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NUR 507 Exam 6 (100+ Questions) – Pediatric Cardiology, Pulmonology, GI & Infectious Disease | 2025/2026

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This comprehensive exam preparation document includes over 100 clinically detailed, scenario-based questions and accurate answers aligned with the NUR 507 course for the 2025/2026 academic year. It is specifically tailored for advanced pediatric nurse practitioner students and covers a wide range of pediatric systems and disorders. The questions reflect high-level critical thinking and real-life patient management decisions commonly encountered in primary pediatric care. Each answer is validated and clearly provided, making this an exceptional resource for both summative evaluation and board-style preparation. Major topics covered include: Pediatric cardiology (murmurs, congenital heart defects, post-surgical follow-up, hypertension) Pulmonology and respiratory disorders (asthma, bronchiolitis, pneumonia, croup, pertussis) Gastrointestinal and nutritional disorders (GERD, cyclic vomiting, celiac, appendicitis, FTT) Rheumatologic and autoimmune conditions (JIA, SLE, Henoch-Schönlein purpura) Infectious diseases (HIV, mononucleosis, strep, hepatitis B, TB screening) Genetic and congenital syndromes (Down syndrome, Prader-Willi, Klinefelter) Medication and immunization management in complex pediatric care This document is ideal for students enrolled in: Pediatric Nurse Practitioner (PNP) programs Advanced Practice Nursing (MSN, DNP) Family Nurse Practitioner tracks with pediatric clinical rotations Board certification prep for PNP-PC and PNP-AC exams Also relevant for courses in: Pediatric Primary Care Advanced Pediatric Pathophysiology Clinical Pediatric Assessment and Management Advanced Pharmacology in Pediatrics Keywords: pediatric nurse practitioner, congenital heart defects, pediatric asthma, JIA, SLE in children, pediatric infectious disease, NUR 507, pediatric GI disorders, FNP pediatric review, immunization guidelines, nursing exam prep, advanced pediatric assessment, Down syndrome signs, otolaryngology in children, rheumatology pediatric

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Nur 507 Exam 6 2025/2026 Exam
Questions and Detailed Answers | Get it
100% Correct Answers



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

,2. The primary care pediatric nurse practitioner auscultates a new grade II

vibratory, mid systolic murmur at the mid sternal border in a 4yearold 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 - 🧠 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.


d. Refer to a pediatric cardiologist for further evaluation. - 🧠 ANSWER ✔✔d.

Refer to a pediatric cardiologist for further evaluation.

The primary care pediatric nurse practitioner provides primary care for a

4monthold 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 - 🧠 ANSWER

✔✔b. Fortifying breast milk to increase the number of calories per ounce


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. PCV13


d. Varivax - 🧠 ANSWER ✔✔c. PCV13


The primary care pediatric nurse practitioner performs a well child

examination on a 12monthold child who had repair of a congenital heart

defect at 8 months of age. The child has a normal exam. The parent
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, reports that the child is not taking any medications. The nurse practitioner

will contact the child's cardiologist to discuss whether the child needs which

medication?a. Amoxicillin

b. Capoten

c. Digoxin


d. Furosemide - 🧠 ANSWER ✔✔a. Amoxicillin


During a well baby examination of a 6weekold infant, the primary care

pediatric nurse practitioner notes poor weight gain, acrocyanosis of the

hands and feet, and a respiratory rate of 60 breaths per minute. Oxygen

saturation on room air is 93%. The remainder of the exam is unremarkable.

Which action is correct?

a. Follow up in 1 week to assess the infant's weight.

b. Order a chest radiograph and an electrocardiogram.

c. Reassure the parents that the exam is within normal limits.


d. Refer the infant to a pediatric cardiologist. - 🧠 ANSWER ✔✔a. Follow up

in 1 week to assess the infant's weight.

3monthold infant who was previously healthy now has a persistent cough,

bilateral lung crackles, and poor appetite. The primary care pediatric nurse
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