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MN 580 MIDTERM EXAM / ACTUAL EXAM NEWEST
2025/2026 COMPLETE ALL QUESTIONS AND
CORRECT ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+||BRAND NEW VERSION!!
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. The nurse practitioner will A counsel the child to lose weight to prevent type 2 diabetes.
- diagnose type 2 diabetes if the child has a random glucose of
- order a fasting blood sample for a metabolic screen for type 2
- refer the child to a pediatric endocrinologist - ANSWER-C. order a
180mg/dL.
diabetes.
fasting blood sample for a metabolic screen for type 2 diabetes.
The mother of a female infant is concerned that her daughter is developing breasts. The primary care pediatric nurse practitioner notes mild breast development but no pubic or axillary hair. What is the likely diagnosis?A Congenital adrenal hyperplasia causing breast development
- Precocious puberty needing endocrinology management 1 / 4
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- Premature adrenarche which will lead to pubic hair onset
- Premature thelarche which will resolve over time - ANSWER-D.
Premature thelarche which will resolve over time
Select the statement that best describes the thelarche stage of puberty in females.
- Appearance of pubic hair
- Appearance of breast tissue maturation
- Onset of first menstrual period
- All the above - ANSWER-4. All the above
The parent of a school age child reports that the child is on a gluten free diet.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.
- are healthy and help prevent obesity.
- may be deficient in essential nutrients.
- provide adequate protein to meet daily needs - ANSWER-C. may be
deficient in essential nutrients. 2 / 4
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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?
- Lactose hydrogen breath test
- Serologic testing for celiac disease
- Stool for ova and parasites
- Sweat chloride test for cystic fibrosis - ANSWER-B. Serologic testing
for celiac disease
Cyclic vomiting may:
- Last for days.
- Require SSRIs to stop hurting.
- Not be associated with a headache.
- 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? 3 / 4
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A Acoustic reflectometry B Audiometry
- 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 normal tympanic membrane
- Middle ear effusion
- Negative ear pressure
- 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?
- Order ototopical antibiotic/corticosteroid drops.
- Prescribe a prophylactic antibiotic medication.
- Reassure the parent that this is a normal exam.
- Refer the child to an otolaryngologist for followup - ANSWER-A.
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Order ototopical antibiotic/corticosteroid drops