NR602 Pediatric Midterm Study
Set / Study Guide Q-Bank / Expert
Verified Actual Questions &
Answers for Guaranteed Pass /
Newest Update, 2025-2026.
Terms in this set (293)
Quiz____?
The parent of a toddler is concerned that the child may have autism. The
primary care pediatric nurse practitioner completes a Modified Checklist for
Autism in Toddlers (M-CHAT) tool, which indicates several areas of concern.
What will the nurse practitioner do?
Administer a Childhood Autism Rating Scale (CARS) in the clinic.
Consult a specialist to determine appropriate early intervention strategies.
Refer the child to a behavioral specialist for further evaluation.
Tell the parent that this result indicates that the child has autism. -
ANSWER✓✓
The M-CHAT is a screening tool and is useful for detecting behaviors that
may indicate autism. This instrument has been found to have acceptable
sensitivity, specificity, and significant positive predictive value. If these
behaviors are detected, the PNP should refer the child to a specialist for
further assessment, using more diagnostic tools. The CARS may be used but
requires specialty training and proper credentials. Until the diagnosis is
determined, strategies for intervention are not discussed. The M-CHAT is a
screening tool and is not diagnostic.
Quiz____?
Page 1 of 158
,The mother of a newborn tells the primary care pediatric nurse practitioner
that she is worried that her child will develop allergies and asthma. Which
tool will the nurse practitioner use to evaluate this risk?
Three-generation pedigree
Review of systems
Genogram
Ecomap -
ANS: A
The three-generation pedigree is used to map out risks for genetic diseases
in families, as well as conditions with modifiable risk factors. The review of
systems is used to evaluate the history of the child's body systems. The
genogram is an approach to developing a family database to provide a
graphic representation of family structure, roles, and problems of recurring
significance in a family. The ecomap is used to identify relationships in the
family and community that are supportive or harmful.
Quiz____?
The primary care pediatric nurse practitioner is performing a well child
check-up on a 20-month-old child. The child was 4 weeks premature and,
according to a parent-completed developmental questionnaire, has achieved
milestones for a 15-month-old infant. Which action is correct?
Perform an in-depth developmental assessment screen at this visit to
evaluate this child.
Reassure the parent that the child will catch up to normal development by
age 2 years.
Re-evaluate this child's development and milestone achievements at the 2-
year visit.
Refer the child to a specialty clinic for evaluation and treatment of
developmental delay. -
ANS: A
This child should be at a 19-month adjusted age for prematurity so,
according to the parent screen, is 4 months behind. The PNP should perform
Page 2 of 158
,a more in-depth screen to evaluate this delay. Waiting to see if the child will
"catch up" or assuring the parent that this will happen will cause the delays
to become more severe. A referral to a specialty clinic should not be made
solely on the basis of the parent-completed questionnaire but only after
further evaluation of possible delays.
Quiz____?
When formulating developmental diagnoses for pediatric patients, the
primary care pediatric nurse practitioner may use which resource?
DC: 0-3R
ICD-10-CM
ICSD-3
NANDA International -
ANS: A
The DC: 0-3R refers to the Diagnostic Classification of Mental Health and
Developmental Disorders of Infancy and Early Childhood and is useful for
developmental problem diagnosis. The ICD-10-CM is the International
Classification of Diseases-Tenth Revision, Clinical Modification and is useful
for identifying physiologic diseases. The ICSD-3 is the International
Classification of Sleep Disorders - 3rd edition. NANDA International is used to
label problems in the functional health domain.
Quiz____?
The primary care pediatric nurse practitioner is evaluating health literacy in
the mother of a new preschool-age child. How will the nurse practitioner
assess this?
Ask the child how many books he has at home.
Ask the mother about her highest grade in school.
Ask the mother to determine the correct dose of a drug from a label.
Ask the mother to read a health information handout aloud. -
ANS: A
Page 3 of 158
, The "newest vital sign," or health literacy, can be determined quickly by
asking the parent how many children's books are in the home. Greater than
10 books in the home is an independent positive predictor of adequate
parent health literacy. The other questions may determine a specific level of
literacy in general but are not as efficient.
Quiz____?
The primary care pediatric nurse practitioner learns that the mother of a 3-
year-old child has been treated for depression for over 5 years. Which aspect
of this child's development will be of the most concern to the nurse
practitioner?
Fine motor
Gross motor
Social/emotional
Speech and language -
ANS: D
Maternal depression in the first year of life has been associated with poorer
language development at 3 years of age.
Quiz____?
The primary care pediatric nurse practitioner sees a 3-year-old child who
chronically withholds stools, in spite of the parents' attempts to stop the
behavior, requiring frequent treatments with laxative medications. Which
diagnosis will the nurse practitioner use to facilitate third-party
reimbursement?
Altered elimination pattern
Elimination disorder
Encopresis
Parenting alteration -
ANSWER✓✓
Page 4 of 158
Set / Study Guide Q-Bank / Expert
Verified Actual Questions &
Answers for Guaranteed Pass /
Newest Update, 2025-2026.
Terms in this set (293)
Quiz____?
The parent of a toddler is concerned that the child may have autism. The
primary care pediatric nurse practitioner completes a Modified Checklist for
Autism in Toddlers (M-CHAT) tool, which indicates several areas of concern.
What will the nurse practitioner do?
Administer a Childhood Autism Rating Scale (CARS) in the clinic.
Consult a specialist to determine appropriate early intervention strategies.
Refer the child to a behavioral specialist for further evaluation.
Tell the parent that this result indicates that the child has autism. -
ANSWER✓✓
The M-CHAT is a screening tool and is useful for detecting behaviors that
may indicate autism. This instrument has been found to have acceptable
sensitivity, specificity, and significant positive predictive value. If these
behaviors are detected, the PNP should refer the child to a specialist for
further assessment, using more diagnostic tools. The CARS may be used but
requires specialty training and proper credentials. Until the diagnosis is
determined, strategies for intervention are not discussed. The M-CHAT is a
screening tool and is not diagnostic.
Quiz____?
Page 1 of 158
,The mother of a newborn tells the primary care pediatric nurse practitioner
that she is worried that her child will develop allergies and asthma. Which
tool will the nurse practitioner use to evaluate this risk?
Three-generation pedigree
Review of systems
Genogram
Ecomap -
ANS: A
The three-generation pedigree is used to map out risks for genetic diseases
in families, as well as conditions with modifiable risk factors. The review of
systems is used to evaluate the history of the child's body systems. The
genogram is an approach to developing a family database to provide a
graphic representation of family structure, roles, and problems of recurring
significance in a family. The ecomap is used to identify relationships in the
family and community that are supportive or harmful.
Quiz____?
The primary care pediatric nurse practitioner is performing a well child
check-up on a 20-month-old child. The child was 4 weeks premature and,
according to a parent-completed developmental questionnaire, has achieved
milestones for a 15-month-old infant. Which action is correct?
Perform an in-depth developmental assessment screen at this visit to
evaluate this child.
Reassure the parent that the child will catch up to normal development by
age 2 years.
Re-evaluate this child's development and milestone achievements at the 2-
year visit.
Refer the child to a specialty clinic for evaluation and treatment of
developmental delay. -
ANS: A
This child should be at a 19-month adjusted age for prematurity so,
according to the parent screen, is 4 months behind. The PNP should perform
Page 2 of 158
,a more in-depth screen to evaluate this delay. Waiting to see if the child will
"catch up" or assuring the parent that this will happen will cause the delays
to become more severe. A referral to a specialty clinic should not be made
solely on the basis of the parent-completed questionnaire but only after
further evaluation of possible delays.
Quiz____?
When formulating developmental diagnoses for pediatric patients, the
primary care pediatric nurse practitioner may use which resource?
DC: 0-3R
ICD-10-CM
ICSD-3
NANDA International -
ANS: A
The DC: 0-3R refers to the Diagnostic Classification of Mental Health and
Developmental Disorders of Infancy and Early Childhood and is useful for
developmental problem diagnosis. The ICD-10-CM is the International
Classification of Diseases-Tenth Revision, Clinical Modification and is useful
for identifying physiologic diseases. The ICSD-3 is the International
Classification of Sleep Disorders - 3rd edition. NANDA International is used to
label problems in the functional health domain.
Quiz____?
The primary care pediatric nurse practitioner is evaluating health literacy in
the mother of a new preschool-age child. How will the nurse practitioner
assess this?
Ask the child how many books he has at home.
Ask the mother about her highest grade in school.
Ask the mother to determine the correct dose of a drug from a label.
Ask the mother to read a health information handout aloud. -
ANS: A
Page 3 of 158
, The "newest vital sign," or health literacy, can be determined quickly by
asking the parent how many children's books are in the home. Greater than
10 books in the home is an independent positive predictor of adequate
parent health literacy. The other questions may determine a specific level of
literacy in general but are not as efficient.
Quiz____?
The primary care pediatric nurse practitioner learns that the mother of a 3-
year-old child has been treated for depression for over 5 years. Which aspect
of this child's development will be of the most concern to the nurse
practitioner?
Fine motor
Gross motor
Social/emotional
Speech and language -
ANS: D
Maternal depression in the first year of life has been associated with poorer
language development at 3 years of age.
Quiz____?
The primary care pediatric nurse practitioner sees a 3-year-old child who
chronically withholds stools, in spite of the parents' attempts to stop the
behavior, requiring frequent treatments with laxative medications. Which
diagnosis will the nurse practitioner use to facilitate third-party
reimbursement?
Altered elimination pattern
Elimination disorder
Encopresis
Parenting alteration -
ANSWER✓✓
Page 4 of 158
