1|Page
MN 580 MIDTERM EXAM / ACTUAL EXAM NEWEST
2026 COMPLETE ALL QUESTIONS AND CORRECT
ANSWERS (VERIFIED ANSWERS) |ALREADY
GRADED A+||NEWEST VERSION!!!
An infant with trisomy 21 has a complete AV canal defect.
Which finding,
associated with having both of these conditions, will the
primary care pediatric nurse
practitioner
expect?
A. Crackles in both lungs
B. Hepatomegaly
C. Oxygen desaturation
D. Peripheral edema - ANSWER-C. Oxygen desaturation
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
,2|Page
B. Capoten
C. Digoxin
D. Furosemide - ANSWER-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 - ANSWER-
D. Refer the infant to a pediatric cardiologist
A 3 month old infant who was previously healthy now has
a persistent cough, bilateral lung crackles, and poor
appetite. The primary care pediatric nurse practitioner
auscultates a grade III/VI, low-pitched, holosystolic
murmur over the left lower sternal border and palpates the
liver at one centimeter below the ribs. What diagnosis is
likely?
A. Atrial septal defect
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B. Corarctation of the aorta
C. Patent ductus arteriosis
D. Ventricular sepatal defect - ANSWER-D. Ventricular
sepatal defect
An infant with trisomy 21 has a complete AV canal defect.
Which finding associated with having both of these
conditions will the primary care pediatric nurse practitioner
expect?
A. Crackles in both lungs
B. Hepatomegaly
C. Oxygen desaturation
D. Peripheral edema - ANSWER-C. Oxygen desaturation
A 9 month old infant has a grade III/VI, harsh, rumbling,
continuous murmur in the left infraclavicular fossa and
pulmonic area. A chest radiograph reveals cardiac
enlargement. The primary care pediatric nurse practitioner
will refer the infant to a pediatric cardiologist and prepare
the parents for which intervention to repair the defect?
A. Cardiopulmonary bypass surgery
B. Coil insertion in the catheterization lab
C. Indomethacin administration
, 4|Page
D. Observation for spontaneous closure - ANSWER-B.
Coil insertion in the catheterization lab
A 5 year old child who had a repair for transposition of the
great arteries shortly after birth is growing normally and
has been asymptomatic since the surgery. The primary
care nurse practitioner notes mild shortness of breath with
exertion and upon questioning learns that the child
recently has complained of dizziness. What will the nurse
practitioner do?
A. Order an echocardiogram and chest radiograph
B. Perform pulmonary function testing
C. Reassure the parent that these symptoms are common
D. Refer the child to a cardiologist immediately -
ANSWER-D. Refer the child to a cardiologist immediately
The primary care pediatric nurse practitioner (PNP) is
performing a well child examination on a school-age child
who had complete repair of a tetralogy of Fallot (TOF)
defect in infancy. What is important in this child's health
maintenance regime?
a.Cardiology clearance for sports participation
b.Restriction of physical activity to avoid pulmonary
complications
c.Sub-acute bacterial endocarditis prophylaxis precautions
MN 580 MIDTERM EXAM / ACTUAL EXAM NEWEST
2026 COMPLETE ALL QUESTIONS AND CORRECT
ANSWERS (VERIFIED ANSWERS) |ALREADY
GRADED A+||NEWEST VERSION!!!
An infant with trisomy 21 has a complete AV canal defect.
Which finding,
associated with having both of these conditions, will the
primary care pediatric nurse
practitioner
expect?
A. Crackles in both lungs
B. Hepatomegaly
C. Oxygen desaturation
D. Peripheral edema - ANSWER-C. Oxygen desaturation
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
,2|Page
B. Capoten
C. Digoxin
D. Furosemide - ANSWER-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 - ANSWER-
D. Refer the infant to a pediatric cardiologist
A 3 month old infant who was previously healthy now has
a persistent cough, bilateral lung crackles, and poor
appetite. The primary care pediatric nurse practitioner
auscultates a grade III/VI, low-pitched, holosystolic
murmur over the left lower sternal border and palpates the
liver at one centimeter below the ribs. What diagnosis is
likely?
A. Atrial septal defect
,3|Page
B. Corarctation of the aorta
C. Patent ductus arteriosis
D. Ventricular sepatal defect - ANSWER-D. Ventricular
sepatal defect
An infant with trisomy 21 has a complete AV canal defect.
Which finding associated with having both of these
conditions will the primary care pediatric nurse practitioner
expect?
A. Crackles in both lungs
B. Hepatomegaly
C. Oxygen desaturation
D. Peripheral edema - ANSWER-C. Oxygen desaturation
A 9 month old infant has a grade III/VI, harsh, rumbling,
continuous murmur in the left infraclavicular fossa and
pulmonic area. A chest radiograph reveals cardiac
enlargement. The primary care pediatric nurse practitioner
will refer the infant to a pediatric cardiologist and prepare
the parents for which intervention to repair the defect?
A. Cardiopulmonary bypass surgery
B. Coil insertion in the catheterization lab
C. Indomethacin administration
, 4|Page
D. Observation for spontaneous closure - ANSWER-B.
Coil insertion in the catheterization lab
A 5 year old child who had a repair for transposition of the
great arteries shortly after birth is growing normally and
has been asymptomatic since the surgery. The primary
care nurse practitioner notes mild shortness of breath with
exertion and upon questioning learns that the child
recently has complained of dizziness. What will the nurse
practitioner do?
A. Order an echocardiogram and chest radiograph
B. Perform pulmonary function testing
C. Reassure the parent that these symptoms are common
D. Refer the child to a cardiologist immediately -
ANSWER-D. Refer the child to a cardiologist immediately
The primary care pediatric nurse practitioner (PNP) is
performing a well child examination on a school-age child
who had complete repair of a tetralogy of Fallot (TOF)
defect in infancy. What is important in this child's health
maintenance regime?
a.Cardiology clearance for sports participation
b.Restriction of physical activity to avoid pulmonary
complications
c.Sub-acute bacterial endocarditis prophylaxis precautions
