MN 580 MIDTERM EXAM LATEST VERSION 202 4-2025
WITH QUESTIONS AND VERIFIED CORRECT
ANSWERS |ALREADY GRADED A+ |GUARANTEED
PASS |MN 580 BRAND NEW EXAM 2024
The mother of a 16yearold male was recently divorced after several years of an abusive relationship and tells the primary care pediatric nurse practitioner that the adolescent has begun skipping school and hanging out with friends at the local shopping mall. When she confronts her child, he responds by saying that he hates her. What will the nurse practitioner tell this mother?
- Adolescence is marked by an inability to comprehend complex situations
- Adolescence is typically marked by tempestuous and transient episodes.
- Adolescents normally have extreme, disruptive conflicts with parents.
- Adolescents often need counseling to help them cope with life events -
ANSWER- d
A 10-month-old infant who is new to the clinic has chronic hepatitis B infection.What will the primary care pediatric NP due to manage this infant's disease?
- Consult a pediatric infectious disease specialist
- Prescribe interferon alfa
- provide supportive care 1 / 4
- Consider use of lamivudine -ANSWER- A. Consult a pediatric infectious
disease specialist
The primary care pediatric NP performs a well child examination on a 1 month old.The infant was recently discharged from the NICU after treatment with parenteral acyclovir for a neonatal herpetic infection and is currently taking oral acyclovir.What will the NP do to manage the infant's care?
- Obtain regular absolute neutrophil counts
- Perform routine skin cultures for herpes simplex virus
- Reinforce the need to give acyclovir indefinitely
- Stop the oral acyclovir at 2 months of age -ANSWER- A. Obtain regular
absolute neutrophil counts
A 9-month-old infant has had a fever of 103 F for 2 days and now has a diffuse maculopapular rash that blanches on pressure. The infant's immunizations are up to date. What will the primary care pediatric NP do?
- Administer immunoglobulin G to prevent fulminant illness
- Perform serologic testing for human herpes virus 6 and human herpes virus 7
- Reassure the parent that this is a mild, self-limiting disease
- Recommend avoiding contact with pregnant women -ANSWER- C. Reassure
the parent that this is a mild, self-limiting disease
A child who is immunocompromised has a fever and a rash consisting of macules, papules, and pustules. What will the primary care pediatric NP do?
- Administer varicella immune globulin (VariZIG) 2 / 4
- Hospitalize the child for intravenous acyclovir
- Order intravenous immunoglobulin as an outpatient
- Prescribe oral acyclovir for the duration of the illness -ANSWER- B.
Hospitalize the child for intravenous acyclovir
A child whose parents have refused vaccines has been exposed to chickenpox, and the parents ask whether the child may attend daycare. What will the primary care pediatric NP tell them?
- The child may attend daycare as long as no rash is present even with mild fever
- The child should remain home and receive oral acyclovir for 5 days to prevent
- The child should stay home until the 21day incubation period has passed even if
- The child should stay home if any symptoms occur and may return in 1 week if
or other symptoms
onset of symptoms
symptom free.
no rash develops. -ANSWER- D. The child should stay home if any symptoms occur and may return in 1 week if no rash develops.
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?
- Atrial septal defect
- Coarctation of the aorta
- Patent ductus arteriosis
- Ventricular septal defect -ANSWER- A. Atrial septal defect
- / 4
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?
- Pathologic murmur
- Pulmonary flow murmur
- Still's murmur
- 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?
- Get a complete blood count to rule out severe anemia
- Obtain an electrocardiogram to assess for arrhythmia
- Order a chest radiograph to evaluate for cardiomegaly
- 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 4-month-old 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?
- Adding solid foods to the infant's diet to increase caloric intake
- Fortifying breast milk to increase the number of calories per ounce
- Stopping breastfeeding and giving 30 kcal/ounce formula
- Supplementing breastfeeding with 24 kcal/ounce formula -ANSWER- B.
Fortifying breast milk to increase the number of calories per ounce
- / 4