NSG 5442 Exam 1 Questions &
Answers Comprehensive 2026/2027
Edition
Comprehensive Examination Question Bank • Concept Mapping
TOTAL QUESTIONS EXAM TOPICS RATIONALES
100 Questions 10 Modules 100% Verified
DOCUMENT OVERVIEW
This document contains 100 verified questions with correct answers pertaining to pediatric nursing. Each
question is designed to assess knowledge in child health, development, and family dynamics, making it
suitable for exam preparation, course review, and professional certification in pediatric nursing.
EXAM BLUEPRINT & TOPIC DISTRIBUTION
Systematic breakdown of subject domains and exam coverage.
Topic Module Scope & Core Focus Questions Share (%)
Child Development and Focuses on the evaluation of growth milestones and
Assessment developmental delays in children. 10 Qs 10.0%
Genetics and Family Health Covers the importance of understanding genetic disorders
History and constructing family pedigrees. 10 Qs 10.0%
Pediatric Nutrition and Health Explores the impact of nutrition and environmental factors on
Risks child health. 10 Qs 10.0%
Mental Health and Behavioral Addresses mental health screenings and behavioral
Issues challenges in children and adolescents. 10 Qs 10.0%
Seizures and Neurological Focuses on the assessment and management of seizures
Conditions and related neurological disorders in children. 10 Qs 10.0%
Family Dynamics and Immigrant Examines the role of family structure and the challenges
Health faced by immigrant families in pediatric health. 10 Qs 10.0%
Infectious Diseases and Discusses the management of infectious diseases and the
Vaccination importance of vaccination in pediatric populations. 10 Qs 10.0%
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Evaluates how environmental factors, including toxins, affect
Environmental Health Risks child health. 10 Qs 10.0%
Childhood Disorders and Explores various childhood disorders and recommended
Interventions therapeutic interventions. 10 Qs 10.0%
Emergency Situations in Addresses protocols for managing emergencies within
Pediatrics pediatric nursing. 10 Qs 10.0%
Total Exam Coverage 10 Integrated Topic Modules 100 Qs 100.0%
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TOPIC 1: CHILD DEVELOPMENT AND ASSESSMENT
10 Questions • 10.0% of Exam • Focuses on the evaluation of growth milestones and developmental delays in children.
QUESTION 1
When providing well child care for an infant in the first year of life, the primary care
pediatric nurse practitioner is adhering to the most recent American Academy of
PediatricsRecommendations for Preventive Pediatric Health Care guidelines by
A. focusing less on development and more on illness prevention and nutrition.
B. following guidelines established by theBright Futures publication.
C. scheduling well baby visits to coincide with key developmental milestones.
D. seeing the infant at ages 2, 4, 6, and 12 months when immunizations are due.
Answer: C. scheduling well baby visits to coincide with key developmental milestones.
QUESTION 2
During a well child assessment of an 18-month-old child, the primary care pediatric
nurse practitioner observes the child becoming irritable and uncooperative. The parent
tells the child to stop fussing. What will the nurse practitioner do?
A. Allow the parent to put the child in a "timeout."
B. Ask the parent about usual discipline practices.
C. Offer the child a book or a toy to look at.
D. Stop the exam since the child has reached a "meltdown."
Answer: C. Offer the child a book or a toy to look at.
QUESTION 3
A mother brings her 9 month infant in for a routine visit. What milestone would be
appropriate for the doctor to ask if the infant is meeting?
1. Walking
2. Speaking in two word phrases
3. Rolls back to stomach and stomach to back
4. All of the above
Answer: 3. Rolls back to stomach and stomach to back.
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QUESTION 4
The primary care pediatric nurse practitioner understands that a major child health
outcome associated with worldwide climate change is
A. cost of living.
B. education.
C. nutrition.
D. pollution.
Answer: C. nutrition.
QUESTION 5
The primary care pediatric nurse practitioner evaluates a school age child whose body
mass index (BMI) is greater than the 97th percentile. The nurse practitioner is
concerned about possible metabolic syndrome and orders laboratory tests to evaluate
this. Which diagnosis will the nurse practitioner document for this visit?
A. Metabolic syndrome
B. Nutritional alteration: more than required
C. Obesity
D. Rule out type 2 diabetes mellitus
Answer: C. Obesity.
QUESTION 6
Which diagnostic study may be ordered when the provider wishes to detect the
presence of additional genetic material on a chromosome?
A. Chromosomal microarray
B. FISH
D. Karyotype
E. Molecular testing
Answer: B. FISH.
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