NSG 5442 FINAL EXAM LATEST
QUESTIONS AND
ANSWERS 2026 - 2027
Because of their inability to ambulate, children with cerebral palsy
should
be evaluated for which nutrients?
A. Calcium and vitamin D
B. Fat-soluble vitamins
C. Iron and zinc
D. Sodium and potassium
A. Calcium and vitamin D
A child with a recent history of URI reports tingling and pain in one
ear
followed by sagging of one side of the face. The primary care
pediatric nurse practitioner observes that the child cannot close the
eye or mouth on the affected side but does not elicit limb weakness
on that side. What will the nurse practitioner do?
A. Initiate a short course of antibiotic therapy.
B. Perform diagnostic testing to rule out serious causes.
C. Prepare the parents for lifelong complications.
D. Prescribe oral prednisone 1 mg/kg/day initially.
D. Prescribe oral prednisone 1 mg/kg/day initially.
END OF
PAGE
1
, NSG 5442 FINAL EXAM LATEST
QUESTIONS AND
ANSWERS 2026 - 2027
A child who has had a single nonfebrile seizure has a normal
neurologic exam. Which diagnostic test is indicated?
A. Computerized tomography (CT)
B. Electroencephalogram (EEG)
C. Magnetic resonance imaging (MRI)
D. Polysomnography
B. Electroencephalogram (EEG)
The parents of an 18monthold child bring the child to the clinic
after observing a brief seizure of less than 2 minutes in their child.
In the clinic, the child has a temperature of 103.1°F, and the
primary care pediatric nurse practitioner notes a left otitis media.
The child is alert and responding normally. What will the nurse
practitioner do?
A. Order a lumbar puncture, complete blood count, and urinalysis.
B. Prescribe an antibiotic for the ear infection and reassure the
parents.
C. Refer to a pediatric neurologist for anticonvulsant and
antipyretic prophylaxis.
D. Send the child to the emergency department for EEG and
possible MRI.
END OF
PAGE
2
, NSG 5442 FINAL EXAM LATEST
QUESTIONS AND
ANSWERS 2026 - 2027
B. Prescribe an antibiotic for the ear infection and reassure the
parents.
An adolescent female reports unilateral headache pain associated
with
abdominal pain and nausea occurring just prior to periods each
month. The adolescent has been using naproxen sodium for 6
months but reports little relief from symptoms. What will the
primary care pediatric nurse practitioner do?
A. Add acetaminophen and ondansetron to the naproxen regimen.
B. Consider prophylactic therapy with a betablocker or
anticonvulsant drug.
C. Prescribe sumatriptan nasal spray at the onset of headache and
every 2 hours.
D. Refer the adolescent to a pediatric neurologist for neuroimaging
studies.
C. Prescribe sumatriptan nasal spray at the onset of headache and
every 2 hours.
A child who has sustained a head injury after falling on the
playground is
END OF
PAGE
3
, NSG 5442 FINAL EXAM LATEST
QUESTIONS AND
ANSWERS 2026 - 2027
brought to the clinic. The parents report that the child cried
immediately and was able to walk around after falling. The primary
care pediatric nurse practitioner notes slight slurring of the child’s
speech, and the child has vomited twice in the exam room. Which
course of action is warranted?
A. Admit the child to the hospital for a neurology consult.
B. Observe the child in the clinic for several hours.
C. Order a head CT and observe the child at home.
D. Send the child home with instructions for follow-up.
A. Admit the child to the hospital for a neurology consult.
The primary care pediatric nurse practitioner performs a well-baby
exam
on a term 4-month-old infant and observes flattening of the left
occiput, bossing of the right occiput, and anterior displacement of
the left ear. The parents report performing various positioning
maneuvers but say that the baby’s head shape has worsened. What
will the nurse practitioner recommend to correct this finding?
A. Allow the infant to sleep on the tummy when the parents are in
the room.
END OF
PAGE
4
QUESTIONS AND
ANSWERS 2026 - 2027
Because of their inability to ambulate, children with cerebral palsy
should
be evaluated for which nutrients?
A. Calcium and vitamin D
B. Fat-soluble vitamins
C. Iron and zinc
D. Sodium and potassium
A. Calcium and vitamin D
A child with a recent history of URI reports tingling and pain in one
ear
followed by sagging of one side of the face. The primary care
pediatric nurse practitioner observes that the child cannot close the
eye or mouth on the affected side but does not elicit limb weakness
on that side. What will the nurse practitioner do?
A. Initiate a short course of antibiotic therapy.
B. Perform diagnostic testing to rule out serious causes.
C. Prepare the parents for lifelong complications.
D. Prescribe oral prednisone 1 mg/kg/day initially.
D. Prescribe oral prednisone 1 mg/kg/day initially.
END OF
PAGE
1
, NSG 5442 FINAL EXAM LATEST
QUESTIONS AND
ANSWERS 2026 - 2027
A child who has had a single nonfebrile seizure has a normal
neurologic exam. Which diagnostic test is indicated?
A. Computerized tomography (CT)
B. Electroencephalogram (EEG)
C. Magnetic resonance imaging (MRI)
D. Polysomnography
B. Electroencephalogram (EEG)
The parents of an 18monthold child bring the child to the clinic
after observing a brief seizure of less than 2 minutes in their child.
In the clinic, the child has a temperature of 103.1°F, and the
primary care pediatric nurse practitioner notes a left otitis media.
The child is alert and responding normally. What will the nurse
practitioner do?
A. Order a lumbar puncture, complete blood count, and urinalysis.
B. Prescribe an antibiotic for the ear infection and reassure the
parents.
C. Refer to a pediatric neurologist for anticonvulsant and
antipyretic prophylaxis.
D. Send the child to the emergency department for EEG and
possible MRI.
END OF
PAGE
2
, NSG 5442 FINAL EXAM LATEST
QUESTIONS AND
ANSWERS 2026 - 2027
B. Prescribe an antibiotic for the ear infection and reassure the
parents.
An adolescent female reports unilateral headache pain associated
with
abdominal pain and nausea occurring just prior to periods each
month. The adolescent has been using naproxen sodium for 6
months but reports little relief from symptoms. What will the
primary care pediatric nurse practitioner do?
A. Add acetaminophen and ondansetron to the naproxen regimen.
B. Consider prophylactic therapy with a betablocker or
anticonvulsant drug.
C. Prescribe sumatriptan nasal spray at the onset of headache and
every 2 hours.
D. Refer the adolescent to a pediatric neurologist for neuroimaging
studies.
C. Prescribe sumatriptan nasal spray at the onset of headache and
every 2 hours.
A child who has sustained a head injury after falling on the
playground is
END OF
PAGE
3
, NSG 5442 FINAL EXAM LATEST
QUESTIONS AND
ANSWERS 2026 - 2027
brought to the clinic. The parents report that the child cried
immediately and was able to walk around after falling. The primary
care pediatric nurse practitioner notes slight slurring of the child’s
speech, and the child has vomited twice in the exam room. Which
course of action is warranted?
A. Admit the child to the hospital for a neurology consult.
B. Observe the child in the clinic for several hours.
C. Order a head CT and observe the child at home.
D. Send the child home with instructions for follow-up.
A. Admit the child to the hospital for a neurology consult.
The primary care pediatric nurse practitioner performs a well-baby
exam
on a term 4-month-old infant and observes flattening of the left
occiput, bossing of the right occiput, and anterior displacement of
the left ear. The parents report performing various positioning
maneuvers but say that the baby’s head shape has worsened. What
will the nurse practitioner recommend to correct this finding?
A. Allow the infant to sleep on the tummy when the parents are in
the room.
END OF
PAGE
4
