NSG5442 Pediatric Primary Care, NSG 5442, Summer 2026
– Complete Exam 3 Study Guide with Answered Practice
Questions and Review Material
Introduction
This document contains a comprehensive Exam 3 study guide
for NSG 5442 Pediatric Primary Care, featuring answered
multiple-choice questions covering pediatric pharmacology,
respiratory disorders, developmental and behavioral health,
hematology, infectious diseases, dermatology, child
maltreatment, and chronic disease management. It includes
detailed review questions with correct answers designed to
support exam preparation and reinforce key pediatric nurse
practitioner concepts.
The material spans a wide range of pediatric primary care
topics commonly tested in advanced nursing programs. It
serves as a structured review resource for students preparing
for examinations and clinical practice assessments.
Exam Questions and Answers
49.A 9-month-old infant has had a fever of 103°F for 2 days
and now has a dif-fuse, maculopapular rash that blanches on
pressure. The infant's immuniza-
tions are up-to-date. What will the primary care pediatric
nurse practitioner do?
a.Administer immunoglobulin G to prevent fulminant illness.
,b.Perform serologic testing for human herpes virus 6 and
human herpes virus 7.
c.Reassure the parent that this is a mild, self-limiting disease.
d.Recommend avoiding contact with pregnant women.---
correct precise answer --- c. Reassure the parent that this is a
mild, self-limiting disease.
50.A child who is immunocompromised has a fever and a rash
consisting of macules papules, and pustules. What will the
primary care pediatric nurse practitioner do?
a.Administer varicella immune globulin (VariZIG).
b.Hospitalize the child for intravenous acyclovir. c. Order
intravenous im-munoglobulin as an outpatient.
d. Prescribe oral acyclovir for the duration of the illness.---
correct precise answer --- b. Hospitalize the child for
intravenous acyclovir.
51.The primary care pediatric nurse practitioner is reviewing
medical records for a newborn that is new to the clinic. The
toddler's mother was found to be HIV positive during her
pregnancy with this child and received antiretroviral therapy
during pregnancy. The child was born by cesarean section,
begun on antiretroviral prophylaxis, and did not breastfeed.
What is the correct management for this child?
a.Consult with a pediatric HIV specialist.
b.Discontinue cART after 4 weeks of age.
c.Obtain a CD4+ cell count and HIV RNA levels.
d.Reinforce the need to give cART for life.--- correct precise
answer --- a. Consult with a pediatric HIV specialist.
,52.A preschoolage child is brought to clinic for evaluation of a
rash. The primary care pediatric nurse practitioner notes an
intense red eruption on the child's cheeks and circumoral
pallor. What will the nurse practitioner tell the
parents about this rash?
a.This rash may be a prodromal sign of rubella or roseola.
b.The child will need immunization boosters to prevent
serious disease.
c.This is a benign rash with no known serious complications.
d.Expect a lacy, maculopapular rash to develop on the trunk
and extremities.-
--- correct precise answer --- d. Expect a lacy, maculopapular
rash to develop on the trunk and extremities.
53.An unimmunized school-age child whose mother is in her
first trimester of pregnancy is diagnosed with rubella after a
local outbreak. What will the primary care pediatric nurse
practitioner recommend?
a.Assessment of maternal rubella titers
b.Intravenous immunoglobulin for the child
c.MMR vaccine for the mother and child
d.Possible termination of the pregnancy--- correct precise
answer --- a. Assessment of maternal rubella titers
54.A child is brought to the clinic with a fever, headache,
malaise, and a red, annular macule surrounded by an area of
clearing and a larger, erythematous annular ring. The child
complains of itching at the site. What will the primary care
pediatric nurse practitioner do to determine the diagnosis?
a.Ask about recent tick bites
, b.Obtain a skin culture
c.Order blood cultures
d.Perform serologic testing--- correct precise answer --- a.
Ask about recent tick bites
55.A child whose family has been camping in a region with
endemic Lyme disease suffered several tick bites. The parents
report removing the ticks but are not able to or the length of
time the ticks were attached. The child is asymptomatic. What
is the action?
a.Administer a prophylactic single dose of doxycycline.
b.Perform serologic testing for IgG or IgM antibodies.
c.Prescribe amoxicillin three times daily for 14 to 21 days.
d.Teach the parents which signs and symptoms to report.---
correct precise answer --- d. Teach the parents which signs
and symptoms to report.
56.A child with a history of a pustular rash at the site of a cat
scratch on one arm now has warm, tender, swollen axillary
lymph nodes on the affected side. The primary care pediatric
nurse practitioner notes induration and erythema of these
nodes. What will the nurse practitioner do?
a.Obtain a complete blood count and C-reactive protein.
b.Order an immunofluorescent assay (IFA) for serum
antibodies.
c.Perform a needle aspiration of the affected lymph nodes.
d.Prescribe a 5day course of azithromycin.--- correct precise
answer --- b. Order an immunofluorescent assay (IFA) for
serum antibodies.
– Complete Exam 3 Study Guide with Answered Practice
Questions and Review Material
Introduction
This document contains a comprehensive Exam 3 study guide
for NSG 5442 Pediatric Primary Care, featuring answered
multiple-choice questions covering pediatric pharmacology,
respiratory disorders, developmental and behavioral health,
hematology, infectious diseases, dermatology, child
maltreatment, and chronic disease management. It includes
detailed review questions with correct answers designed to
support exam preparation and reinforce key pediatric nurse
practitioner concepts.
The material spans a wide range of pediatric primary care
topics commonly tested in advanced nursing programs. It
serves as a structured review resource for students preparing
for examinations and clinical practice assessments.
Exam Questions and Answers
49.A 9-month-old infant has had a fever of 103°F for 2 days
and now has a dif-fuse, maculopapular rash that blanches on
pressure. The infant's immuniza-
tions are up-to-date. What will the primary care pediatric
nurse practitioner do?
a.Administer immunoglobulin G to prevent fulminant illness.
,b.Perform serologic testing for human herpes virus 6 and
human herpes virus 7.
c.Reassure the parent that this is a mild, self-limiting disease.
d.Recommend avoiding contact with pregnant women.---
correct precise answer --- c. Reassure the parent that this is a
mild, self-limiting disease.
50.A child who is immunocompromised has a fever and a rash
consisting of macules papules, and pustules. What will the
primary care pediatric nurse practitioner do?
a.Administer varicella immune globulin (VariZIG).
b.Hospitalize the child for intravenous acyclovir. c. Order
intravenous im-munoglobulin as an outpatient.
d. Prescribe oral acyclovir for the duration of the illness.---
correct precise answer --- b. Hospitalize the child for
intravenous acyclovir.
51.The primary care pediatric nurse practitioner is reviewing
medical records for a newborn that is new to the clinic. The
toddler's mother was found to be HIV positive during her
pregnancy with this child and received antiretroviral therapy
during pregnancy. The child was born by cesarean section,
begun on antiretroviral prophylaxis, and did not breastfeed.
What is the correct management for this child?
a.Consult with a pediatric HIV specialist.
b.Discontinue cART after 4 weeks of age.
c.Obtain a CD4+ cell count and HIV RNA levels.
d.Reinforce the need to give cART for life.--- correct precise
answer --- a. Consult with a pediatric HIV specialist.
,52.A preschoolage child is brought to clinic for evaluation of a
rash. The primary care pediatric nurse practitioner notes an
intense red eruption on the child's cheeks and circumoral
pallor. What will the nurse practitioner tell the
parents about this rash?
a.This rash may be a prodromal sign of rubella or roseola.
b.The child will need immunization boosters to prevent
serious disease.
c.This is a benign rash with no known serious complications.
d.Expect a lacy, maculopapular rash to develop on the trunk
and extremities.-
--- correct precise answer --- d. Expect a lacy, maculopapular
rash to develop on the trunk and extremities.
53.An unimmunized school-age child whose mother is in her
first trimester of pregnancy is diagnosed with rubella after a
local outbreak. What will the primary care pediatric nurse
practitioner recommend?
a.Assessment of maternal rubella titers
b.Intravenous immunoglobulin for the child
c.MMR vaccine for the mother and child
d.Possible termination of the pregnancy--- correct precise
answer --- a. Assessment of maternal rubella titers
54.A child is brought to the clinic with a fever, headache,
malaise, and a red, annular macule surrounded by an area of
clearing and a larger, erythematous annular ring. The child
complains of itching at the site. What will the primary care
pediatric nurse practitioner do to determine the diagnosis?
a.Ask about recent tick bites
, b.Obtain a skin culture
c.Order blood cultures
d.Perform serologic testing--- correct precise answer --- a.
Ask about recent tick bites
55.A child whose family has been camping in a region with
endemic Lyme disease suffered several tick bites. The parents
report removing the ticks but are not able to or the length of
time the ticks were attached. The child is asymptomatic. What
is the action?
a.Administer a prophylactic single dose of doxycycline.
b.Perform serologic testing for IgG or IgM antibodies.
c.Prescribe amoxicillin three times daily for 14 to 21 days.
d.Teach the parents which signs and symptoms to report.---
correct precise answer --- d. Teach the parents which signs
and symptoms to report.
56.A child with a history of a pustular rash at the site of a cat
scratch on one arm now has warm, tender, swollen axillary
lymph nodes on the affected side. The primary care pediatric
nurse practitioner notes induration and erythema of these
nodes. What will the nurse practitioner do?
a.Obtain a complete blood count and C-reactive protein.
b.Order an immunofluorescent assay (IFA) for serum
antibodies.
c.Perform a needle aspiration of the affected lymph nodes.
d.Prescribe a 5day course of azithromycin.--- correct precise
answer --- b. Order an immunofluorescent assay (IFA) for
serum antibodies.
