1|Page
MN 580 FINAL EXAM / ACTUAL EXAM NEWEST 2026
COMPLETE ALL QUESTIONS AND CORRECT
ANSWERS (VERIFIED ANSWERS) |ALREADY
GRADED A+||NEWEST VERSION!!!
New grade II vibratory, midsystolic murmur, louder when
patient is supine - ANSWER-Stills murmur
Harsh, blowing, grade IV/VI murmur at 6 month old. What
should the NP do? - ANSWER-Refer to cardiology
What should the NP prescribe for a 12 month old who had
a heart defect at 8 months? - ANSWER-Amoxicillin
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
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
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What education should be included when prescribing
metformin to a 15 year old? - ANSWER-Importance of
checking BS 3-4x/day
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.
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
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? - ANSWER-
Serologic testing got celia disease
MN 580 FINAL EXAM / ACTUAL EXAM NEWEST 2026
COMPLETE ALL QUESTIONS AND CORRECT
ANSWERS (VERIFIED ANSWERS) |ALREADY
GRADED A+||NEWEST VERSION!!!
New grade II vibratory, midsystolic murmur, louder when
patient is supine - ANSWER-Stills murmur
Harsh, blowing, grade IV/VI murmur at 6 month old. What
should the NP do? - ANSWER-Refer to cardiology
What should the NP prescribe for a 12 month old who had
a heart defect at 8 months? - ANSWER-Amoxicillin
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
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
, 2|Page
What education should be included when prescribing
metformin to a 15 year old? - ANSWER-Importance of
checking BS 3-4x/day
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.
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
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? - ANSWER-
Serologic testing got celia disease
