal function and
plasma renin tests
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A 12 year old child whose BMI is greater than the 95th
percentile has a blood pressure at the 98th percentile for age,
sex, and height. After lifestyle changes that include diet and
exercise, the child's BMI drops to the 90th percentile, but the
blood pressure remains the same. What is the primary care
pediatric nurse practitioner's next step in treating this child?
A. continued close monitoring of blood pressure
B. ordering and echocardiogram or MRI
C. prescribing and ACE inhibitor medication
D. Referral to a nephrologist or cardiologist - ANSWER-D.
Referral to a nephrologist or cardiologist
A 7 year old child who has a history of a repaired congenital
heart defect has many dental caries along with gingival
erythema and irritation and a temperature of 102.5. What will
the primary care pediatric nurse practitioner do next?
A. Admit to the hospital with pediatric cardiology consult
B. Obtain blood cultures and a CBC and consult a pediatric
cardiologist
C. Refer the child to a pediatric dental surgeon immediately
MN 580 MIDTERM EXAM / ACTUAL EXAM NEWEST 2026/2027
COMPLETE ALL QUESTIONS AND CORRECT ANSWERS
(VERIFIED ANSWERS) |ALREADY GRADED A+||JUST OUT!!!
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?
A. Avoidance of all sports to prevent sudden death
B. Clearance of any sports since this is mild
C. Evaluation by a cardiologist prior to participation
D. Low intensity sports, such as golf or bowling - ANSWER-C.
Evaluation by a cardiologist prior to participation
During a routine well child exam on a 5 year old child, the
primary care pediatric nurse practitioner auscultates a grade
II/VI, harsh, late systolic ejection murmur at the upper left
sternal border that transmits to both lung fields. The child has
normal growth and development. What will the nurse
practitioner suspect?
A. Aortic stenosis
B. Patent ductus arteriosus
,2|Page
C. Pulmonic stenosis
D. Tricuspid artresia - ANSWER-C. Pulmonic stenosis
A 5 year old child has an elevated blood pressure during a well
child exam. The primary care pediatric nurse practitioner notes
mottling and pallor of the child's feet and lower legs and
auscultates a systolic ejection murmur in the left infraclavicular
region radiating to the child's back. The nurse practitioner will
suspect which condition?
A. Aortic stenosis
B. Coarctation of the aorta
C. Patent ductus arteriosus
D. Pulmonic stenosis - ANSWER-B. Coarctation of the aorta
An adolescent female has a history of repaired TOF. Which
longterm complication is a concern for this patient?
A. Aortic stenosis
B. Chronis cyanosis
C. Mitral valve prolapse
D. Ventricular failure - ANSWER-C. Mitral valve prolapse
,3|Page
A 6 year old child has a systolic blood pressure between 90th
and 95th percentile for age, sex, and height and a diastolic
blood pressure between the 90th and the 95th percentile on 3
separate clinic visits. This child's blood pressure is classified as
A. normotensive
B. prehypertensive
C. stage 1 hypertensive
D. stage 2 hypertensive - ANSWER-C. stage 1 hypertensive
A 12 year old child whose weight and BMI are in the 75th
percentile has a diastolic BP that is between the 95th-99th
percentile for age, sex, and height, on 3 separate occasions.
Initial tests for this child will include
A. Complete blood count
B. Erythrocyte sedimentation rate
C. renal function and plasma renin tests
D. Urinalysis and electrolytes - ANSWER-C. renal function and
plasma renin tests
, 4|Page
A 12 year old child whose BMI is greater than the 95th
percentile has a blood pressure at the 98th percentile for age,
sex, and height. After lifestyle changes that include diet and
exercise, the child's BMI drops to the 90th percentile, but the
blood pressure remains the same. What is the primary care
pediatric nurse practitioner's next step in treating this child?
A. continued close monitoring of blood pressure
B. ordering and echocardiogram or MRI
C. prescribing and ACE inhibitor medication
D. Referral to a nephrologist or cardiologist - ANSWER-D.
Referral to a nephrologist or cardiologist
A 7 year old child who has a history of a repaired congenital
heart defect has many dental caries along with gingival
erythema and irritation and a temperature of 102.5. What will
the primary care pediatric nurse practitioner do next?
A. Admit to the hospital with pediatric cardiology consult
B. Obtain blood cultures and a CBC and consult a pediatric
cardiologist
C. Refer the child to a pediatric dental surgeon immediately
