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NR602 Pediatric Midterm Study Set
Questions and Correct Answers/ Latest
Update / Already Graded
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 (M-CHAT) tool, which indicates
several areas of concern. What will the nurse practitioner do?
Administer a Childhood Autism Rating Scale (CARS) in the clinic.
Consult a specialist to determine appropriate early intervention
strategies.
Refer the child to a behavioral specialist for further evaluation.
Tell the parent that this result indicates that the child has autism.
Ans: ANS: C
The M-CHAT is a screening tool and is useful for detecting behaviors
that may indicate autism. This instrument has been found to have
acceptable sensitivity, specificity, and significant positive predictive
value. If these behaviors are detected, the PNP should refer the child
to a specialist for further assessment, using more diagnostic tools. The
CARS may be used but requires specialty training and proper
credentials. Until the diagnosis is determined, strategies for
intervention are not discussed. The M-CHAT is a screening tool and is
not diagnostic.
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The mother of a newborn tells the primary care pediatric nurse
practitioner that she is worried that her child will develop allergies and
asthma. Which tool will the nurse practitioner use to evaluate this risk?
Three-generation pedigree
Review of systems
Genogram
Ecomap
Ans: ANS: A
The three-generation pedigree is used to map out risks for genetic
diseases in families, as well as conditions with modifiable risk factors.
The review of systems is used to evaluate the history of the child's
body systems. The genogram is an approach to developing a family
database to provide a graphic representation of family structure, roles,
and problems of recurring significance in a family. The ecomap is used
to identify relationships in the family and community that are
supportive or harmful.
The primary care pediatric nurse practitioner is performing a well child
check-up on a 20-month-old child. The child was 4 weeks premature
and, according to a parent-completed developmental questionnaire,
has achieved milestones for a 15-month-old infant. Which action is
correct?
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Perform an in-depth developmental assessment screen at this visit to
evaluate this child.
Reassure the parent that the child will catch up to normal development
by age 2 years.
Re-evaluate this child's development and milestone achievements at
the 2-year visit.
Refer the child to a specialty clinic for evaluation and treatment of
developmental delay.
Ans: ANS: A
This child should be at a 19-month adjusted age for prematurity so,
according to the parent screen, is 4 months behind. The PNP should
perform a more in-depth screen to evaluate this delay. Waiting to see
if the child will "catch up" or assuring the parent that this will happen
will cause the delays to become more severe. A referral to a specialty
clinic should not be made solely on the basis of the parent-completed
questionnaire but only after further evaluation of possible delays.
When formulating developmental diagnoses for pediatric patients, the
primary care pediatric nurse practitioner may use which resource?
DC: 0-3R
ICD-10-CM
ICSD-3
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NANDA International
Ans: ANS: A
The DC: 0-3R refers to the Diagnostic Classification of Mental
Health and Developmental Disorders of Infancy and Early Childhood
and is useful for developmental problem diagnosis.
The ICD-10-CM is the International Classification of DiseasesTenth
Revision, Clinical Modification and is useful for
identifying physiologic diseases. The ICSD-3 is the International
Classification of Sleep Disorders - 3rd edition. NANDA
International is used to label problems in the functional health domain.
The primary care pediatric nurse practitioner is evaluating health
literacy in the mother of a new preschool-age child. How will the nurse
practitioner assess this?
Ask the child how many books he has at home.
Ask the mother about her highest grade in school.
Ask the mother to determine the correct dose of a drug from a label.
Ask the mother to read a health information handout aloud.
Ans: ANS: A
The "newest vital sign," or health literacy, can be determined quickly
by asking the parent how many children's books are in the home.
Greater than 10 books in the home is an independent positive
All rights reserved © 2025/ 2026
|
NR602 Pediatric Midterm Study Set
Questions and Correct Answers/ Latest
Update / Already Graded
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 (M-CHAT) tool, which indicates
several areas of concern. What will the nurse practitioner do?
Administer a Childhood Autism Rating Scale (CARS) in the clinic.
Consult a specialist to determine appropriate early intervention
strategies.
Refer the child to a behavioral specialist for further evaluation.
Tell the parent that this result indicates that the child has autism.
Ans: ANS: C
The M-CHAT is a screening tool and is useful for detecting behaviors
that may indicate autism. This instrument has been found to have
acceptable sensitivity, specificity, and significant positive predictive
value. If these behaviors are detected, the PNP should refer the child
to a specialist for further assessment, using more diagnostic tools. The
CARS may be used but requires specialty training and proper
credentials. Until the diagnosis is determined, strategies for
intervention are not discussed. The M-CHAT is a screening tool and is
not diagnostic.
All rights reserved © 2025/ 2026
|
, Page|2
The mother of a newborn tells the primary care pediatric nurse
practitioner that she is worried that her child will develop allergies and
asthma. Which tool will the nurse practitioner use to evaluate this risk?
Three-generation pedigree
Review of systems
Genogram
Ecomap
Ans: ANS: A
The three-generation pedigree is used to map out risks for genetic
diseases in families, as well as conditions with modifiable risk factors.
The review of systems is used to evaluate the history of the child's
body systems. The genogram is an approach to developing a family
database to provide a graphic representation of family structure, roles,
and problems of recurring significance in a family. The ecomap is used
to identify relationships in the family and community that are
supportive or harmful.
The primary care pediatric nurse practitioner is performing a well child
check-up on a 20-month-old child. The child was 4 weeks premature
and, according to a parent-completed developmental questionnaire,
has achieved milestones for a 15-month-old infant. Which action is
correct?
All rights reserved © 2025/ 2026
|
, Page|3
Perform an in-depth developmental assessment screen at this visit to
evaluate this child.
Reassure the parent that the child will catch up to normal development
by age 2 years.
Re-evaluate this child's development and milestone achievements at
the 2-year visit.
Refer the child to a specialty clinic for evaluation and treatment of
developmental delay.
Ans: ANS: A
This child should be at a 19-month adjusted age for prematurity so,
according to the parent screen, is 4 months behind. The PNP should
perform a more in-depth screen to evaluate this delay. Waiting to see
if the child will "catch up" or assuring the parent that this will happen
will cause the delays to become more severe. A referral to a specialty
clinic should not be made solely on the basis of the parent-completed
questionnaire but only after further evaluation of possible delays.
When formulating developmental diagnoses for pediatric patients, the
primary care pediatric nurse practitioner may use which resource?
DC: 0-3R
ICD-10-CM
ICSD-3
All rights reserved © 2025/ 2026
|
, Page|4
NANDA International
Ans: ANS: A
The DC: 0-3R refers to the Diagnostic Classification of Mental
Health and Developmental Disorders of Infancy and Early Childhood
and is useful for developmental problem diagnosis.
The ICD-10-CM is the International Classification of DiseasesTenth
Revision, Clinical Modification and is useful for
identifying physiologic diseases. The ICSD-3 is the International
Classification of Sleep Disorders - 3rd edition. NANDA
International is used to label problems in the functional health domain.
The primary care pediatric nurse practitioner is evaluating health
literacy in the mother of a new preschool-age child. How will the nurse
practitioner assess this?
Ask the child how many books he has at home.
Ask the mother about her highest grade in school.
Ask the mother to determine the correct dose of a drug from a label.
Ask the mother to read a health information handout aloud.
Ans: ANS: A
The "newest vital sign," or health literacy, can be determined quickly
by asking the parent how many children's books are in the home.
Greater than 10 books in the home is an independent positive
All rights reserved © 2025/ 2026
|
