NSG 5442 EXAM 2 LATEST
QUESTIONS AND
ANSWERS 2026 - 2027
The primary care pediatric nurse practitioner diagnoses acute otitis
media in a 2-year-old child who has a history of three ear infections
in the first 6 months of life. The child’s tympanic membrane is
intact, and the child has a temperature of 101.5°F. What will the
nurse practitioner prescribe for this child?
A. Amoxicillin twice daily for 10 days
B. An analgesic medication and watchful waiting
C. Antibiotic ear drops and ibuprofen
D. Ceftriaxone given once intramuscularly
B. An analgesic medication and watchful waiting
A child who was treated with amoxicillin and then amoxicillin
clavulanate for acute otitis media is seen for follow-up. The primary
care pediatric nurse practitioner notes dull gray tympanic
membranes with a visible air fluid level. The child is afebrile and
without pain. What is the next course of action?
A. Administering ceftriaxone IM
B. Giving clindamycin orally
C. Monitoring ear fluid levels for 3 months
D. Watchful waiting for 48 to 72 hours
C. Monitoring ear fluid levels for 3 months
END OF
PAGE
1
, NSG 5442 EXAM 2 LATEST
QUESTIONS AND
ANSWERS 2026 - 2027
A schoolage child has a history of chronic otitis media and is seen in
the clinic with vertigo. The primary care pediatric nurse
practitioner notes profuse purulent otorrhea from both pressure
equalizing tubes and a pearly white lesion on one tympanic
membrane. Which condition is most likely?
A. Cholesteatoma
B. Mastoiditis
C. Otitis externa
D. Otitis media with effusion
A. Cholesteatoma
In a respiratory disorder causing a check valve obstruction, which
symptoms will be present?
A. Air entry on inspiration with expiratory occlusion
B. Complete obstruction on inspiration and expiration
C. Narrowing of the lumen with increased air flow resistance
D. Obstruction of air entry with unimpeded expiratory air flow
A. Air entry on inspiration with expiratory occlusion
A child has an acute infection causing lower airway obstruction.
Which initial symptom is expected in this child?
END OF
PAGE
2
, NSG 5442 EXAM 2 LATEST
QUESTIONS AND
ANSWERS 2026 - 2027
A. Atelectasis
B. Barrel chest
C. Overinflation
D. Wheezing
D. Wheezing
A 4-year-old child with an upper respiratory tract infection has
cloudy nasal discharge and moderate nasal congestion interfering
with sleep. The parent asks what product to use to help with
symptoms. What will the primary care pediatric nurse practitioner
recommend?
A. Antihistamines
B. Decongestant sprays
C. Saline rinses
D. Zinc supplements
C. Saline rinses
A 5-year-old child has enlarged tonsils and a history of four throat
infections in the previous year with fever, cervical
lymphadenopathy, and positive Group AStreptococcus pyogenes
(GABHS) cultures. The parent reports that the child snores at night
END OF
PAGE
3
, NSG 5442 EXAM 2 LATEST
QUESTIONS AND
ANSWERS 2026 - 2027
and expresses concerns about the child’s quality of sleep. The next
step in managing this child’s condition is to
A. continue to observe the child for two or more GABHS infections.
B. prescribe prophylactic antibiotics to prevent recurrent infection.
C. refer to a pulmonologist for polysomnography evaluation.
D. refer to an otolaryngologist for possible tonsillectomy.
C. refer to a pulmonologist for polysomnography evaluation
A schoolage child has an abrupt onset of sore throat, nausea,
headache, and a temperature of 102.3°F. An examination reveals
petechiae on the soft palate, beefyred tonsils with yellow exudate,
and a scarlatiniform rash. A Rapid Antigen Detection Test (RADT)
is negative. What is the next step in management for this child?
A. Consider a sexual abuse diagnosis.
B. Obtain an antistreptococcal antibody titer.
C. Perform a follow-up throat culture.
D. Prescribe amoxicillin for 10 days
C. Perform a follow-up throat culture.
An adolescent has suspected infectious mononucleosis after exposure
to the virus in the past week. The primary care pediatric nurse
END OF
PAGE
4
QUESTIONS AND
ANSWERS 2026 - 2027
The primary care pediatric nurse practitioner diagnoses acute otitis
media in a 2-year-old child who has a history of three ear infections
in the first 6 months of life. The child’s tympanic membrane is
intact, and the child has a temperature of 101.5°F. What will the
nurse practitioner prescribe for this child?
A. Amoxicillin twice daily for 10 days
B. An analgesic medication and watchful waiting
C. Antibiotic ear drops and ibuprofen
D. Ceftriaxone given once intramuscularly
B. An analgesic medication and watchful waiting
A child who was treated with amoxicillin and then amoxicillin
clavulanate for acute otitis media is seen for follow-up. The primary
care pediatric nurse practitioner notes dull gray tympanic
membranes with a visible air fluid level. The child is afebrile and
without pain. What is the next course of action?
A. Administering ceftriaxone IM
B. Giving clindamycin orally
C. Monitoring ear fluid levels for 3 months
D. Watchful waiting for 48 to 72 hours
C. Monitoring ear fluid levels for 3 months
END OF
PAGE
1
, NSG 5442 EXAM 2 LATEST
QUESTIONS AND
ANSWERS 2026 - 2027
A schoolage child has a history of chronic otitis media and is seen in
the clinic with vertigo. The primary care pediatric nurse
practitioner notes profuse purulent otorrhea from both pressure
equalizing tubes and a pearly white lesion on one tympanic
membrane. Which condition is most likely?
A. Cholesteatoma
B. Mastoiditis
C. Otitis externa
D. Otitis media with effusion
A. Cholesteatoma
In a respiratory disorder causing a check valve obstruction, which
symptoms will be present?
A. Air entry on inspiration with expiratory occlusion
B. Complete obstruction on inspiration and expiration
C. Narrowing of the lumen with increased air flow resistance
D. Obstruction of air entry with unimpeded expiratory air flow
A. Air entry on inspiration with expiratory occlusion
A child has an acute infection causing lower airway obstruction.
Which initial symptom is expected in this child?
END OF
PAGE
2
, NSG 5442 EXAM 2 LATEST
QUESTIONS AND
ANSWERS 2026 - 2027
A. Atelectasis
B. Barrel chest
C. Overinflation
D. Wheezing
D. Wheezing
A 4-year-old child with an upper respiratory tract infection has
cloudy nasal discharge and moderate nasal congestion interfering
with sleep. The parent asks what product to use to help with
symptoms. What will the primary care pediatric nurse practitioner
recommend?
A. Antihistamines
B. Decongestant sprays
C. Saline rinses
D. Zinc supplements
C. Saline rinses
A 5-year-old child has enlarged tonsils and a history of four throat
infections in the previous year with fever, cervical
lymphadenopathy, and positive Group AStreptococcus pyogenes
(GABHS) cultures. The parent reports that the child snores at night
END OF
PAGE
3
, NSG 5442 EXAM 2 LATEST
QUESTIONS AND
ANSWERS 2026 - 2027
and expresses concerns about the child’s quality of sleep. The next
step in managing this child’s condition is to
A. continue to observe the child for two or more GABHS infections.
B. prescribe prophylactic antibiotics to prevent recurrent infection.
C. refer to a pulmonologist for polysomnography evaluation.
D. refer to an otolaryngologist for possible tonsillectomy.
C. refer to a pulmonologist for polysomnography evaluation
A schoolage child has an abrupt onset of sore throat, nausea,
headache, and a temperature of 102.3°F. An examination reveals
petechiae on the soft palate, beefyred tonsils with yellow exudate,
and a scarlatiniform rash. A Rapid Antigen Detection Test (RADT)
is negative. What is the next step in management for this child?
A. Consider a sexual abuse diagnosis.
B. Obtain an antistreptococcal antibody titer.
C. Perform a follow-up throat culture.
D. Prescribe amoxicillin for 10 days
C. Perform a follow-up throat culture.
An adolescent has suspected infectious mononucleosis after exposure
to the virus in the past week. The primary care pediatric nurse
END OF
PAGE
4
