Pediatric Comat Exam
Pediatric Comat Exam Test Bank 2025-2026
With Complete Verified Questions And Correct
Answers with Detailed Rationales |Already
Graded A+||Brand New Guaranteed Pass
1. The primary care pediatric nurse practitioner is preparing to conduct a well child assessment
of an 8-
year-old child. How will the nurse practitioner begin the exam?
a. Ask the child about school, friends, home activities, and sports
b. Discuss the purpose of the visit and explain the procedures that will be performed
c. Offer age-appropriate information about usual developmental tasks
d. Provide information about healthy nutrition and physical activities
- Correct Answer :ANS: A
To build rapport with the child and parent, the PNP will begin by asking direct questions to the
child,
encouraging the child to share information about daily routines. The other answers list aspects
of the well
child visit that can be introduced after the initial conversation.
2. The primary care pediatric nurse practitioner is examining a 6-year-old child who attends first
grade.
The child reports "hating" school. The parent states that the child pretends to be sick frequently
in
order to stay home from school. To further assess this situation, the nurse practitioner will first
ask the
child :
a. about school performance and grades.
b. why school is so distressing.
c. to name one or two friends.
d. whether bullying is taking place
. - Correct Answer :ANS: C
The earliest school-age psychosocial milestone occurs when children learn to separate easily
from family,
A+ TEST BANK 1
, Pediatric Comat Exam
allowing them to go to school. Mastery of these skills enables them to develop and maintain
peer
friendships. Social interaction skills are necessary in order to develop mastery over school
activities.
Asking the child to describe why school is distressing may not elicit information, since the child
may not
be able to articulate this. Bullying is not the only reason for disliking school, but, if it is, will
emerge
during a discussion about friends and schoolmates.
3. A school-age child has begun refusing all cooked vegetables. What will the primary care
pediatric
nurse practitioner recommend to the parent?
a. Allow the child to make food choices since this is usually a phase
b. Ensure that the child has three nutritious meals and two nutritious snacks each day
c. Prepare vegetables separately for the child to encourage adequate intake
d. Teach the child how important it is to eat healthy fruits and vegetables
- Correct Answer :ANS: B
Children have food jags that are generally self-limited. The parent's responsibility is to provide
three
nutritious meals and two nutritious snacks each day so that all available choices are acceptable.
Allowing
food choices may result in an overabundance of non-nutritious foods selected. It is not necessary
to
prepare separate dishes for a child who is going through a temporary phase. Teaching the child
about
nutrition is important but will not likely have much impact during this phase.
4. The parent of a 6-year-old child expresses concern that the child may have ADHD. Which
screening
tool will the primary care pediatric nurse practitioner use to evaluate this possibility?
a. Behavioral and Emotional Screening System for Children (BESS-2)
b. Behavioral Assessment for Children - 2nd ed. (BASC-2)
c. Conner's 3 Parent and Teacher Rating Scale
d. Pediatric Symptom Checklist (PSC)
- Correct Answer :ANS: C
The Conner's Parent and Teacher Rating Scale is used to assess ADHD symptoms in children aged
6 to
18 years. The BESS-2 is used to evaluate social emotional and mental health in children. The
BASC-2 is
A+ TEST BANK 2
, Pediatric Comat Exam
used to further assess children who have positive findings on the BESS-2. The PSC is used to
assess
cognitive, emotional, and behavioral problems in children.
5. The primary care pediatric nurse practitioner performs a physical examination on a 12-year-
old child
and notes poor hygiene and inappropriate clothes for the weather. The child's mother appears
clean
and well dressed. The child reports getting 6 to 7 hours of sleep each night because of texting
with
friends late each evening. What action by the nurse practitioner will help promote healthy
practices?
a. Discuss setting clear expectations about self-care with the mother
b. Give the child information about sleep and self-care
c. Reassure the mother that this "non-compliance" is temporary
d. Tell the mother that experimenting with self-care behaviors is normal
- Correct Answer :ANS: A
Parents of school-age children should be advised to set clear limits for their children for
cleanliness,
healthy exercise, hours of sleep, and other health promotion behaviors to encourage the
development of
responsibility for these things. Giving the child information can be done along with setting
expectations,
but, at this age, the parent should still be supervising. While "non-compliance" is a part of this
process,
and is a means of asserting independence, parents need to discuss this with children to resolve
the issue.
6. The parents of a 12-year-old child are concerned that some of the child's older classmates
may be a
bad influence on their child, who, they say, has been raised to believe in right and wrong. What
will
the primary care pediatric nurse practitioner tell the parent?
a. Allowing the child to make poor choices and accept consequences is important for learning
values
b. Children at this age have a high regard for authority and social norms, so this is not likely to
happen
c. Moral values instilled in the early school-age period will persist throughout childhood
d. The pressures from outside influences may supersede parental teachings and should be
confronted –
A+ TEST BANK 3
, Pediatric Comat Exam
Correct Answer :ANS: D
Although early school-age children learn values from their parents, these may be challenged as
children
learn that others have different values. Parents must confront and negotiate these issues daily
with their
children. While children may make poor choices and subsequently learn from the consequences,
it is best
for parents to actively discuss these issues with their children. Children do have a high regard for
authority and social norms but may easily transfer this authority to other, less reliable people,
such as
peers. Moral values may not persist if other sources of authority become prominent.
7. The parent of a 10-year-old boy tells the primary care pediatric nurse practitioner that the
child
doesn't appear to have any interest in girls and spends most of his time with a couple of other
boys.
The parent is worried about the child's sexual identity. The nurse practitioner will tell the parent
a. children at this age who prefer interactions with same-gender peers usually have a
homosexual
orientation.
b. children experiment with sexuality at this age as a means of deciding later sexual orientation.
c. this attachment to other same-gender children is how the child learns to interact with others.
d. to encourage mixed-gender interactions in order to promote development of sexual values.
- Correct Answer :ANS: C
At age 10, children usually develop an intense same-gender relationship with a peer. This is how
the child
learns to expand the self, shares feelings, and learns how others manage problems. It does not
indicate
later sexual orientation and is not a characteristic of experimentation with sexuality. It is not
necessary to
encourage mixed-gender interactions.
8. During a well child exam on a 5-year-old child, the primary care pediatric nurse practitioner
assesses
the child for school readiness. Which finding may be a factor in limiting school readiness for this
child?
a. Adherence to daily family routines and regular activities
b. Having two older siblings who attend the same school
c. Parental concerns about bullying in the school
d. The child's ability to recognize four different colors
A+ TEST BANK 4
Pediatric Comat Exam Test Bank 2025-2026
With Complete Verified Questions And Correct
Answers with Detailed Rationales |Already
Graded A+||Brand New Guaranteed Pass
1. The primary care pediatric nurse practitioner is preparing to conduct a well child assessment
of an 8-
year-old child. How will the nurse practitioner begin the exam?
a. Ask the child about school, friends, home activities, and sports
b. Discuss the purpose of the visit and explain the procedures that will be performed
c. Offer age-appropriate information about usual developmental tasks
d. Provide information about healthy nutrition and physical activities
- Correct Answer :ANS: A
To build rapport with the child and parent, the PNP will begin by asking direct questions to the
child,
encouraging the child to share information about daily routines. The other answers list aspects
of the well
child visit that can be introduced after the initial conversation.
2. The primary care pediatric nurse practitioner is examining a 6-year-old child who attends first
grade.
The child reports "hating" school. The parent states that the child pretends to be sick frequently
in
order to stay home from school. To further assess this situation, the nurse practitioner will first
ask the
child :
a. about school performance and grades.
b. why school is so distressing.
c. to name one or two friends.
d. whether bullying is taking place
. - Correct Answer :ANS: C
The earliest school-age psychosocial milestone occurs when children learn to separate easily
from family,
A+ TEST BANK 1
, Pediatric Comat Exam
allowing them to go to school. Mastery of these skills enables them to develop and maintain
peer
friendships. Social interaction skills are necessary in order to develop mastery over school
activities.
Asking the child to describe why school is distressing may not elicit information, since the child
may not
be able to articulate this. Bullying is not the only reason for disliking school, but, if it is, will
emerge
during a discussion about friends and schoolmates.
3. A school-age child has begun refusing all cooked vegetables. What will the primary care
pediatric
nurse practitioner recommend to the parent?
a. Allow the child to make food choices since this is usually a phase
b. Ensure that the child has three nutritious meals and two nutritious snacks each day
c. Prepare vegetables separately for the child to encourage adequate intake
d. Teach the child how important it is to eat healthy fruits and vegetables
- Correct Answer :ANS: B
Children have food jags that are generally self-limited. The parent's responsibility is to provide
three
nutritious meals and two nutritious snacks each day so that all available choices are acceptable.
Allowing
food choices may result in an overabundance of non-nutritious foods selected. It is not necessary
to
prepare separate dishes for a child who is going through a temporary phase. Teaching the child
about
nutrition is important but will not likely have much impact during this phase.
4. The parent of a 6-year-old child expresses concern that the child may have ADHD. Which
screening
tool will the primary care pediatric nurse practitioner use to evaluate this possibility?
a. Behavioral and Emotional Screening System for Children (BESS-2)
b. Behavioral Assessment for Children - 2nd ed. (BASC-2)
c. Conner's 3 Parent and Teacher Rating Scale
d. Pediatric Symptom Checklist (PSC)
- Correct Answer :ANS: C
The Conner's Parent and Teacher Rating Scale is used to assess ADHD symptoms in children aged
6 to
18 years. The BESS-2 is used to evaluate social emotional and mental health in children. The
BASC-2 is
A+ TEST BANK 2
, Pediatric Comat Exam
used to further assess children who have positive findings on the BESS-2. The PSC is used to
assess
cognitive, emotional, and behavioral problems in children.
5. The primary care pediatric nurse practitioner performs a physical examination on a 12-year-
old child
and notes poor hygiene and inappropriate clothes for the weather. The child's mother appears
clean
and well dressed. The child reports getting 6 to 7 hours of sleep each night because of texting
with
friends late each evening. What action by the nurse practitioner will help promote healthy
practices?
a. Discuss setting clear expectations about self-care with the mother
b. Give the child information about sleep and self-care
c. Reassure the mother that this "non-compliance" is temporary
d. Tell the mother that experimenting with self-care behaviors is normal
- Correct Answer :ANS: A
Parents of school-age children should be advised to set clear limits for their children for
cleanliness,
healthy exercise, hours of sleep, and other health promotion behaviors to encourage the
development of
responsibility for these things. Giving the child information can be done along with setting
expectations,
but, at this age, the parent should still be supervising. While "non-compliance" is a part of this
process,
and is a means of asserting independence, parents need to discuss this with children to resolve
the issue.
6. The parents of a 12-year-old child are concerned that some of the child's older classmates
may be a
bad influence on their child, who, they say, has been raised to believe in right and wrong. What
will
the primary care pediatric nurse practitioner tell the parent?
a. Allowing the child to make poor choices and accept consequences is important for learning
values
b. Children at this age have a high regard for authority and social norms, so this is not likely to
happen
c. Moral values instilled in the early school-age period will persist throughout childhood
d. The pressures from outside influences may supersede parental teachings and should be
confronted –
A+ TEST BANK 3
, Pediatric Comat Exam
Correct Answer :ANS: D
Although early school-age children learn values from their parents, these may be challenged as
children
learn that others have different values. Parents must confront and negotiate these issues daily
with their
children. While children may make poor choices and subsequently learn from the consequences,
it is best
for parents to actively discuss these issues with their children. Children do have a high regard for
authority and social norms but may easily transfer this authority to other, less reliable people,
such as
peers. Moral values may not persist if other sources of authority become prominent.
7. The parent of a 10-year-old boy tells the primary care pediatric nurse practitioner that the
child
doesn't appear to have any interest in girls and spends most of his time with a couple of other
boys.
The parent is worried about the child's sexual identity. The nurse practitioner will tell the parent
a. children at this age who prefer interactions with same-gender peers usually have a
homosexual
orientation.
b. children experiment with sexuality at this age as a means of deciding later sexual orientation.
c. this attachment to other same-gender children is how the child learns to interact with others.
d. to encourage mixed-gender interactions in order to promote development of sexual values.
- Correct Answer :ANS: C
At age 10, children usually develop an intense same-gender relationship with a peer. This is how
the child
learns to expand the self, shares feelings, and learns how others manage problems. It does not
indicate
later sexual orientation and is not a characteristic of experimentation with sexuality. It is not
necessary to
encourage mixed-gender interactions.
8. During a well child exam on a 5-year-old child, the primary care pediatric nurse practitioner
assesses
the child for school readiness. Which finding may be a factor in limiting school readiness for this
child?
a. Adherence to daily family routines and regular activities
b. Having two older siblings who attend the same school
c. Parental concerns about bullying in the school
d. The child's ability to recognize four different colors
A+ TEST BANK 4
