MN580 Unit 5 Final Review Exam
Questions with Correct Solved Solutions
(2025-2026) Edition.
An 18-year-old man presents with periumbilical pain, vomiting, and abdominal cramping over
the past 48 hours. Physical examination reveals rebound 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:
1) Magnetic resonance image (MRI).
2) Computed tomography (CT) scan
3) Ultrasound.
4) Flat plate - Answer 2) Computed tomography (CT) scan
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.
Temperature is 38.3° C (101° F). Gina's diagnostic evaluation should include: Question options:
1) Chest x-ray
2) urine culture and sensitivity measurement.
3) lumbar puncture.
4) sputum culture. - Answer 1) Chest x-ray
Aortic stenosisin a 15-year-old male is most likely:
1) a sequela of rheumatic fever.
2) a result of a congenital defect.
3) calcific in nature.
4) found with atrial septal defect. - Answer 2) a result of a congenital defect.
,2) Antibody test via blood sample.
3) Urine culture.
4) A laboratory test is not available. - Answer 1) Nasal washing antigen test
A Still murmur: Question options:
1) is heard in the presence of cardiac pathology
2) has a humming or vibratory quality
3) is a reason for denying sports participation clearance.
4) can become louder when the patient is standing. - Answer 2) has a humming or vibratory
quality
A physiological murmur has which of the following characteristics? Question options:
1) Occurslate in systole.
2) Is noted in a localized area of auscultation.
3) Becomes softer when the patient moves from supine to standing.
4) Frequently obliterates S2. - Answer 3) Becomes softer when the patient moves from supine
to standing.
You anticipate that adult car seat belts fit correctly when a child is approximately tall and is old.
Question options:
1) 51 inches (129.5 cm), 6 to 8 years
2) 53 inches (134.6 cm), 5 to 7 years
3) 57 inches (144.8 cm), 8 to 12 years
4) 59 inches (150 cm), 12 to 14 years - Answer 3) 57 inches (144.8 cm), 8 to 12 years
Physical examination findingsin otitis externa include: Question options:
1) tympanic membrane immobility.
, In infants, solid foods are best introduced no earlier than: Question options:
1) 1-3 months.
2) 3-5 months.
3) 4-6 months.
4) 6-8 months. - Answer 3) 4-6 months.
When advising a patient about injectable influenza immunization, the nurse practitioner (NP)
considers the following about the use of this vaccine: Question options:
1) Its use is not recommended in sickle cell anemia.
2) Its use is limited to children older than 2 years.
3) Its use is limited due to containing live virus.
4) Its use is recommended for virtually all members of the population - Answer 4) Its use is
recommended for virtually all members of the population`
A healthy 2-year-old child is able to:
1) speak in phrases of two or more words.
2) throw a ball at a target.
3) scribble spontaneously.
4) ride a tricycle - Answer 1) speak in phrases of two or more words.
The preferred treatment option for a 6-year-old boy with pertussisis: Question options:
1) amoxicillin.
2) ceftriaxone.
3) azithromycin.
4) levofloxacin. - Answer 3) azithromycin.
At which of the following ages in a young child's life is parental anticipatory guidance about
using "time out" as a discipline method most helpful? Question options:
Questions with Correct Solved Solutions
(2025-2026) Edition.
An 18-year-old man presents with periumbilical pain, vomiting, and abdominal cramping over
the past 48 hours. Physical examination reveals rebound 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:
1) Magnetic resonance image (MRI).
2) Computed tomography (CT) scan
3) Ultrasound.
4) Flat plate - Answer 2) Computed tomography (CT) scan
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.
Temperature is 38.3° C (101° F). Gina's diagnostic evaluation should include: Question options:
1) Chest x-ray
2) urine culture and sensitivity measurement.
3) lumbar puncture.
4) sputum culture. - Answer 1) Chest x-ray
Aortic stenosisin a 15-year-old male is most likely:
1) a sequela of rheumatic fever.
2) a result of a congenital defect.
3) calcific in nature.
4) found with atrial septal defect. - Answer 2) a result of a congenital defect.
,2) Antibody test via blood sample.
3) Urine culture.
4) A laboratory test is not available. - Answer 1) Nasal washing antigen test
A Still murmur: Question options:
1) is heard in the presence of cardiac pathology
2) has a humming or vibratory quality
3) is a reason for denying sports participation clearance.
4) can become louder when the patient is standing. - Answer 2) has a humming or vibratory
quality
A physiological murmur has which of the following characteristics? Question options:
1) Occurslate in systole.
2) Is noted in a localized area of auscultation.
3) Becomes softer when the patient moves from supine to standing.
4) Frequently obliterates S2. - Answer 3) Becomes softer when the patient moves from supine
to standing.
You anticipate that adult car seat belts fit correctly when a child is approximately tall and is old.
Question options:
1) 51 inches (129.5 cm), 6 to 8 years
2) 53 inches (134.6 cm), 5 to 7 years
3) 57 inches (144.8 cm), 8 to 12 years
4) 59 inches (150 cm), 12 to 14 years - Answer 3) 57 inches (144.8 cm), 8 to 12 years
Physical examination findingsin otitis externa include: Question options:
1) tympanic membrane immobility.
, In infants, solid foods are best introduced no earlier than: Question options:
1) 1-3 months.
2) 3-5 months.
3) 4-6 months.
4) 6-8 months. - Answer 3) 4-6 months.
When advising a patient about injectable influenza immunization, the nurse practitioner (NP)
considers the following about the use of this vaccine: Question options:
1) Its use is not recommended in sickle cell anemia.
2) Its use is limited to children older than 2 years.
3) Its use is limited due to containing live virus.
4) Its use is recommended for virtually all members of the population - Answer 4) Its use is
recommended for virtually all members of the population`
A healthy 2-year-old child is able to:
1) speak in phrases of two or more words.
2) throw a ball at a target.
3) scribble spontaneously.
4) ride a tricycle - Answer 1) speak in phrases of two or more words.
The preferred treatment option for a 6-year-old boy with pertussisis: Question options:
1) amoxicillin.
2) ceftriaxone.
3) azithromycin.
4) levofloxacin. - Answer 3) azithromycin.
At which of the following ages in a young child's life is parental anticipatory guidance about
using "time out" as a discipline method most helpful? Question options:
