NSG 5442 EXAM 1 2026/2027 WITH
160 QUESTIONS AND EXPERT-
VERIFIED CORRECT ANSWERS |
ALREADY GRADED A+ |
GUARANTEED SUCCESS
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.
C. Order a venous sample to test for lead levels.
A child has a lead level of 25 mcg/dL. Once lead abatement measures are
instituted, what is an important intervention to help prevent permanent damage
A. Chelation therapy
B. Dietary changes
C. Followup testing
D. Testing family members
C. Followup testing
A child whose parent works in a factory presents with swelling of the extremities,
pain and weakness in the pelvis, and an erythematous maculopapular rash.
Which industrial toxin will the primary care pediatric nurse practitioner suspect in
this child?
A. Lead
,B. Mercury
C. Organophosphates
D. Phthalates
C. Organophosphates
When counseling a mother who smokes about preventing exposure to smoking
related risks to her nursing newborn, what will the primary care pediatric nurse
practitioner tell her?
A. If she quits now, her child will not have longterm effects from exposure.
B. Prenatal smoke exposure does not cause respiratory effects after the infant is born.
C. Smoking outdoors or near an open window prevents exposure to tobacco smoke.
D. Third hand smoke exposure risks may last for years even if the mother quits now.
D. Third hand smoke exposure risks may last for years even if the mother quits now.
A child who has been playing in a public park is brought to the clinic with
wheezing, vomiting, diarrhea, and drooling. A physical exam reveals a low heart
rate and diaphoresis. What will the primary care pediatric nurse practitioner
suspect as a cause for these symptoms?
A. Arsenic consumption
B. Lead poisoning
C. Organophosphate exposure
D. Phthalate ingestion
C. Organophosphate exposure
A parent asks about ways to limit exposure to risks associated with plastics.
Besides avoiding using plastic containers when possible, what else will the
primary care pediatric nurse practitioner recommend?
A. Avoid heating foods and liquids in plastic containers.
B. Clean plastic containers well using the dishwasher.
C. Use only plastics stamped with “#7” on the bottom.
D. Used canned food products whenever possible.
A. Avoid heating foods and liquids in plastic containers.
A parent desires to buy only organic produce to avoid exposing a child to pesticides but
complains that these foods are expensive. The primary care pediatric nurse practitioner
provides a list of foods that are relatively safe whether they are organic or not. Which
foods are on this list?
A. Apples, celery, and peaches
B. Potatoes, cherry tomatoes, and peaches
C. Strawberries, grapes, and cucumbers
D. Sweet corn, cantaloupe, and kiwi
D. Sweet corn, cantaloupe, and kiwi
The primary care pediatric nurse practitioner is obtaining a medical history about
a child. To integrate both nursing and medical aspects of primary care, which will
be included in the medical history?
A. Complementary medications, alternative health practices, and chief complaint
B. Developmental delays, nutritional status, and linear growth patterns
C. Medication currently taking, allergy information, and family medical history
D. Speech and language development, beliefs about health, and previous illnesses
,D. Speech and language development, beliefs about health, and previous illnesses
When formulating developmental diagnoses for pediatric patients, the primary
care pediatric nurse practitioner may use which resource?
A. DC: 03R
K. ICD10CM
L. ICSD3
M. NANDA International
A. DC: 03R
The primary care pediatric nurse practitioner sees a 3 year old child who
chronically withholds stools, in spite of the parents’ attempts to stop the
behavior, requiring frequent treatments with laxative medications. Which
diagnosis will the nurse practitioner use to facilitate third party reimbursement?
A. Altered elimination pattern
B. Elimination disorder
C. Encopresis
D. Parenting alteration
C. Encopresis
The primary care pediatric nurse practitioner is assessing a toddler whose weight
and body mass index (BMI) are below the 3rd percentile for age. The nurse
practitioner learns that the child does not have regular mealtimes and is allowed
to carry a bottle of juice around at all times. The nurse practitioner plans to work
with this family to develop improved meal patterns. Which diagnosis will the
nurse practitioner use for this problem?
A. Failure to thrive
B. Home care resources inadequate
C. Nutrition alteration – less than required
D. Parenting alteration
D. Parenting alteration
The primary care pediatric nurse practitioner is performing a well child checkup
on a 20 month old child. The child was 4 weeks premature and, according to a
parentcompleted
developmental questionnaire, has achieved milestones for a 15 month old infant.
Which action is correct?
A. Perform an in depth developmental assessment screen at this visit to evaluate this
child.
B. Reassure the parent that the child will catch up to normal development by age 2
years.
C. Reevaluate this child’s development and milestone achievements at the 2 year visit.
D. Refer the child to a specialty clinic for evaluation and treatment of developmental
delay.
A. Perform an in depth developmental assessment screen at this visit to evaluate this
child.
The primary care pediatric nurse practitioner performs a developmental
assessment on a 3 year old child and notes normal cognitive, fine motor, and
gross motor abilities. The child responds appropriately to verbal commands
during the assessment but refuses to speak when asked questions. The parent
, tells the nurse practitioner that the child talks at home and that most other adults
can understand what the child says. The nurse practitioner will
A. ask the parent to consider a possible speech delay and report any concerns.
B. continue to evaluate the child’s speech at subsequent visits.
C. refer the child for a speech and hearing evaluation.
D. tell the parent to spend more time in interactive conversations with the child.
B. continue to evaluate the child's speech at subsequent visits.
The parent of a toddler is concerned that the child may have autism. The primary
care pediatric nurse practitioner completes a Modified Checklist for Autism in
Toddlers
(MCHAT) tool, which indicates several areas of concern. What will the nurse
practitioner do?
A. Administer a Childhood Autism Rating Scale (CARS) in the clinic.
B. Consult a specialist to determine appropriate early intervention strategies.
C. Refer the child to a behavioral specialist for further evaluation.
D. Tell the parent that this result indicates that the child has autism.
C. Refer the child to a behavioral specialist for further evaluation.
The primary care pediatric nurse practitioner learns that the mother of a 3 year
old child has been treated for depression for over 5 years. Which aspect of this
child’s development will be of the most concern to the nurse practitioner?
D. Fine motor
E. Gross motor
F. Social/emotional
D. Speech and language
F. Social/emotional
When meeting with a new family, the primary care pediatric nurse practitioner
develops a database that identifies family members and others living in the
household, relationships with others outside the household, and significant
behavioral and emotional problems. Which tool will the nurse practitioner use to
record this information?
A. CRAFFT
B. Ecomap
C. Genogram
D. Pedigree
C. Genogram
A child is in the clinic for evaluation of an asthma action plan. The primary care
pediatric nurse practitioner notes that the child’s last visit was for a
prekindergarten physical and observes that the child is extremely anxious. What
will the nurse practitioner do initially?
A. Ask the child’s parent why the child is so anxious.
B. Perform a physical assessment to rule out shortness of breath.
C. Reassure the child that there is nothing to be afraid of.
D. Review the purpose of this visit and any anticipated procedures.
D. Review the purpose of this visit and any anticipated procedures.
The primary care pediatric nurse practitioner is evaluating health literacy in the
mother of a new preschoolage
160 QUESTIONS AND EXPERT-
VERIFIED CORRECT ANSWERS |
ALREADY GRADED A+ |
GUARANTEED SUCCESS
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.
C. Order a venous sample to test for lead levels.
A child has a lead level of 25 mcg/dL. Once lead abatement measures are
instituted, what is an important intervention to help prevent permanent damage
A. Chelation therapy
B. Dietary changes
C. Followup testing
D. Testing family members
C. Followup testing
A child whose parent works in a factory presents with swelling of the extremities,
pain and weakness in the pelvis, and an erythematous maculopapular rash.
Which industrial toxin will the primary care pediatric nurse practitioner suspect in
this child?
A. Lead
,B. Mercury
C. Organophosphates
D. Phthalates
C. Organophosphates
When counseling a mother who smokes about preventing exposure to smoking
related risks to her nursing newborn, what will the primary care pediatric nurse
practitioner tell her?
A. If she quits now, her child will not have longterm effects from exposure.
B. Prenatal smoke exposure does not cause respiratory effects after the infant is born.
C. Smoking outdoors or near an open window prevents exposure to tobacco smoke.
D. Third hand smoke exposure risks may last for years even if the mother quits now.
D. Third hand smoke exposure risks may last for years even if the mother quits now.
A child who has been playing in a public park is brought to the clinic with
wheezing, vomiting, diarrhea, and drooling. A physical exam reveals a low heart
rate and diaphoresis. What will the primary care pediatric nurse practitioner
suspect as a cause for these symptoms?
A. Arsenic consumption
B. Lead poisoning
C. Organophosphate exposure
D. Phthalate ingestion
C. Organophosphate exposure
A parent asks about ways to limit exposure to risks associated with plastics.
Besides avoiding using plastic containers when possible, what else will the
primary care pediatric nurse practitioner recommend?
A. Avoid heating foods and liquids in plastic containers.
B. Clean plastic containers well using the dishwasher.
C. Use only plastics stamped with “#7” on the bottom.
D. Used canned food products whenever possible.
A. Avoid heating foods and liquids in plastic containers.
A parent desires to buy only organic produce to avoid exposing a child to pesticides but
complains that these foods are expensive. The primary care pediatric nurse practitioner
provides a list of foods that are relatively safe whether they are organic or not. Which
foods are on this list?
A. Apples, celery, and peaches
B. Potatoes, cherry tomatoes, and peaches
C. Strawberries, grapes, and cucumbers
D. Sweet corn, cantaloupe, and kiwi
D. Sweet corn, cantaloupe, and kiwi
The primary care pediatric nurse practitioner is obtaining a medical history about
a child. To integrate both nursing and medical aspects of primary care, which will
be included in the medical history?
A. Complementary medications, alternative health practices, and chief complaint
B. Developmental delays, nutritional status, and linear growth patterns
C. Medication currently taking, allergy information, and family medical history
D. Speech and language development, beliefs about health, and previous illnesses
,D. Speech and language development, beliefs about health, and previous illnesses
When formulating developmental diagnoses for pediatric patients, the primary
care pediatric nurse practitioner may use which resource?
A. DC: 03R
K. ICD10CM
L. ICSD3
M. NANDA International
A. DC: 03R
The primary care pediatric nurse practitioner sees a 3 year old child who
chronically withholds stools, in spite of the parents’ attempts to stop the
behavior, requiring frequent treatments with laxative medications. Which
diagnosis will the nurse practitioner use to facilitate third party reimbursement?
A. Altered elimination pattern
B. Elimination disorder
C. Encopresis
D. Parenting alteration
C. Encopresis
The primary care pediatric nurse practitioner is assessing a toddler whose weight
and body mass index (BMI) are below the 3rd percentile for age. The nurse
practitioner learns that the child does not have regular mealtimes and is allowed
to carry a bottle of juice around at all times. The nurse practitioner plans to work
with this family to develop improved meal patterns. Which diagnosis will the
nurse practitioner use for this problem?
A. Failure to thrive
B. Home care resources inadequate
C. Nutrition alteration – less than required
D. Parenting alteration
D. Parenting alteration
The primary care pediatric nurse practitioner is performing a well child checkup
on a 20 month old child. The child was 4 weeks premature and, according to a
parentcompleted
developmental questionnaire, has achieved milestones for a 15 month old infant.
Which action is correct?
A. Perform an in depth developmental assessment screen at this visit to evaluate this
child.
B. Reassure the parent that the child will catch up to normal development by age 2
years.
C. Reevaluate this child’s development and milestone achievements at the 2 year visit.
D. Refer the child to a specialty clinic for evaluation and treatment of developmental
delay.
A. Perform an in depth developmental assessment screen at this visit to evaluate this
child.
The primary care pediatric nurse practitioner performs a developmental
assessment on a 3 year old child and notes normal cognitive, fine motor, and
gross motor abilities. The child responds appropriately to verbal commands
during the assessment but refuses to speak when asked questions. The parent
, tells the nurse practitioner that the child talks at home and that most other adults
can understand what the child says. The nurse practitioner will
A. ask the parent to consider a possible speech delay and report any concerns.
B. continue to evaluate the child’s speech at subsequent visits.
C. refer the child for a speech and hearing evaluation.
D. tell the parent to spend more time in interactive conversations with the child.
B. continue to evaluate the child's speech at subsequent visits.
The parent of a toddler is concerned that the child may have autism. The primary
care pediatric nurse practitioner completes a Modified Checklist for Autism in
Toddlers
(MCHAT) tool, which indicates several areas of concern. What will the nurse
practitioner do?
A. Administer a Childhood Autism Rating Scale (CARS) in the clinic.
B. Consult a specialist to determine appropriate early intervention strategies.
C. Refer the child to a behavioral specialist for further evaluation.
D. Tell the parent that this result indicates that the child has autism.
C. Refer the child to a behavioral specialist for further evaluation.
The primary care pediatric nurse practitioner learns that the mother of a 3 year
old child has been treated for depression for over 5 years. Which aspect of this
child’s development will be of the most concern to the nurse practitioner?
D. Fine motor
E. Gross motor
F. Social/emotional
D. Speech and language
F. Social/emotional
When meeting with a new family, the primary care pediatric nurse practitioner
develops a database that identifies family members and others living in the
household, relationships with others outside the household, and significant
behavioral and emotional problems. Which tool will the nurse practitioner use to
record this information?
A. CRAFFT
B. Ecomap
C. Genogram
D. Pedigree
C. Genogram
A child is in the clinic for evaluation of an asthma action plan. The primary care
pediatric nurse practitioner notes that the child’s last visit was for a
prekindergarten physical and observes that the child is extremely anxious. What
will the nurse practitioner do initially?
A. Ask the child’s parent why the child is so anxious.
B. Perform a physical assessment to rule out shortness of breath.
C. Reassure the child that there is nothing to be afraid of.
D. Review the purpose of this visit and any anticipated procedures.
D. Review the purpose of this visit and any anticipated procedures.
The primary care pediatric nurse practitioner is evaluating health literacy in the
mother of a new preschoolage
