NSG 548 Exam 3 V1 | NSG 548 FNP Role:
Children & Families | Actual Q&A with
Rationale (NSG548 Exam 3) | Wilkes
University
1. A 12-month-old infant is brought in for a well-child visit. Which developmental milestone
should the Family Nurse Practitioner expect to observe at this age?
A. Running and jumping
B. Walking while holding onto furniture (cruising)
C. Using a spoon effectively to feed themselves
D. Speaking in four-to-five word sentences
Answer: B
Rationale: At 12 months, infants are typically expected to cruise while holding onto
furniture or may even take their first independent steps. Gross motor skills such as running
usually develop closer to 18-24 months. The FNP uses these milestones to assess for
developmental delays during routine screenings.
2. A mother brings her 2-year-old child to the clinic because the child has a ‘barking’ cough
and inspiratory stridor that worsens at night. What is the most likely diagnosis?
A. Epiglottitis
B. Laryngotracheobronchitis (Croup)
,C. Bronchiolitis
D. Foreign body aspiration
Answer: B
Rationale: Croup is characterized by a distinctive barking cough and inspiratory stridor
due to upper airway inflammation. It is most commonly caused by the parainfluenza virus
and often improves with exposure to cool air. Treatment typically involves a single dose of
dexamethasone to reduce subglottic swelling.
3. Which physical exam finding is most characteristic of a child with Pyloric Stenosis?
A. Sausage-shaped mass in the right upper quadrant
B. Currant jelly stools
C. Olive-shaped mass in the epigastrium
D. Rebound tenderness at McBurney’s point
Answer: C
Rationale: Pyloric stenosis typically presents in infants between 3 and 6 weeks of age with
non-bilious projectile vomiting. Upon palpation, an olive-shaped mass can often be felt in
the epigastric area representing the hypertrophied pylorus. Diagnosis is confirmed via
ultrasound showing an elongated and thickened pyloric muscle.
, 4. A 4-year-old child presents with a high fever, ‘slapped-cheek’ appearance, and a lacy,
reticular rash on the trunk and extremities. Which virus is responsible for this condition?
A. Human Herpesvirus 6
B. Coxsackievirus A16
C. Varicella-Zoster virus
D. Parvovirus B19
Answer: D
Rationale: Erythema infectiosum, also known as Fifth Disease, is caused by Parvovirus
B19. The classic presentation includes a bright red rash on the cheeks followed by a
maculopapular lacy rash on the body. It is important to advise pregnant women to avoid
contact with the child due to the risk of hydrops fetalis.
5. When screening a 14-year-old male for scoliosis, the FNP asks the patient to bend forward
at the waist with arms hanging down. What is this maneuver called?
A. Adams Forward Bend Test
B. Ortolani maneuver
C. Lachman test
D. McMurray test
Answer: A
Children & Families | Actual Q&A with
Rationale (NSG548 Exam 3) | Wilkes
University
1. A 12-month-old infant is brought in for a well-child visit. Which developmental milestone
should the Family Nurse Practitioner expect to observe at this age?
A. Running and jumping
B. Walking while holding onto furniture (cruising)
C. Using a spoon effectively to feed themselves
D. Speaking in four-to-five word sentences
Answer: B
Rationale: At 12 months, infants are typically expected to cruise while holding onto
furniture or may even take their first independent steps. Gross motor skills such as running
usually develop closer to 18-24 months. The FNP uses these milestones to assess for
developmental delays during routine screenings.
2. A mother brings her 2-year-old child to the clinic because the child has a ‘barking’ cough
and inspiratory stridor that worsens at night. What is the most likely diagnosis?
A. Epiglottitis
B. Laryngotracheobronchitis (Croup)
,C. Bronchiolitis
D. Foreign body aspiration
Answer: B
Rationale: Croup is characterized by a distinctive barking cough and inspiratory stridor
due to upper airway inflammation. It is most commonly caused by the parainfluenza virus
and often improves with exposure to cool air. Treatment typically involves a single dose of
dexamethasone to reduce subglottic swelling.
3. Which physical exam finding is most characteristic of a child with Pyloric Stenosis?
A. Sausage-shaped mass in the right upper quadrant
B. Currant jelly stools
C. Olive-shaped mass in the epigastrium
D. Rebound tenderness at McBurney’s point
Answer: C
Rationale: Pyloric stenosis typically presents in infants between 3 and 6 weeks of age with
non-bilious projectile vomiting. Upon palpation, an olive-shaped mass can often be felt in
the epigastric area representing the hypertrophied pylorus. Diagnosis is confirmed via
ultrasound showing an elongated and thickened pyloric muscle.
, 4. A 4-year-old child presents with a high fever, ‘slapped-cheek’ appearance, and a lacy,
reticular rash on the trunk and extremities. Which virus is responsible for this condition?
A. Human Herpesvirus 6
B. Coxsackievirus A16
C. Varicella-Zoster virus
D. Parvovirus B19
Answer: D
Rationale: Erythema infectiosum, also known as Fifth Disease, is caused by Parvovirus
B19. The classic presentation includes a bright red rash on the cheeks followed by a
maculopapular lacy rash on the body. It is important to advise pregnant women to avoid
contact with the child due to the risk of hydrops fetalis.
5. When screening a 14-year-old male for scoliosis, the FNP asks the patient to bend forward
at the waist with arms hanging down. What is this maneuver called?
A. Adams Forward Bend Test
B. Ortolani maneuver
C. Lachman test
D. McMurray test
Answer: A
