NURS 5432 Final Review Exam Actual
2026/2027 – Complete Exam-Style
Questions | 100% Verified – Pass
Guaranteed – A+ Graded
Content Area Overview
This actual examination reflects the comprehensive primary care knowledge required for success on the
NURS 5432 Final Review Exam. It is designed to evaluate the student's understanding of advanced
concepts for nurse practitioner primary care management of acute, chronic, and complex health
problems across the lifespan. Particular emphasis is placed on pediatric wellness, women's health, men's
health, geriatrics, pharmacology, and clinical management. Questions are structured to assess recall of
key concepts, application of clinical management principles to patient scenarios, and analysis of complex
presentations across multiple organ systems. This authentic question bank represents the real exams
used in the course and serves as a comprehensive resource for graduate nursing students
demonstrating mastery of Family Nurse Practitioner content.
Section 1: Growth and Development (17 Questions)
Q1. A 6-month-old infant is seen for a well-child visit. The mother reports the baby can sit with
support, reaches for toys, and transfers objects from hand to hand. Which developmental milestone is
most consistent with this infant's age?
A. Pincer grasp
B. Hand-to-hand transfer
C. Walking with support
D. Two-word phrases
B. Hand-to-hand transfer [CORRECT]
,The best answer is B. This choice is correct because hand-to-hand transfer typically emerges around 6
months of age, along with sitting with support and reaching for objects—this is right on track for normal
development. The pincer grasp comes later, around 9-10 months.
Correct Answer: B
Q2. A nurse practitioner is performing a newborn examination on a 2-day-old infant. The infant's
hands and feet appear blue while the trunk and face are pink. What is the most appropriate
interpretation of this finding?
A. The infant has cyanotic congenital heart disease and needs immediate cardiology referral
B. This is acrocyanosis, a normal finding in newborns due to immature peripheral circulation
C. The infant is hypothermic and needs warming
D. This indicates respiratory distress requiring oxygen supplementation
B. This is acrocyanosis, a normal finding in newborns due to immature peripheral circulation
[CORRECT]
The best answer is B. This choice is correct because acrocyanosis—blue hands and feet with a pink
trunk—is completely normal in newborns for the first few days of life due to their immature peripheral
vasculature and is not a sign of heart or lung disease.
Correct Answer: B
Q3. During a newborn hip examination, the nurse practitioner flexes the infant's hips and knees to 90
degrees and gently adducts the thighs while pushing posteriorly. A "clunk" is felt as the femoral head
dislocates posteriorly. This maneuver is known as:
A. Ortolani maneuver
B. Barlow maneuver
C. Trendelenburg test
D. Galeazzi sign
B. Barlow maneuver [CORRECT]
The best answer is B. This choice is correct because the Barlow maneuver tests for hip instability by
applying posterior pressure to see if the femoral head dislocates out of the acetabulum—the "clunk"
you feel is the dislocation. The Ortolani maneuver is the opposite, reducing a dislocated hip back into
place.
Correct Answer: B
,Q4. A 2-week-old infant is brought to the clinic. The parents are concerned because the baby has not
regained birth weight. The infant was born at term and is breastfeeding every 2-3 hours. What is the
expected weight gain for a healthy newborn after the initial post-birth weight loss?
A. 0.25-0.5 oz per day
B. 0.5-1 oz per day
C. 1-2 oz per day
D. 2-3 oz per day
B. 0.5-1 oz per day [CORRECT]
The best answer is B. This choice is correct because after the initial 5-10% weight loss in the first week,
newborns should gain about half an ounce to one ounce per day, which means they typically regain birth
weight by 10-14 days of age.
Correct Answer: B
Q5. A nurse practitioner is counseling parents of a 4-month-old infant about appropriate toys. Which
toy is most developmentally appropriate for this age?
A. A shape sorter with multiple pieces
B. A rattle or soft ball that can be grasped
C. A tricycle
D. A jigsaw puzzle with large pieces
B. A rattle or soft ball that can be grasped [CORRECT]
The best answer is B. This choice is correct because at 4 months, infants are developing their grasp
reflex and beginning to reach for and hold objects—a rattle or soft ball is perfect for this stage, while
shape sorters and puzzles are way too advanced.
Correct Answer: B
Q6. A 9-month-old infant is seen for a well-child visit. The nurse practitioner notes the infant can sit
without support, crawl, and use a pincer grasp to pick up small objects. Which milestone should the
NP expect to assess next at the 12-month visit?
A. Walking independently
B. Using a pincer grasp
C. Sitting without support
D. Smiling socially
A. Walking independently [CORRECT]
, The best answer is A. This choice is correct because by 12 months, most infants are pulling to stand,
cruising along furniture, and some are taking their first independent steps—walking independently is the
next big gross motor milestone after crawling and sitting.
Correct Answer: A
Q7. A 2-year-old child is brought to the clinic for a routine visit. According to car seat safety guidelines,
which recommendation is most appropriate?
A. The child should remain in a rear-facing car seat until at least age 2 or until they reach the maximum
height and weight limit for the seat
B. The child may be placed in a front-facing booster seat
C. The child may ride in the front passenger seat with an adult seatbelt
D. A rear-facing infant carrier is no longer necessary
A. The child should remain in a rear-facing car seat until at least age 2 or until they reach the
maximum height and weight limit for the seat [CORRECT]
The best answer is A. This choice is correct because current AAP guidelines recommend keeping children
rear-facing as long as possible, until at least age 2 or until they outgrow the seat's height and weight
limits—rear-facing provides the best protection for the head, neck, and spine.
Correct Answer: A
Q8. A nurse practitioner is examining a 12-year-old female patient. The NP notes breast budding and
sparse pubic hair. According to Tanner staging, this patient is at which stage of sexual development?
A. Tanner Stage 1
B. Tanner Stage 2
C. Tanner Stage 3
D. Tanner Stage 4
B. Tanner Stage 2 [CORRECT]
The best answer is B. This choice is correct because Tanner Stage 2 is characterized by breast budding
(thelarche) and sparse, lightly pigmented pubic hair—these are the first visible signs of puberty and
typically occur around age 10-11 in girls.
Correct Answer: B
2026/2027 – Complete Exam-Style
Questions | 100% Verified – Pass
Guaranteed – A+ Graded
Content Area Overview
This actual examination reflects the comprehensive primary care knowledge required for success on the
NURS 5432 Final Review Exam. It is designed to evaluate the student's understanding of advanced
concepts for nurse practitioner primary care management of acute, chronic, and complex health
problems across the lifespan. Particular emphasis is placed on pediatric wellness, women's health, men's
health, geriatrics, pharmacology, and clinical management. Questions are structured to assess recall of
key concepts, application of clinical management principles to patient scenarios, and analysis of complex
presentations across multiple organ systems. This authentic question bank represents the real exams
used in the course and serves as a comprehensive resource for graduate nursing students
demonstrating mastery of Family Nurse Practitioner content.
Section 1: Growth and Development (17 Questions)
Q1. A 6-month-old infant is seen for a well-child visit. The mother reports the baby can sit with
support, reaches for toys, and transfers objects from hand to hand. Which developmental milestone is
most consistent with this infant's age?
A. Pincer grasp
B. Hand-to-hand transfer
C. Walking with support
D. Two-word phrases
B. Hand-to-hand transfer [CORRECT]
,The best answer is B. This choice is correct because hand-to-hand transfer typically emerges around 6
months of age, along with sitting with support and reaching for objects—this is right on track for normal
development. The pincer grasp comes later, around 9-10 months.
Correct Answer: B
Q2. A nurse practitioner is performing a newborn examination on a 2-day-old infant. The infant's
hands and feet appear blue while the trunk and face are pink. What is the most appropriate
interpretation of this finding?
A. The infant has cyanotic congenital heart disease and needs immediate cardiology referral
B. This is acrocyanosis, a normal finding in newborns due to immature peripheral circulation
C. The infant is hypothermic and needs warming
D. This indicates respiratory distress requiring oxygen supplementation
B. This is acrocyanosis, a normal finding in newborns due to immature peripheral circulation
[CORRECT]
The best answer is B. This choice is correct because acrocyanosis—blue hands and feet with a pink
trunk—is completely normal in newborns for the first few days of life due to their immature peripheral
vasculature and is not a sign of heart or lung disease.
Correct Answer: B
Q3. During a newborn hip examination, the nurse practitioner flexes the infant's hips and knees to 90
degrees and gently adducts the thighs while pushing posteriorly. A "clunk" is felt as the femoral head
dislocates posteriorly. This maneuver is known as:
A. Ortolani maneuver
B. Barlow maneuver
C. Trendelenburg test
D. Galeazzi sign
B. Barlow maneuver [CORRECT]
The best answer is B. This choice is correct because the Barlow maneuver tests for hip instability by
applying posterior pressure to see if the femoral head dislocates out of the acetabulum—the "clunk"
you feel is the dislocation. The Ortolani maneuver is the opposite, reducing a dislocated hip back into
place.
Correct Answer: B
,Q4. A 2-week-old infant is brought to the clinic. The parents are concerned because the baby has not
regained birth weight. The infant was born at term and is breastfeeding every 2-3 hours. What is the
expected weight gain for a healthy newborn after the initial post-birth weight loss?
A. 0.25-0.5 oz per day
B. 0.5-1 oz per day
C. 1-2 oz per day
D. 2-3 oz per day
B. 0.5-1 oz per day [CORRECT]
The best answer is B. This choice is correct because after the initial 5-10% weight loss in the first week,
newborns should gain about half an ounce to one ounce per day, which means they typically regain birth
weight by 10-14 days of age.
Correct Answer: B
Q5. A nurse practitioner is counseling parents of a 4-month-old infant about appropriate toys. Which
toy is most developmentally appropriate for this age?
A. A shape sorter with multiple pieces
B. A rattle or soft ball that can be grasped
C. A tricycle
D. A jigsaw puzzle with large pieces
B. A rattle or soft ball that can be grasped [CORRECT]
The best answer is B. This choice is correct because at 4 months, infants are developing their grasp
reflex and beginning to reach for and hold objects—a rattle or soft ball is perfect for this stage, while
shape sorters and puzzles are way too advanced.
Correct Answer: B
Q6. A 9-month-old infant is seen for a well-child visit. The nurse practitioner notes the infant can sit
without support, crawl, and use a pincer grasp to pick up small objects. Which milestone should the
NP expect to assess next at the 12-month visit?
A. Walking independently
B. Using a pincer grasp
C. Sitting without support
D. Smiling socially
A. Walking independently [CORRECT]
, The best answer is A. This choice is correct because by 12 months, most infants are pulling to stand,
cruising along furniture, and some are taking their first independent steps—walking independently is the
next big gross motor milestone after crawling and sitting.
Correct Answer: A
Q7. A 2-year-old child is brought to the clinic for a routine visit. According to car seat safety guidelines,
which recommendation is most appropriate?
A. The child should remain in a rear-facing car seat until at least age 2 or until they reach the maximum
height and weight limit for the seat
B. The child may be placed in a front-facing booster seat
C. The child may ride in the front passenger seat with an adult seatbelt
D. A rear-facing infant carrier is no longer necessary
A. The child should remain in a rear-facing car seat until at least age 2 or until they reach the
maximum height and weight limit for the seat [CORRECT]
The best answer is A. This choice is correct because current AAP guidelines recommend keeping children
rear-facing as long as possible, until at least age 2 or until they outgrow the seat's height and weight
limits—rear-facing provides the best protection for the head, neck, and spine.
Correct Answer: A
Q8. A nurse practitioner is examining a 12-year-old female patient. The NP notes breast budding and
sparse pubic hair. According to Tanner staging, this patient is at which stage of sexual development?
A. Tanner Stage 1
B. Tanner Stage 2
C. Tanner Stage 3
D. Tanner Stage 4
B. Tanner Stage 2 [CORRECT]
The best answer is B. This choice is correct because Tanner Stage 2 is characterized by breast budding
(thelarche) and sparse, lightly pigmented pubic hair—these are the first visible signs of puberty and
typically occur around age 10-11 in girls.
Correct Answer: B
