NSG 5442 Exam 3 Study Guide –
Practice Questions with Verified
Answers. GRADED A+. Latest
2026/2027 Update
During a well-child visit, a 16-year-old male is receiving anticipatory guidance
from the family nurse practitioner (FNP) regarding safe driving practices. The
patient has a new intermediate driver's license, which in his state, permits
unsupervised driving. When counseling the patient and his parents about the
highest-risk conditions for motor vehicle crashes among adolescent drivers, the
FNP should emphasize that crash risk is significantly increased under which of
the following circumstances?
Driving on a rural road with a mature adult passenger
Daytime driving with a parent in the vehicle
Weekend nighttime driving with multiple teen passengers
Driving during the week with no passengers
Weekend nighttime driving with multiple teen passengers
A 3-year-old patient presents to the clinic with a 5-day history of fever, lethargy,
and decreased oral intake. During the physical exam, you note cervical
lymphadenopathy and a petechial rash. The complete blood count (CBC) shows
,a white blood cell (WBC) count of 45.0 x 109 /L with 65% blasts, hemoglobin of
8.2 g/dL, and a platelet count of 40.0 x 109 /L. Based on these findings, what is
the most appropriate next step in managing this patient?
Refer the patient for immediate hospital admission to a pediatric
hematology/oncology specialist.
Explain to the parents that this is a benign viral infection and reassure them
that the symptoms will resolve on their own.
Prescribe a broad-spectrum antibiotic and have the patient follow up in 24
hours.
Schedule the patient for a repeat CBC with differential in one week to monitor
the leukocyte count.
Refer the patient for immediate hospital admission to a pediatric
hematology/oncology specialist.
A 10 y/o male presents to the clinic with a 6-week hx of a progressively
enlarging, firm, non-tender supraclavicular lymph node. His mom reports he
has also experienced intermittent low-grade fevers, drenching night sweats,
and a 10 lb weight loss over the past 3 mos. A recent course of abx for a
presumed URI did not affect the lymph node's size. His past medical hx is
otherwise unremarkable. Based on these findings, which of the following is the
most appropriate next step for the Family Nurse Practitioner?
Order a complete blood count (CBC) with differential, C-reactive protein (CRP),
and a monospot test.
Prescribe a second, more broad-spectrum abx and have the pt return if there is
no improvement.
Reassure mother that the lymph node is likely reactive and schedule a follow-
up in 3 mos.
, Refer the pt urgently to a pediatric oncologist for further evaluation, including a
lymph node biopsy.
Refer the patient urgently to a pediatric oncologist for further evaluation,
including a lymph node biopsy.
A 9-year-old child presents to the clinic for a well-child checkup. During
auscultation, the Family Nurse Practitioner (FNP) notes an irregular heart
rhythm that speeds up with inspiration and slows down with expiration. The
child is asymptomatic, and the rest of the physical examination is
unremarkable. An ECG confirms a respiratory sinus arrhythmia. What is the
most appropriate next step in managing this patient?
Reassure the parents that this is a normal, benign finding and requires no
further intervention.
Refer immediately to a pediatric cardiologist for further evaluation and
management.
Initiate the child on a low-dose beta-blocker to regulate the heart rhythm.
Order a 24-hour Holter monitor to assess the frequency and severity of the
arrhythmia
Reassure the parents that this is a normal, benign finding and requires no
further intervention.
A 7-year-old patient presents to the clinic with a history of a recent Group A
Streptococcus (GAS) pharyngitis infection. The patient now complains of
fatigue, dyspnea on exertion, and mild, migratory joint pain. On physical
examination, the family nurse practitioner (FNP) notes a new cardiac murmur
and a slightly elevated heart rate. The patient is diagnosed with acute
rheumatic fever with carditis. Which of the following is the most critical
component of the management plan to prevent long-term cardiac damage?
Prescribing a course of high-dose nonsteroidal anti-inflammatory drugs
(NSAIDs) for 1-2 weeks
Practice Questions with Verified
Answers. GRADED A+. Latest
2026/2027 Update
During a well-child visit, a 16-year-old male is receiving anticipatory guidance
from the family nurse practitioner (FNP) regarding safe driving practices. The
patient has a new intermediate driver's license, which in his state, permits
unsupervised driving. When counseling the patient and his parents about the
highest-risk conditions for motor vehicle crashes among adolescent drivers, the
FNP should emphasize that crash risk is significantly increased under which of
the following circumstances?
Driving on a rural road with a mature adult passenger
Daytime driving with a parent in the vehicle
Weekend nighttime driving with multiple teen passengers
Driving during the week with no passengers
Weekend nighttime driving with multiple teen passengers
A 3-year-old patient presents to the clinic with a 5-day history of fever, lethargy,
and decreased oral intake. During the physical exam, you note cervical
lymphadenopathy and a petechial rash. The complete blood count (CBC) shows
,a white blood cell (WBC) count of 45.0 x 109 /L with 65% blasts, hemoglobin of
8.2 g/dL, and a platelet count of 40.0 x 109 /L. Based on these findings, what is
the most appropriate next step in managing this patient?
Refer the patient for immediate hospital admission to a pediatric
hematology/oncology specialist.
Explain to the parents that this is a benign viral infection and reassure them
that the symptoms will resolve on their own.
Prescribe a broad-spectrum antibiotic and have the patient follow up in 24
hours.
Schedule the patient for a repeat CBC with differential in one week to monitor
the leukocyte count.
Refer the patient for immediate hospital admission to a pediatric
hematology/oncology specialist.
A 10 y/o male presents to the clinic with a 6-week hx of a progressively
enlarging, firm, non-tender supraclavicular lymph node. His mom reports he
has also experienced intermittent low-grade fevers, drenching night sweats,
and a 10 lb weight loss over the past 3 mos. A recent course of abx for a
presumed URI did not affect the lymph node's size. His past medical hx is
otherwise unremarkable. Based on these findings, which of the following is the
most appropriate next step for the Family Nurse Practitioner?
Order a complete blood count (CBC) with differential, C-reactive protein (CRP),
and a monospot test.
Prescribe a second, more broad-spectrum abx and have the pt return if there is
no improvement.
Reassure mother that the lymph node is likely reactive and schedule a follow-
up in 3 mos.
, Refer the pt urgently to a pediatric oncologist for further evaluation, including a
lymph node biopsy.
Refer the patient urgently to a pediatric oncologist for further evaluation,
including a lymph node biopsy.
A 9-year-old child presents to the clinic for a well-child checkup. During
auscultation, the Family Nurse Practitioner (FNP) notes an irregular heart
rhythm that speeds up with inspiration and slows down with expiration. The
child is asymptomatic, and the rest of the physical examination is
unremarkable. An ECG confirms a respiratory sinus arrhythmia. What is the
most appropriate next step in managing this patient?
Reassure the parents that this is a normal, benign finding and requires no
further intervention.
Refer immediately to a pediatric cardiologist for further evaluation and
management.
Initiate the child on a low-dose beta-blocker to regulate the heart rhythm.
Order a 24-hour Holter monitor to assess the frequency and severity of the
arrhythmia
Reassure the parents that this is a normal, benign finding and requires no
further intervention.
A 7-year-old patient presents to the clinic with a history of a recent Group A
Streptococcus (GAS) pharyngitis infection. The patient now complains of
fatigue, dyspnea on exertion, and mild, migratory joint pain. On physical
examination, the family nurse practitioner (FNP) notes a new cardiac murmur
and a slightly elevated heart rate. The patient is diagnosed with acute
rheumatic fever with carditis. Which of the following is the most critical
component of the management plan to prevent long-term cardiac damage?
Prescribing a course of high-dose nonsteroidal anti-inflammatory drugs
(NSAIDs) for 1-2 weeks
