MN 580 PRACTICE EXAM | ALL QUESTIONS
AND CORRECT ANSWERS | ALREADY
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The primary care pediatric nurse practitioner diagnoses a 5-year-old child
with asthma and prescribes an oral steroid and a short-acting beta-
adrenergic medication via a metered-dose inhaler to manage acute
symptoms. Along with education about the prescribed medications, what
information is important to give the child's family at this visit?
A. An asthma action plan
B. Effects and side effects of current medications
C. Information about spirometry testing
D. Instructions for medications at school ---------CORRECT ANSWER--------
---------B. Effects and side effects of current medications
The parent of a child with complex health care needs tells the primary care
pediatric nurse practitioner that the child has had difficulty breathing the
past two nights but can't articulate specific symptoms. The child has normal
oxygen saturations and a normal respiratory rate with clear breath sounds.
What will the nurse practitioner do?
A. Admit the child to the hospital for close observation and monitoring of
respiratory status.
B. Encourage the parent to call when concerned and schedule a follow-up
appointment the
next day.
C. Perform a complete blood count, blood cultures, and a chest radiograph
to evaluate
symptoms.
D. Reassure the parent that the child has a normal exam and is most likely
not ill. ---------CORRECT ANSWER-----------------B. Encourage the parent to
call when concerned and schedule a follow-up appointment the
next day.
,The primary care pediatric nurse practitioner is preparing to perform a well
child examination on a 5-year-old child who has multiple developmental
and cognitive delays. The child's mother is angry and tells the nurse
practitioner that her friends' children are all preparing for kindergarten.
What will the nurse practitioner do:
A. allow the mother to express her feelings, understanding that she is
experiencing grief.
B. reassure the mother that special educational opportunities are available
for her child.
C. suggest that the mother find a support group with other children with
special needs.
D. tell her that most schools provide services for children with special
health care needs. ---------CORRECT ANSWER-----------------A. allow the
mother to express her feelings, understanding that she is experiencing
grief.
What is the most important role of the primary care pediatric nurse
practitioner who provides care for a child with special health care needs
who sees several specialists and receives community and school-based
services?
A. Assessing the parent's ability to perform home care tasks
B. Coordinating services to ensure continuity of care
C. Monitoring the family's adherence to the health care plan
D. Ordering medications and other prescribed treatments ---------
CORRECT ANSWER-----------------B. Coordinating services to ensure
continuity of care
A toddler swallowed a coin several days prior. The child's parent has not
found the coin in the child's stool. Which imaging test will the primary care
pediatric nurse practitioner employ to evaluate this ingestion?
A. abdominal ultrasound
B. Computed tomography
C. Conventional radiograph
,D. Magnetic resonance imaging ---------CORRECT ANSWER-----------------
C. Conventional radiograph
The primary care pediatric nurse practitioner is assessing an ill 2-month-old
infant who is febrile and refusing most fluids. The preliminary blood work
indicates a viral infection and shows that the infant is hydrated. The infant
is alert. The infant's parents are attentive and live close by. What will the
nurse practitioner do?
A. Administer a parenteral antibiotic and antipyretic and send the infant
home.
B. Admit the infant to an inpatient hospital unit for overnight monitoring.
C. Give the parents sick care instructions and follow up in the clinic in the
morning.
D. Send the infant to the urgent care center for intravenous fluids. ---------
CORRECT ANSWER-----------------C. Give the parents sick care
instructions and follow up in the clinic in the morning.
A toddler is prescribed a liquid oral medication. The parent tells the primary
care pediatric nurse practitioner that the child refuses to take medications
and usually spits them out. What will the nurse practitioner do?
A. Demonstrate oral medication administration with the toddler in the office.
B. Instruct the parent to hide the medication in a favorite food or beverage.
C. Order the medication to be given via another route if possible.
D. Tell the parent to offer the child a reward each time the medication is
taken. ---------CORRECT ANSWER-----------------A. Demonstrate oral
medication administration with the toddler in the office.
The primary care pediatric nurse practitioner orders a pulmonology consult
for a child who has severe asthma. The nurse practitioner writes "child with
asthma refractory to conventional treatments needs suggestions for
alternative treatments." What does the nurse practitioner expects the
pulmonologist to do?
a. Confirm the medical diagnosis for the child's parents.
b. Make recommendations for disease management.
, c. Stress the importance of adherence to the medication regimen.
d. Take over management of this child's chronic illness. ---------CORRECT
ANSWER-----------------b. Make recommendations for disease management.
The primary care pediatric nurse practitioner cares for several families with
chronically ill children who text status updates about their children to a
mobile device that has an encryption- protection platform installed. If the
nurse practitioner misplaces the mobile device, it is important to do what?
A. Disconnect the user from the system to avoid a data breach.
B. Notify the families that their messages may be read by others.
C. Obtain a new device as soon as possible to resume communication.
D. Upload the messages from another remote device. ---------CORRECT
ANSWER-----------------A. Disconnect the user from the system to avoid a
data breach.
An 18-year-old man presents with periumbilical pain, vomiting, and
abdominal cramping over the past 48 hours. Physical examination
revealsrebound tenderness and laboratory analysisshowsthe presence of
bandemia and a total WBC of 28,000 mm3. To support the diagnosis of
acute appendicitis with suspected appendiceal rupture, you consider
obtaining the following abdominal imaging study: Question options:
Gina is 2 years old and 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 turgor is normal, and she is wearing a wet diaper. She is alert,
resisting the examination as age appropriate, and engages in eye contact.
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