Nurs629 Exam Practice Questions With Answers 2022

NURS629 EXAM PRACTICE QUESTIONS WITH ANSWERS (year 2022) Questions 1. The primary care pediatric nurse practitioner is examining a 2-week-old infant and auscultates a wide splitting of S2 during expiration. What condition may this finding represent? A. Atrial septal defect B. Coarctation of the aorta C. Patent ductus arteriosis D. Ventricular septal defect 2. The primary care pediatric nurse practitioner auscultates a new grade II vibratory, mid-systolic murmur at the mid sternal border in a 4-year-old child that is louder when the child is supine. What type of murmur is most likely? A. Pathologic murmur B. Pulmonary flow murmur C. Still’s murmur D. Venous hum 3. During a well child assessment, the primary care pediatric nurse practitioner auscultates a harsh, blowing grade IV/VI murmur in a 6-month-old infant. What will the nurse practitioner do next? A. Get a complete blood count to rule out severe anemia. B. Obtain an electrocardiogram to assess for arrhythmia. C. Order a chest radiograph to evaluate for cardiomegaly. D. Refer to a pediatric cardiologist for further evaluation. 4. The primary care pediatric nurse practitioner provides primary care for a 4-month-old infant who has a ventricular septal defect. The infant has been breastfeeding well but in the past month has dropped from the 20th percentile to the 5th for weight. What will the nurse practitioner recommend? A. Adding solid foods to the infant’s diet to increase caloric intake B. Fortifying breast milk to increase the number of calories per ounce C. Stopping breastfeeding and giving 30 kcal/ounce formula D. Supplementing breastfeeding with 24 kcal/ounce formula 5. A 12-month-old infant who had cardiopulmonary bypass with RBC and plasma infusions during surgery at 8 months is seen for a well child examination. Which vaccine may be administered at this visit? A. MMR B. OPV C. PCV-13 D. Varivax