MN 580 Final Exam Latest Update 2024-2025 Questions and Verified Correct Answers Guaranteed A+
- month old in the office to receive immunization, having fevers after. What would the
NP recommend? - CORRECT ANSWER: Ibuprofen and Tylenol as needed
2 week old presents with wide spitting, S2 expiration - CORRECT ANSWER: Atrial
septal defect
- 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: -
CORRECT ANSWER: Chest x-ray
- day old infant, jaundice, sunken anterior fontanel, difficulty latching, bilirubin 18,
dehydrated and drinks breast milk, jaundice. Interventions? - CORRECT ANSWER:
Interventions: all of the above (phototherapy, providing support, strict I/O)
- year old female with a history of transposition of the great arteries has mild shortness
of breath and dizziness. What should the NP do? - CORRECT ANSWER: Refer to
cardiology ASAP
- year old with a history of pertussis. What immunizations do they need prior to starting
kindergarten? - CORRECT ANSWER: DTaP
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? - CORRECT ANSWER: Neuropathic pain
18 month old presents with rectal temperature of 100.4, acting normal. NP would recommend: - CORRECT ANSWER: Offering extra fluids and calling if symptoms change
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: - CORRECT ANSWER: CT scan
A 6 year old boy presents with a 1 day history of a fiery red, maculopapular facial rash concentrated on the cheeks. He has had a mild headache and myalgia for the past week. The most likely diagnosis is: - CORRECT ANSWER: Fifth's disease 1 / 2
A 7 year old female presents with pubic and axillary hair without breast development.
What should the NP be concerned for? - CORRECT ANSWER: PCOS
A 10-day old child presents with multiple raised lesions resembling flea bites over the trunk and nape of the neck. The infant is nursing well and has no fever or exposure to animals. These lesions likely represent: - CORRECT ANSWER: Erythema toxicum neonatorum
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. -
CORRECT 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 14 year old male presents with acne consisting of 25 comedones and 20 inflammatory lesions with no nodules. This patient can be classified as having: -
CORRECT ANSWER: Moderate ance
A healthy 3 month old presents to the office with a cough, bilateral crackles, decreased appetite, grade III/VI low-pitched, holosystolic murmur - CORRECT ANSWER: Ventrical septal defect
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? -
CORRECT ANSWER: Serologic testing got celia disease
A physiological murmur has which of the following characteristics? - CORRECT
ANSWER: Becomes softer when the patient moves from supine to standing
A risk factor for mitral valve prolapse includes a history of: - CORRECT ANSWER: Marfan syndrome
A Still murmur: - CORRECT ANSWER: Has a humming or vibratory quality
An important part of the treatment of Kawasaki disease includes the use of: -
CORRECT ANSWER: Immune globulin
Aortic stenosis in a 15 yom is: - CORRECT ANSWER: A result of a congenital defect
At 3 weeks of age, the average-weight, formula-fed infant should be expected to take: -
CORRECT ANSWER: 2-3 oz every 3-4 hours
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