NSG 5442 Exam 2 & 3
NSG 5442 Exam 2, Nsg5442
Exam-3
Exam Study Guide – Practice
Questions with Verified Answers.
GRADED A+. Latest 2026/2027
Update
A 4-year-old child who has had extensive dental surgery to treat dental caries
has white spot lesions on the primary teeth. How often should this child
receive fluoride varnish applications?
Every 3 to 6 months
A 9-month-old infant has developed two teeth since the 6 month check-up.
The local water supply contains fluoride. What will the primary care pediatric
nurse practitioner do to promote healthy dentition at this visit?
Apply sodium fluoride varnish to the infant’s teeth
What will the primary care pediatric nurse practitioner recommend to the
parent of an infant who is teething who asks about comfort measures?
Give the infant a cold teething ring or wet washcloth to chew
An 18monthold child has horizontal, bright white lines along the upper gum
line of the teeth. What is the most important question the primary care
pediatric nurse practitioner will ask the child’s parents?
If the child is still drinking milk from a bottle
,NSG 5442 Exam 2 & 3
What will the primary care pediatric nurse practitioner teach the parent of an
infant about cleaning the child’s teeth?
To use a smear of toothpaste and not to rinse the mouth
A parent asks about ways to promote dental health in school age children while
on a family vacation that are convenient while camping and picnicking. What
will the pediatric nurse practitioner recommend?
Offering gum containing xylitol after meals
An adolescent has localized bleeding of the gums when brushing the teeth.
An exam of the mouth reveals the presence of plaque and calculus on the
teeth, which are not loose. What will the primary care pediatric nurse
practitioner recommend?
Consistently brushing and flossing the teeth twice daily
A school age child has had herpes stomatitis for a week and continues to
complain of pain. What will the primary care pediatric nurse practitioner
recommend?
Topical application of diphenhydramine and Maalox
A child has several shallow mucosal lesions on the buccal mucosa andtongue
that are surrounded with an erythematous halo and covered by yellowplaques.
What will the primary care pediatric nurse practitioner recommend?
Chlorhexidine gluconate
During a well child exam, the primary care pediatric nurse practitioner notes
yellowish-white serpentine bordered lesions on the anterior portion of a child's
tongue. What will the nurse practitioner do?
Reassure the parent that these are benign lesions.
A 4-year-old child who has asthma has teeth with smooth, cuppedoutteeth
on the chewing surfaces. Which is the most likely explanation for this finding?
Gastroesophageal reflux
An adolescent female reports facial pain and frequent popping of her jaw. An
exam reveals unilateral tender facial muscles and a deviation of the mandible
,NSG 5442 Exam 2 & 3
to the affected side with opening of the mouth. What will the primary care
pediatric nurse practitioner do?
Recommend ice packs, NSAIDs, and a soft diet.
A 5-year-old child is hit in the face with a baseball bat and is brought to the
clinic by a parent. An exam reveals three avulsed front teeth. Radiologic
studies are negative for facial fractures. What is the recommended
treatment?
Refer the child to a dentist immediately for further examination.
A child with cerebral palsy receives all nutrition via gastrostomy tube. What will
the primary care pediatric nurse practitioner recommend to promote dental
health in this child?
Daily chlorhexidine gluconate rinses
The primary care pediatric nurse practitioner uses a shared decision making
(SDM) model when working with families of children with chronic health
conditions. When using this model, the nurse practitioner can expect
improved patient health outcomes.
The primary care pediatric nurse practitioner diagnoses a 5-year-old child
with asthma and prescribes an oral steroid and a short acting beta adrenergic
medication via a metered dose inhaler to manage acute symptoms. Along
with education about the prescribed medications, what information is
important to give the child’s family at this visit?
Effects and side effects of current medications
The parent of a child with complex health care needs tells the primary care
pediatric nurse practitioner that the child has had difficulty breathing the
past two nights but can’t articulate specific symptoms. The child has normal
oxygen saturations and anormal respiratory rate with clear breath sounds.
What will the nurse practitioner do?
Encourage the parent to call when concerned and schedule a follow-up
appointment the next day
, NSG 5442 Exam 2 & 3
Which characteristic is the key criterion that identifies a child has having special
needs?
Health service requirements
The primary care pediatric nurse practitioner is performing a well baby
examination on a 2weekold infant who was recently discharged home from the
neonatal intensive care unit. The mother reports that the infant was born at 26
weeks' gestation and states she was told that her baby will probably have
developmental delays. What is the most important aspect of long-term
management for this infant?
Careful monitoring of attainment of developmental milestones
The primary care pediatric nurse practitioner is preparing to perform a well
child examination on a 5yearold child who has multiple developmental and
cognitive delays. The child's mother is angry and tells the nurse practitioner
that her friends' children are all preparing for kindergarten. The nurse
practitioner will
allow the mother to express her feelings, understanding that she is
experiencing
The parent of a toddler who has special health care needs is resistant to a
suggestion that her child needs a gastrostomy tube for nutrition. The toddler
has fallen from the 10th percentile to the 5th percentile in the past few months
and resists taking inappropriate amounts of food by mouth even with
assistance from occupational therapy. What will the primary care pediatric
nurse practitioner do?
Set weight gain and food intake goals with the mother and schedule regular
visits to monitor weight.
What is the most important role of the primary care pediatric nurse
practitioner who provides care for a child with special health care needs who
sees several specialists and receives community and school based services?
Coordinating services to ensure continuity of care
NSG 5442 Exam 2, Nsg5442
Exam-3
Exam Study Guide – Practice
Questions with Verified Answers.
GRADED A+. Latest 2026/2027
Update
A 4-year-old child who has had extensive dental surgery to treat dental caries
has white spot lesions on the primary teeth. How often should this child
receive fluoride varnish applications?
Every 3 to 6 months
A 9-month-old infant has developed two teeth since the 6 month check-up.
The local water supply contains fluoride. What will the primary care pediatric
nurse practitioner do to promote healthy dentition at this visit?
Apply sodium fluoride varnish to the infant’s teeth
What will the primary care pediatric nurse practitioner recommend to the
parent of an infant who is teething who asks about comfort measures?
Give the infant a cold teething ring or wet washcloth to chew
An 18monthold child has horizontal, bright white lines along the upper gum
line of the teeth. What is the most important question the primary care
pediatric nurse practitioner will ask the child’s parents?
If the child is still drinking milk from a bottle
,NSG 5442 Exam 2 & 3
What will the primary care pediatric nurse practitioner teach the parent of an
infant about cleaning the child’s teeth?
To use a smear of toothpaste and not to rinse the mouth
A parent asks about ways to promote dental health in school age children while
on a family vacation that are convenient while camping and picnicking. What
will the pediatric nurse practitioner recommend?
Offering gum containing xylitol after meals
An adolescent has localized bleeding of the gums when brushing the teeth.
An exam of the mouth reveals the presence of plaque and calculus on the
teeth, which are not loose. What will the primary care pediatric nurse
practitioner recommend?
Consistently brushing and flossing the teeth twice daily
A school age child has had herpes stomatitis for a week and continues to
complain of pain. What will the primary care pediatric nurse practitioner
recommend?
Topical application of diphenhydramine and Maalox
A child has several shallow mucosal lesions on the buccal mucosa andtongue
that are surrounded with an erythematous halo and covered by yellowplaques.
What will the primary care pediatric nurse practitioner recommend?
Chlorhexidine gluconate
During a well child exam, the primary care pediatric nurse practitioner notes
yellowish-white serpentine bordered lesions on the anterior portion of a child's
tongue. What will the nurse practitioner do?
Reassure the parent that these are benign lesions.
A 4-year-old child who has asthma has teeth with smooth, cuppedoutteeth
on the chewing surfaces. Which is the most likely explanation for this finding?
Gastroesophageal reflux
An adolescent female reports facial pain and frequent popping of her jaw. An
exam reveals unilateral tender facial muscles and a deviation of the mandible
,NSG 5442 Exam 2 & 3
to the affected side with opening of the mouth. What will the primary care
pediatric nurse practitioner do?
Recommend ice packs, NSAIDs, and a soft diet.
A 5-year-old child is hit in the face with a baseball bat and is brought to the
clinic by a parent. An exam reveals three avulsed front teeth. Radiologic
studies are negative for facial fractures. What is the recommended
treatment?
Refer the child to a dentist immediately for further examination.
A child with cerebral palsy receives all nutrition via gastrostomy tube. What will
the primary care pediatric nurse practitioner recommend to promote dental
health in this child?
Daily chlorhexidine gluconate rinses
The primary care pediatric nurse practitioner uses a shared decision making
(SDM) model when working with families of children with chronic health
conditions. When using this model, the nurse practitioner can expect
improved patient health outcomes.
The primary care pediatric nurse practitioner diagnoses a 5-year-old child
with asthma and prescribes an oral steroid and a short acting beta adrenergic
medication via a metered dose inhaler to manage acute symptoms. Along
with education about the prescribed medications, what information is
important to give the child’s family at this visit?
Effects and side effects of current medications
The parent of a child with complex health care needs tells the primary care
pediatric nurse practitioner that the child has had difficulty breathing the
past two nights but can’t articulate specific symptoms. The child has normal
oxygen saturations and anormal respiratory rate with clear breath sounds.
What will the nurse practitioner do?
Encourage the parent to call when concerned and schedule a follow-up
appointment the next day
, NSG 5442 Exam 2 & 3
Which characteristic is the key criterion that identifies a child has having special
needs?
Health service requirements
The primary care pediatric nurse practitioner is performing a well baby
examination on a 2weekold infant who was recently discharged home from the
neonatal intensive care unit. The mother reports that the infant was born at 26
weeks' gestation and states she was told that her baby will probably have
developmental delays. What is the most important aspect of long-term
management for this infant?
Careful monitoring of attainment of developmental milestones
The primary care pediatric nurse practitioner is preparing to perform a well
child examination on a 5yearold child who has multiple developmental and
cognitive delays. The child's mother is angry and tells the nurse practitioner
that her friends' children are all preparing for kindergarten. The nurse
practitioner will
allow the mother to express her feelings, understanding that she is
experiencing
The parent of a toddler who has special health care needs is resistant to a
suggestion that her child needs a gastrostomy tube for nutrition. The toddler
has fallen from the 10th percentile to the 5th percentile in the past few months
and resists taking inappropriate amounts of food by mouth even with
assistance from occupational therapy. What will the primary care pediatric
nurse practitioner do?
Set weight gain and food intake goals with the mother and schedule regular
visits to monitor weight.
What is the most important role of the primary care pediatric nurse
practitioner who provides care for a child with special health care needs who
sees several specialists and receives community and school based services?
Coordinating services to ensure continuity of care
