Page 1 of 46
NSG 5442 FINAL EXAM | 2026/2027 EDITION | 80
VERIFIED QUESTIONS WITH DETAILED
ANSWERS | BRAND NEW!
A child who has attention deficit/hyperactivity disorder (ADHD) has
difficulty stopping activities to begin other activities at school. The
primary care pediatric nurse practitioner understands that this is due
to difficulty with the self-regulation component of
A. emotional control.
B. flexibility.
C. inhibition.
D. problem solving.
B. flexibility
A 4-year-old female who has had two urinary tract infections has
persistent
dysuria and genital redness. The physical exam reveals a thin, flat
membrane from the posterior fourchette almost to the clitoris. Which
treatment is indicated?
A. Application of A&D ointment
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B. Counseling about hygiene
C. Reassurance and observation
D. Use of estrogen containing cream
D. Use of estrogen containing cream
A school age female has had vulvovaginitis for 2 months. All cultures
and tests are negative, but the symptoms persist after treatment with
both topical antibiotics and oral amoxicillin. What is the next course of
action to treat this condition?
A. Estrogen cream at bedtime for 2 to 3 weeks
B. Referral to a pediatric gynecologist for further evaluation
C. Trimethoprim sulfamethoxazole daily for 1 to 2 months
D. Workup for possible sexual abuse
A. Estrogen cream at bedtime for 2 to 3 weeks
A 16-year-old female reports dull, achy cramping pain in her lower
abdomen lasting 2 or 3 hours that occurs between her menstrual
periods each month. The adolescent is not sexually active. What is the
treatment for this condition?
A. Abdominal ultrasound to rule out ovarian cyst
B. Oral contraceptives to suppress ovulation
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C. Prostaglandin inhibitor analgesics and a heating pad
D. Referral to a pediatric gynecologist
C. Prostaglandin inhibitor analgesics and a heating pad
A 17-year-old sexually active female who began having periods at age
14 reports having moderate to severe dull lower abdominal pain
associated
predominantly with periods but that occurs at other times as well. The
history reveals a recent onset of these symptoms. A pregnancy test is
negative. Which course of action is most important?
A. Perform a full diagnostic workup to evaluate potential causes.
B. Prescribe a prostaglandin synthetase inhibitor.
C. Start a 3to 6month trial of oral contraceptive pills.
CDCCC. Suggest using transcutaneous electrical nerve stimulation.
A. Perform a full diagnostic workup to evaluate potential causes.
The primary care pediatric nurse practitioner cares for a preschool age
child who was exposed to drugs prenatally. The child bites other
children and has tantrums when asked to stop but is able to state later
why this behavior is wrong. This child most likely has a disorder of
A. executive function.
, Page 4 of 46
B. information processing.
C. sensory processing.
D. social cognition.
A. executive function
The primary care pediatric nurse practitioner uses the
Neurodevelopmental
Learning Framework to assess cognition and learning in an adolescent.
When evaluating social cognition, the nurse practitioner will ask the
adolescent
A. about friends and activities at school.
B. if balancing sports and homework is difficult.
C. to interpret material from a pie chart.
D. to restate the content of something just read.
A. about friends and activities at school.
The primary care pediatric nurse practitioner is evaluating a school
age
child who has been diagnosed with ADHD. Which plan will the nurse
practitioner recommend asking the child’s school about to help with
academic performance?
NSG 5442 FINAL EXAM | 2026/2027 EDITION | 80
VERIFIED QUESTIONS WITH DETAILED
ANSWERS | BRAND NEW!
A child who has attention deficit/hyperactivity disorder (ADHD) has
difficulty stopping activities to begin other activities at school. The
primary care pediatric nurse practitioner understands that this is due
to difficulty with the self-regulation component of
A. emotional control.
B. flexibility.
C. inhibition.
D. problem solving.
B. flexibility
A 4-year-old female who has had two urinary tract infections has
persistent
dysuria and genital redness. The physical exam reveals a thin, flat
membrane from the posterior fourchette almost to the clitoris. Which
treatment is indicated?
A. Application of A&D ointment
,Page 2 of 46
B. Counseling about hygiene
C. Reassurance and observation
D. Use of estrogen containing cream
D. Use of estrogen containing cream
A school age female has had vulvovaginitis for 2 months. All cultures
and tests are negative, but the symptoms persist after treatment with
both topical antibiotics and oral amoxicillin. What is the next course of
action to treat this condition?
A. Estrogen cream at bedtime for 2 to 3 weeks
B. Referral to a pediatric gynecologist for further evaluation
C. Trimethoprim sulfamethoxazole daily for 1 to 2 months
D. Workup for possible sexual abuse
A. Estrogen cream at bedtime for 2 to 3 weeks
A 16-year-old female reports dull, achy cramping pain in her lower
abdomen lasting 2 or 3 hours that occurs between her menstrual
periods each month. The adolescent is not sexually active. What is the
treatment for this condition?
A. Abdominal ultrasound to rule out ovarian cyst
B. Oral contraceptives to suppress ovulation
,Page 3 of 46
C. Prostaglandin inhibitor analgesics and a heating pad
D. Referral to a pediatric gynecologist
C. Prostaglandin inhibitor analgesics and a heating pad
A 17-year-old sexually active female who began having periods at age
14 reports having moderate to severe dull lower abdominal pain
associated
predominantly with periods but that occurs at other times as well. The
history reveals a recent onset of these symptoms. A pregnancy test is
negative. Which course of action is most important?
A. Perform a full diagnostic workup to evaluate potential causes.
B. Prescribe a prostaglandin synthetase inhibitor.
C. Start a 3to 6month trial of oral contraceptive pills.
CDCCC. Suggest using transcutaneous electrical nerve stimulation.
A. Perform a full diagnostic workup to evaluate potential causes.
The primary care pediatric nurse practitioner cares for a preschool age
child who was exposed to drugs prenatally. The child bites other
children and has tantrums when asked to stop but is able to state later
why this behavior is wrong. This child most likely has a disorder of
A. executive function.
, Page 4 of 46
B. information processing.
C. sensory processing.
D. social cognition.
A. executive function
The primary care pediatric nurse practitioner uses the
Neurodevelopmental
Learning Framework to assess cognition and learning in an adolescent.
When evaluating social cognition, the nurse practitioner will ask the
adolescent
A. about friends and activities at school.
B. if balancing sports and homework is difficult.
C. to interpret material from a pie chart.
D. to restate the content of something just read.
A. about friends and activities at school.
The primary care pediatric nurse practitioner is evaluating a school
age
child who has been diagnosed with ADHD. Which plan will the nurse
practitioner recommend asking the child’s school about to help with
academic performance?
