MN551 FINAL EXAM AND MIDTERM EXAM NEWEST
ACTUAL EXAM COMPLETE QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) |ALREADY GRADED A+
The most common reason for precocious puberty in girls is: - ANSWER Early onset of
normal puberty
When billing Medicaid, NPs get the authority to bill their services from: - ANSWER State
and federal law
You have initiated therapy for an 18 yom with acne vulgaris and have prescribed
doxycycline. He returns in 3 weeks, complaining that his skin is no better. Your next
action is to: - ANSWER Counsel him that 6-8 weeks of treatment is often needed before
significant improvement is achieved
For a Grade I ankle sprain, weight-bearing should be avoided for at least: - ANSWER
24 hours
Hemoglobin A1c best provides information on glucose control over the past: - ANSWER
21-47 days
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: - ANSWER CT scan
2 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: - ANSWER
Chest x-ray
Aortic stenosis in a 15 yom is: - ANSWER A result of a congenital defect
Which of the following laboratory tests can identify the causative organism of
bronchiolitis? - ANSWER Nasal washing antigen test
A Still murmur: - ANSWER Has a humming or vibratory quality
,A physiological murmur has which of the following characteristics? - ANSWER
Becomes softer when the patient moves from supine to standing
Cyclic vomiting may: - ANSWER Not be associated with a headache
5 day old infant, jaundice, sunken anterior fontanel, difficulty latching, bilirubin 18,
dehydrated and drinks breast milk, jaundice. Interventions? - ANSWER Interventions: all
of the above (phototherapy, providing support, strict I/O)
Infant with dehydration. Weight 6kg, watching I/O, adequate hydration, urinary output.
How much fluid would you give? - ANSWER 13 ml/kg/hour
PCP diagnosed 5 year old with asthma. Prescribes PO steroid and SABA via metered-
dose inhaler. What information is important to give? - ANSWER Make
recommendations for disease mamagement
18 month old presents with rectal temperature of 100.4, acting normal. NP would
recommend: - ANSWER Offering extra fluids and calling if symptoms change
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? - ANSWER Neuropathic pain
Parent concerned about vaccine reaction. What should NP tell them? - ANSWER MMR
may be linked to febrile seizures in immunocompromised children
2 month old in the office to receive immunization, having fevers after. What would the
NP recommend? - ANSWER Ibuprofen and Tylenol as needed
PCP has an 18 month old patient who received MMR 2 days prior to 1st birthday. What
should the NP do? - ANSWER Recommend next dose of MMR at 4-5 years
5 year old with a history of pertussis. What immunizations do they need prior to starting
kindergarten? - ANSWER DTaP
Trelarche stage in females? - ANSWER All of the above (pubic hair, breast tissue, 1st
period)
How often should thyroid studies be performed? - ANSWER Yearly
Down Syndrome 18x greater in what population than that of the general population? -
ANSWER Leukemia
Down syndrome spinal cord changes? - ANSWER All of the above
,Patient presents with chronic otitis media, profuse purulent otorrhea, pearly white lesion
on one tympanic membrane - ANSWER Cholestatoma
2 week old presents with wide spitting, S2 expiration - ANSWER Atrial septal defect
New grade II vibratory, midsystolic murmur, louder when patient is supine - ANSWER
Stills murmur
Harsh, blowing, grade IV/VI murmur at 6 month old. What should the NP do? -
ANSWER Refer to cardiology
What should the NP prescribe for a 12 month old who had a heart defect at 8 months? -
ANSWER Amoxicillin
A healthy 3 month old presents to the office with a cough, bilateral crackles, decreased
appetite, grade III/VI low-pitched, holosystolic murmur - ANSWER Ventrical septal
defect
5 year old female with a history of transposition of the great arteries has mild shortness
of breath and dizziness. What should the NP do? - ANSWER Refer to cardiology ASAP
What education should be included when prescribing metformin to a 15 year old? -
ANSWER Importance of checking BS 3-4x/day
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. -
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 7 year old female presents with pubic and axillary hair without breast development.
What should the NP be concerned for? - ANSWER PCOS
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? -
ANSWER Serologic testing got celia disease
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: - ANSWER Erythema toxicum neonatorum
A risk factor for mitral valve prolapse includes a history of: - ANSWER Marfan syndrome
, The most important aspect of skin care for individuals with atopic dermatitis is: -
ANSWER Consistent use of medium-potency to high potency topical steroids
What advice should you give to the parents of a toddler with gastroenteritis? - ANSWER
Give the child sips of room-temperature cola
The anticipated average daily weight gain during the first 3 months of life is
approximately: - ANSWER 15 g or 0.53 oz
The most common type of injury causing a sports-related meniscal tear involves: -
ANSWER Twisting of the knee
The clinician anticipates that a child with mongolian spots will cry out because of
discomfort when the area is gently pressed or palpated. T/F - ANSWER False
The first line therapy for acne vulgaris with closed comedones includes: - ANSWER
Oral antibiotics
Kawasaki disease most commonly occurs in what age group? - ANSWER Younger than
5
At which of the following ages should screening begin for a child who has significant risk
for lead poisoning? - ANSWER 1 year
The following chromosomal syndrome is a common etiology of social and verbal
developmental delays in boys: - ANSWER Tay-Sachs disease
Characteristics of onychomycosis include all of the following except: - ANSWER It is
readily diagnosed by clinical examination
An important part of the treatment of Kawasaki disease includes the use of: - ANSWER
Immune globulin
In counseling a patient with scabies, the NP recommends all of the following methods to
eliminate the mite from bedclothes and other items except: - ANSWER Soak items in
cold water for at least 1 hour
You examine a newborn with a capillary hemangioma on her thigh. You advise her
parents that this lesion: - ANSWER Is likely to increase in size over the first year of life
Girls typically grow to their adult height by: - ANSWER Menarche/age 16
Of the following, the most common route of hepatitis A virus transmission is: - ANSWER
Fecal-oral route
ACTUAL EXAM COMPLETE QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) |ALREADY GRADED A+
The most common reason for precocious puberty in girls is: - ANSWER Early onset of
normal puberty
When billing Medicaid, NPs get the authority to bill their services from: - ANSWER State
and federal law
You have initiated therapy for an 18 yom with acne vulgaris and have prescribed
doxycycline. He returns in 3 weeks, complaining that his skin is no better. Your next
action is to: - ANSWER Counsel him that 6-8 weeks of treatment is often needed before
significant improvement is achieved
For a Grade I ankle sprain, weight-bearing should be avoided for at least: - ANSWER
24 hours
Hemoglobin A1c best provides information on glucose control over the past: - ANSWER
21-47 days
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: - ANSWER CT scan
2 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: - ANSWER
Chest x-ray
Aortic stenosis in a 15 yom is: - ANSWER A result of a congenital defect
Which of the following laboratory tests can identify the causative organism of
bronchiolitis? - ANSWER Nasal washing antigen test
A Still murmur: - ANSWER Has a humming or vibratory quality
,A physiological murmur has which of the following characteristics? - ANSWER
Becomes softer when the patient moves from supine to standing
Cyclic vomiting may: - ANSWER Not be associated with a headache
5 day old infant, jaundice, sunken anterior fontanel, difficulty latching, bilirubin 18,
dehydrated and drinks breast milk, jaundice. Interventions? - ANSWER Interventions: all
of the above (phototherapy, providing support, strict I/O)
Infant with dehydration. Weight 6kg, watching I/O, adequate hydration, urinary output.
How much fluid would you give? - ANSWER 13 ml/kg/hour
PCP diagnosed 5 year old with asthma. Prescribes PO steroid and SABA via metered-
dose inhaler. What information is important to give? - ANSWER Make
recommendations for disease mamagement
18 month old presents with rectal temperature of 100.4, acting normal. NP would
recommend: - ANSWER Offering extra fluids and calling if symptoms change
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? - ANSWER Neuropathic pain
Parent concerned about vaccine reaction. What should NP tell them? - ANSWER MMR
may be linked to febrile seizures in immunocompromised children
2 month old in the office to receive immunization, having fevers after. What would the
NP recommend? - ANSWER Ibuprofen and Tylenol as needed
PCP has an 18 month old patient who received MMR 2 days prior to 1st birthday. What
should the NP do? - ANSWER Recommend next dose of MMR at 4-5 years
5 year old with a history of pertussis. What immunizations do they need prior to starting
kindergarten? - ANSWER DTaP
Trelarche stage in females? - ANSWER All of the above (pubic hair, breast tissue, 1st
period)
How often should thyroid studies be performed? - ANSWER Yearly
Down Syndrome 18x greater in what population than that of the general population? -
ANSWER Leukemia
Down syndrome spinal cord changes? - ANSWER All of the above
,Patient presents with chronic otitis media, profuse purulent otorrhea, pearly white lesion
on one tympanic membrane - ANSWER Cholestatoma
2 week old presents with wide spitting, S2 expiration - ANSWER Atrial septal defect
New grade II vibratory, midsystolic murmur, louder when patient is supine - ANSWER
Stills murmur
Harsh, blowing, grade IV/VI murmur at 6 month old. What should the NP do? -
ANSWER Refer to cardiology
What should the NP prescribe for a 12 month old who had a heart defect at 8 months? -
ANSWER Amoxicillin
A healthy 3 month old presents to the office with a cough, bilateral crackles, decreased
appetite, grade III/VI low-pitched, holosystolic murmur - ANSWER Ventrical septal
defect
5 year old female with a history of transposition of the great arteries has mild shortness
of breath and dizziness. What should the NP do? - ANSWER Refer to cardiology ASAP
What education should be included when prescribing metformin to a 15 year old? -
ANSWER Importance of checking BS 3-4x/day
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. -
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 7 year old female presents with pubic and axillary hair without breast development.
What should the NP be concerned for? - ANSWER PCOS
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? -
ANSWER Serologic testing got celia disease
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: - ANSWER Erythema toxicum neonatorum
A risk factor for mitral valve prolapse includes a history of: - ANSWER Marfan syndrome
, The most important aspect of skin care for individuals with atopic dermatitis is: -
ANSWER Consistent use of medium-potency to high potency topical steroids
What advice should you give to the parents of a toddler with gastroenteritis? - ANSWER
Give the child sips of room-temperature cola
The anticipated average daily weight gain during the first 3 months of life is
approximately: - ANSWER 15 g or 0.53 oz
The most common type of injury causing a sports-related meniscal tear involves: -
ANSWER Twisting of the knee
The clinician anticipates that a child with mongolian spots will cry out because of
discomfort when the area is gently pressed or palpated. T/F - ANSWER False
The first line therapy for acne vulgaris with closed comedones includes: - ANSWER
Oral antibiotics
Kawasaki disease most commonly occurs in what age group? - ANSWER Younger than
5
At which of the following ages should screening begin for a child who has significant risk
for lead poisoning? - ANSWER 1 year
The following chromosomal syndrome is a common etiology of social and verbal
developmental delays in boys: - ANSWER Tay-Sachs disease
Characteristics of onychomycosis include all of the following except: - ANSWER It is
readily diagnosed by clinical examination
An important part of the treatment of Kawasaki disease includes the use of: - ANSWER
Immune globulin
In counseling a patient with scabies, the NP recommends all of the following methods to
eliminate the mite from bedclothes and other items except: - ANSWER Soak items in
cold water for at least 1 hour
You examine a newborn with a capillary hemangioma on her thigh. You advise her
parents that this lesion: - ANSWER Is likely to increase in size over the first year of life
Girls typically grow to their adult height by: - ANSWER Menarche/age 16
Of the following, the most common route of hepatitis A virus transmission is: - ANSWER
Fecal-oral route
