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NU 664A Pediatric Primary Care Exam 2 (2025/2026) – 100 Verified Questions on Infectious Diseases, Developmental Milestones, GI, ENT, Respiratory & Adolescent Health

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This NU 664A Exam 2 (2025/2026) guide presents 100 fully solved, high-yield questions and correct answers, designed specifically for Pediatric Nurse Practitioners (PNP), Family Nurse Practitioners (FNP), Primary Care NPs, and Advanced Practice Nursing Students enrolled in pediatric-focused tracks. The content emphasizes evidence-based pediatric care spanning neonates to adolescents, making it ideal for certification prep, didactic coursework, or clinical rotation review. Covered systems and specialties include: Infectious Disease & Respiratory: Diagnosis and treatment of RSV, pneumonia, pertussis, epiglottitis, acute rhinosinusitis, and croup, including hallmark signs like steeple sign and Hib vaccine protection. Gastrointestinal Disorders: High-yield differentials and red flags for GERD, colic, Crohn’s disease, ulcerative colitis, intussusception, incarcerated hernia, and Hirschsprung's disease. Ophthalmology & ENT: Management of corneal abrasion, blepharitis, nasal foreign bodies, chlamydia conjunctivitis, and indications for pediatric ophthalmology referral. Developmental & Behavioral Pediatrics: Milestones, temperament, gender dysphoria, functional abdominal pain, puberty stages, Tanner staging, and psychosocial counseling for risk behaviors and adolescent identity. Pediatric Emergencies: Identification and intervention in testicular torsion, hyphema, appendicitis, and acute rheumatic fever. Chronic Conditions & Well-Child Care: Assessment strategies for obesity, BMI interpretation, dysmenorrhea, menarche nutrition, and the rule of 3 for picky eaters. Each question is clearly formulated with a rational answer, based on updated pediatric clinical guidelines. This exam material enables rapid decision-making and clinical confidence, offering immense value for board review, classroom study, or patient simulation scenarios. Keywords: pediatric nurse practitioner, RSV, pneumonia, blepharitis, GERD, Hirschsprung’s, testicular torsion, intussusception, appendicitis, PNP board prep, Tanner stages, epiglottitis, rotavirus, Crohn’s disease, ulcerative colitis, adolescent counseling, developmental milestones, functional abdominal pain, chlamydia conjunctivitis, Haemophilus influenzae, picky eaters, dysmenorrhea, hyphema, vision screening, nasal foreign body, school-age health, childhood vaccinations, well-child exam

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NU664A Exam 2 2025/2026 Exam
Questions with 100% Correct Answers |
Latest Update



2 week old infant with complaint of rash near left upper eyelid several vesicular

lesions on his left upper eyelid. What would you discuss with the mother as the

PNP? - 🧠 ANSWER ✔✔It is important that you go to the children's hospital

emergency department now because your child needs an immediate referral to a

pediatric ophthalmologist.

3 year old w/ hx of blepharitis and his mother asks whether there is anything she

can do to prevent this from occurring again. What would you suggest as the PNP? -

🧠 ANSWER ✔✔Good handwashing and daily eye lid and lash scrub with diluted

baby shampoo should prevent this from reoccurring.

5 year old feeling like something might be in his eye. No visual changes had

occurred, normal EOM, no known injury. You decide to complete fluorescein

, staining to the affected eye because you suspect - 🧠 ANSWER ✔✔Corneal

abrasion

4-month-old w/1-week hx of nasal congestion and occasional cough. Prior evening

Temp 102F refused to breastfeed and had coughing and noisy labored breathing.

On exam ill-appearing infant who is lethargic w/ tachypnea, wheezing, and

intercostal retractions. Does not attend daycare but has a 3-year-old sibling who is

in daycare and who recently had a "cold". Considering the clinical presentation

what is the most likely cause of the infant's illness? - 🧠 ANSWER ✔✔RSV

bronchiolitis

6 year old hx of cough for 10 days, Fever 101.5 F in the past 24 hrs. Decrease

appetite and complain of abdominal pain. Breathing faster than normal . Given the

information, what is the most likely dx? - 🧠 ANSWER ✔✔Pneumonia


12 day old concerned about breathing. Feeding stops breathing for 10 seconds.

Eats well never appeared pale/cyanotic, and has never become limp during any of

these episodes. What would the PNP discuss w/ the parents? - 🧠 ANSWER ✔✔I

know this can be concerning. This can be a normal variant for infants.

When reviewing techniques to reduce fear in the children in your clinic, you recall

that the age group w/ imaginary play is - 🧠 ANSWER ✔✔preschoolers



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