NU664 Final Review Exam Questions With Correct
Solutions 2025\2026 A+ Grade
PNP role
- accurate answers-1. Role includes critical thinking and communication skills
to speak with family and child
2. They provide continuity of care in the ambulatory care setting for
underserved children with health conditions such as asthma, pneumonia, and
vaccine-preventable conditions that might otherwise lead to greater use of
costly emergency departments and hospitalizations
3. APRNs are able to advocate for children and potentially influence economic
and political decisions to ameliorate health disparities and increase health
equality amount populations and communities to build a healthier generation
of adults
4. APRNs reduce health care costs, improve health outcomes, and produce
health care savings
Social determinants
- accurate answers-1. Resources
2. Homelessness
3. Teen mothers
Newborn feeding schedule
- accurate answers--To the breast 8-12 times a day, every 2-3 hours for 20-45
minutes at each feeding
-Successful - 0.5-1 oz a day or 4-7 oz a week
Growth and development
- accurate answers--NICU vs. full term -
Infant normal growth rate
- accurate answers--Full term weight gain rule of thumb
-Double birth weight by 6 months and triple birth weight by 12 months of age
Infant - appropriate screening tools
- accurate answers--Hearing test - should have before one month of age; any
,infant with abnormal findings should be referred for additional evaluation and
EI
Infant Anticipatory Guidance
- accurate answers--Sleep position -
-When to start solids - may begin at 4 months; preference is 6 months;
introduce when tongue thrust diminishes, infant has good head control; avoid
high allergens until end of first year if high risk for allergens
Infants - first lead check
- accurate answers-- Nine months old
- All children at risk should be screened at 1-2 years of age for lead
Immunizations - newborn and infants
- accurate answers-1. Newborn - Hepatitis B
2. Two week - Hep B only if didn't get in hospital
3. Two month - Hep B #2, RV, DTaP, Hib, PCV13, IPV
4. Four month - RV, DTaP, Hib, PCV13, IPV
5. Six month - DTaP, Hib, IPV, PCV, RV (not if got at 2 and 4 months), influenza
6. Twelve month - Hib between 12-18 months, MMR between 12-15 month,
Varicella at 12 months, PCV at 12-15 months, influenza ; also Hepatitis A
7. 15-18 months - IPV, DTaP, influenza
8. Two year visit - none
Anterior fontanelle closure
- accurate answers-18 months
-Posterior - 2-3 months
Head lag
- accurate answers--Holds head erect when sitting at 3 months, minimal to
none at 4 months & completely gone at 6 months
Caput Succedaneum
- accurate answers--Crosses the suture lines
-It is a diffuse superficial swelling of the soft tissue of the scalp with possible
underlying bruising
,-Swelling will resolve spontaneously over the first few days after birth; If
there is bruising, observe the baby for the development of jaundice as the
blood from bruising is reabsorbed
Bossing
- accurate answers--Fullness of the frontal area-Bulging of the newborn skull,
in the frontal areas associated with prematurity or rickets
-
Cephalhematoma
- accurate answers--Does not cross suture lines
-A deep collection of blood in the subperiosteal area of the scalp
-The swelling appears hours to days after delivery
-No treatment is indicated because of the condition resolving in a few weeks
to months
-Monitor for hyperbilirubinemia
Macrocephaly
- accurate answers--Evaluate with CT of the head
-Referral to a neurology provider should be made for diagnostic purposes and
a brain MRI should be done as a baseline at some point
Plagiocephaly
- accurate answers--Flattening or asymmetry of the head
-Risk - sleeping supine
-Education - tummy time 30-60 minutes/day; alternative babies head
position, helmet 23 hrs/day for 4-6 months when repositioning and helmets
are not successful
-Improvement should occur in 2-3 months if all these are done
Primary evaluation tool in toddler growth
- accurate answers--WHO charts from birth to 23 months
-CDC growth chart from 2 years of age and older
Normal weight gain in toddlers
- accurate answers--Most triple birth weight by 12 months
, -Will gain 6-8 pounds in next year and gain 12 inches in length
Transition to milk
- accurate answers--Milk should be limited to <24 ounces/day (16 is good)
due to lack of iron and interference with intake of other nutrients
-Whole milk and no skim
-Whole milk until 2 years
-Discuss at 12 months
Temper tantrums
- accurate answers--Reassure it's normal and nothing is wrong
Toddlers - identification of red flags
- accurate answers--Speech concerns
Otitis Externa - treatment
- accurate answers--Diffuse inflammation of the EAC and can involve the
pinna or TM
-Edema, discharge, and erythema
-OE results when the protective barrier in the EAC are damaged by
mechanical or chemical mechanisms
-Eardrops - Ciprodex - ciprofloxacin and dexamethasone; usually containing
acetic acid or antibiotic with and without corticosteroid drops are the
treatment of choice
-Should improve within 7 days, but resolution may take two weeks
-Routine follow-up is not needed
-If symptoms worsen after treatment or no improvement after a week, a
referral to ENT is indicated
-If not improved within 72 hours - recheck to confirm diagnosis
Acute otitis media
- accurate answers--1st choice medication - Amoxicillin 80-90 mg/kg/day
divided twice a day for 5-7 if over two; if under 2 - 10 days
-2nd failure choice - Augmentin 80-90 mg/kg/day BID
Picky eater
- accurate answers--It is the parents job to provide the child with nutritious
foods and the child's job to decide how much to eat
Solutions 2025\2026 A+ Grade
PNP role
- accurate answers-1. Role includes critical thinking and communication skills
to speak with family and child
2. They provide continuity of care in the ambulatory care setting for
underserved children with health conditions such as asthma, pneumonia, and
vaccine-preventable conditions that might otherwise lead to greater use of
costly emergency departments and hospitalizations
3. APRNs are able to advocate for children and potentially influence economic
and political decisions to ameliorate health disparities and increase health
equality amount populations and communities to build a healthier generation
of adults
4. APRNs reduce health care costs, improve health outcomes, and produce
health care savings
Social determinants
- accurate answers-1. Resources
2. Homelessness
3. Teen mothers
Newborn feeding schedule
- accurate answers--To the breast 8-12 times a day, every 2-3 hours for 20-45
minutes at each feeding
-Successful - 0.5-1 oz a day or 4-7 oz a week
Growth and development
- accurate answers--NICU vs. full term -
Infant normal growth rate
- accurate answers--Full term weight gain rule of thumb
-Double birth weight by 6 months and triple birth weight by 12 months of age
Infant - appropriate screening tools
- accurate answers--Hearing test - should have before one month of age; any
,infant with abnormal findings should be referred for additional evaluation and
EI
Infant Anticipatory Guidance
- accurate answers--Sleep position -
-When to start solids - may begin at 4 months; preference is 6 months;
introduce when tongue thrust diminishes, infant has good head control; avoid
high allergens until end of first year if high risk for allergens
Infants - first lead check
- accurate answers-- Nine months old
- All children at risk should be screened at 1-2 years of age for lead
Immunizations - newborn and infants
- accurate answers-1. Newborn - Hepatitis B
2. Two week - Hep B only if didn't get in hospital
3. Two month - Hep B #2, RV, DTaP, Hib, PCV13, IPV
4. Four month - RV, DTaP, Hib, PCV13, IPV
5. Six month - DTaP, Hib, IPV, PCV, RV (not if got at 2 and 4 months), influenza
6. Twelve month - Hib between 12-18 months, MMR between 12-15 month,
Varicella at 12 months, PCV at 12-15 months, influenza ; also Hepatitis A
7. 15-18 months - IPV, DTaP, influenza
8. Two year visit - none
Anterior fontanelle closure
- accurate answers-18 months
-Posterior - 2-3 months
Head lag
- accurate answers--Holds head erect when sitting at 3 months, minimal to
none at 4 months & completely gone at 6 months
Caput Succedaneum
- accurate answers--Crosses the suture lines
-It is a diffuse superficial swelling of the soft tissue of the scalp with possible
underlying bruising
,-Swelling will resolve spontaneously over the first few days after birth; If
there is bruising, observe the baby for the development of jaundice as the
blood from bruising is reabsorbed
Bossing
- accurate answers--Fullness of the frontal area-Bulging of the newborn skull,
in the frontal areas associated with prematurity or rickets
-
Cephalhematoma
- accurate answers--Does not cross suture lines
-A deep collection of blood in the subperiosteal area of the scalp
-The swelling appears hours to days after delivery
-No treatment is indicated because of the condition resolving in a few weeks
to months
-Monitor for hyperbilirubinemia
Macrocephaly
- accurate answers--Evaluate with CT of the head
-Referral to a neurology provider should be made for diagnostic purposes and
a brain MRI should be done as a baseline at some point
Plagiocephaly
- accurate answers--Flattening or asymmetry of the head
-Risk - sleeping supine
-Education - tummy time 30-60 minutes/day; alternative babies head
position, helmet 23 hrs/day for 4-6 months when repositioning and helmets
are not successful
-Improvement should occur in 2-3 months if all these are done
Primary evaluation tool in toddler growth
- accurate answers--WHO charts from birth to 23 months
-CDC growth chart from 2 years of age and older
Normal weight gain in toddlers
- accurate answers--Most triple birth weight by 12 months
, -Will gain 6-8 pounds in next year and gain 12 inches in length
Transition to milk
- accurate answers--Milk should be limited to <24 ounces/day (16 is good)
due to lack of iron and interference with intake of other nutrients
-Whole milk and no skim
-Whole milk until 2 years
-Discuss at 12 months
Temper tantrums
- accurate answers--Reassure it's normal and nothing is wrong
Toddlers - identification of red flags
- accurate answers--Speech concerns
Otitis Externa - treatment
- accurate answers--Diffuse inflammation of the EAC and can involve the
pinna or TM
-Edema, discharge, and erythema
-OE results when the protective barrier in the EAC are damaged by
mechanical or chemical mechanisms
-Eardrops - Ciprodex - ciprofloxacin and dexamethasone; usually containing
acetic acid or antibiotic with and without corticosteroid drops are the
treatment of choice
-Should improve within 7 days, but resolution may take two weeks
-Routine follow-up is not needed
-If symptoms worsen after treatment or no improvement after a week, a
referral to ENT is indicated
-If not improved within 72 hours - recheck to confirm diagnosis
Acute otitis media
- accurate answers--1st choice medication - Amoxicillin 80-90 mg/kg/day
divided twice a day for 5-7 if over two; if under 2 - 10 days
-2nd failure choice - Augmentin 80-90 mg/kg/day BID
Picky eater
- accurate answers--It is the parents job to provide the child with nutritious
foods and the child's job to decide how much to eat
