NSG 5442 EXAM 1 QUESTIONS COMPLETE WITH 100%
CORRECT ANSWERS
1. During a clinic visit, a child’s rapid capillary screening test for lead reveals a
level of 11 mcg/dL. What will the primary care pediatric nurse practitioner do
next?
A. Institute lead abatement measures in the child’s home.
B. Monitor lead levels monthly until decreased.
C. Order a venous sample to test for lead levels.
D. Test the child’s siblings and parents for lead.
Correct Answer: C
2. Which region globally has the highest infant mortality rate?
A. Indonesia
B. Southern Asia
C. Sub-Saharan Africa
D. Syria
Correct Answer: C
3. The primary care pediatric nurse practitioner understands that, to achieve the
greatest worldwide reduction in child mortality from pneumonia and diarrhea,
which intervention is most effective?
A. Antibiotics
B. Optimal nutrition
C. Vaccinations
D. Water purification
Correct Answer: C
4. Which is true about the health status of children in the United States?
A. Globalism has relatively little impact on child health measures in the U.S.
B. Obesity rates among 2 to 5 year olds have shown a recent significant decrease.
,C. The rate of household poverty is lower than in other economically developed
nations.
D. Young children who attend preschool or day care have higher food insecurity.
Correct Answer: B
5. The primary care pediatric nurse practitioner understands that a major child
health outcome associated with worldwide climate change is:
A. Cost of living
B. Education
C. Nutrition
D. Pollution
Correct Answer: C
6. When providing well child care for an infant in the first year of life, the
primary care pediatric nurse practitioner is adhering to the most recent
American Academy of Pediatrics Recommendations for Preventive Pediatric
Health Care guidelines by:
A. Focusing less on development and more on illness prevention and nutrition.
B. Following guidelines established by the Bright Futures publication.
C. Scheduling well baby visits to coincide with key developmental milestones.
D. Seeing the infant at ages 2, 4, 6, and 12 months when immunizations are due.
Correct Answer: C
7. A nurse is explaining the therapeutic milieu to a new nurse. The best
explanation of this term would be:
A. The place where the child is receiving care.
B. Group therapy.
C. Personal interactions between patients and staff.
D. All of the above are correct.
Correct Answer: D
8. A 16-year-old male has received a pink slip from the police for inpatient
psychiatric treatment. The teen has been expressing thoughts of hanging himself
because "life sucks." The nursing staff should consider placing the child:
A. With peers.
, B. In an area where he can be watched one-on-one.
C. With a roommate that is expressing the same concerns.
D. In an area close to an external door.
Correct Answer: B
9. Learning disabilities in children have scientifically been linked to:
A. Poor nutrition.
B. The environment in which the child lives.
C. Genetics.
D. Watching more than four hours of television a day.
Correct Answer: C
10. A mental health nurse has assessed a child and determined that the child
exhibits behavioral challenges. When the school nurse explains this to a teacher,
the best description would be:
A. The child may exhibit physical outbursts.
B. The child may exhibit violence toward others.
C. The child may be defiant or have tantrums.
D. The child will need special interventions for learning.
Correct Answer: C
11. A child that has not exhibited enuresis in four years has exhibited this
behavior pattern for the last week. The reason a child may revert back to this
behavior pattern is because of:
A. Hallucinations.
B. Behavioral challenges.
C. Delusions.
D. Stress.
Correct Answer: D
12. A 4-year-old child presents with a fever of 102°F for 3 days, mild cough, and
conjunctivitis. On day 4 of illness, the fever subsides and a maculopapular rash
appears on the trunk. What is the most likely diagnosis?
A. Measles (rubeola)
B. Roseola (exanthem subitum)
CORRECT ANSWERS
1. During a clinic visit, a child’s rapid capillary screening test for lead reveals a
level of 11 mcg/dL. What will the primary care pediatric nurse practitioner do
next?
A. Institute lead abatement measures in the child’s home.
B. Monitor lead levels monthly until decreased.
C. Order a venous sample to test for lead levels.
D. Test the child’s siblings and parents for lead.
Correct Answer: C
2. Which region globally has the highest infant mortality rate?
A. Indonesia
B. Southern Asia
C. Sub-Saharan Africa
D. Syria
Correct Answer: C
3. The primary care pediatric nurse practitioner understands that, to achieve the
greatest worldwide reduction in child mortality from pneumonia and diarrhea,
which intervention is most effective?
A. Antibiotics
B. Optimal nutrition
C. Vaccinations
D. Water purification
Correct Answer: C
4. Which is true about the health status of children in the United States?
A. Globalism has relatively little impact on child health measures in the U.S.
B. Obesity rates among 2 to 5 year olds have shown a recent significant decrease.
,C. The rate of household poverty is lower than in other economically developed
nations.
D. Young children who attend preschool or day care have higher food insecurity.
Correct Answer: B
5. The primary care pediatric nurse practitioner understands that a major child
health outcome associated with worldwide climate change is:
A. Cost of living
B. Education
C. Nutrition
D. Pollution
Correct Answer: C
6. When providing well child care for an infant in the first year of life, the
primary care pediatric nurse practitioner is adhering to the most recent
American Academy of Pediatrics Recommendations for Preventive Pediatric
Health Care guidelines by:
A. Focusing less on development and more on illness prevention and nutrition.
B. Following guidelines established by the Bright Futures publication.
C. Scheduling well baby visits to coincide with key developmental milestones.
D. Seeing the infant at ages 2, 4, 6, and 12 months when immunizations are due.
Correct Answer: C
7. A nurse is explaining the therapeutic milieu to a new nurse. The best
explanation of this term would be:
A. The place where the child is receiving care.
B. Group therapy.
C. Personal interactions between patients and staff.
D. All of the above are correct.
Correct Answer: D
8. A 16-year-old male has received a pink slip from the police for inpatient
psychiatric treatment. The teen has been expressing thoughts of hanging himself
because "life sucks." The nursing staff should consider placing the child:
A. With peers.
, B. In an area where he can be watched one-on-one.
C. With a roommate that is expressing the same concerns.
D. In an area close to an external door.
Correct Answer: B
9. Learning disabilities in children have scientifically been linked to:
A. Poor nutrition.
B. The environment in which the child lives.
C. Genetics.
D. Watching more than four hours of television a day.
Correct Answer: C
10. A mental health nurse has assessed a child and determined that the child
exhibits behavioral challenges. When the school nurse explains this to a teacher,
the best description would be:
A. The child may exhibit physical outbursts.
B. The child may exhibit violence toward others.
C. The child may be defiant or have tantrums.
D. The child will need special interventions for learning.
Correct Answer: C
11. A child that has not exhibited enuresis in four years has exhibited this
behavior pattern for the last week. The reason a child may revert back to this
behavior pattern is because of:
A. Hallucinations.
B. Behavioral challenges.
C. Delusions.
D. Stress.
Correct Answer: D
12. A 4-year-old child presents with a fever of 102°F for 3 days, mild cough, and
conjunctivitis. On day 4 of illness, the fever subsides and a maculopapular rash
appears on the trunk. What is the most likely diagnosis?
A. Measles (rubeola)
B. Roseola (exanthem subitum)
