NSG 5442 Pediatric Primary Care Exam 2
(PDF) | 2026/2027 | South College Pediatrics
1. A 2-month-old infant is scheduled for a well-child visit. Which
immunization is contraindicated if the infant has a severe allergy to gelatin?
A) DTaP
B) MMR
C) Hib
D) IPV
Answer: B
Rationale: MMR contains gelatin; severe allergy is a contraindication.
2. A 4-year-old child has a BMI at the 95th percentile. Which term best
describes this?
A) Normal weight
B) Overweight
C) Obese
D) Underweight
Answer: C
Rationale: BMI ≥95th percentile for age and sex is classified as obese.
,3. A 6-month-old infant is breastfed. Which supplement should be
recommended?
A) Vitamin C
B) Vitamin D
C) Iron
D) Fluoride
Answer: B
Rationale: Breastfed infants need 400 IU vitamin D daily.
4. A 3-year-old child is not yet speaking in sentences. Which action should
the nurse take?
A) Reassure that this is normal
B) Refer for speech and language evaluation
C) Recommend increased screen time
D) Advise waiting until age 4
Answer: B
Rationale: By age 3, children should speak in short sentences; delay warrants
evaluation.
5. A 12-month-old infant is due for immunizations. Which vaccine is
contraindicated if the child has a history of intussusception?
A) MMR
B) Varicella
,C) Rotavirus
D) Hepatitis A
Answer: C
Rationale: History of intussusception is a contraindication for rotavirus vaccine.
6. A 5-year-old child presents with a “slapped cheek” rash and low-grade
fever. Which condition is most likely?
A) Measles
B) Fifth disease (erythema infectiosum)
C) Scarlet fever
D) Roseola
Answer: B
Rationale: Parvovirus B19 causes slapped cheek rash followed by lacy rash on
extremities.
7. A 2-week-old newborn has not regained birth weight. Which action is most
appropriate?
A) Reassure that this is normal
B) Assess feeding and weight gain
C) Supplement with formula
D) Refer to gastroenterology
Answer: B
, Rationale: Newborns should regain birth weight by 2 weeks; failure requires
evaluation.
8. A 10-year-old child has a positive tuberculin skin test (10 mm induration).
Which action is next?
A) No action needed
B) Obtain chest X-ray and start isoniazid
C) Repeat TST in 1 week
D) Start rifampin only
Answer: B
Rationale: Positive TST in child requires chest X-ray and treatment for latent TB.
9. A 4-month-old infant has a fever of 38.5°C. Which action should the nurse
take first?
A) Administer acetaminophen
B) Assess for serious bacterial illness and notify provider
C) Apply cool compress
D) Recommend oral fluids
Answer: B
Rationale: Fever in infant <3 months requires urgent evaluation for sepsis.
(PDF) | 2026/2027 | South College Pediatrics
1. A 2-month-old infant is scheduled for a well-child visit. Which
immunization is contraindicated if the infant has a severe allergy to gelatin?
A) DTaP
B) MMR
C) Hib
D) IPV
Answer: B
Rationale: MMR contains gelatin; severe allergy is a contraindication.
2. A 4-year-old child has a BMI at the 95th percentile. Which term best
describes this?
A) Normal weight
B) Overweight
C) Obese
D) Underweight
Answer: C
Rationale: BMI ≥95th percentile for age and sex is classified as obese.
,3. A 6-month-old infant is breastfed. Which supplement should be
recommended?
A) Vitamin C
B) Vitamin D
C) Iron
D) Fluoride
Answer: B
Rationale: Breastfed infants need 400 IU vitamin D daily.
4. A 3-year-old child is not yet speaking in sentences. Which action should
the nurse take?
A) Reassure that this is normal
B) Refer for speech and language evaluation
C) Recommend increased screen time
D) Advise waiting until age 4
Answer: B
Rationale: By age 3, children should speak in short sentences; delay warrants
evaluation.
5. A 12-month-old infant is due for immunizations. Which vaccine is
contraindicated if the child has a history of intussusception?
A) MMR
B) Varicella
,C) Rotavirus
D) Hepatitis A
Answer: C
Rationale: History of intussusception is a contraindication for rotavirus vaccine.
6. A 5-year-old child presents with a “slapped cheek” rash and low-grade
fever. Which condition is most likely?
A) Measles
B) Fifth disease (erythema infectiosum)
C) Scarlet fever
D) Roseola
Answer: B
Rationale: Parvovirus B19 causes slapped cheek rash followed by lacy rash on
extremities.
7. A 2-week-old newborn has not regained birth weight. Which action is most
appropriate?
A) Reassure that this is normal
B) Assess feeding and weight gain
C) Supplement with formula
D) Refer to gastroenterology
Answer: B
, Rationale: Newborns should regain birth weight by 2 weeks; failure requires
evaluation.
8. A 10-year-old child has a positive tuberculin skin test (10 mm induration).
Which action is next?
A) No action needed
B) Obtain chest X-ray and start isoniazid
C) Repeat TST in 1 week
D) Start rifampin only
Answer: B
Rationale: Positive TST in child requires chest X-ray and treatment for latent TB.
9. A 4-month-old infant has a fever of 38.5°C. Which action should the nurse
take first?
A) Administer acetaminophen
B) Assess for serious bacterial illness and notify provider
C) Apply cool compress
D) Recommend oral fluids
Answer: B
Rationale: Fever in infant <3 months requires urgent evaluation for sepsis.
