MN 580 - Final Exam Questions and Answers Already Passed Latest Update 2025-2026
The most common reason for precocious puberty in girls is: - Answers Early onset of normal
puberty
When billing Medicaid, NPs get the authority to bill their services from: - Answers State and
federal law
You have initiated therapy for an 18 yom with acne vulgaris and have prescribed doxycycline. He
returns in 3 weeks, complaining that his skin is no better. Your next action is to: - Answers
Counsel him that 6-8 weeks of treatment is often needed before significant improvement is
achieved
For a Grade I ankle sprain, weight-bearing should be avoided for at least: - Answers 24 hours
Hemoglobin A1c best provides information on glucose control over the past: - Answers 21-47
days
18 yom presents with periumbilical pain, vomiting, and abdominal cramping over the past 48
hours. Physical examination reveals rebound tenderness and laboratory analysis shows the
presence of bandemia and a total WBC of 28,000. To support the diagnosis of acute
appendicitis with suspected appendiceal rupture, you consider obtaining the following: -
Answers CT scan
2 yof presents with a 3-day history of fever, crankiness, and congested cough. Her respiratory
rate is more than 50% of the upper limits of normal for age. Tubular breath sounds are noted at
the right lung base. Skin turgur and normal, and she is wearing a wet diaper. She is alert,
resisting the examination as age appropriate, and engages in eye contact. Temperature is 38.3.
Her diagnostic evaluation should include: - Answers Chest x-ray
Aortic stenosis in a 15 yom is: - Answers A result of a congenital defect
Which of the following laboratory tests can identify the causative organism of bronchiolitis? -
Answers Nasal washing antigen test
A Still murmur: - Answers Has a humming or vibratory quality
A physiological murmur has which of the following characteristics? - Answers Becomes softer
when the patient moves from supine to standing
Cyclic vomiting may: - Answers Not be associated with a headache
5 day old infant, jaundice, sunken anterior fontanel, difficulty latching, bilirubin 18, dehydrated
and drinks breast milk, jaundice. Interventions? - Answers Interventions: all of the above
(phototherapy, providing support, strict I/O)
Infant with dehydration. Weight 6kg, watching I/O, adequate hydration, urinary output. How
, much fluid would you give? - Answers 13 ml/kg/hour
PCP diagnosed 5 year old with asthma. Prescribes PO steroid and SABA via metered-dose
inhaler. What information is important to give? - Answers Make recommendations for disease
mamagement
18 month old presents with rectal temperature of 100.4, acting normal. NP would recommend: -
Answers Offering extra fluids and calling if symptoms change
10 year old child with shooting pain in both legs, aching, tingling, burning, unable to pin point
specific location. What type of pain is this? - Answers Neuropathic pain
Parent concerned about vaccine reaction. What should NP tell them? - Answers MMR may be
linked to febrile seizures in immunocompromised children
2 month old in the office to receive immunization, having fevers after. What would the NP
recommend? - Answers Ibuprofen and Tylenol as needed
PCP has an 18 month old patient who received MMR 2 days prior to 1st birthday. What should
the NP do? - Answers Recommend next dose of MMR at 4-5 years
5 year old with a history of pertussis. What immunizations do they need prior to starting
kindergarten? - Answers DTaP
Trelarche stage in females? - Answers All of the above (pubic hair, breast tissue, 1st period)
How often should thyroid studies be performed? - Answers Yearly
Down Syndrome 18x greater in what population than that of the general population? - Answers
Leukemia
Down syndrome spinal cord changes? - Answers All of the above
Patient presents with chronic otitis media, profuse purulent otorrhea, pearly white lesion on one
tympanic membrane - Answers Cholestatoma
2 week old presents with wide spitting, S2 expiration - Answers Atrial septal defect
New grade II vibratory, midsystolic murmur, louder when patient is supine - Answers Stills
murmur
Harsh, blowing, grade IV/VI murmur at 6 month old. What should the NP do? - Answers Refer to
cardiology
What should the NP prescribe for a 12 month old who had a heart defect at 8 months? -
Answers Amoxicillin
A healthy 3 month old presents to the office with a cough, bilateral crackles, decreased appetite,
The most common reason for precocious puberty in girls is: - Answers Early onset of normal
puberty
When billing Medicaid, NPs get the authority to bill their services from: - Answers State and
federal law
You have initiated therapy for an 18 yom with acne vulgaris and have prescribed doxycycline. He
returns in 3 weeks, complaining that his skin is no better. Your next action is to: - Answers
Counsel him that 6-8 weeks of treatment is often needed before significant improvement is
achieved
For a Grade I ankle sprain, weight-bearing should be avoided for at least: - Answers 24 hours
Hemoglobin A1c best provides information on glucose control over the past: - Answers 21-47
days
18 yom presents with periumbilical pain, vomiting, and abdominal cramping over the past 48
hours. Physical examination reveals rebound tenderness and laboratory analysis shows the
presence of bandemia and a total WBC of 28,000. To support the diagnosis of acute
appendicitis with suspected appendiceal rupture, you consider obtaining the following: -
Answers CT scan
2 yof presents with a 3-day history of fever, crankiness, and congested cough. Her respiratory
rate is more than 50% of the upper limits of normal for age. Tubular breath sounds are noted at
the right lung base. Skin turgur and normal, and she is wearing a wet diaper. She is alert,
resisting the examination as age appropriate, and engages in eye contact. Temperature is 38.3.
Her diagnostic evaluation should include: - Answers Chest x-ray
Aortic stenosis in a 15 yom is: - Answers A result of a congenital defect
Which of the following laboratory tests can identify the causative organism of bronchiolitis? -
Answers Nasal washing antigen test
A Still murmur: - Answers Has a humming or vibratory quality
A physiological murmur has which of the following characteristics? - Answers Becomes softer
when the patient moves from supine to standing
Cyclic vomiting may: - Answers Not be associated with a headache
5 day old infant, jaundice, sunken anterior fontanel, difficulty latching, bilirubin 18, dehydrated
and drinks breast milk, jaundice. Interventions? - Answers Interventions: all of the above
(phototherapy, providing support, strict I/O)
Infant with dehydration. Weight 6kg, watching I/O, adequate hydration, urinary output. How
, much fluid would you give? - Answers 13 ml/kg/hour
PCP diagnosed 5 year old with asthma. Prescribes PO steroid and SABA via metered-dose
inhaler. What information is important to give? - Answers Make recommendations for disease
mamagement
18 month old presents with rectal temperature of 100.4, acting normal. NP would recommend: -
Answers Offering extra fluids and calling if symptoms change
10 year old child with shooting pain in both legs, aching, tingling, burning, unable to pin point
specific location. What type of pain is this? - Answers Neuropathic pain
Parent concerned about vaccine reaction. What should NP tell them? - Answers MMR may be
linked to febrile seizures in immunocompromised children
2 month old in the office to receive immunization, having fevers after. What would the NP
recommend? - Answers Ibuprofen and Tylenol as needed
PCP has an 18 month old patient who received MMR 2 days prior to 1st birthday. What should
the NP do? - Answers Recommend next dose of MMR at 4-5 years
5 year old with a history of pertussis. What immunizations do they need prior to starting
kindergarten? - Answers DTaP
Trelarche stage in females? - Answers All of the above (pubic hair, breast tissue, 1st period)
How often should thyroid studies be performed? - Answers Yearly
Down Syndrome 18x greater in what population than that of the general population? - Answers
Leukemia
Down syndrome spinal cord changes? - Answers All of the above
Patient presents with chronic otitis media, profuse purulent otorrhea, pearly white lesion on one
tympanic membrane - Answers Cholestatoma
2 week old presents with wide spitting, S2 expiration - Answers Atrial septal defect
New grade II vibratory, midsystolic murmur, louder when patient is supine - Answers Stills
murmur
Harsh, blowing, grade IV/VI murmur at 6 month old. What should the NP do? - Answers Refer to
cardiology
What should the NP prescribe for a 12 month old who had a heart defect at 8 months? -
Answers Amoxicillin
A healthy 3 month old presents to the office with a cough, bilateral crackles, decreased appetite,
