NUR 507 COMPREHENSIVE EXAM REVIEW TEST BANK
NUR 507 Exams 1-6 Comprehensive Exam Review Test Bank |
ST. THOMAS UNIVERSITY –ADVANCED FAMILY NURSE PRACTITIONER 1 |
Children and Families Prep
Actual Exam-360 Questions and Correct Answers Graded A+
TABLE OF CONTENTS
EXAM 1: Growth, Development, and Primary Care Foundations
Questions 1 - 30
EXAM 2: Acute Illness Management, Common Infections, and Respiratory Care
Questions 1 - 40
EXAM 3: Chronic Conditions, Pediatric Endocrinology, and Growth Disorders
Questions 1 - 30
EXAM 4: Pediatric Mental Health, Neurodevelopment, and Behavioral/Genetic Disorders
Questions 1 - 110
EXAM 5: Dermatology, Orthopedics, and Common Acute Complaints
Questions 1 - 60
EXAM 6: Adolescent Health, Nutrition, and Complex Chronic Care
Questions 1 - 90
,NUR 507 Exam 1: Growth, Development, and Primary Care Foundations (30
Questions)
1. The primary care pediatric nurse practitioner sees a 3-year-old child who chronically
withholds stools, in spite of the parents' attempts to stop the behavior, requiring frequent
treatments with laxative medications. Which diagnosis will the nurse practitioner use to
facilitate third-party reimbursement?
1. Elimination disorder
2. Altered elimination pattern
3. Encopresis
4. Parenting alteration
Correct Answer: 3
Rationale: Encopresis is the medical diagnosis specifically recognized by ICD-10 criteria for
chronic stool retention. Using specific diagnostic codes ensures third-party payers
recognize this as a medical issue requiring treatment, rather than just a behavioral issue. It
justifies the need for laxative therapy.
2. An 18-month-old toddler is brought to the clinic for a well-child check. The parents
express concern because the child does not say any words yet but makes babbling noises.
The child responds to their name and points to objects. The nurse practitioner's best
response is:
1. "This is a significant developmental delay; we need to do a hearing test immediately."
2. "This is likely a normal variant. We will check again at the 24-month visit."
3. "I am concerned about autism. I will give you a screening form today."
4. "Children at this age should be speaking in 2-to-3-word sentences."
Correct Answer: 1
Rationale: By 18 months of age, AAP guidelines state that a child should have at least 10
words in their expressive vocabulary. While pointing and responding to name are good
signs, the absence of words at 18 months is a red flag. The provider must order a formal
,audiology evaluation to rule out hearing loss as the primary cause of speech delay before
assuming it is developmental.
3. A primary care pediatric nurse practitioner working in a community health center
wishes to develop a program to assist impoverished children and families to have access to
healthy foods. Which strategy will the pediatric nurse practitioner employ to ensure the
success of such a program?
1. Providing evidence-based information about the importance of a healthy diet
2. Gaining support from the corporate community to provide needed resources
3. Asking community members to assist in researching and implementing a program
4. Designing a community garden approach that involves children and their parents
Correct Answer: 3
Rationale: Community-based participatory research (CBPR) emphasizes that programs are
most successful when the community drives the process. Option 3 is the foundational
strategy for sustainability. While community gardens are an excellent intervention, option
3 reflects the empowering leadership philosophy required for success.
4. The parents of a special needs child tell the primary care pediatric nurse practitioner
that they are planning a 3-month visit to their home country in Africa. The pediatric nurse
practitioner assists the family to obtain a sufficient supply of medications and formula and
to make sure that the child's equipment can be transported and used during the trip and at
the destination. This is an example of
1. system awareness.
2. global application.
3. global awareness.
4. system application.
Correct Answer: 2
Rationale: Global application refers to the practical, hands-on actions a provider takes to
ensure a patient can safely navigate healthcare across international borders. This includes
, anticipating logistical barriers such as medication supply, equipment voltage, and formula
availability in a resource-limited foreign country.
5. The primary care pediatric nurse practitioner is performing a well child assessment on
an adolescent and is concerned about possible alcohol and tobacco use. Which assessment
tool will the nurse practitioner use?
1. CRAFT
2. HEEDSSS
3. PHQ-2
4. RAAPS
Correct Answer: 1
Rationale: The CRAFT (Car, Relax, Alone, Friends, Trouble) screening tool is specifically
validated for adolescents to identify alcohol and substance use disorders. The RAAPS is for
adolescents but is more general, while PHQ-2 is for depression, and HEEDSSS is a
psychosocial history tool, not a specific substance-use screener.
6. A 2-month-old infant is brought in for their first well-child visit. The mother is
exclusively breastfeeding and asks when she should introduce solid foods. According to the
AAP, what is the current recommended age for introducing complementary solids?
1. 2 to 3 months
2. 4 to 5 months
3. 6 months
4. 8 to 9 months
Correct Answer: 3
Rationale: The American Academy of Pediatrics (AAP) strongly recommends exclusive
breastfeeding for the first 6 months of life. Solid foods (complementary foods) should be
introduced around 6 months of age when the infant demonstrates developmental readiness
(sitting with support, loss of tongue thrust reflex).
NUR 507 Exams 1-6 Comprehensive Exam Review Test Bank |
ST. THOMAS UNIVERSITY –ADVANCED FAMILY NURSE PRACTITIONER 1 |
Children and Families Prep
Actual Exam-360 Questions and Correct Answers Graded A+
TABLE OF CONTENTS
EXAM 1: Growth, Development, and Primary Care Foundations
Questions 1 - 30
EXAM 2: Acute Illness Management, Common Infections, and Respiratory Care
Questions 1 - 40
EXAM 3: Chronic Conditions, Pediatric Endocrinology, and Growth Disorders
Questions 1 - 30
EXAM 4: Pediatric Mental Health, Neurodevelopment, and Behavioral/Genetic Disorders
Questions 1 - 110
EXAM 5: Dermatology, Orthopedics, and Common Acute Complaints
Questions 1 - 60
EXAM 6: Adolescent Health, Nutrition, and Complex Chronic Care
Questions 1 - 90
,NUR 507 Exam 1: Growth, Development, and Primary Care Foundations (30
Questions)
1. The primary care pediatric nurse practitioner sees a 3-year-old child who chronically
withholds stools, in spite of the parents' attempts to stop the behavior, requiring frequent
treatments with laxative medications. Which diagnosis will the nurse practitioner use to
facilitate third-party reimbursement?
1. Elimination disorder
2. Altered elimination pattern
3. Encopresis
4. Parenting alteration
Correct Answer: 3
Rationale: Encopresis is the medical diagnosis specifically recognized by ICD-10 criteria for
chronic stool retention. Using specific diagnostic codes ensures third-party payers
recognize this as a medical issue requiring treatment, rather than just a behavioral issue. It
justifies the need for laxative therapy.
2. An 18-month-old toddler is brought to the clinic for a well-child check. The parents
express concern because the child does not say any words yet but makes babbling noises.
The child responds to their name and points to objects. The nurse practitioner's best
response is:
1. "This is a significant developmental delay; we need to do a hearing test immediately."
2. "This is likely a normal variant. We will check again at the 24-month visit."
3. "I am concerned about autism. I will give you a screening form today."
4. "Children at this age should be speaking in 2-to-3-word sentences."
Correct Answer: 1
Rationale: By 18 months of age, AAP guidelines state that a child should have at least 10
words in their expressive vocabulary. While pointing and responding to name are good
signs, the absence of words at 18 months is a red flag. The provider must order a formal
,audiology evaluation to rule out hearing loss as the primary cause of speech delay before
assuming it is developmental.
3. A primary care pediatric nurse practitioner working in a community health center
wishes to develop a program to assist impoverished children and families to have access to
healthy foods. Which strategy will the pediatric nurse practitioner employ to ensure the
success of such a program?
1. Providing evidence-based information about the importance of a healthy diet
2. Gaining support from the corporate community to provide needed resources
3. Asking community members to assist in researching and implementing a program
4. Designing a community garden approach that involves children and their parents
Correct Answer: 3
Rationale: Community-based participatory research (CBPR) emphasizes that programs are
most successful when the community drives the process. Option 3 is the foundational
strategy for sustainability. While community gardens are an excellent intervention, option
3 reflects the empowering leadership philosophy required for success.
4. The parents of a special needs child tell the primary care pediatric nurse practitioner
that they are planning a 3-month visit to their home country in Africa. The pediatric nurse
practitioner assists the family to obtain a sufficient supply of medications and formula and
to make sure that the child's equipment can be transported and used during the trip and at
the destination. This is an example of
1. system awareness.
2. global application.
3. global awareness.
4. system application.
Correct Answer: 2
Rationale: Global application refers to the practical, hands-on actions a provider takes to
ensure a patient can safely navigate healthcare across international borders. This includes
, anticipating logistical barriers such as medication supply, equipment voltage, and formula
availability in a resource-limited foreign country.
5. The primary care pediatric nurse practitioner is performing a well child assessment on
an adolescent and is concerned about possible alcohol and tobacco use. Which assessment
tool will the nurse practitioner use?
1. CRAFT
2. HEEDSSS
3. PHQ-2
4. RAAPS
Correct Answer: 1
Rationale: The CRAFT (Car, Relax, Alone, Friends, Trouble) screening tool is specifically
validated for adolescents to identify alcohol and substance use disorders. The RAAPS is for
adolescents but is more general, while PHQ-2 is for depression, and HEEDSSS is a
psychosocial history tool, not a specific substance-use screener.
6. A 2-month-old infant is brought in for their first well-child visit. The mother is
exclusively breastfeeding and asks when she should introduce solid foods. According to the
AAP, what is the current recommended age for introducing complementary solids?
1. 2 to 3 months
2. 4 to 5 months
3. 6 months
4. 8 to 9 months
Correct Answer: 3
Rationale: The American Academy of Pediatrics (AAP) strongly recommends exclusive
breastfeeding for the first 6 months of life. Solid foods (complementary foods) should be
introduced around 6 months of age when the infant demonstrates developmental readiness
(sitting with support, loss of tongue thrust reflex).
