NSG 5442 Exam 2 2026 QUESTIONS WITH
|\ |\ |\ |\ |\ |\
ANSWERS
|\
A 5-year-old child is hit in the face with a baseball
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
bat and is brought to the clinic by a parent. An
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
exam reveals three avulsed front teeth. Radiologic
|\ |\ |\ |\ |\ |\ |\
studies are negative for facial fractures. What is
|\ |\ |\ |\ |\ |\ |\ |\
the recommended treatment?
|\ |\
C. Refer the child to a dentist immediately for further
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
examination
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?
|\ |\ |\ |\
D. The pressures from outside influences may supersede
|\ |\ |\ |\ |\ |\ |\ |\
parental teachings and should be confronted
|\ |\ |\ |\ |\
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 |\
,The parent of a 5-year-old child who has just begun
|\ |\ |\ |\ |\ |\ |\ |\ |\
kindergarten expresses concern that the child will
|\ |\ |\ |\ |\ |\ |\ |\
have difficulty adjusting to the birth of a sibling.
|\ |\ |\ |\ |\ |\ |\ |\ |\
What will the primary care pediatric nurse
|\ |\ |\ |\ |\ |\ |\
practitioner recommend? |\
C. Having snack time with the child each day to discuss
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
the school day |\ |\
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?
C. Parental concerns about bullying in the school
|\ |\ |\ |\ |\ |\ |\
The primary care pediatric nurse practitioner is
|\ |\ |\ |\ |\ |\ |\
examining a school age |\ |\ |\
child who complains of frequent stomach pain and
|\ |\ |\ |\ |\ |\ |\ |\
headaches. The parent reports that the child |\ |\ |\ |\ |\ |\ |\
misses several days of school each month. The|\ |\ |\ |\ |\ |\ |\ |\
child has a normal exam. Before proceeding with
|\ |\ |\ |\ |\ |\ |\ |\
further diagnostic tests, what will the nurse |\ |\ |\ |\ |\ |\ |\
practitioner initially ask the parent? |\ |\ |\ |\
A. About the timing of the symptoms each day and during
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
the week
|\ |\
The primary care pediatric nurse practitioner is
|\ |\ |\ |\ |\ |\ |\
evaluating recurrent |\
stomach pain in a school age child. The child’s |\ |\ |\ |\ |\ |\ |\ |\ |\
exam is normal. The nurse practitioner learns that
|\ |\ |\ |\ |\ |\ |\ |\
,the child reports pain most evenings after school
|\ |\ |\ |\ |\ |\ |\ |\
and refuses to participate in sports but does not
|\ |\ |\ |\ |\ |\ |\ |\ |\
have nausea or vomiting. The child’s grandmother
|\ |\ |\ |\ |\ |\ |\
recently had gallbladder surgery. Which action is
|\ |\ |\ |\ |\ |\ |\
correct?
A. Encourage the child to keep a log of pain, stool
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
patterns, and dietary intake |\ |\ |\
The primary care pediatric nurse practitioner is
|\ |\ |\ |\ |\ |\ |\
performing a well child |\ |\ |\
assessment on a 13-year-old female whose mother |\ |\ |\ |\ |\ |\ |\
asks when her daughter’s periods may start. Which
|\ |\ |\ |\ |\ |\ |\
information will the nurse practitioner use to help
|\ |\ |\ |\ |\ |\ |\ |\ |\
estimate the onset of periods? |\ |\ |\ |\
B. The patient's age at thelarche
|\ |\ |\ |\ |\
The primary care pediatric nurse practitioner is
|\ |\ |\ |\ |\ |\ |\
examining a 15-year-old |\ |\
female who reports having her first period at age
|\ |\ |\ |\ |\ |\ |\ |\ |\
13. She states that she has
|\ |\ |\ |\ |\
had five periods in the last year, with the last one 2
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
months prior. She participates in basketball at
|\ |\ |\ |\ |\ |\ |\ |\
school. Which action is correct?|\ |\ |\ |\
A. Perform biometric screening to determine lean body
|\ |\ |\ |\ |\ |\ |\ |\
mass.
During a well child assessment of a 13-year-old
|\ |\ |\ |\ |\ |\ |\ |\
male, the primary care pediatric nurse practitioner
|\ |\ |\ |\ |\ |\ |\
notes small testicles and pubic and axillary hair.
|\ |\ |\ |\ |\ |\ |\
, To further evaluate these findings, the nurse
|\ |\ |\ |\ |\ |\ |\
practitioner will ask the patient about |\ |\ |\ |\ |\
D. participation in sports.
|\ |\ |\
The mother of a 16-year-old male was recently
|\ |\ |\ |\ |\ |\ |\ |\
divorced after several years |\ |\ |\
of an abusive relationship and tells the primary
|\ |\ |\ |\ |\ |\ |\ |\
care pediatric nurse practitioner that the
|\ |\ |\ |\ |\ |\
adolescent has begun skipping school and hanging |\ |\ |\ |\ |\ |\ |\
out with friends at the local shopping mall. When
|\ |\ |\ |\ |\ |\ |\ |\ |\
she confronts her child, he responds by saying that
|\ |\ |\ |\ |\ |\ |\ |\
he hates her. What will the nurse practitioner tell
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
this mother? |\
D. Adolescents often need counseling to help them cope
|\ |\ |\ |\ |\ |\ |\ |\ |\
with life events. |\ |\
The primary care pediatric nurse practitioner is
|\ |\ |\ |\ |\ |\ |\
performing a well child exam on a 12-year-old |\ |\ |\ |\ |\ |\ |\ |\
female who has achieved early sexual maturation.
|\ |\ |\ |\ |\ |\ |\
The mother reports that she spends more time
|\ |\ |\ |\ |\ |\ |\ |\
with her older sister’s friends instead of her own
|\ |\ |\ |\ |\ |\ |\ |\ |\
classmates. What will the nurse practitioner tell |\ |\ |\ |\ |\ |\ |\
this parent? |\
B. Girls who join an older group of peers may become
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
sexually active at an earlier age. |\ |\ |\ |\ |\
The mother of a 15-year-old adolescent female
|\ |\ |\ |\ |\ |\ |\
tells the primary care |\ |\ |\
pediatric nurse practitioner that her daughter has |\ |\ |\ |\ |\ |\ |\
extreme mood swings |\ |\
|\ |\ |\ |\ |\ |\
ANSWERS
|\
A 5-year-old child is hit in the face with a baseball
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
bat and is brought to the clinic by a parent. An
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
exam reveals three avulsed front teeth. Radiologic
|\ |\ |\ |\ |\ |\ |\
studies are negative for facial fractures. What is
|\ |\ |\ |\ |\ |\ |\ |\
the recommended treatment?
|\ |\
C. Refer the child to a dentist immediately for further
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
examination
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?
|\ |\ |\ |\
D. The pressures from outside influences may supersede
|\ |\ |\ |\ |\ |\ |\ |\
parental teachings and should be confronted
|\ |\ |\ |\ |\
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 |\
,The parent of a 5-year-old child who has just begun
|\ |\ |\ |\ |\ |\ |\ |\ |\
kindergarten expresses concern that the child will
|\ |\ |\ |\ |\ |\ |\ |\
have difficulty adjusting to the birth of a sibling.
|\ |\ |\ |\ |\ |\ |\ |\ |\
What will the primary care pediatric nurse
|\ |\ |\ |\ |\ |\ |\
practitioner recommend? |\
C. Having snack time with the child each day to discuss
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
the school day |\ |\
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?
C. Parental concerns about bullying in the school
|\ |\ |\ |\ |\ |\ |\
The primary care pediatric nurse practitioner is
|\ |\ |\ |\ |\ |\ |\
examining a school age |\ |\ |\
child who complains of frequent stomach pain and
|\ |\ |\ |\ |\ |\ |\ |\
headaches. The parent reports that the child |\ |\ |\ |\ |\ |\ |\
misses several days of school each month. The|\ |\ |\ |\ |\ |\ |\ |\
child has a normal exam. Before proceeding with
|\ |\ |\ |\ |\ |\ |\ |\
further diagnostic tests, what will the nurse |\ |\ |\ |\ |\ |\ |\
practitioner initially ask the parent? |\ |\ |\ |\
A. About the timing of the symptoms each day and during
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
the week
|\ |\
The primary care pediatric nurse practitioner is
|\ |\ |\ |\ |\ |\ |\
evaluating recurrent |\
stomach pain in a school age child. The child’s |\ |\ |\ |\ |\ |\ |\ |\ |\
exam is normal. The nurse practitioner learns that
|\ |\ |\ |\ |\ |\ |\ |\
,the child reports pain most evenings after school
|\ |\ |\ |\ |\ |\ |\ |\
and refuses to participate in sports but does not
|\ |\ |\ |\ |\ |\ |\ |\ |\
have nausea or vomiting. The child’s grandmother
|\ |\ |\ |\ |\ |\ |\
recently had gallbladder surgery. Which action is
|\ |\ |\ |\ |\ |\ |\
correct?
A. Encourage the child to keep a log of pain, stool
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
patterns, and dietary intake |\ |\ |\
The primary care pediatric nurse practitioner is
|\ |\ |\ |\ |\ |\ |\
performing a well child |\ |\ |\
assessment on a 13-year-old female whose mother |\ |\ |\ |\ |\ |\ |\
asks when her daughter’s periods may start. Which
|\ |\ |\ |\ |\ |\ |\
information will the nurse practitioner use to help
|\ |\ |\ |\ |\ |\ |\ |\ |\
estimate the onset of periods? |\ |\ |\ |\
B. The patient's age at thelarche
|\ |\ |\ |\ |\
The primary care pediatric nurse practitioner is
|\ |\ |\ |\ |\ |\ |\
examining a 15-year-old |\ |\
female who reports having her first period at age
|\ |\ |\ |\ |\ |\ |\ |\ |\
13. She states that she has
|\ |\ |\ |\ |\
had five periods in the last year, with the last one 2
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
months prior. She participates in basketball at
|\ |\ |\ |\ |\ |\ |\ |\
school. Which action is correct?|\ |\ |\ |\
A. Perform biometric screening to determine lean body
|\ |\ |\ |\ |\ |\ |\ |\
mass.
During a well child assessment of a 13-year-old
|\ |\ |\ |\ |\ |\ |\ |\
male, the primary care pediatric nurse practitioner
|\ |\ |\ |\ |\ |\ |\
notes small testicles and pubic and axillary hair.
|\ |\ |\ |\ |\ |\ |\
, To further evaluate these findings, the nurse
|\ |\ |\ |\ |\ |\ |\
practitioner will ask the patient about |\ |\ |\ |\ |\
D. participation in sports.
|\ |\ |\
The mother of a 16-year-old male was recently
|\ |\ |\ |\ |\ |\ |\ |\
divorced after several years |\ |\ |\
of an abusive relationship and tells the primary
|\ |\ |\ |\ |\ |\ |\ |\
care pediatric nurse practitioner that the
|\ |\ |\ |\ |\ |\
adolescent has begun skipping school and hanging |\ |\ |\ |\ |\ |\ |\
out with friends at the local shopping mall. When
|\ |\ |\ |\ |\ |\ |\ |\ |\
she confronts her child, he responds by saying that
|\ |\ |\ |\ |\ |\ |\ |\
he hates her. What will the nurse practitioner tell
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
this mother? |\
D. Adolescents often need counseling to help them cope
|\ |\ |\ |\ |\ |\ |\ |\ |\
with life events. |\ |\
The primary care pediatric nurse practitioner is
|\ |\ |\ |\ |\ |\ |\
performing a well child exam on a 12-year-old |\ |\ |\ |\ |\ |\ |\ |\
female who has achieved early sexual maturation.
|\ |\ |\ |\ |\ |\ |\
The mother reports that she spends more time
|\ |\ |\ |\ |\ |\ |\ |\
with her older sister’s friends instead of her own
|\ |\ |\ |\ |\ |\ |\ |\ |\
classmates. What will the nurse practitioner tell |\ |\ |\ |\ |\ |\ |\
this parent? |\
B. Girls who join an older group of peers may become
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
sexually active at an earlier age. |\ |\ |\ |\ |\
The mother of a 15-year-old adolescent female
|\ |\ |\ |\ |\ |\ |\
tells the primary care |\ |\ |\
pediatric nurse practitioner that her daughter has |\ |\ |\ |\ |\ |\ |\
extreme mood swings |\ |\
