• MSN 629 Exam 09/09/2026
MSN 629 Week 3 Quiz 1 – Full Questions and
Answers | 2026 Update | Graded A+; Northern
Kentucky University Guaranteed Pass and First
Attempt– (2026) Actual Questions & Answers
100% Guarantee Pass
11. 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. The nurse practitioner will :
a. ask the parent to consider a possible speech delay and report any concerns.
b. continue to evaluate the child's speech at subsequent visits.
c. refer the child for a speech and hearing evaluation.
P 1
, • MSN 629 Exam 09/09/2026
d. tell the parent to spend more time in interactive conversations with the child. –
Correct Answer :ANS: B
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 PNP should
continue to evaluate speech over time, since this refusal to speak may be associated with shyness or
intimidation in the clinic. It is not necessary to tell the parent that the child has a possible speech delay.
Unless an actual speech delay is observed, a referral is not indicated, nor is it necessary to implement a
home therapy.
12. 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?
a. CRAFFT
b. HEEADSSS
c. PHQ-2
d. RAAPS –
Correct Answer :ANS: A
The CRAFFT tool is a six-question tool used to screen for adolescent substance abuse. The HEEADSSS
is used as a psychosocial screening tool. The PHQ-2 is a rapid screen for depression. The RAAPS is used
to assess risk behaviors that contribute to most morbidity, mortality, and social problems in teens.
13. The primary care pediatric nurse practitioner is assessing a toddler whose weight and body mass index
(BMI) are below the 3rd percentile for age. The nurse practitioner learns that the child does not have
regular mealtimes and is allowed to carry a bottle of juice around at all times. The nurse practitioner
P 2
, • MSN 629 Exam 09/09/2026
plans to work with this family to develop improved meal patterns. Which diagnosis will the nurse
practitioner use for this problem?
a. Failure to thrive
b. Home care resources inadequate
c. Nutrition alteration - less than required
d. Parenting alteration –
Correct Answer :ANS: D
Because the PNP is planning to intervene by helping the parents to provide appropriate food habits, the
correct diagnosis should be "Parenting alteration." "Failure to thrive" is a medical diagnosis and requires
a medical and social evaluation to rule out organic causes or detect neglect. "Home care resources
inadequate" would be used if the PNP suspects that the family lacks adequate funds to purchase food.
"Nutrition alteration" is a NANDA diagnosis and would be used if the PNP planned to consult with a
dietician or give nutritional information.
14. The primary care pediatric nurse practitioner is obtaining a medical history about a child. To integrate
both nursing and medical aspects of primary care, which will be included in the medical history?
a. Complementary medications, alternative health practices, and chief complaint
b. Developmental delays, nutritional status, and linear growth patterns
c. Medication currently taking, allergy information, and family medical history
d. Speech and language development, beliefs about health, and previous illnesses –
Correct Answer :ANS: D
An assessment model that integrates the nursing and medical aspects of primary care uses three domains:
developmental problems (speech and language development), functional health problems (beliefs about
health), and diseases (chief complaint). The other examples all use domains associated with the traditional
medical model and do not contain nursing aspects associated with functional health problems.
P 3
, • MSN 629 Exam 09/09/2026
A child who has attention deficit/ hyperactivity disorder (ADHD) has difficulty stopping activities to begin other
activities at school. The primary care pediatric nurse practitioner understands that this is due to difficulty with the
self-regulation component of
A. emotional control.
B. flexibility.
C. Inhibition.
D. problem-solving.
B. flexibility.
The primary care pediatric nurse practitioner cares for a preschool-age child who was exposed to drugs
prenatally. The child bites other children and has tantrums when asked to stop, but is able to state later why this
behavior is wrong. This child most likely has a disorder of
A. executive function.
B. information processing.
C. sensory processing.
D. social cognition.
A. executive function
The primary care pediatric nurse practitioner uses the Neurodevelopmental Learning Framework to assess
cognition and learning in an adolescent. When evaluating social cognition, the nurse practitioner will ask the
adolescent
A. about friends and activities at school.
B. if balancing sports and homework is difficult.
C. to interpret material from a pie chart.
D. to restate the content of something just read.
A. about friends and activities at school
The primary care pediatric nurse practitioner is evaluating a school-age child who has been diagnosed with
ADHD. Which plan will the nurse practitioner recommend asking the child's school about to help with academic
performance?
A. 504
B. FAPE
C. IDEA
D. IEP
A. 504
The parent of a child diagnosed with ADHD tells the primary care pediatric nurse practitioner that the child gets
overwhelmed by homework assignments, doesn't seem to know which ones to do first, and then doesn't do any
assignments. The nurse practitioner tells the parent that this represents impairment in which executive function?
A. Activation
P 4
MSN 629 Week 3 Quiz 1 – Full Questions and
Answers | 2026 Update | Graded A+; Northern
Kentucky University Guaranteed Pass and First
Attempt– (2026) Actual Questions & Answers
100% Guarantee Pass
11. 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. The nurse practitioner will :
a. ask the parent to consider a possible speech delay and report any concerns.
b. continue to evaluate the child's speech at subsequent visits.
c. refer the child for a speech and hearing evaluation.
P 1
, • MSN 629 Exam 09/09/2026
d. tell the parent to spend more time in interactive conversations with the child. –
Correct Answer :ANS: B
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 PNP should
continue to evaluate speech over time, since this refusal to speak may be associated with shyness or
intimidation in the clinic. It is not necessary to tell the parent that the child has a possible speech delay.
Unless an actual speech delay is observed, a referral is not indicated, nor is it necessary to implement a
home therapy.
12. 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?
a. CRAFFT
b. HEEADSSS
c. PHQ-2
d. RAAPS –
Correct Answer :ANS: A
The CRAFFT tool is a six-question tool used to screen for adolescent substance abuse. The HEEADSSS
is used as a psychosocial screening tool. The PHQ-2 is a rapid screen for depression. The RAAPS is used
to assess risk behaviors that contribute to most morbidity, mortality, and social problems in teens.
13. The primary care pediatric nurse practitioner is assessing a toddler whose weight and body mass index
(BMI) are below the 3rd percentile for age. The nurse practitioner learns that the child does not have
regular mealtimes and is allowed to carry a bottle of juice around at all times. The nurse practitioner
P 2
, • MSN 629 Exam 09/09/2026
plans to work with this family to develop improved meal patterns. Which diagnosis will the nurse
practitioner use for this problem?
a. Failure to thrive
b. Home care resources inadequate
c. Nutrition alteration - less than required
d. Parenting alteration –
Correct Answer :ANS: D
Because the PNP is planning to intervene by helping the parents to provide appropriate food habits, the
correct diagnosis should be "Parenting alteration." "Failure to thrive" is a medical diagnosis and requires
a medical and social evaluation to rule out organic causes or detect neglect. "Home care resources
inadequate" would be used if the PNP suspects that the family lacks adequate funds to purchase food.
"Nutrition alteration" is a NANDA diagnosis and would be used if the PNP planned to consult with a
dietician or give nutritional information.
14. The primary care pediatric nurse practitioner is obtaining a medical history about a child. To integrate
both nursing and medical aspects of primary care, which will be included in the medical history?
a. Complementary medications, alternative health practices, and chief complaint
b. Developmental delays, nutritional status, and linear growth patterns
c. Medication currently taking, allergy information, and family medical history
d. Speech and language development, beliefs about health, and previous illnesses –
Correct Answer :ANS: D
An assessment model that integrates the nursing and medical aspects of primary care uses three domains:
developmental problems (speech and language development), functional health problems (beliefs about
health), and diseases (chief complaint). The other examples all use domains associated with the traditional
medical model and do not contain nursing aspects associated with functional health problems.
P 3
, • MSN 629 Exam 09/09/2026
A child who has attention deficit/ hyperactivity disorder (ADHD) has difficulty stopping activities to begin other
activities at school. The primary care pediatric nurse practitioner understands that this is due to difficulty with the
self-regulation component of
A. emotional control.
B. flexibility.
C. Inhibition.
D. problem-solving.
B. flexibility.
The primary care pediatric nurse practitioner cares for a preschool-age child who was exposed to drugs
prenatally. The child bites other children and has tantrums when asked to stop, but is able to state later why this
behavior is wrong. This child most likely has a disorder of
A. executive function.
B. information processing.
C. sensory processing.
D. social cognition.
A. executive function
The primary care pediatric nurse practitioner uses the Neurodevelopmental Learning Framework to assess
cognition and learning in an adolescent. When evaluating social cognition, the nurse practitioner will ask the
adolescent
A. about friends and activities at school.
B. if balancing sports and homework is difficult.
C. to interpret material from a pie chart.
D. to restate the content of something just read.
A. about friends and activities at school
The primary care pediatric nurse practitioner is evaluating a school-age child who has been diagnosed with
ADHD. Which plan will the nurse practitioner recommend asking the child's school about to help with academic
performance?
A. 504
B. FAPE
C. IDEA
D. IEP
A. 504
The parent of a child diagnosed with ADHD tells the primary care pediatric nurse practitioner that the child gets
overwhelmed by homework assignments, doesn't seem to know which ones to do first, and then doesn't do any
assignments. The nurse practitioner tells the parent that this represents impairment in which executive function?
A. Activation
P 4
