NR-602 Midterm Exam Graded A Latest
Version 2023/2024 90 Questions and
Answers
Growth & Development
1. According to the Denver II developmental screening tool, at what age is a child expected
to build a tower of 4 cubes?
a) 12 months
b) 15 months
c) 18 months ✓
d) 24 months
2. A 5-year-old child can be expected to perform all of the following tasks EXCEPT:
a) Skip on one foot.
b) Copy a square.
c) Tie their shoelaces. ✓
d) Know their full name and address.
3. The anterior fontanelle typically closes between:
a) 2-4 months
b) 6-9 months
c) 12-18 months ✓
d) 24-30 months
4. A mother is concerned that her 2-year-old has a vocabulary of only about 50 words. The
most appropriate initial response is:
a) Refer immediately to a speech pathologist.
b) Reassure her that this is within the normal range for a 2-year-old. ✓
c) Order a hearing test.
d) Advise her to read to the child for 2 hours daily.
5. According to Piaget, the cognitive stage of a 7-year-old child is:
a) Sensorimotor
b) Preoperational
, c) Concrete Operational ✓
d) Formal Operational
Health Promotion & Maintenance
6. The first dose of the Hepatitis B vaccine is typically administered:
a) At birth ✓
b) At 2 months
c) At 6 months
d) At 1 year
7. According to the American Academy of Pediatrics, at what age should blood pressure
screening begin at every well-child visit?
a) 1 year
b) 3 years ✓
c) 5 years
d) 7 years
8. A 16-year-old patient comes for a sports physical. They are healthy and have no
complaints. The most important screening to perform at this visit is:
a) Lipid panel
b) Scoliosis screening
c) Depression screening ✓
d) Thyroid function test
9. The recommended daily dietary intake of calcium for an adolescent female is:
a) 800 mg
b) 1,000 mg
c) 1,300 mg ✓
d) 1,500 mg
10. Universal lead screening is recommended at what age?
a) 6 months and 12 months
b) 12 months and 18 months
c) 12 months and 24 months ✓
d) 24 months and 36 months
Pediatric Conditions & Management
11. The classic presentation of otitis media includes all of the following EXCEPT:
a) Otalgia
, b) Bulging, erythematous tympanic membrane
c) Otorrhea
d) Nuchal rigidity ✓
12. The first-line antibiotic for acute otitis media in a child with no penicillin allergy is:
a) Amoxicillin ✓
b) Amoxicillin-Clavulanate
c) Azithromycin
d) Cefdinir
13. A 4-year-old presents with a 2-day history of a "barky" cough, stridor, and low-grade
fever. The most likely diagnosis is:
a) Epiglottitis
b) Bacterial tracheitis
c) Croup (Laryngotracheobronchitis) ✓
d) Foreign body aspiration
14. The gold standard for diagnosing streptococcal pharyngitis is:
a) Rapid strep test
b) Throat culture ✓
c) Centor Criteria
d) Clinical presentation alone
15. Impetigo is most commonly caused by:
a) Streptococcus pneumoniae
b) Staphylococcus aureus ✓
c) Haemophilus influenzae
d) Candida albicans
16. A child with suspected scabies would most likely present with:
a) Honey-crusted lesions on the face
b) Intense pruritus, worse at night, with burrows in web spaces ✓
c) A herald patch on the trunk
d) Vesicles in a dermatomal pattern
17. The most common cause of bronchiolitis in infants is:
a) Influenza virus
b) Rhinovirus
c) Respiratory Syncytial Virus (RSV) ✓
d) Adenovirus
, 18. A 3-week-old infant presents with a forceful, projectile vomiting after feeds. The infant
appears hungry and is losing weight. The most likely diagnosis is:
a) Gastroenteritis
b) Gastroesophageal Reflux Disease (GERD)
c) Pyloric Stenosis ✓
d) Intussusception
19. The classic triad for intussusception includes:
a) Fever, cough, rhinorrhea
b) Abdominal pain, currant jelly stools, vomiting ✓
c) Projectile vomiting, olive-shaped mass, hunger
d) Diarrhea, dehydration, metabolic acidosis
20. A child with Kawasaki disease would present with a fever for more than 5 days and
which of the following?
a) Koplik spots
b) Strawberry tongue and bilateral conjunctival injection ✓
c) A slapped-cheek rash
d) A palmar-plantar desquamation that occurs early in the illness
21. The most common type of childhood cancer is:
a) Brain tumors
b) Neuroblastoma
c) Leukemia ✓
d) Wilms tumor
22. The most common cause of a UTI in children is:
a) Escherichia coli ✓
b) Klebsiella pneumoniae
c) Proteus mirabilis
d) Enterococcus faecalis
23. A 7-year-old presents with periorbital edema, hypoalbuminemia, and heavy proteinuria.
The most likely diagnosis is:
a) Acute Glomerulonephritis
b) Nephrotic Syndrome (Minimal Change Disease) ✓
c) Henoch-Schönlein Purpura
d) Urinary Tract Infection
Version 2023/2024 90 Questions and
Answers
Growth & Development
1. According to the Denver II developmental screening tool, at what age is a child expected
to build a tower of 4 cubes?
a) 12 months
b) 15 months
c) 18 months ✓
d) 24 months
2. A 5-year-old child can be expected to perform all of the following tasks EXCEPT:
a) Skip on one foot.
b) Copy a square.
c) Tie their shoelaces. ✓
d) Know their full name and address.
3. The anterior fontanelle typically closes between:
a) 2-4 months
b) 6-9 months
c) 12-18 months ✓
d) 24-30 months
4. A mother is concerned that her 2-year-old has a vocabulary of only about 50 words. The
most appropriate initial response is:
a) Refer immediately to a speech pathologist.
b) Reassure her that this is within the normal range for a 2-year-old. ✓
c) Order a hearing test.
d) Advise her to read to the child for 2 hours daily.
5. According to Piaget, the cognitive stage of a 7-year-old child is:
a) Sensorimotor
b) Preoperational
, c) Concrete Operational ✓
d) Formal Operational
Health Promotion & Maintenance
6. The first dose of the Hepatitis B vaccine is typically administered:
a) At birth ✓
b) At 2 months
c) At 6 months
d) At 1 year
7. According to the American Academy of Pediatrics, at what age should blood pressure
screening begin at every well-child visit?
a) 1 year
b) 3 years ✓
c) 5 years
d) 7 years
8. A 16-year-old patient comes for a sports physical. They are healthy and have no
complaints. The most important screening to perform at this visit is:
a) Lipid panel
b) Scoliosis screening
c) Depression screening ✓
d) Thyroid function test
9. The recommended daily dietary intake of calcium for an adolescent female is:
a) 800 mg
b) 1,000 mg
c) 1,300 mg ✓
d) 1,500 mg
10. Universal lead screening is recommended at what age?
a) 6 months and 12 months
b) 12 months and 18 months
c) 12 months and 24 months ✓
d) 24 months and 36 months
Pediatric Conditions & Management
11. The classic presentation of otitis media includes all of the following EXCEPT:
a) Otalgia
, b) Bulging, erythematous tympanic membrane
c) Otorrhea
d) Nuchal rigidity ✓
12. The first-line antibiotic for acute otitis media in a child with no penicillin allergy is:
a) Amoxicillin ✓
b) Amoxicillin-Clavulanate
c) Azithromycin
d) Cefdinir
13. A 4-year-old presents with a 2-day history of a "barky" cough, stridor, and low-grade
fever. The most likely diagnosis is:
a) Epiglottitis
b) Bacterial tracheitis
c) Croup (Laryngotracheobronchitis) ✓
d) Foreign body aspiration
14. The gold standard for diagnosing streptococcal pharyngitis is:
a) Rapid strep test
b) Throat culture ✓
c) Centor Criteria
d) Clinical presentation alone
15. Impetigo is most commonly caused by:
a) Streptococcus pneumoniae
b) Staphylococcus aureus ✓
c) Haemophilus influenzae
d) Candida albicans
16. A child with suspected scabies would most likely present with:
a) Honey-crusted lesions on the face
b) Intense pruritus, worse at night, with burrows in web spaces ✓
c) A herald patch on the trunk
d) Vesicles in a dermatomal pattern
17. The most common cause of bronchiolitis in infants is:
a) Influenza virus
b) Rhinovirus
c) Respiratory Syncytial Virus (RSV) ✓
d) Adenovirus
, 18. A 3-week-old infant presents with a forceful, projectile vomiting after feeds. The infant
appears hungry and is losing weight. The most likely diagnosis is:
a) Gastroenteritis
b) Gastroesophageal Reflux Disease (GERD)
c) Pyloric Stenosis ✓
d) Intussusception
19. The classic triad for intussusception includes:
a) Fever, cough, rhinorrhea
b) Abdominal pain, currant jelly stools, vomiting ✓
c) Projectile vomiting, olive-shaped mass, hunger
d) Diarrhea, dehydration, metabolic acidosis
20. A child with Kawasaki disease would present with a fever for more than 5 days and
which of the following?
a) Koplik spots
b) Strawberry tongue and bilateral conjunctival injection ✓
c) A slapped-cheek rash
d) A palmar-plantar desquamation that occurs early in the illness
21. The most common type of childhood cancer is:
a) Brain tumors
b) Neuroblastoma
c) Leukemia ✓
d) Wilms tumor
22. The most common cause of a UTI in children is:
a) Escherichia coli ✓
b) Klebsiella pneumoniae
c) Proteus mirabilis
d) Enterococcus faecalis
23. A 7-year-old presents with periorbital edema, hypoalbuminemia, and heavy proteinuria.
The most likely diagnosis is:
a) Acute Glomerulonephritis
b) Nephrotic Syndrome (Minimal Change Disease) ✓
c) Henoch-Schönlein Purpura
d) Urinary Tract Infection
