NSG 5442 EXAM 2 COMPLETE PRACTICE EXAMINATION
CURRENTLY TESTING EXAM 200+ QUESTIONS WITH DETAILED
VERIFIED ANSWERS (100% CORRECT ANSWERS /ALREADY
GRADED A+ LATEST UPDATE
1. 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?
A. Prescribe tetracycline 4.4 mg/kg twice daily for 7 to 10 days.
B. Refer the child to a dentist for reimplantation of the avulsed teeth.
C. Refer the child to a dentist immediately for further examination.
D. Remove the teeth, place them in saline, and refer the child to a dentist.
Correct answer: C – Refer the child to a dentist immediately for further
examination.
Rationale: Avulsed permanent teeth require prompt dental evaluation for
possible reimplantation. The child should see a dentist immediately; primary
teeth are not reimplanted. The nurse practitioner should not handle the teeth
further.
2. A 2-month-old infant will receive initial immunizations, and the parent asks
about giving medications to increase the infant's comfort and minimize fever.
What will the pediatric nurse practitioner recommend?
A. Administering ibuprofen or acetaminophen as needed
B. Avoiding antipyretics if possible, to attain better immunity
C. Giving ibuprofen and acetaminophen only after the vaccines
D. Pretreating the infant with both ibuprofen and acetaminophen
Correct answer: A – Administering ibuprofen or acetaminophen as needed
Rationale: Antipyretics can be given after immunizations to manage fever and
discomfort. Pretreatment is not recommended because it may blunt the immune
response. Ibuprofen is approved for infants ≥6 months; acetaminophen is used
for younger infants.
1|Page
,3. 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: C – to name one or two friends
Rationale: Social relationships are a key aspect of school adjustment for a
6-year-old. Asking about friends is a non-threatening way to assess peer
connections, which are often a source of school refusal.
4. 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: C – this attachment to other same-gender children is how the
child learns to interact with others.
Rationale: In middle childhood, same-gender peer groups are normal and help
children develop social skills. Sexual orientation cannot be determined from these
preferences.
2|Page
,5. 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
Correct answer: D – The pressures from outside influences may supersede
parental teachings and should be confronted
Rationale: During early adolescence, peer influence can become very powerful
and may override previously learned values. Parents should remain engaged and
address outside pressures directly.
6. During a well child exam of a school-age child, the primary care pediatric nurse
practitioner learns that the child has been having angry episodes at school. The
nurse practitioner observes the child to appear withdrawn and sad. Which action
is appropriate?
A. Ask the child and the parent about stressors at home
B. Make a referral to a child behavioral specialist
C. Provide information about anger management
D. Suggest consideration of a different classroom
Correct answer: A – Ask the child and the parent about stressors at home
Rationale: Emotional symptoms often reflect underlying stressors. The first step is
to explore possible causes, especially family or home issues, before referring or
labeling behavior.
3|Page
, 7. 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: A – Ask the child about school, friends, home activities, and
sports
Rationale: Engaging the child directly with open-ended questions about their life
helps build rapport and provides insight into their psychosocial development.
8. 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 (BESS2)
B. Behavioral Assessment for Children - 2nd ed. (BASC2)
C. Conner's 3 Parent and Teacher Rating Scale
D. Pediatric Symptom Checklist (PSC)
Correct answer: C – Conner's 3 Parent and Teacher Rating Scale
Rationale: Conner’s scales are specifically designed for ADHD screening and
include both parent and teacher versions, which are essential for diagnosis.
9. 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?
A. Allowing the child opportunities to discuss feelings about the baby
B. Giving the child specific baby care tasks to promote sibling bonding
C. Having snack time with the child each day to discuss the school day
D. Providing reassurance that the sibling will not replace the child
4|Page
CURRENTLY TESTING EXAM 200+ QUESTIONS WITH DETAILED
VERIFIED ANSWERS (100% CORRECT ANSWERS /ALREADY
GRADED A+ LATEST UPDATE
1. 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?
A. Prescribe tetracycline 4.4 mg/kg twice daily for 7 to 10 days.
B. Refer the child to a dentist for reimplantation of the avulsed teeth.
C. Refer the child to a dentist immediately for further examination.
D. Remove the teeth, place them in saline, and refer the child to a dentist.
Correct answer: C – Refer the child to a dentist immediately for further
examination.
Rationale: Avulsed permanent teeth require prompt dental evaluation for
possible reimplantation. The child should see a dentist immediately; primary
teeth are not reimplanted. The nurse practitioner should not handle the teeth
further.
2. A 2-month-old infant will receive initial immunizations, and the parent asks
about giving medications to increase the infant's comfort and minimize fever.
What will the pediatric nurse practitioner recommend?
A. Administering ibuprofen or acetaminophen as needed
B. Avoiding antipyretics if possible, to attain better immunity
C. Giving ibuprofen and acetaminophen only after the vaccines
D. Pretreating the infant with both ibuprofen and acetaminophen
Correct answer: A – Administering ibuprofen or acetaminophen as needed
Rationale: Antipyretics can be given after immunizations to manage fever and
discomfort. Pretreatment is not recommended because it may blunt the immune
response. Ibuprofen is approved for infants ≥6 months; acetaminophen is used
for younger infants.
1|Page
,3. 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: C – to name one or two friends
Rationale: Social relationships are a key aspect of school adjustment for a
6-year-old. Asking about friends is a non-threatening way to assess peer
connections, which are often a source of school refusal.
4. 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: C – this attachment to other same-gender children is how the
child learns to interact with others.
Rationale: In middle childhood, same-gender peer groups are normal and help
children develop social skills. Sexual orientation cannot be determined from these
preferences.
2|Page
,5. 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
Correct answer: D – The pressures from outside influences may supersede
parental teachings and should be confronted
Rationale: During early adolescence, peer influence can become very powerful
and may override previously learned values. Parents should remain engaged and
address outside pressures directly.
6. During a well child exam of a school-age child, the primary care pediatric nurse
practitioner learns that the child has been having angry episodes at school. The
nurse practitioner observes the child to appear withdrawn and sad. Which action
is appropriate?
A. Ask the child and the parent about stressors at home
B. Make a referral to a child behavioral specialist
C. Provide information about anger management
D. Suggest consideration of a different classroom
Correct answer: A – Ask the child and the parent about stressors at home
Rationale: Emotional symptoms often reflect underlying stressors. The first step is
to explore possible causes, especially family or home issues, before referring or
labeling behavior.
3|Page
, 7. 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: A – Ask the child about school, friends, home activities, and
sports
Rationale: Engaging the child directly with open-ended questions about their life
helps build rapport and provides insight into their psychosocial development.
8. 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 (BESS2)
B. Behavioral Assessment for Children - 2nd ed. (BASC2)
C. Conner's 3 Parent and Teacher Rating Scale
D. Pediatric Symptom Checklist (PSC)
Correct answer: C – Conner's 3 Parent and Teacher Rating Scale
Rationale: Conner’s scales are specifically designed for ADHD screening and
include both parent and teacher versions, which are essential for diagnosis.
9. 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?
A. Allowing the child opportunities to discuss feelings about the baby
B. Giving the child specific baby care tasks to promote sibling bonding
C. Having snack time with the child each day to discuss the school day
D. Providing reassurance that the sibling will not replace the child
4|Page
