PEDIATRICS /WOMEN’S HEALTH NRNP 6665 EXAM / NRNP
6665 (PEDIATRICS /WOMEN’S HEALTH) FINAL EXAM 2026
COMPLETE ACCURATE EXAM REAL QUESTIONS WITH
WELL ELABORATED ANSWERS WITH RATIONALES (100%
CORRECT VERIFIED SOLUTIONS) LATEST UPDATED
VERSION |GUARANTEED PASS A+
A 2-month-old infant presents with a bulging fontanelle, fever, and irritability.
What is the most likely diagnosis?
A) Viral gastroenteritis
B) Otitis media
C) Bronchiolitis
D) Bacterial meningitis
Correct answer: bacterial meningitis
Rationale: Bulging fontanelle, fever, and irritability in infants are classic signs of
meningitis. Immediate evaluation with lumbar puncture is indicated.
A 4-year-old child has a "slapped cheek" rash. Which virus is responsible?
A) Measles
B) Rubella
C) Varicella
D) Parvovirus B19
Correct answer: parvovirus b19
Rationale: Parvovirus B19 causes erythema infectious (fifth disease) with
characteristic facial rash.
,Which vaccine is contraindicated in a child with a severe egg allergy?
A) Dap
B) IPV
C) Hib
D) MMR
Correct answer: mm
Rationale: MMR vaccine contains trace amounts of egg protein and can trigger
severe allergic reactions in children with egg anaphylaxis.
The most common cause of bronchiolitis in infants is:
A) Influenza A
B) Adenovirus
C) Parainfluenza
D) Respiratory syncytial virus (RSV)
Correct answer: respiratory syncytial virus (rest)
Rationale: RSV is the leading cause of bronchiolitis in children under 2 years.
A newborn has a heart murmur and cyanosis. Echocardiography reveals
transposition of the great arteries. Which shunt is essential for survival before
surgery?
A) Ventricular septal defect
B) Atrial septal defect
C) Patent foramen oval
,D) Patent ductus arteriosus
Correct answer: patent ductus arteriosus
Rationale: PDA allows mixing of oxygenated and deoxygenated blood,
maintaining systemic oxygenation until surgical correction.
In pediatric growth charts, a BMI-for-age >95th percentile indicates:
A) Underweight
B) Overweight
C) Normal
D) Obesity
Correct answer: obesity
Rationale: >95th percentile BMI is diagnostic of obesity in children, requiring
lifestyle intervention.
A 6-month-old infant presents with persistent vomiting, olive-shaped abdominal
mass, and visible peristalsis. Most likely diagnosis:
A) Gastroesophageal reflux
B) Intussusception
C) Hirsch sprung disease
D) Pyloric stenosis
Correct answer: pyloric stenosis
Rationale: Hypertrophic pyloric stenosis presents with projectile vomiting,
palpable pyloric “olive,” and visible gastric peristalsis.
, Which of the following is a hallmark of autism spectrum disorder in toddlers?
A) Delayed walking
B) Frequent colds
C) Recurrent otitis media
D) Limited eye contact and social interaction
Correct answer: limited eye contact and social interaction
Rationale: ASD is characterized by impaired social communication and repetitive
behaviors.
A 10-year-old presents with knee pain, morning stiffness, and swelling in multiple
joints. Lab shows positive ANA. Most likely diagnosis:
A) Osteoarthritis
B) Rheumatic fever
C) Gout
D) Juvenile idiopathic arthritis (JIA)
Correct answer: juvenile idiopathic arthritis (jail)
Rationale: Chronic arthritis in children with ANA positivity suggests JIA.
A 7-year-old has sudden onset abdominal pain and “currant jelly” stools.
Ultrasound shows target sign. Most likely diagnosis:
A) Appendicitis
B) Gastroenteritis
C) Meckel diverticulum
D) Intussusception
6665 (PEDIATRICS /WOMEN’S HEALTH) FINAL EXAM 2026
COMPLETE ACCURATE EXAM REAL QUESTIONS WITH
WELL ELABORATED ANSWERS WITH RATIONALES (100%
CORRECT VERIFIED SOLUTIONS) LATEST UPDATED
VERSION |GUARANTEED PASS A+
A 2-month-old infant presents with a bulging fontanelle, fever, and irritability.
What is the most likely diagnosis?
A) Viral gastroenteritis
B) Otitis media
C) Bronchiolitis
D) Bacterial meningitis
Correct answer: bacterial meningitis
Rationale: Bulging fontanelle, fever, and irritability in infants are classic signs of
meningitis. Immediate evaluation with lumbar puncture is indicated.
A 4-year-old child has a "slapped cheek" rash. Which virus is responsible?
A) Measles
B) Rubella
C) Varicella
D) Parvovirus B19
Correct answer: parvovirus b19
Rationale: Parvovirus B19 causes erythema infectious (fifth disease) with
characteristic facial rash.
,Which vaccine is contraindicated in a child with a severe egg allergy?
A) Dap
B) IPV
C) Hib
D) MMR
Correct answer: mm
Rationale: MMR vaccine contains trace amounts of egg protein and can trigger
severe allergic reactions in children with egg anaphylaxis.
The most common cause of bronchiolitis in infants is:
A) Influenza A
B) Adenovirus
C) Parainfluenza
D) Respiratory syncytial virus (RSV)
Correct answer: respiratory syncytial virus (rest)
Rationale: RSV is the leading cause of bronchiolitis in children under 2 years.
A newborn has a heart murmur and cyanosis. Echocardiography reveals
transposition of the great arteries. Which shunt is essential for survival before
surgery?
A) Ventricular septal defect
B) Atrial septal defect
C) Patent foramen oval
,D) Patent ductus arteriosus
Correct answer: patent ductus arteriosus
Rationale: PDA allows mixing of oxygenated and deoxygenated blood,
maintaining systemic oxygenation until surgical correction.
In pediatric growth charts, a BMI-for-age >95th percentile indicates:
A) Underweight
B) Overweight
C) Normal
D) Obesity
Correct answer: obesity
Rationale: >95th percentile BMI is diagnostic of obesity in children, requiring
lifestyle intervention.
A 6-month-old infant presents with persistent vomiting, olive-shaped abdominal
mass, and visible peristalsis. Most likely diagnosis:
A) Gastroesophageal reflux
B) Intussusception
C) Hirsch sprung disease
D) Pyloric stenosis
Correct answer: pyloric stenosis
Rationale: Hypertrophic pyloric stenosis presents with projectile vomiting,
palpable pyloric “olive,” and visible gastric peristalsis.
, Which of the following is a hallmark of autism spectrum disorder in toddlers?
A) Delayed walking
B) Frequent colds
C) Recurrent otitis media
D) Limited eye contact and social interaction
Correct answer: limited eye contact and social interaction
Rationale: ASD is characterized by impaired social communication and repetitive
behaviors.
A 10-year-old presents with knee pain, morning stiffness, and swelling in multiple
joints. Lab shows positive ANA. Most likely diagnosis:
A) Osteoarthritis
B) Rheumatic fever
C) Gout
D) Juvenile idiopathic arthritis (JIA)
Correct answer: juvenile idiopathic arthritis (jail)
Rationale: Chronic arthritis in children with ANA positivity suggests JIA.
A 7-year-old has sudden onset abdominal pain and “currant jelly” stools.
Ultrasound shows target sign. Most likely diagnosis:
A) Appendicitis
B) Gastroenteritis
C) Meckel diverticulum
D) Intussusception
