1|Page
MN 580 MIDTERM EXAM / ACTUAL EXAM NEWEST
20262027 COMPLETE ALL QUESTIONS AND
100%CORRECT ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+||BRAND NEW VERSION!!!!
An infant with trisomy 21 has a complete AV canal defect.
Which finding,
associated with having both of these conditions, will the
primary care pediatric nurse
practitioner
expect?
A. Crackles in both lungs
B. Hepatomegaly
C. Oxygen desaturation
D. Peripheral edema - ANSWER-C. Oxygen desaturation
,2|Page
An adolescent takes ibuprofen, acetaminophen, and a
tricyclic
antidepressant (TCA) to treat phantom limb pain and
reports that the medications are no longer effective. What
will the primary care pediatric nurse practitioner do?
A. Change the TCA to a selective serotonin reuptake
inhibitor.
B. Evaluate the adolescent for drug seeking behavior.
C. Increase the TCA dose and reevaluate in 2 to 3 weeks.
D Refer the adolescent to a pain management specialist. -
ANSWER-D. Refer the adolescent to a pain management
specialist.
,3|Page
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 - ANSWER-A. Atrial septal
defect
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?
, 4|Page
A. Pathologic murmur
B. Pulmonary flow murmur
C. Still's murmur
D. Venous hum - ANSWER-C. Still's murmur
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
MN 580 MIDTERM EXAM / ACTUAL EXAM NEWEST
20262027 COMPLETE ALL QUESTIONS AND
100%CORRECT ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+||BRAND NEW VERSION!!!!
An infant with trisomy 21 has a complete AV canal defect.
Which finding,
associated with having both of these conditions, will the
primary care pediatric nurse
practitioner
expect?
A. Crackles in both lungs
B. Hepatomegaly
C. Oxygen desaturation
D. Peripheral edema - ANSWER-C. Oxygen desaturation
,2|Page
An adolescent takes ibuprofen, acetaminophen, and a
tricyclic
antidepressant (TCA) to treat phantom limb pain and
reports that the medications are no longer effective. What
will the primary care pediatric nurse practitioner do?
A. Change the TCA to a selective serotonin reuptake
inhibitor.
B. Evaluate the adolescent for drug seeking behavior.
C. Increase the TCA dose and reevaluate in 2 to 3 weeks.
D Refer the adolescent to a pain management specialist. -
ANSWER-D. Refer the adolescent to a pain management
specialist.
,3|Page
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 - ANSWER-A. Atrial septal
defect
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?
, 4|Page
A. Pathologic murmur
B. Pulmonary flow murmur
C. Still's murmur
D. Venous hum - ANSWER-C. Still's murmur
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
