NUR 6130 Exam 2 Actual Exam 2026/2027 – Pediatric & Childbearing Client
Management with Detailed Rationales | 100% Verified | Pass Guaranteed – A+
Graded
Section A: Pediatric Health Assessment & Physical Examination
Techniques
Q1: A family nurse practitioner is conducting a well-child visit for a 4-year-old. The exam
includes a complete health history interview and head-to-toe assessment to establish
norms and screen for problems. This type of examination is best classified as:
A. A focused physical exam
B. A system-specific physical exam
C. A comprehensive physical exam [CORRECT]
D. An ongoing physical exam
Correct Answer: C
Rationale: A comprehensive physical exam includes the interview plus a complete
head-to-toe assessment to establish baseline data and screen for health problems.
Option A addresses only the presenting problem. Option B examines one body system.
Option D is performed as needed to evaluate outcomes.
Q2: During a sick visit, a 6-year-old presents with ear pain. The FNP performs an
examination limited to the ears, nose, and throat. This examination is best described as:
A. A comprehensive physical exam
B. A focused physical exam
C. A system-specific physical exam [CORRECT]
,D. An ongoing physical exam
Correct Answer: C
Rationale: A system-specific exam evaluates one body system relevant to the
presenting complaint. Option A is too broad for a sick visit. Option B focuses on the
presenting problem but may cross systems. Option D monitors known problems over
time.
Q3: A school nurse performs daily lung auscultation on a child hospitalized with asthma
to evaluate treatment effectiveness. This type of examination is correctly termed:
A. Comprehensive
B. Focused
C. System-specific
D. Ongoing [CORRECT]
Correct Answer: D
Rationale: An ongoing exam is performed as needed to evaluate client outcomes and
monitor status. Options A, B, and C describe initial or episodic examination types rather
than continuous monitoring.
Q4: When preparing the examination room for a pediatric physical assessment, which
environmental factors should the advanced practice nurse consider?
A. Only the availability of the stethoscope and otoscope
B. Privacy, noise control, lighting, temperature, and proper equipment [CORRECT]
C. Only the temperature of the room
D. Bright lighting and cold temperature to keep the child alert
Correct Answer: B
, Rationale: Preparing the environment requires attention to privacy, noise, lighting,
temperature, and equipment to ensure accurate assessment and child comfort. Options
A and C are incomplete. Option D creates discomfort and may compromise the exam.
Q5: A 3-year-old child is fearful during a physical examination. Which approach by the
FNP best demonstrates proper preparation of the client?
A. Proceeding quickly with the exam to minimize distress
B. Developing rapport, respecting cultural differences, and using age-appropriate
positioning [CORRECT]
C. Restraining the child to complete the exam efficiently
D. Deferring the exam until the child is older
Correct Answer: B
Rationale: Preparing the pediatric client involves developing rapport, respecting cultural
and developmental needs, and proper positioning. Option A ignores emotional needs.
Option C increases trauma. Option D delays necessary care.
Q6: During a pediatric abdominal assessment, the FNP lightly taps the abdomen to
detect fluid, air, or masses. This technique is known as:
A. Inspection
B. Palpation
C. Percussion [CORRECT]
D. Auscultation
Correct Answer: C
Rationale: Percussion involves tapping the body surface to produce vibrations that
reveal underlying structures. Option A is visual observation. Option B involves touch.
Option D involves listening with a stethoscope.
Management with Detailed Rationales | 100% Verified | Pass Guaranteed – A+
Graded
Section A: Pediatric Health Assessment & Physical Examination
Techniques
Q1: A family nurse practitioner is conducting a well-child visit for a 4-year-old. The exam
includes a complete health history interview and head-to-toe assessment to establish
norms and screen for problems. This type of examination is best classified as:
A. A focused physical exam
B. A system-specific physical exam
C. A comprehensive physical exam [CORRECT]
D. An ongoing physical exam
Correct Answer: C
Rationale: A comprehensive physical exam includes the interview plus a complete
head-to-toe assessment to establish baseline data and screen for health problems.
Option A addresses only the presenting problem. Option B examines one body system.
Option D is performed as needed to evaluate outcomes.
Q2: During a sick visit, a 6-year-old presents with ear pain. The FNP performs an
examination limited to the ears, nose, and throat. This examination is best described as:
A. A comprehensive physical exam
B. A focused physical exam
C. A system-specific physical exam [CORRECT]
,D. An ongoing physical exam
Correct Answer: C
Rationale: A system-specific exam evaluates one body system relevant to the
presenting complaint. Option A is too broad for a sick visit. Option B focuses on the
presenting problem but may cross systems. Option D monitors known problems over
time.
Q3: A school nurse performs daily lung auscultation on a child hospitalized with asthma
to evaluate treatment effectiveness. This type of examination is correctly termed:
A. Comprehensive
B. Focused
C. System-specific
D. Ongoing [CORRECT]
Correct Answer: D
Rationale: An ongoing exam is performed as needed to evaluate client outcomes and
monitor status. Options A, B, and C describe initial or episodic examination types rather
than continuous monitoring.
Q4: When preparing the examination room for a pediatric physical assessment, which
environmental factors should the advanced practice nurse consider?
A. Only the availability of the stethoscope and otoscope
B. Privacy, noise control, lighting, temperature, and proper equipment [CORRECT]
C. Only the temperature of the room
D. Bright lighting and cold temperature to keep the child alert
Correct Answer: B
, Rationale: Preparing the environment requires attention to privacy, noise, lighting,
temperature, and equipment to ensure accurate assessment and child comfort. Options
A and C are incomplete. Option D creates discomfort and may compromise the exam.
Q5: A 3-year-old child is fearful during a physical examination. Which approach by the
FNP best demonstrates proper preparation of the client?
A. Proceeding quickly with the exam to minimize distress
B. Developing rapport, respecting cultural differences, and using age-appropriate
positioning [CORRECT]
C. Restraining the child to complete the exam efficiently
D. Deferring the exam until the child is older
Correct Answer: B
Rationale: Preparing the pediatric client involves developing rapport, respecting cultural
and developmental needs, and proper positioning. Option A ignores emotional needs.
Option C increases trauma. Option D delays necessary care.
Q6: During a pediatric abdominal assessment, the FNP lightly taps the abdomen to
detect fluid, air, or masses. This technique is known as:
A. Inspection
B. Palpation
C. Percussion [CORRECT]
D. Auscultation
Correct Answer: C
Rationale: Percussion involves tapping the body surface to produce vibrations that
reveal underlying structures. Option A is visual observation. Option B involves touch.
Option D involves listening with a stethoscope.
