NR602 PEDIATRIC MIDTERM EXAM
(CHAMBERLAIN) NEWEST 2026/2027
TEST BANK COMPLETE 200
QUESTIONS WITH VERIFIED
ANSWERS GARANTEED PASS
GRADED A+
SECTION 1: GROWTH AND DEVELOPMENT
Q1: The primary care pediatric nurse practitioner performs a
developmental assessment on a 3-year-old child and notes
normal cognitive, fine-motor, and gross-motor abilities. The
child responds appropriately to verbal commands during the
assessment but refuses to speak when asked questions. The
parent tells the nurse practitioner that the child talks at home
and that most other adults can understand what the child
says. What should the nurse practitioner do?
Answer: Continue to evaluate the child's speech at subsequent
visits.
Rationale: Development should be monitored over time and
within the context of the child's overall well-being, rather than at
an isolated testing session. The child has normal development in
observed measures and appears to hear and understand well. By
, parental report, the child is able to speak. The refusal to speak
may be associated with shyness or intimidation in the clinic
setting. Unless an actual speech delay is observed, a referral is not
indicated, nor is it necessary to implement a home therapy
program .
Q2: 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?
A) Administer a Childhood Autism Rating Scale (CARS) in the clinic
B) Consult a specialist to determine appropriate early intervention
strategies
C) Refer the child to a behavioral specialist for further evaluation
D) Tell the parent that this result indicates that the child has
autism
Answer: C) Refer the child to a behavioral specialist for further
evaluation
Rationale: The M-CHAT is a screening tool useful for detecting
behaviors that may indicate autism. It has acceptable sensitivity,
specificity, and significant positive predictive value. When
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 .
Q3: When formulating developmental diagnoses for pediatric
patients, which resource may the primary care pediatric nurse
practitioner use?
Answer: DC: 0-3R (Diagnostic Classification of Mental Health and
Developmental Disorders of Infancy and Early Childhood)
Rationale: The DC: 0-3R is useful for developmental problem
diagnosis. ICD-10-CM is used for identifying physiologic diseases.
ICSD-3 is the International Classification of Sleep Disorders.
NANDA International is used to label problems in the functional
health domain .
Q4: 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?
Answer: Three-generation pedigree
Rationale: The three-generation pedigree is used to map out
risks for genetic diseases in families, as well as conditions with
familial patterns such as allergies and asthma .
, Q5: The primary care pediatric nurse practitioner learns that
the mother of a 3-year-old child has been treated for
depression for over 5 years. Which aspect of this child's
development will be of the most concern?
Answer: Speech and language
Rationale: Maternal depression in the first year of life has been
associated with poorer language development at 3 years of age .
SECTION 2: SCREENING AND PREVENTION
Q6: What are the major risk factors for Lead Poisoning?
Answer:
PICA
Living near industrial plants that release lead
Caregiver working with lead-based material
Hobbies including ceramics, stained glass, fishing tackle
Lead-based paint in older homes
Herbal/folk remedies
Food stored in pottery or metal containers
Household members with hobbies involving lead-based materials
Painted or unusual materials burned in wood or fireplaces
(CHAMBERLAIN) NEWEST 2026/2027
TEST BANK COMPLETE 200
QUESTIONS WITH VERIFIED
ANSWERS GARANTEED PASS
GRADED A+
SECTION 1: GROWTH AND DEVELOPMENT
Q1: The primary care pediatric nurse practitioner performs a
developmental assessment on a 3-year-old child and notes
normal cognitive, fine-motor, and gross-motor abilities. The
child responds appropriately to verbal commands during the
assessment but refuses to speak when asked questions. The
parent tells the nurse practitioner that the child talks at home
and that most other adults can understand what the child
says. What should the nurse practitioner do?
Answer: Continue to evaluate the child's speech at subsequent
visits.
Rationale: Development should be monitored over time and
within the context of the child's overall well-being, rather than at
an isolated testing session. The child has normal development in
observed measures and appears to hear and understand well. By
, parental report, the child is able to speak. The refusal to speak
may be associated with shyness or intimidation in the clinic
setting. Unless an actual speech delay is observed, a referral is not
indicated, nor is it necessary to implement a home therapy
program .
Q2: 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?
A) Administer a Childhood Autism Rating Scale (CARS) in the clinic
B) Consult a specialist to determine appropriate early intervention
strategies
C) Refer the child to a behavioral specialist for further evaluation
D) Tell the parent that this result indicates that the child has
autism
Answer: C) Refer the child to a behavioral specialist for further
evaluation
Rationale: The M-CHAT is a screening tool useful for detecting
behaviors that may indicate autism. It has acceptable sensitivity,
specificity, and significant positive predictive value. When
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 .
Q3: When formulating developmental diagnoses for pediatric
patients, which resource may the primary care pediatric nurse
practitioner use?
Answer: DC: 0-3R (Diagnostic Classification of Mental Health and
Developmental Disorders of Infancy and Early Childhood)
Rationale: The DC: 0-3R is useful for developmental problem
diagnosis. ICD-10-CM is used for identifying physiologic diseases.
ICSD-3 is the International Classification of Sleep Disorders.
NANDA International is used to label problems in the functional
health domain .
Q4: 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?
Answer: Three-generation pedigree
Rationale: The three-generation pedigree is used to map out
risks for genetic diseases in families, as well as conditions with
familial patterns such as allergies and asthma .
, Q5: The primary care pediatric nurse practitioner learns that
the mother of a 3-year-old child has been treated for
depression for over 5 years. Which aspect of this child's
development will be of the most concern?
Answer: Speech and language
Rationale: Maternal depression in the first year of life has been
associated with poorer language development at 3 years of age .
SECTION 2: SCREENING AND PREVENTION
Q6: What are the major risk factors for Lead Poisoning?
Answer:
PICA
Living near industrial plants that release lead
Caregiver working with lead-based material
Hobbies including ceramics, stained glass, fishing tackle
Lead-based paint in older homes
Herbal/folk remedies
Food stored in pottery or metal containers
Household members with hobbies involving lead-based materials
Painted or unusual materials burned in wood or fireplaces
