NUR 6130 Exam 2 | 50 Questions and Answers | Fall 2025/26 Update | 100% Correct.
1. A mother brings her 6-year-old daughter to a pediatric primary care nurse practitioner for
evaluation of breast and axillary hair growth. The patient has grown 1 inch in the last three
months. The nurse practitioner's action is to:
Refer the child to a pediatric endocrinologist for management.
2. A mother of an 11 year old boy is concerned that her son is developing secondary sexual
characteristics too early. Your counselling for this family is based on the knowledge that
puberty is consider precocious in boys if secondary sexual characteristic appear prior to
age?
a. 12 years
b. 11 years
c. 10 years
d. 9 years
3. Which of the is most likely to be part of the clinical presentation of a UTI in a 9 month old
child?
a. Fever
b. Vomiting
c. Diarrhea
d. Cough
4. You are following a 4-year-old girl in your practice with a history of breast development that
appeared 12 months ago and that appears to be progressing. She is growing rapidly. The np
considers ordering a bone age because she knows that most cases of premature thelarche in
girls are:
a. A result of enzymatic defects
b. Due to systemic CNS disease
c. Idiopathic
d. A result of hypothyroidism
5. What is the first management option in a 4 year old with signs of attention deficit with
hyperactivity (ADHD)?
Behavioral therapy
6. The onset of puberty is marked by:
Breast buds are the first sign of the onset of puberty in females.
7. The NP examines a 6-week-old female in the clinic for the first time with a bright red, raised,
rubbery lesion of irregular shape on the infant's occiput. What condition would you suspect?
Capillary hemangioma
, 8. Which of the following would be the most appropriate initial management of a newborn
diagnosed with developmental dysplasia of the hip?
a. Observe and reexamine at a 2-week well-child visit
b. Triple diapering in nursery
c. Pavlik harness
d. Surgical reduction
9. Radiographic findings of disease progression and sphericity of the femoral head is helpful in
the diagnosis and follow up of?
a. Transient synovitis of the hip
b. Osgood-Schlatter disease
c. Legg-Calvé-Perthes disease
d. Slipped capital femoral epiphysis
10. Which of the following is a true statement regarding pes planus in an infant?
A. It should be evaluated by a pediatric orthopedist if spontaneous correction does not occur by
age 12 months.
B. The fat pads on an infant's feet can mimic pes planus.
C. It is always corrected by wearing special orthotic shoes.
D. It is also called talipes equinovarus.
11. Which of the following disorders is usually associated with adduction of the forefoot?
a. internal femoral torsion
b. Idiopathic congenital talipes equinovarus
c. genu valgum
d. internal tibial torsion
12. One of the most commonly suggested reasons for primary enuresis is:
a. Certain medications, such as theophylline
b. Genitourinary abnormalities
c. Family disruptions and stress
d. Delayed maturation of voiding inhibitory
reflex
13. A 10-year-old came to the office due to a raised, red, excoriated rash on his right facial
cheek and nasal area. The rash has a golden yellow, crusty exudates. What would you
anticipate the diagnosis to be?
Impetigo
14. A newborn’s mother is discovered to be HBsAg positive. Which of the following would you
recommend for this infant?
a) Give the infant hepatitis B immunoglobulin
b) Give the infant both hepatitis B vaccine and hepatitis B immunoglobulin
1. A mother brings her 6-year-old daughter to a pediatric primary care nurse practitioner for
evaluation of breast and axillary hair growth. The patient has grown 1 inch in the last three
months. The nurse practitioner's action is to:
Refer the child to a pediatric endocrinologist for management.
2. A mother of an 11 year old boy is concerned that her son is developing secondary sexual
characteristics too early. Your counselling for this family is based on the knowledge that
puberty is consider precocious in boys if secondary sexual characteristic appear prior to
age?
a. 12 years
b. 11 years
c. 10 years
d. 9 years
3. Which of the is most likely to be part of the clinical presentation of a UTI in a 9 month old
child?
a. Fever
b. Vomiting
c. Diarrhea
d. Cough
4. You are following a 4-year-old girl in your practice with a history of breast development that
appeared 12 months ago and that appears to be progressing. She is growing rapidly. The np
considers ordering a bone age because she knows that most cases of premature thelarche in
girls are:
a. A result of enzymatic defects
b. Due to systemic CNS disease
c. Idiopathic
d. A result of hypothyroidism
5. What is the first management option in a 4 year old with signs of attention deficit with
hyperactivity (ADHD)?
Behavioral therapy
6. The onset of puberty is marked by:
Breast buds are the first sign of the onset of puberty in females.
7. The NP examines a 6-week-old female in the clinic for the first time with a bright red, raised,
rubbery lesion of irregular shape on the infant's occiput. What condition would you suspect?
Capillary hemangioma
, 8. Which of the following would be the most appropriate initial management of a newborn
diagnosed with developmental dysplasia of the hip?
a. Observe and reexamine at a 2-week well-child visit
b. Triple diapering in nursery
c. Pavlik harness
d. Surgical reduction
9. Radiographic findings of disease progression and sphericity of the femoral head is helpful in
the diagnosis and follow up of?
a. Transient synovitis of the hip
b. Osgood-Schlatter disease
c. Legg-Calvé-Perthes disease
d. Slipped capital femoral epiphysis
10. Which of the following is a true statement regarding pes planus in an infant?
A. It should be evaluated by a pediatric orthopedist if spontaneous correction does not occur by
age 12 months.
B. The fat pads on an infant's feet can mimic pes planus.
C. It is always corrected by wearing special orthotic shoes.
D. It is also called talipes equinovarus.
11. Which of the following disorders is usually associated with adduction of the forefoot?
a. internal femoral torsion
b. Idiopathic congenital talipes equinovarus
c. genu valgum
d. internal tibial torsion
12. One of the most commonly suggested reasons for primary enuresis is:
a. Certain medications, such as theophylline
b. Genitourinary abnormalities
c. Family disruptions and stress
d. Delayed maturation of voiding inhibitory
reflex
13. A 10-year-old came to the office due to a raised, red, excoriated rash on his right facial
cheek and nasal area. The rash has a golden yellow, crusty exudates. What would you
anticipate the diagnosis to be?
Impetigo
14. A newborn’s mother is discovered to be HBsAg positive. Which of the following would you
recommend for this infant?
a) Give the infant hepatitis B immunoglobulin
b) Give the infant both hepatitis B vaccine and hepatitis B immunoglobulin
