NSG 5442 EXAM / ACTUAL NSG 5442 FINAL EXAM ACTUAL
2026/2027COMPREHENSIVE HIGH YIELD PRACTICE QUESTIONS
AND STUDY GUIDE ACCURATE EXAM COMPLETE REAL
QUESTIONS AND CORRECT VERIFIED ANSWERS WITH
DETAILED RATIONALES (RELIABLE SOLUTIONS) CURRENTLY
UPDATED VERSION 2026 EDITION |GUARANTEED SUCCESS A+
|FULL REVISED EXAM |JUST RELEASED
1. A 4-year-old child presents for a well-child visit. The parent
reports the child can hop on one foot, draw a circle, and use scissors.
Which developmental milestone should the nurse practitioner
question as potentially delayed?
A) Can hop on one foot
B) Draws a circle
C) Uses scissors
D) Can tie shoelaces — CORRECT ANSWER
Rationale: Tying shoelaces is a fine motor skill typically achieved at
5-6 years of age. A 4-year-old should be able to hop on one foot,
draw a circle, and use scissors. This represents a developmental red
flag requiring further assessment.
,2. According to Piaget's theory, a 7-year-old child is in which stage of
cognitive development?
A) Sensorimotor
B) Preoperational
C) Concrete operational — CORRECT ANSWER
D) Formal operational
Rationale: Piaget's concrete operational stage spans ages 7-11 years.
During this stage, children develop logical thinking about concrete
events, understand conservation, and can classify objects. This
represents a critical period for school-based learning and
mathematical concept development.
3. A 2-month-old infant demonstrates head lag when pulled to sit.
Which response is most appropriate?
A) This is a normal finding at 2 months — CORRECT ANSWER
B) Refer immediately for neurologic evaluation
C) Recommend early intervention services
D) Schedule a follow-up in 2 weeks
,Rationale: Head lag is expected at 2 months of age. Complete head
control typically develops by 4 months. This finding represents
normal developmental progression and does not warrant immediate
referral or intervention.
4. Which fine motor skill is expected in a typically developing 10-
month-old infant?
A) Pincer grasp — CORRECT ANSWER
B) Palmar grasp
C) Transfer objects hand-to-hand
D) Build a tower of 2 cubes
Rationale: Pincer grasp (using thumb and forefinger to pick up small
objects) typically develops at 9-10 months. Palmar grasp is seen at 3-
4 months, transfer objects at 5-6 months, and tower of 2 cubes at 12-
15 months. This milestone is crucial for self-feeding development.
5. A 15-month-old child should have a vocabulary of approximately
how many words?
A) 1-2 words
B) 3-5 words
, C) 10-15 words — CORRECT ANSWER
D) 20-25 words
Rationale: At 15 months, expressive language typically includes 10-
15 words. By 18 months, vocabulary expands to 20-50 words. This
represents normal language acquisition progression.
6. The primary care pediatric nurse practitioner is performing a well-
child examination on a 4-month-old infant. The infant's head
circumference has not increased since the 2-month visit. Which
action should the nurse practitioner take first?
A) Document the finding as normal and schedule the next visit
B) Ask the mother about the infant's nutritional intake
C) Re-measure the head circumference, assess developmental
milestones, and discuss findings with the provider — CORRECT
ANSWER
D) Order a stat head ultrasound to rule out hydrocephalus
Rationale: A lack of head growth in a 4-month-old is concerning and
requires a systematic approach. The nurse practitioner should first re-
measure to confirm accuracy, assess developmental milestones for
other red flags, and discuss the findings with the provider. Rushing
to order imaging without further assessment is premature.
2026/2027COMPREHENSIVE HIGH YIELD PRACTICE QUESTIONS
AND STUDY GUIDE ACCURATE EXAM COMPLETE REAL
QUESTIONS AND CORRECT VERIFIED ANSWERS WITH
DETAILED RATIONALES (RELIABLE SOLUTIONS) CURRENTLY
UPDATED VERSION 2026 EDITION |GUARANTEED SUCCESS A+
|FULL REVISED EXAM |JUST RELEASED
1. A 4-year-old child presents for a well-child visit. The parent
reports the child can hop on one foot, draw a circle, and use scissors.
Which developmental milestone should the nurse practitioner
question as potentially delayed?
A) Can hop on one foot
B) Draws a circle
C) Uses scissors
D) Can tie shoelaces — CORRECT ANSWER
Rationale: Tying shoelaces is a fine motor skill typically achieved at
5-6 years of age. A 4-year-old should be able to hop on one foot,
draw a circle, and use scissors. This represents a developmental red
flag requiring further assessment.
,2. According to Piaget's theory, a 7-year-old child is in which stage of
cognitive development?
A) Sensorimotor
B) Preoperational
C) Concrete operational — CORRECT ANSWER
D) Formal operational
Rationale: Piaget's concrete operational stage spans ages 7-11 years.
During this stage, children develop logical thinking about concrete
events, understand conservation, and can classify objects. This
represents a critical period for school-based learning and
mathematical concept development.
3. A 2-month-old infant demonstrates head lag when pulled to sit.
Which response is most appropriate?
A) This is a normal finding at 2 months — CORRECT ANSWER
B) Refer immediately for neurologic evaluation
C) Recommend early intervention services
D) Schedule a follow-up in 2 weeks
,Rationale: Head lag is expected at 2 months of age. Complete head
control typically develops by 4 months. This finding represents
normal developmental progression and does not warrant immediate
referral or intervention.
4. Which fine motor skill is expected in a typically developing 10-
month-old infant?
A) Pincer grasp — CORRECT ANSWER
B) Palmar grasp
C) Transfer objects hand-to-hand
D) Build a tower of 2 cubes
Rationale: Pincer grasp (using thumb and forefinger to pick up small
objects) typically develops at 9-10 months. Palmar grasp is seen at 3-
4 months, transfer objects at 5-6 months, and tower of 2 cubes at 12-
15 months. This milestone is crucial for self-feeding development.
5. A 15-month-old child should have a vocabulary of approximately
how many words?
A) 1-2 words
B) 3-5 words
, C) 10-15 words — CORRECT ANSWER
D) 20-25 words
Rationale: At 15 months, expressive language typically includes 10-
15 words. By 18 months, vocabulary expands to 20-50 words. This
represents normal language acquisition progression.
6. The primary care pediatric nurse practitioner is performing a well-
child examination on a 4-month-old infant. The infant's head
circumference has not increased since the 2-month visit. Which
action should the nurse practitioner take first?
A) Document the finding as normal and schedule the next visit
B) Ask the mother about the infant's nutritional intake
C) Re-measure the head circumference, assess developmental
milestones, and discuss findings with the provider — CORRECT
ANSWER
D) Order a stat head ultrasound to rule out hydrocephalus
Rationale: A lack of head growth in a 4-month-old is concerning and
requires a systematic approach. The nurse practitioner should first re-
measure to confirm accuracy, assess developmental milestones for
other red flags, and discuss the findings with the provider. Rushing
to order imaging without further assessment is premature.
