NSG 548 Exam 2 V1 | NSG 548 FNP Role: Children &
Families | Actual Q&A with Rationale (NSG548
Exam 2) | Wilkes University
1. A 15-month-old child is brought to the clinic for a well-child visit. Which developmental
milestone should the Family Nurse Practitioner (FNP) expect the child to have achieved?
A. Ability to hop on one foot
B. Walking independently
C. Using a four-word sentence
D. Tying shoelaces
Correct Answer: B
Explanation: By 15 months, most children should be walking independently as a gross
motor milestone. Hopping on one foot is typically a 4-year-old skill, while complex
sentences and tying shoes occur much later in childhood. Assessment of these milestones
helps the FNP track neurological and physical development effectively.
2. During a physical examination of a 2nd-grade student, the FNP notes the child is in
Erikson’s stage of Industry vs. Inferiority. Which behavior best exemplifies this stage?
A. Showing off a collection of rocks and explaining the categories
B. Crying when the parent leaves the room
C. Refusing to share toys with a sibling
,D. Questioning parental authority to establish independence
Correct Answer: A
Explanation: In the Industry vs. Inferiority stage (ages 6-12), children focus on mastering
tasks and gaining a sense of competence through productivity. Organizing collections
demonstrates their cognitive growth and need for achievement in school-age years. Failure
to master these tasks can lead to feelings of inadequacy compared to peers.
3. An FNP is assessing a 4-month-old infant for clinical signs of dehydration. Which finding is
the most reliable indicator of moderate dehydration in this age group?
A. Sunken anterior fontanel
B. Moist mucous membranes
C. Bradycardia
D. Hypertension
Correct Answer: A
Explanation: A sunken anterior fontanel is a classic sign of moderate dehydration in
infants due to reduced intracranial pressure from fluid loss. Other signs include decreased
tear production, dry mucous membranes, and reduced urine output. Immediate
intervention is required to prevent progression to severe shock or organ failure.
4. A 6-year-old child presents with a ‘barking’ cough and inspiratory stridor that worsens at
night. What is the most likely diagnosis?
A. Asthma
, B. Epiglottitis
C. Croup (Laryngotracheobronchitis)
D. Bacterial pneumonia
Correct Answer: C
Explanation: Croup is characterized by subglottic inflammation which causes the hallmark
barking cough and stridor. It is most commonly viral in origin and typically presents in
children aged 6 months to 3 years, though it can occur in older children. Management
focuses on airway maintenance and reducing inflammation, often using corticosteroids.
5. Which immunization is contraindicated for a 12-month-old child who is currently receiving
high-dose systemic corticosteroids for a chronic condition?
A. Inactivated Poliovirus (IPV)
B. Measles, Mumps, Rubella (MMR)
C. Hepatitis B
D. Pneumococcal conjugate (PCV13)
Correct Answer: B
Explanation: MMR is a live attenuated vaccine and is generally contraindicated in
individuals with significant immunosuppression, including those on high-dose steroids.
Inactivated vaccines like IPV or HepB do not pose the same risk of vaccine-induced disease
Families | Actual Q&A with Rationale (NSG548
Exam 2) | Wilkes University
1. A 15-month-old child is brought to the clinic for a well-child visit. Which developmental
milestone should the Family Nurse Practitioner (FNP) expect the child to have achieved?
A. Ability to hop on one foot
B. Walking independently
C. Using a four-word sentence
D. Tying shoelaces
Correct Answer: B
Explanation: By 15 months, most children should be walking independently as a gross
motor milestone. Hopping on one foot is typically a 4-year-old skill, while complex
sentences and tying shoes occur much later in childhood. Assessment of these milestones
helps the FNP track neurological and physical development effectively.
2. During a physical examination of a 2nd-grade student, the FNP notes the child is in
Erikson’s stage of Industry vs. Inferiority. Which behavior best exemplifies this stage?
A. Showing off a collection of rocks and explaining the categories
B. Crying when the parent leaves the room
C. Refusing to share toys with a sibling
,D. Questioning parental authority to establish independence
Correct Answer: A
Explanation: In the Industry vs. Inferiority stage (ages 6-12), children focus on mastering
tasks and gaining a sense of competence through productivity. Organizing collections
demonstrates their cognitive growth and need for achievement in school-age years. Failure
to master these tasks can lead to feelings of inadequacy compared to peers.
3. An FNP is assessing a 4-month-old infant for clinical signs of dehydration. Which finding is
the most reliable indicator of moderate dehydration in this age group?
A. Sunken anterior fontanel
B. Moist mucous membranes
C. Bradycardia
D. Hypertension
Correct Answer: A
Explanation: A sunken anterior fontanel is a classic sign of moderate dehydration in
infants due to reduced intracranial pressure from fluid loss. Other signs include decreased
tear production, dry mucous membranes, and reduced urine output. Immediate
intervention is required to prevent progression to severe shock or organ failure.
4. A 6-year-old child presents with a ‘barking’ cough and inspiratory stridor that worsens at
night. What is the most likely diagnosis?
A. Asthma
, B. Epiglottitis
C. Croup (Laryngotracheobronchitis)
D. Bacterial pneumonia
Correct Answer: C
Explanation: Croup is characterized by subglottic inflammation which causes the hallmark
barking cough and stridor. It is most commonly viral in origin and typically presents in
children aged 6 months to 3 years, though it can occur in older children. Management
focuses on airway maintenance and reducing inflammation, often using corticosteroids.
5. Which immunization is contraindicated for a 12-month-old child who is currently receiving
high-dose systemic corticosteroids for a chronic condition?
A. Inactivated Poliovirus (IPV)
B. Measles, Mumps, Rubella (MMR)
C. Hepatitis B
D. Pneumococcal conjugate (PCV13)
Correct Answer: B
Explanation: MMR is a live attenuated vaccine and is generally contraindicated in
individuals with significant immunosuppression, including those on high-dose steroids.
Inactivated vaccines like IPV or HepB do not pose the same risk of vaccine-induced disease
