NSG 548 Exam 1 V3 | NSG 548 FNP Role:
Children & Families | Actual Q&A with
Rationale (NSG548 Exam 1) | Wilkes
University
1. A 2-year-old child presents for a well-child visit. According to Erikson’s psychosocial stages,
which developmental task is the child currently navigating?
A. Autonomy vs. Shame and Doubt
B. Initiative vs. Guilt
C. Trust vs. Mistrust
D. Industry vs. Inferiority
Answer: A
Rationale: Erikson identifies the toddler period (ages 1–3 years) as the stage of Autonomy
vs. Shame and Doubt. During this time, children work to achieve a sense of independence
and self-control over physical skills. Failure to achieve this autonomy can lead to feelings of
inadequacy and doubt in their abilities.
2. Which vaccine is typically administered at the birth visit in a healthy neonate?
A. Hib
B. IPV
C. Hepatitis B
,D. Rotavirus
Answer: C
Rationale: The Hepatitis B vaccine is the only immunization recommended by the CDC to
be given at birth before hospital discharge. This initial dose provides early protection
against the virus which can be transmitted vertically. The subsequent doses in the series
are usually administered at 1–2 months and 6 months of age.
3. A 4-year-old child is able to ride a tricycle, use scissors, and speak in complete sentences.
Which Piagetian stage describes this child’s cognitive development?
A. Sensorimotor
B. Concrete Operational
C. Preoperational
D. Formal Operational
Answer: C
Rationale: The Preoperational stage occurs roughly between the ages of 2 and 7 years.
During this time, children begin to engage in symbolic play and learn to manipulate
symbols, but do not yet understand concrete logic. Their thinking is often characterized by
egocentrism and centration on a single aspect of a situation.
4. A mother expresses concern that her 18-month-old child is not yet walking. What is the
most appropriate initial action by the Family Nurse Practitioner?
A. Reassure the mother that children develop at different rates.
, B. Perform a detailed neurological and musculoskeletal assessment.
C. Refer the child immediately to orthopedics.
D. Order an MRI of the lower extremities.
Answer: B
Rationale: While there is variation in milestones, the inability to walk by 18 months is
considered a developmental delay that warrants further investigation. The FNP must first
conduct a physical assessment to rule out underlying physiological or neurological causes.
Following the assessment, appropriate referrals for early intervention or specialists may be
made.
5. Which of the following findings is most characteristic of Acute Otitis Media (AOM) during a
physical exam?
A. Bulging of the tympanic membrane with limited or absent mobility.
B. A pearly gray, mobile tympanic membrane.
C. Presence of fluid behind the ear drum without signs of infection.
D. Pain upon traction of the pinna.
Answer: A
Rationale: Acute Otitis Media is diagnosed by the rapid onset of signs and symptoms such
as ear pain and a bulging tympanic membrane. The loss of mobility when using pneumatic
Children & Families | Actual Q&A with
Rationale (NSG548 Exam 1) | Wilkes
University
1. A 2-year-old child presents for a well-child visit. According to Erikson’s psychosocial stages,
which developmental task is the child currently navigating?
A. Autonomy vs. Shame and Doubt
B. Initiative vs. Guilt
C. Trust vs. Mistrust
D. Industry vs. Inferiority
Answer: A
Rationale: Erikson identifies the toddler period (ages 1–3 years) as the stage of Autonomy
vs. Shame and Doubt. During this time, children work to achieve a sense of independence
and self-control over physical skills. Failure to achieve this autonomy can lead to feelings of
inadequacy and doubt in their abilities.
2. Which vaccine is typically administered at the birth visit in a healthy neonate?
A. Hib
B. IPV
C. Hepatitis B
,D. Rotavirus
Answer: C
Rationale: The Hepatitis B vaccine is the only immunization recommended by the CDC to
be given at birth before hospital discharge. This initial dose provides early protection
against the virus which can be transmitted vertically. The subsequent doses in the series
are usually administered at 1–2 months and 6 months of age.
3. A 4-year-old child is able to ride a tricycle, use scissors, and speak in complete sentences.
Which Piagetian stage describes this child’s cognitive development?
A. Sensorimotor
B. Concrete Operational
C. Preoperational
D. Formal Operational
Answer: C
Rationale: The Preoperational stage occurs roughly between the ages of 2 and 7 years.
During this time, children begin to engage in symbolic play and learn to manipulate
symbols, but do not yet understand concrete logic. Their thinking is often characterized by
egocentrism and centration on a single aspect of a situation.
4. A mother expresses concern that her 18-month-old child is not yet walking. What is the
most appropriate initial action by the Family Nurse Practitioner?
A. Reassure the mother that children develop at different rates.
, B. Perform a detailed neurological and musculoskeletal assessment.
C. Refer the child immediately to orthopedics.
D. Order an MRI of the lower extremities.
Answer: B
Rationale: While there is variation in milestones, the inability to walk by 18 months is
considered a developmental delay that warrants further investigation. The FNP must first
conduct a physical assessment to rule out underlying physiological or neurological causes.
Following the assessment, appropriate referrals for early intervention or specialists may be
made.
5. Which of the following findings is most characteristic of Acute Otitis Media (AOM) during a
physical exam?
A. Bulging of the tympanic membrane with limited or absent mobility.
B. A pearly gray, mobile tympanic membrane.
C. Presence of fluid behind the ear drum without signs of infection.
D. Pain upon traction of the pinna.
Answer: A
Rationale: Acute Otitis Media is diagnosed by the rapid onset of signs and symptoms such
as ear pain and a bulging tympanic membrane. The loss of mobility when using pneumatic
