NURS 6541: PRIMARY CARE OF CHILDREN &
ADOLESCENTS
Midterm Practice Assessment
2025 Practice Edition
100 Multiple-Choice Questions with Answers and Rationales
Original pediatric primary-care practice assessment aligned to the published course
scope; not actual or official Walden University exam questions.
Use current clinical guidance, local protocols, and age-specific assessment. This study
resource is not a substitute for clinical supervision or individualized medical care.
Page 1 of 36
,Table of Contents
Section 1: Pediatric Health Assessment & Developmental Surveillance (Questions 1–15)
........................................ 3
Section 2: Growth, Nutrition & Immunizations (Questions 16–30) ........................................ 8
Section 3: Respiratory & ENT Disorders in Children (Questions 31–45) ........................................ 13
Section 4: Cardiovascular, Hematologic & Infectious Conditions (Questions 46–60)
........................................ 18
Section 5: Gastrointestinal, Genitourinary & Renal Conditions (Questions 61–75)
........................................ 23
Section 6: Dermatologic, Musculoskeletal & Neurologic Conditions (Questions 76–90)
........................................ 28
Section 7: Behavioral Health, Adolescent Care & Family-Centered Practice (Questions 91–100)
........................................ 33
Page 2 of 36
,Section 1: Pediatric Health Assessment & Developmental Surveillance
(Questions 1–15)
Q1: A 6-year-old is reluctant to speak during a visit. Which approach is most likely to
support a useful history?
A. Begin with the caregiver and child together, use age-appropriate open questions, and allow
time to build rapport [CORRECT]
B. Question the child rapidly while the caregiver is excluded
C. Assume silence indicates oppositional behavior
D. Skip the history and order tests
Correct Answer: A
Rationale: A developmentally appropriate, welcoming approach supports rapport and gathers
information from both child and caregiver.
Q2: During a well-child visit, which measurement set is most appropriate for an infant?
A. Weight, recumbent length, and head circumference [CORRECT]
B. Standing height and waist circumference only
C. BMI only
D. Chest circumference and arm span only
Correct Answer: A
Rationale: Infant growth assessment commonly includes weight, recumbent length, and head
circumference plotted over time.
Q3: Which growth chart is generally used in the United States for children from birth
through 2 years?
A. WHO growth standards [CORRECT]
B. Adult BMI chart
C. CDC BMI chart only
D. A single height-for-age table without weight
Correct Answer: A
Rationale: WHO growth standards are generally used for children younger than 2 years; CDC
charts are commonly used from age 2 onward.
Page 3 of 36
, Q4: A 3-year-old has a developmental screening result outside the expected range. What
should the clinician do?
A. Discuss the result, complete indicated evaluation/referral, and not rely on reassurance alone
[CORRECT]
B. Wait until school entry before acting
C. Diagnose a developmental disorder from the screening score alone
D. Repeat the same screen years later without discussion
Correct Answer: A
Rationale: A positive screen is not a diagnosis, but it calls for timely developmental evaluation
and referral as appropriate.
Q5: At which ages does the AAP recommend general developmental screening during
routine well-child care?
A. 9, 18, and 30 months [CORRECT]
B. 2, 4, and 6 months only
C. 12 and 36 months only
D. Only when a caregiver asks
Correct Answer: A
Rationale: AAP recommends standardized general developmental screening at 9, 18, and 30
months and whenever concerns arise.
Q6: At which ages is autism-specific screening recommended for all children during
well-child care?
A. 18 and 24 months [CORRECT]
B. 6 and 12 months
C. 30 and 48 months only
D. Only after school referral
Correct Answer: A
Rationale: AAP recommends autism-specific screening at 18 and 24 months, with additional
screening when concerns exist.
Page 4 of 36
ADOLESCENTS
Midterm Practice Assessment
2025 Practice Edition
100 Multiple-Choice Questions with Answers and Rationales
Original pediatric primary-care practice assessment aligned to the published course
scope; not actual or official Walden University exam questions.
Use current clinical guidance, local protocols, and age-specific assessment. This study
resource is not a substitute for clinical supervision or individualized medical care.
Page 1 of 36
,Table of Contents
Section 1: Pediatric Health Assessment & Developmental Surveillance (Questions 1–15)
........................................ 3
Section 2: Growth, Nutrition & Immunizations (Questions 16–30) ........................................ 8
Section 3: Respiratory & ENT Disorders in Children (Questions 31–45) ........................................ 13
Section 4: Cardiovascular, Hematologic & Infectious Conditions (Questions 46–60)
........................................ 18
Section 5: Gastrointestinal, Genitourinary & Renal Conditions (Questions 61–75)
........................................ 23
Section 6: Dermatologic, Musculoskeletal & Neurologic Conditions (Questions 76–90)
........................................ 28
Section 7: Behavioral Health, Adolescent Care & Family-Centered Practice (Questions 91–100)
........................................ 33
Page 2 of 36
,Section 1: Pediatric Health Assessment & Developmental Surveillance
(Questions 1–15)
Q1: A 6-year-old is reluctant to speak during a visit. Which approach is most likely to
support a useful history?
A. Begin with the caregiver and child together, use age-appropriate open questions, and allow
time to build rapport [CORRECT]
B. Question the child rapidly while the caregiver is excluded
C. Assume silence indicates oppositional behavior
D. Skip the history and order tests
Correct Answer: A
Rationale: A developmentally appropriate, welcoming approach supports rapport and gathers
information from both child and caregiver.
Q2: During a well-child visit, which measurement set is most appropriate for an infant?
A. Weight, recumbent length, and head circumference [CORRECT]
B. Standing height and waist circumference only
C. BMI only
D. Chest circumference and arm span only
Correct Answer: A
Rationale: Infant growth assessment commonly includes weight, recumbent length, and head
circumference plotted over time.
Q3: Which growth chart is generally used in the United States for children from birth
through 2 years?
A. WHO growth standards [CORRECT]
B. Adult BMI chart
C. CDC BMI chart only
D. A single height-for-age table without weight
Correct Answer: A
Rationale: WHO growth standards are generally used for children younger than 2 years; CDC
charts are commonly used from age 2 onward.
Page 3 of 36
, Q4: A 3-year-old has a developmental screening result outside the expected range. What
should the clinician do?
A. Discuss the result, complete indicated evaluation/referral, and not rely on reassurance alone
[CORRECT]
B. Wait until school entry before acting
C. Diagnose a developmental disorder from the screening score alone
D. Repeat the same screen years later without discussion
Correct Answer: A
Rationale: A positive screen is not a diagnosis, but it calls for timely developmental evaluation
and referral as appropriate.
Q5: At which ages does the AAP recommend general developmental screening during
routine well-child care?
A. 9, 18, and 30 months [CORRECT]
B. 2, 4, and 6 months only
C. 12 and 36 months only
D. Only when a caregiver asks
Correct Answer: A
Rationale: AAP recommends standardized general developmental screening at 9, 18, and 30
months and whenever concerns arise.
Q6: At which ages is autism-specific screening recommended for all children during
well-child care?
A. 18 and 24 months [CORRECT]
B. 6 and 12 months
C. 30 and 48 months only
D. Only after school referral
Correct Answer: A
Rationale: AAP recommends autism-specific screening at 18 and 24 months, with additional
screening when concerns exist.
Page 4 of 36
