NURS 6541: PRIMARY CARE OF CHILDREN &
ADOLESCENTS
Midterm Practice Assessment
2025 Practice Edition
Version A & Version B | 150 Multiple-Choice Questions
Answers and Rationales Included
Original pediatric primary-care practice assessment aligned to the published course
scope; not actual or official Walden University exam questions.
Guideline-based study resource. Verify current recommendations, local protocols, and
patient-specific factors in clinical practice.
Page 1 of 58
,Table of Contents
Version A ........................................ 3
Section 1: Pediatric Health Assessment & Developmental Surveillance (Version A: Questions 1–11)
........................................ 4
Section 2: Growth, Nutrition & Immunizations (Version A: Questions 12–22) ........................................ 8
Section 3: Respiratory & ENT Disorders in Children (Version A: Questions 23–33)
........................................ 12
Section 4: Cardiovascular, Hematologic & Infectious Conditions (Version A: Questions 34–44)
........................................ 16
Section 5: Gastrointestinal, Genitourinary & Renal Conditions (Version A: Questions 45–55)
........................................ 20
Section 6: Dermatologic, Musculoskeletal & Neurologic Conditions (Version A: Questions 56–66)
........................................ 24
Section 7: Behavioral Health, Adolescent Care & Family-Centered Practice (Version A: Questions
67–75) ........................................ 28
Version B ........................................ 31
Section 1: Pediatric Health Assessment & Developmental Surveillance (Version B: Questions 76–86)
........................................ 32
Section 2: Growth, Nutrition & Immunizations (Version B: Questions 87–97) ........................................ 36
Section 3: Respiratory & ENT Disorders in Children (Version B: Questions 98–108)
........................................ 40
Section 4: Cardiovascular, Hematologic & Infectious Conditions (Version B: Questions 109–119)
........................................ 44
Section 5: Gastrointestinal, Genitourinary & Renal Conditions (Version B: Questions 120–130)
........................................ 48
Section 6: Dermatologic, Musculoskeletal & Neurologic Conditions (Version B: Questions 131–141)
........................................ 52
Section 7: Behavioral Health, Adolescent Care & Family-Centered Practice (Version B: Questions
142–150) ........................................ 56
Page 2 of 58
,Version A
Questions 1–75
Page 3 of 58
, Section 1: Pediatric Health Assessment & Developmental Surveillance
(Version A: Questions 1–11)
Q1: A 6-year-old is reluctant to speak during a visit. Which approach is most likely to
support a useful history?
A. Begin with the caregiver and child together, use age-appropriate open questions, and allow
time to build rapport [CORRECT]
B. Question the child rapidly while the caregiver is excluded
C. Assume silence indicates oppositional behavior
D. Skip the history and order tests
Correct Answer: A
Rationale: A developmentally appropriate, welcoming approach supports rapport and gathers
information from both child and caregiver.
Q2: During a well-child visit, which measurement set is most appropriate for an infant?
A. Weight, recumbent length, and head circumference [CORRECT]
B. Standing height and waist circumference only
C. BMI only
D. Chest circumference and arm span only
Correct Answer: A
Rationale: Infant growth assessment commonly includes weight, recumbent length, and head
circumference plotted over time.
Q3: Which growth chart is generally used in the United States for children from birth
through 2 years?
A. WHO growth standards [CORRECT]
B. Adult BMI chart
C. CDC BMI chart only
D. A single height-for-age table without weight
Correct Answer: A
Rationale: WHO growth standards are generally used for children younger than 2 years; CDC
charts are commonly used from age 2 onward.
Page 4 of 58
ADOLESCENTS
Midterm Practice Assessment
2025 Practice Edition
Version A & Version B | 150 Multiple-Choice Questions
Answers and Rationales Included
Original pediatric primary-care practice assessment aligned to the published course
scope; not actual or official Walden University exam questions.
Guideline-based study resource. Verify current recommendations, local protocols, and
patient-specific factors in clinical practice.
Page 1 of 58
,Table of Contents
Version A ........................................ 3
Section 1: Pediatric Health Assessment & Developmental Surveillance (Version A: Questions 1–11)
........................................ 4
Section 2: Growth, Nutrition & Immunizations (Version A: Questions 12–22) ........................................ 8
Section 3: Respiratory & ENT Disorders in Children (Version A: Questions 23–33)
........................................ 12
Section 4: Cardiovascular, Hematologic & Infectious Conditions (Version A: Questions 34–44)
........................................ 16
Section 5: Gastrointestinal, Genitourinary & Renal Conditions (Version A: Questions 45–55)
........................................ 20
Section 6: Dermatologic, Musculoskeletal & Neurologic Conditions (Version A: Questions 56–66)
........................................ 24
Section 7: Behavioral Health, Adolescent Care & Family-Centered Practice (Version A: Questions
67–75) ........................................ 28
Version B ........................................ 31
Section 1: Pediatric Health Assessment & Developmental Surveillance (Version B: Questions 76–86)
........................................ 32
Section 2: Growth, Nutrition & Immunizations (Version B: Questions 87–97) ........................................ 36
Section 3: Respiratory & ENT Disorders in Children (Version B: Questions 98–108)
........................................ 40
Section 4: Cardiovascular, Hematologic & Infectious Conditions (Version B: Questions 109–119)
........................................ 44
Section 5: Gastrointestinal, Genitourinary & Renal Conditions (Version B: Questions 120–130)
........................................ 48
Section 6: Dermatologic, Musculoskeletal & Neurologic Conditions (Version B: Questions 131–141)
........................................ 52
Section 7: Behavioral Health, Adolescent Care & Family-Centered Practice (Version B: Questions
142–150) ........................................ 56
Page 2 of 58
,Version A
Questions 1–75
Page 3 of 58
, Section 1: Pediatric Health Assessment & Developmental Surveillance
(Version A: Questions 1–11)
Q1: A 6-year-old is reluctant to speak during a visit. Which approach is most likely to
support a useful history?
A. Begin with the caregiver and child together, use age-appropriate open questions, and allow
time to build rapport [CORRECT]
B. Question the child rapidly while the caregiver is excluded
C. Assume silence indicates oppositional behavior
D. Skip the history and order tests
Correct Answer: A
Rationale: A developmentally appropriate, welcoming approach supports rapport and gathers
information from both child and caregiver.
Q2: During a well-child visit, which measurement set is most appropriate for an infant?
A. Weight, recumbent length, and head circumference [CORRECT]
B. Standing height and waist circumference only
C. BMI only
D. Chest circumference and arm span only
Correct Answer: A
Rationale: Infant growth assessment commonly includes weight, recumbent length, and head
circumference plotted over time.
Q3: Which growth chart is generally used in the United States for children from birth
through 2 years?
A. WHO growth standards [CORRECT]
B. Adult BMI chart
C. CDC BMI chart only
D. A single height-for-age table without weight
Correct Answer: A
Rationale: WHO growth standards are generally used for children younger than 2 years; CDC
charts are commonly used from age 2 onward.
Page 4 of 58
