NSG 5442 Pediatric Primary Care Exam 3 – Comprehensive Practice
Examination
250 Verified Questions & Answers with Detailed Rationales | South College |
2026 Edition
Questions 1–250
1. During a well-child visit, the parent of a 2-year-old child expresses concern
about the child's picky eating habits. Which response by the primary care
pediatric nurse practitioner best demonstrates family-centered care?
A) "You should offer only nutritious foods and not give in to your child's
demands for less healthy options."
B) "Picky eating is a common and normal phase at this age; let's discuss
strategies to make mealtimes less stressful."
C) "Your child needs to eat a variety of foods or they will develop nutritional
deficiencies."
D) "I can refer you to a pediatric nutritionist who can help with this problem."
,Answer B: "Picky eating is a common and normal phase at this age; let's
discuss strategies to make mealtimes less stressful."
Rationale: Family-centered care involves validating parental concerns,
normalizing developmental phases, and collaborating on practical strategies.
2. A 4-year-old child presents for a well-child visit. The parent reports that
the child has frequent temper tantrums, especially when transitioning
between activities. What is the most appropriate anticipatory guidance for
this developmental stage?
A) "Temper tantrums at age 4 are abnormal and warrant a behavioral
evaluation."
B) "Provide warnings before transitions, offer choices when possible, and use
consistent consequences."
C) "The best approach is to ignore the tantrums completely until they stop."
D) "You should punish the tantrums by taking away favorite toys to discourage
the behavior."
Answer B: "Provide warnings before transitions, offer choices when possible,
and use consistent consequences."
Rationale: At age 4, children are developing autonomy and self-regulation.
Providing transition warnings and offering choices supports this development
while minimizing power struggles.
,3. The primary care pediatric nurse practitioner understands that which
intervention is most effective in achieving the greatest worldwide reduction
in child mortality from pneumonia and diarrhea?
A) Antibiotics
B) Optimal nutrition
C) Vaccinations
D) Water purification
Answer C: Vaccinations
Rationale: Vaccinations provide the most significant reduction in child
mortality from preventable infectious diseases like pneumonia and diarrhea.
4. A 2-month-old infant received his immunizations and 12 hours later the
mother calls and says the infant has a fever of 101°F. What is the most likely
cause of the fever?
A) Acetaminophen reaction
B) Pertussis immunization
C) Tylenol overdose
D) Viral infection
Answer B: Pertussis immunization
Rationale: Fever after immunizations is a common adverse effect, particularly
after the DTaP (pertussis) vaccine.
, 5. The primary care pediatric nurse practitioner is examining a school-age
child who reports 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
NP initially ask the parent?
A) "Does the child have a family history of migraines?"
B) "About the timing of the symptoms each day during the week."
C) "Has the child had any recent infections?"
D) "What does the child eat for breakfast?"
Answer B: "About the timing of the symptoms each day during the week."
Rationale: School avoidance and somatic complaints often have a pattern
related to school attendance; assessing timing of symptoms is key.
6. The parent of a child who has asthma asks the primary care pediatric NP
whether the child may engage in strenuous exercise. What will the NP tell
the parent?
A) "Children with asthma should avoid all strenuous exercise."
B) "Children with asthma show improved aerobic and anaerobic fitness with
moderate activity."
C) "Exercise is contraindicated in children with asthma."
Examination
250 Verified Questions & Answers with Detailed Rationales | South College |
2026 Edition
Questions 1–250
1. During a well-child visit, the parent of a 2-year-old child expresses concern
about the child's picky eating habits. Which response by the primary care
pediatric nurse practitioner best demonstrates family-centered care?
A) "You should offer only nutritious foods and not give in to your child's
demands for less healthy options."
B) "Picky eating is a common and normal phase at this age; let's discuss
strategies to make mealtimes less stressful."
C) "Your child needs to eat a variety of foods or they will develop nutritional
deficiencies."
D) "I can refer you to a pediatric nutritionist who can help with this problem."
,Answer B: "Picky eating is a common and normal phase at this age; let's
discuss strategies to make mealtimes less stressful."
Rationale: Family-centered care involves validating parental concerns,
normalizing developmental phases, and collaborating on practical strategies.
2. A 4-year-old child presents for a well-child visit. The parent reports that
the child has frequent temper tantrums, especially when transitioning
between activities. What is the most appropriate anticipatory guidance for
this developmental stage?
A) "Temper tantrums at age 4 are abnormal and warrant a behavioral
evaluation."
B) "Provide warnings before transitions, offer choices when possible, and use
consistent consequences."
C) "The best approach is to ignore the tantrums completely until they stop."
D) "You should punish the tantrums by taking away favorite toys to discourage
the behavior."
Answer B: "Provide warnings before transitions, offer choices when possible,
and use consistent consequences."
Rationale: At age 4, children are developing autonomy and self-regulation.
Providing transition warnings and offering choices supports this development
while minimizing power struggles.
,3. The primary care pediatric nurse practitioner understands that which
intervention is most effective in achieving the greatest worldwide reduction
in child mortality from pneumonia and diarrhea?
A) Antibiotics
B) Optimal nutrition
C) Vaccinations
D) Water purification
Answer C: Vaccinations
Rationale: Vaccinations provide the most significant reduction in child
mortality from preventable infectious diseases like pneumonia and diarrhea.
4. A 2-month-old infant received his immunizations and 12 hours later the
mother calls and says the infant has a fever of 101°F. What is the most likely
cause of the fever?
A) Acetaminophen reaction
B) Pertussis immunization
C) Tylenol overdose
D) Viral infection
Answer B: Pertussis immunization
Rationale: Fever after immunizations is a common adverse effect, particularly
after the DTaP (pertussis) vaccine.
, 5. The primary care pediatric nurse practitioner is examining a school-age
child who reports 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
NP initially ask the parent?
A) "Does the child have a family history of migraines?"
B) "About the timing of the symptoms each day during the week."
C) "Has the child had any recent infections?"
D) "What does the child eat for breakfast?"
Answer B: "About the timing of the symptoms each day during the week."
Rationale: School avoidance and somatic complaints often have a pattern
related to school attendance; assessing timing of symptoms is key.
6. The parent of a child who has asthma asks the primary care pediatric NP
whether the child may engage in strenuous exercise. What will the NP tell
the parent?
A) "Children with asthma should avoid all strenuous exercise."
B) "Children with asthma show improved aerobic and anaerobic fitness with
moderate activity."
C) "Exercise is contraindicated in children with asthma."
