MN580 MIDTERM EXAM 3 2025 LATEST VERSIONS
MN580 MIDTERM EXAM 3 2025 LATEST VERSIONS
(VERSION A,B AND C) 2024-2025 ACTUAL EXAM ALL
80 QUESTIONS AND CORRECT DETAILED ANSWERS
When questioned about the reason for this diet, the parent states that the child has fewer
stomach aches since beginning the diet but has never been diagnosed with celiac disease. The
parent reports using gluten free grain products for all family members. The nurse practitioner
will tell this parent that gluten free diets
A are generally low in sugar and fat.
B. are healthy and help prevent obesity.
C. may be deficient in essential nutrients.
D. provide adequate protein to meet daily needs - ANSWER-C. may be deficient in essential
nutrients.
A school age child has recurrent diarrhea with foul smelling
stools, excessive flatus, abdominal distension, and failure to thrive.
A 2week lactose free trial failed to reduce symptoms. What is the next step in diagnosing this
condition?
A. Lactose hydrogen breath test
B. Serologic testing for celiac disease
C. Stool for ova and parasites
D. Sweat chloride test for cystic fibrosis - ANSWER-B. Serologic testing for celiac disease
Cyclic vomiting may:
1. Last for days.
2. Require SSRIs to stop hurting.
3. Not be associated with a headache.
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, MN580 MIDTERM EXAM 3 2025 LATEST VERSIONS
4. Requires pain medication and Zofran. - ANSWER-3. Not be associated with a headache
The parent of a 4-month-old infant is concerned that the infant cannot hear.
Which test will the primary care pediatric nurse practitioner order to evaluate potential hearing
loss in this infant?
A Acoustic reflectometry
B Audiometry
C. Auditory brainstem response (ABR)
D.Evoked otooacoustic emission (EOAE) testing - ANSWER-C. Auditory brainstem response (ABR)
The primary care pediatric nurse practitioner obtains a tympanogram on a child that reveals a
sharp peak of 180mm H2O. What does this value indicate?
A. A normal tympanic membrane
B. Middle ear effusion
C. Negative ear pressure
D. Tympanic membrane perforation - ANSWER-C. Negative ear pressure
A 3 year old child with pressure equalizing tubes (PET) in both ears has otalgia in one ear. The
primary care pediatric nurse practitioner is able to visualize the tube and does not see exudate
in the ear canal and obtains a type A tympanogram. What will the nurse practitioner do?
A. Order ototopical antibiotic/corticosteroid drops.
B. Prescribe a prophylactic antibiotic medication.
C. Reassure the parent that this is a normal exam.
D. Refer the child to an otolaryngologist for followup - ANSWER-A. Order ototopical
antibiotic/corticosteroid drops
The primary care pediatric nurse practitioner notes a small, round objectin a
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, MN580 MIDTERM EXAM 3 2025 LATEST VERSIONS
child's external auditory canal, near the tympanic membrane. The child's parent thinks it is
probably a dried pea. What will the nurse practitioner do to remove this object?
A. Irrigate the external auditory canal to flush out the object.
B.Refer the child to an otolaryngologist for removal.
C. Remove the object with a wire loop curette.
D. Use a bayonet forceps to grasp and remove the object. - ANSWER-B.Refer the child to an
otolaryngologist for removal.
A 3-year-old child has had one episode of acute otitis media 3 weeks prior with abnormal
tympanogram just after treatment with amoxicillin. In the clinic today, the child has a type B
tympanogram, a temperature of 102.5°F, and a bulging tympanic membrane. What will the
primary care pediatric nurse practitioner order?
A. A referral for tympanocentesis
B. Amoxicillin twice daily
C. Amoxicillin clavulanate twice daily
D. Intramuscular ceftriaxone - ANSWER-C. Amoxicillinclavulanate twice daily
The primary care pediatric nurse practitioner performs a well child
examination on
a 9monthold
infant who has a history of prematurity at 28 weeks' gestation. The infant was
treated for retinopathy of prematurity (ROP) and all symptomshave
resolved. When will the infant need an ophthalmologic exam?
A. At 12 months of age
B At 24 months of age
C. At 48 months of age
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MN580 MIDTERM EXAM 3 2025 LATEST VERSIONS
(VERSION A,B AND C) 2024-2025 ACTUAL EXAM ALL
80 QUESTIONS AND CORRECT DETAILED ANSWERS
When questioned about the reason for this diet, the parent states that the child has fewer
stomach aches since beginning the diet but has never been diagnosed with celiac disease. The
parent reports using gluten free grain products for all family members. The nurse practitioner
will tell this parent that gluten free diets
A are generally low in sugar and fat.
B. are healthy and help prevent obesity.
C. may be deficient in essential nutrients.
D. provide adequate protein to meet daily needs - ANSWER-C. may be deficient in essential
nutrients.
A school age child has recurrent diarrhea with foul smelling
stools, excessive flatus, abdominal distension, and failure to thrive.
A 2week lactose free trial failed to reduce symptoms. What is the next step in diagnosing this
condition?
A. Lactose hydrogen breath test
B. Serologic testing for celiac disease
C. Stool for ova and parasites
D. Sweat chloride test for cystic fibrosis - ANSWER-B. Serologic testing for celiac disease
Cyclic vomiting may:
1. Last for days.
2. Require SSRIs to stop hurting.
3. Not be associated with a headache.
1|Page
, MN580 MIDTERM EXAM 3 2025 LATEST VERSIONS
4. Requires pain medication and Zofran. - ANSWER-3. Not be associated with a headache
The parent of a 4-month-old infant is concerned that the infant cannot hear.
Which test will the primary care pediatric nurse practitioner order to evaluate potential hearing
loss in this infant?
A Acoustic reflectometry
B Audiometry
C. Auditory brainstem response (ABR)
D.Evoked otooacoustic emission (EOAE) testing - ANSWER-C. Auditory brainstem response (ABR)
The primary care pediatric nurse practitioner obtains a tympanogram on a child that reveals a
sharp peak of 180mm H2O. What does this value indicate?
A. A normal tympanic membrane
B. Middle ear effusion
C. Negative ear pressure
D. Tympanic membrane perforation - ANSWER-C. Negative ear pressure
A 3 year old child with pressure equalizing tubes (PET) in both ears has otalgia in one ear. The
primary care pediatric nurse practitioner is able to visualize the tube and does not see exudate
in the ear canal and obtains a type A tympanogram. What will the nurse practitioner do?
A. Order ototopical antibiotic/corticosteroid drops.
B. Prescribe a prophylactic antibiotic medication.
C. Reassure the parent that this is a normal exam.
D. Refer the child to an otolaryngologist for followup - ANSWER-A. Order ototopical
antibiotic/corticosteroid drops
The primary care pediatric nurse practitioner notes a small, round objectin a
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, MN580 MIDTERM EXAM 3 2025 LATEST VERSIONS
child's external auditory canal, near the tympanic membrane. The child's parent thinks it is
probably a dried pea. What will the nurse practitioner do to remove this object?
A. Irrigate the external auditory canal to flush out the object.
B.Refer the child to an otolaryngologist for removal.
C. Remove the object with a wire loop curette.
D. Use a bayonet forceps to grasp and remove the object. - ANSWER-B.Refer the child to an
otolaryngologist for removal.
A 3-year-old child has had one episode of acute otitis media 3 weeks prior with abnormal
tympanogram just after treatment with amoxicillin. In the clinic today, the child has a type B
tympanogram, a temperature of 102.5°F, and a bulging tympanic membrane. What will the
primary care pediatric nurse practitioner order?
A. A referral for tympanocentesis
B. Amoxicillin twice daily
C. Amoxicillin clavulanate twice daily
D. Intramuscular ceftriaxone - ANSWER-C. Amoxicillinclavulanate twice daily
The primary care pediatric nurse practitioner performs a well child
examination on
a 9monthold
infant who has a history of prematurity at 28 weeks' gestation. The infant was
treated for retinopathy of prematurity (ROP) and all symptomshave
resolved. When will the infant need an ophthalmologic exam?
A. At 12 months of age
B At 24 months of age
C. At 48 months of age
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