NSG 5442 Pediatric Primary Care Final Exam (PDF) | 2026 | South College
Pediatrics
SECTION 1: GROWTH, DEVELOPMENT & WELL-CHILD CARE (Questions 1–40)
1. What are the main focuses of pediatric primary care by an FNP? - A) Acute
illness management only - B) Hospital-based care for children - C) Health
promotion and illness prevention - D) Surgical interventions
Answer C: ) Health promotion and illness prevention
Rationale: The main focuses of pediatric primary care are health promotion
and illness prevention.
2. What are the growth expectations for infants regarding breastfeeding? -
A) Breastfeeding for 3 months - B) Exclusive breastfeeding for approximately
6 months - C) Breastfeeding for 1 year only - D) Breastfeeding is not
recommended
,Answer B: ) Exclusive breastfeeding for approximately 6 months
Rationale: Exclusive breastfeeding is recommended for approximately the
first 6 months of life.
3. A primary care pediatric nurse practitioner is conducting a well-child visit
for a 2-year-old. Which developmental milestone should the nurse expect
the child to have achieved? - A) Riding a tricycle - B) Using 2-3 word phrases -
C) Tying shoelaces - D) Skipping
Answer B: ) Using 2-3 word phrases
Rationale: At 2 years of age, children typically use 2-3 word phrases. Riding a
tricycle and skipping are skills expected at older ages.
4. The primary care pediatric nurse practitioner understands that to achieve
the greatest worldwide reduction in child mortality from pneumonia and
diarrhea, which intervention is most effective? - A) Antibiotics alone - B)
Optimal nutrition - C) Vaccination only - D) Improved sanitation
Answer B: ) Optimal nutrition
Rationale: Optimal nutrition is a key intervention for reducing child mortality
from pneumonia and diarrhea.
,5. Which of the following is a key component of well-child care? - A)
Developmental screening - B) Emergency care only - C) Surgical planning - D)
Hospital discharge planning
Answer A: ) Developmental screening
Rationale: Well-child care includes developmental screening, immunizations,
and anticipatory guidance.
6. A 4-year-old child is brought to the clinic for a well-child visit. The parent
is concerned that the child still wets the bed at night. What is the most
appropriate response? - A) Refer to a urologist immediately - B) Reassure the
parent that nocturnal enuresis is common at this age - C) Start medication
for enuresis - D) Restrict fluids after dinner
Answer B: ) Reassure the parent that nocturnal enuresis is common at this
age
Rationale: Nocturnal enuresis is common in children up to age 5-6;
reassurance is appropriate.
7. A 15-month-old child is not walking independently. Which action should
the nurse practitioner take? - A) Reassure the parent that this is normal - B)
Evaluate for developmental delay - C) Refer to physical therapy immediately
- D) Order a brain MRI
, Answer B: ) Evaluate for developmental delay
Rationale: Most children walk independently by 15 months; evaluation for
developmental delay is warranted if walking is not achieved.
8. The most common cause of infant mortality globally is found in: - A) North
America - B) Sub-Saharan Africa - C) Europe - D) Southeast Asia
Answer B: ) Sub-Saharan Africa
Rationale: The highest infant mortality rate globally is found in Sub-Saharan
Africa.
9. Obesity rates among 2- to 5-year-olds in the U.S. have: - A) Increased
significantly - B) Shown a recent significant decrease - C) Remained
unchanged - D) Doubled in the past decade
Answer B: ) Shown a recent significant decrease
Rationale: Obesity rates among 2- to 5-year-olds have shown a recent
significant decrease.
10. A 6-year-old child has a body mass index (BMI) in the 95th percentile.
What is the most appropriate initial intervention? - A) Prescribe weight-loss
Pediatrics
SECTION 1: GROWTH, DEVELOPMENT & WELL-CHILD CARE (Questions 1–40)
1. What are the main focuses of pediatric primary care by an FNP? - A) Acute
illness management only - B) Hospital-based care for children - C) Health
promotion and illness prevention - D) Surgical interventions
Answer C: ) Health promotion and illness prevention
Rationale: The main focuses of pediatric primary care are health promotion
and illness prevention.
2. What are the growth expectations for infants regarding breastfeeding? -
A) Breastfeeding for 3 months - B) Exclusive breastfeeding for approximately
6 months - C) Breastfeeding for 1 year only - D) Breastfeeding is not
recommended
,Answer B: ) Exclusive breastfeeding for approximately 6 months
Rationale: Exclusive breastfeeding is recommended for approximately the
first 6 months of life.
3. A primary care pediatric nurse practitioner is conducting a well-child visit
for a 2-year-old. Which developmental milestone should the nurse expect
the child to have achieved? - A) Riding a tricycle - B) Using 2-3 word phrases -
C) Tying shoelaces - D) Skipping
Answer B: ) Using 2-3 word phrases
Rationale: At 2 years of age, children typically use 2-3 word phrases. Riding a
tricycle and skipping are skills expected at older ages.
4. The primary care pediatric nurse practitioner understands that to achieve
the greatest worldwide reduction in child mortality from pneumonia and
diarrhea, which intervention is most effective? - A) Antibiotics alone - B)
Optimal nutrition - C) Vaccination only - D) Improved sanitation
Answer B: ) Optimal nutrition
Rationale: Optimal nutrition is a key intervention for reducing child mortality
from pneumonia and diarrhea.
,5. Which of the following is a key component of well-child care? - A)
Developmental screening - B) Emergency care only - C) Surgical planning - D)
Hospital discharge planning
Answer A: ) Developmental screening
Rationale: Well-child care includes developmental screening, immunizations,
and anticipatory guidance.
6. A 4-year-old child is brought to the clinic for a well-child visit. The parent
is concerned that the child still wets the bed at night. What is the most
appropriate response? - A) Refer to a urologist immediately - B) Reassure the
parent that nocturnal enuresis is common at this age - C) Start medication
for enuresis - D) Restrict fluids after dinner
Answer B: ) Reassure the parent that nocturnal enuresis is common at this
age
Rationale: Nocturnal enuresis is common in children up to age 5-6;
reassurance is appropriate.
7. A 15-month-old child is not walking independently. Which action should
the nurse practitioner take? - A) Reassure the parent that this is normal - B)
Evaluate for developmental delay - C) Refer to physical therapy immediately
- D) Order a brain MRI
, Answer B: ) Evaluate for developmental delay
Rationale: Most children walk independently by 15 months; evaluation for
developmental delay is warranted if walking is not achieved.
8. The most common cause of infant mortality globally is found in: - A) North
America - B) Sub-Saharan Africa - C) Europe - D) Southeast Asia
Answer B: ) Sub-Saharan Africa
Rationale: The highest infant mortality rate globally is found in Sub-Saharan
Africa.
9. Obesity rates among 2- to 5-year-olds in the U.S. have: - A) Increased
significantly - B) Shown a recent significant decrease - C) Remained
unchanged - D) Doubled in the past decade
Answer B: ) Shown a recent significant decrease
Rationale: Obesity rates among 2- to 5-year-olds have shown a recent
significant decrease.
10. A 6-year-old child has a body mass index (BMI) in the 95th percentile.
What is the most appropriate initial intervention? - A) Prescribe weight-loss
