Examl 2:l NSG548/l NSGl 548l (NEWl 2025/l
2026l Update)l FNPl Rolel withl Childrenl
andl Familiesl Review|l Questionsl &l
Answers|l Gradel A|l 100%l Correctl
(Verifiedl Solutions)-l Wilkes
QUESTION
Whichl ofl thel followingl wouldl notl bel associatedl withl anl uncomplicated
concussion?
a.l Focall motorl signs
b.l Briefl lossl ofl consciousness
c.l Headache
d.l Confusionl orl amnesial forl thel event
Answer:
a.l Focall motorl signs
QUESTION
Whatl statementl isl descriptivel ofl al concussion?
a.l Petechiall hemorrhagesl causel amnesia.
www.nursingstudysource.com
b.l Visiblel bruisingl andl tearingl ofl cerebrall tissuel occur.
c.l Itl isl al transientl andl reversiblel neuronall dysfunction.
d.l Itl isl al slightl lesionl thatl developsl remotel froml thel sitel ofl trauma.
Answer:
ANS:l C
Al concussionl isl al transient,l reversiblel neuronall dysfunctionl withl instantaneousl lossl of
awarenessl andl responsivenessl resultingl froml traumal tol thel head.l Petechiall hemorrhagesl
on
thel superficiall aspectsl ofl thel brainl alongl thel pointl ofl impactl arel al typel ofl contusionl
butl are
notl necessarilyl associatedl withl amnesia.l Al contusionl isl visiblel bruisingl andl tearingl of
,cerebrall tissue.
Contrecoupl isl al lesionl thatl developsl remotel froml thel sitel ofl traumal asl al resultl ofl an
accelerationdecelerationl injury.
QUESTION
Al 5-year-oldl girll sustainedl al concussionl whenl shel felll outl ofl al tree.l Inl preparationl for
discharge,l thel nursel isl discussingl homel carel withl herl mother.l Whatl signl orl symptoml is
consideredl al manifestationl ofl postconcussionl syndromel andl doesl notl necessitatel medical
attention?
a.l Vomiting
b.l Blurredl vision
c.l Behaviorall changes
d.l Temporaryl lossl ofl consciousness
Answer:
ANS:l C
Thel parentsl arel advisedl ofl probablel posttraumaticl symptomsl thatl mayl bel expected.l
These
includel behaviorall changes,l sleepl disturbances,l emotionall lability,l andl alterationsl inl
school
performance.l Ifl thel childl isl vomiting,l hasl blurredl vision,l orl hasl temporaryl lossl of
consciousness,l shel shouldl bel seenl forl evaluation.
QUESTION
Al 2-year-oldl childl isl broughtl tol thel clinicl withl al 2-dayl historyl ofl al harsh,
predominantlyl nocturnall cough,l feverl ofl 100°F,l andl clearl rhinorrhea.l Thel childl is
diagnosedl withl croup.l Whichl ofl thel followingl wouldl thel PNPl telll thel parent?
A)l "Thel coldl symptomsl shouldl bel gonel inl 3l days."
B)l "Ifl thel childl isl unablel tol swallowl andl beginsl tol drool,l calll thel office."
C)l "Al highl feverl isl normall forl thel firstl 2l daysl ofl al cold."
D)l "Anl antibioticl needsl tol bel prescribed."
Answer:
B)l "Ifl thel childl isl unablel tol swallowl andl beginsl tol drool,l calll thel office."
QUESTION
Recommendationsl regardingl thel currentl managementl ofl croupl withl increasedl work
,ofl breathingl includel thel usel of
a.l nebulizedl bronchodilators
b.l orall corticosteroids
c.l orall antibiotics
d.l cooll mistl therapy
Answer:
b.l orall corticosteroids
QUESTION
Thel classicl radiographl findingl inl croupl is:
a.l hyperinflation
b.l perihilarl lymphadenopathy
c.l thumbl sign
d.l steeplel sign
Answer:
d.l steeplel sign
QUESTION
Anl 18l monthl oldl presentsl withl moderatel symptomsl ofl croupl ofl 8l hoursl duration.
Whichl isl thel MOSTl appropriatel therapy?
a.l orall amoxicillinl 40l mg/kgl dividedl TIDl forl 10l days
b.l helium-oxygen
c.l racemicl epinephrinel byl nebulization
d.l orall dexamethasonel 0.6l mg/kg
Answer:
d.l orall dexamethasonel 0.6l mg/kg
QUESTION
Thel PNPl isl evaluatingl al 2-year-oldl childl withl al 48-hourl historyl ofl al dry,l coarse
coughl andl fever.l Uponl examinationl thel childl appearsl illl butl nontoxic.l Thel child
hasl al harsh,l forcefull coughl withl intermittentl stridorousl breathsl afterl al coughing
spasml butl nol stridorl atl rest.l Thel parentsl havel beenl givingl thel childl anl expectorant
andl coughl suppressantl thatl havel providedl littlel relief.l Thel PNPl makesl the
, diagnosisl ofl croupl withoutl respiratoryl distress.l Treatmentl forl thisl childl should
include:
A)l Nebulizedl albuteroll andl expectorants
B)l Narcoticl coughl suppressantl asl needed,l feverl management,l mistl therapy,l and
rest
C)l Antibioticl therapyl combinedl withl steroidsl andl anl expectorant
D)l Continuedl usel ofl anl expectorantl ifl helpful,l orall steroids,l mistl therapy,l andl rest
Answer:
D)l Continuedl usel ofl anl expectorantl ifl helpful,l orall steroids,l mistl therapy,l andl rest
QUESTION
Thel nursel isl assessingl al childl withl croupl inl thel emergencyl department.l Thel childl hasl
al sore
throatl andl isl drooling.l Examiningl thel childsl throatl usingl al tonguel depressorl mightl
precipitate
whatl condition?
a.l Sorel throat
b.l Inspiratoryl stridor
c.l Completel obstruction
d.l Respiratoryl tractl infection
Answer:
ANS:l C
Ifl al childl hasl acutel epiglottitis,l examinationl ofl thel throatl mayl causel completel
obstruction
andl shouldl bel performedl onlyl whenl immediatel intubationl canl takel place.l Sorel throatl
and
painl onl swallowingl arel earlyl signsl ofl epiglottitis.l Stridorl isl aggravatedl whenl al childl
with
epiglottitisl isl supine.l Epiglottitisl isl causedl byl Haemophilusl influenzael inl thel respiratory
tract.
QUESTION
Thel motherl ofl al 20-month-oldl boyl tellsl thel nursel thatl hel hasl al barkingl coughl atl
night.l His
temperaturel isl 37l Cl (98.6l F).l Thel nursel suspectsl mildl croupl andl shouldl recommendl
which
2026l Update)l FNPl Rolel withl Childrenl
andl Familiesl Review|l Questionsl &l
Answers|l Gradel A|l 100%l Correctl
(Verifiedl Solutions)-l Wilkes
QUESTION
Whichl ofl thel followingl wouldl notl bel associatedl withl anl uncomplicated
concussion?
a.l Focall motorl signs
b.l Briefl lossl ofl consciousness
c.l Headache
d.l Confusionl orl amnesial forl thel event
Answer:
a.l Focall motorl signs
QUESTION
Whatl statementl isl descriptivel ofl al concussion?
a.l Petechiall hemorrhagesl causel amnesia.
www.nursingstudysource.com
b.l Visiblel bruisingl andl tearingl ofl cerebrall tissuel occur.
c.l Itl isl al transientl andl reversiblel neuronall dysfunction.
d.l Itl isl al slightl lesionl thatl developsl remotel froml thel sitel ofl trauma.
Answer:
ANS:l C
Al concussionl isl al transient,l reversiblel neuronall dysfunctionl withl instantaneousl lossl of
awarenessl andl responsivenessl resultingl froml traumal tol thel head.l Petechiall hemorrhagesl
on
thel superficiall aspectsl ofl thel brainl alongl thel pointl ofl impactl arel al typel ofl contusionl
butl are
notl necessarilyl associatedl withl amnesia.l Al contusionl isl visiblel bruisingl andl tearingl of
,cerebrall tissue.
Contrecoupl isl al lesionl thatl developsl remotel froml thel sitel ofl traumal asl al resultl ofl an
accelerationdecelerationl injury.
QUESTION
Al 5-year-oldl girll sustainedl al concussionl whenl shel felll outl ofl al tree.l Inl preparationl for
discharge,l thel nursel isl discussingl homel carel withl herl mother.l Whatl signl orl symptoml is
consideredl al manifestationl ofl postconcussionl syndromel andl doesl notl necessitatel medical
attention?
a.l Vomiting
b.l Blurredl vision
c.l Behaviorall changes
d.l Temporaryl lossl ofl consciousness
Answer:
ANS:l C
Thel parentsl arel advisedl ofl probablel posttraumaticl symptomsl thatl mayl bel expected.l
These
includel behaviorall changes,l sleepl disturbances,l emotionall lability,l andl alterationsl inl
school
performance.l Ifl thel childl isl vomiting,l hasl blurredl vision,l orl hasl temporaryl lossl of
consciousness,l shel shouldl bel seenl forl evaluation.
QUESTION
Al 2-year-oldl childl isl broughtl tol thel clinicl withl al 2-dayl historyl ofl al harsh,
predominantlyl nocturnall cough,l feverl ofl 100°F,l andl clearl rhinorrhea.l Thel childl is
diagnosedl withl croup.l Whichl ofl thel followingl wouldl thel PNPl telll thel parent?
A)l "Thel coldl symptomsl shouldl bel gonel inl 3l days."
B)l "Ifl thel childl isl unablel tol swallowl andl beginsl tol drool,l calll thel office."
C)l "Al highl feverl isl normall forl thel firstl 2l daysl ofl al cold."
D)l "Anl antibioticl needsl tol bel prescribed."
Answer:
B)l "Ifl thel childl isl unablel tol swallowl andl beginsl tol drool,l calll thel office."
QUESTION
Recommendationsl regardingl thel currentl managementl ofl croupl withl increasedl work
,ofl breathingl includel thel usel of
a.l nebulizedl bronchodilators
b.l orall corticosteroids
c.l orall antibiotics
d.l cooll mistl therapy
Answer:
b.l orall corticosteroids
QUESTION
Thel classicl radiographl findingl inl croupl is:
a.l hyperinflation
b.l perihilarl lymphadenopathy
c.l thumbl sign
d.l steeplel sign
Answer:
d.l steeplel sign
QUESTION
Anl 18l monthl oldl presentsl withl moderatel symptomsl ofl croupl ofl 8l hoursl duration.
Whichl isl thel MOSTl appropriatel therapy?
a.l orall amoxicillinl 40l mg/kgl dividedl TIDl forl 10l days
b.l helium-oxygen
c.l racemicl epinephrinel byl nebulization
d.l orall dexamethasonel 0.6l mg/kg
Answer:
d.l orall dexamethasonel 0.6l mg/kg
QUESTION
Thel PNPl isl evaluatingl al 2-year-oldl childl withl al 48-hourl historyl ofl al dry,l coarse
coughl andl fever.l Uponl examinationl thel childl appearsl illl butl nontoxic.l Thel child
hasl al harsh,l forcefull coughl withl intermittentl stridorousl breathsl afterl al coughing
spasml butl nol stridorl atl rest.l Thel parentsl havel beenl givingl thel childl anl expectorant
andl coughl suppressantl thatl havel providedl littlel relief.l Thel PNPl makesl the
, diagnosisl ofl croupl withoutl respiratoryl distress.l Treatmentl forl thisl childl should
include:
A)l Nebulizedl albuteroll andl expectorants
B)l Narcoticl coughl suppressantl asl needed,l feverl management,l mistl therapy,l and
rest
C)l Antibioticl therapyl combinedl withl steroidsl andl anl expectorant
D)l Continuedl usel ofl anl expectorantl ifl helpful,l orall steroids,l mistl therapy,l andl rest
Answer:
D)l Continuedl usel ofl anl expectorantl ifl helpful,l orall steroids,l mistl therapy,l andl rest
QUESTION
Thel nursel isl assessingl al childl withl croupl inl thel emergencyl department.l Thel childl hasl
al sore
throatl andl isl drooling.l Examiningl thel childsl throatl usingl al tonguel depressorl mightl
precipitate
whatl condition?
a.l Sorel throat
b.l Inspiratoryl stridor
c.l Completel obstruction
d.l Respiratoryl tractl infection
Answer:
ANS:l C
Ifl al childl hasl acutel epiglottitis,l examinationl ofl thel throatl mayl causel completel
obstruction
andl shouldl bel performedl onlyl whenl immediatel intubationl canl takel place.l Sorel throatl
and
painl onl swallowingl arel earlyl signsl ofl epiglottitis.l Stridorl isl aggravatedl whenl al childl
with
epiglottitisl isl supine.l Epiglottitisl isl causedl byl Haemophilusl influenzael inl thel respiratory
tract.
QUESTION
Thel motherl ofl al 20-month-oldl boyl tellsl thel nursel thatl hel hasl al barkingl coughl atl
night.l His
temperaturel isl 37l Cl (98.6l F).l Thel nursel suspectsl mildl croupl andl shouldl recommendl
which
