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MN580 MIDTERM () QUESTIONS WITH DETAILED ANSWERS
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MN580 MIDTERM () QUESTIONS WITH DETAILED ANSWERS
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MN580 MIDTERM (2024-2025) QUESTIONS WITHDETAILED ANSWERS
The primary care pediatric nurse practitioner performs a well
child
examination on a 12 month old child who had repair of a
congenital heart defect at 8 months of age. The child has a
normal exam. The parent 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 - <<Answers>>>A. Amoxicillin
During a well baby examination of a 6 week old 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 electrocardiogram
C. Reassure the parents that the exam is within normal limits
D. Refer the infant to a pediatric cardiologist -
<<Answers>>>D. Refer the infant to a pediatric cardiologist
, MN580 MIDTERM (2024-2025) QUESTIONS WITH
DETAILED ANSWERS
A 15 year old female reports fainting at school in class on two
occasions. The adolescent's orthostatic blood pressures are
normal. The primary care pediatric nurse practitioner suspects
a cardiac cause for these episodes and will order which tests
before referring to a pediatric cardiologist?
A. 12 lead electrocardiogram
B. Echocardiogram
C. Tilt table testing
D. Treadmill exercise testing - <<Answers>>>A. 12 lead
electrocardiogram
You are taking care of an infant who was admitted with
dehydration. His weight is 6kg. You have been watching his I
& Os. What would you expect the infants urinary output to
bein order to maintain adequate hydration?
A0.52 ml/kg/hr
B.0.52.5 ml/kg/hr
C. 13 ml/kg/hr
D. As long as he is having wet diapers it doesn't matter -
<<Answers>>>C. 13 ml/kg/hr
A 2 month old infant has a staccato cough and fever. Which
aspect of the history is important in determining the
diagnosis?
, MN580 MIDTERM (2024-2025) QUESTIONS WITH
DETAILED ANSWERS
A. Daycare attendance
B. Immunization history
C. Medication history
D. Past medical history - <<Answers>>>B. Immunization
history
When reviewing the WBC count, the primary care pediatric
nurse practitioner suspects a viral infection when which WBC
element is elevated?
A. Bands
B. Leukocytes
C. Lymphocytes
D. Neutrophils - <<Answers>>>C. Lymphocytes
Which lab value is most concerning in an infant with a fever
and suspected bacterial infection?
A. C reactive protein off 11.5 mg/L
B. Lymphocyte count 8.7
C. Platelet count 475
D. WBC count 14 - <<Answers>>>A. C reactive protein off
11.5 mg/L
, MN580 MIDTERM (2024-2025) QUESTIONS WITH
DETAILED ANSWERS
A toddler is receiving longterm antibiotics to treat
osteomyelitis. Which laboratory test will the primary care
pediatric nurse practitioner order to monitor response to
therapy in this child?
A. Blood cultures
B. ESR
C. ProCT
D. WBC count - <<Answers>>>B. ESR
According to recent research, which populations may have
higher rates of under immunization than others?
A. Those with higher rates of Asians
B. Those with higher rates of graduate degrees
C. Those with lower rates of poverty
D. Those with lower rates of primary providers -
<<Answers>>>B. Those with higher rates of graduate degrees
The parent of a 2-month-old infant is reluctant to have the
baby vaccinated.
What is an initial step in responding to these concerns?
A. Inform the parent that all vaccines may be given without
thimerosol
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