NSG 548 Exam 2 V1 | NSG 548 FNP Role:
Children & Families | Actual Q&A with
Rationale (NSG548 Exam 2) | Wilkes
University
1. A 12-month-old child presents for a well-child visit. Which of the following immunizations
should the FNP expect to administer based on the CDC schedule?
A. Rotavirus and Hib only
B. Tdap, IPV, and PCV13
C. Meningococcal and HPV
D. MMR, Varicella, and Hepatitis A
Answer: D
Rationale: At 12 months, children typically receive their first dose of the MMR and
Varicella vaccines. The first dose of Hepatitis A is also recommended between 12 and 23
months of age. The FNP must ensure the child has reached the minimum age requirements
to avoid invalidating the dose.
2. An 18-month-old is brought in for a developmental screening. Which milestone is typically
expected at this age?
A. Riding a tricycle
B. Walking up steps with help
,C. Using a 3-word sentence
D. Drawing a square
Answer: B
Rationale: At 18 months, a toddler should be able to walk up steps with assistance and
walk backward. They should also be able to use a spoon and help undress themselves. Lack
of these motor skills may require further evaluation using the M-CHAT or Denver II tools.
3. Which of the following is a classic clinical manifestation of intussusception in an infant?
A. Currant jelly-like stools
B. Projectile non-bilious vomiting
C. Painless abdominal mass in the left lower quadrant
D. High-grade fever and diarrhea
Answer: A
Rationale: Intussusception is characterized by the sudden onset of intermittent, colicky
abdominal pain and the presence of currant jelly stools, which consist of blood and mucus.
A sausage-shaped mass may also be felt in the right upper quadrant during physical
examination. This is a medical emergency that often requires a contrast or air enema for
reduction.
, 4. According to the HEADSS assessment for adolescents, which area does the ‘S’ at the end
specifically refer to?
A. School performance
B. Suicidality and Depression
C. Social media usage
D. Sleep patterns
Answer: B
Rationale: The HEADSS mnemonic stands for Home, Education/Employment, Activities,
Drugs, Sexuality, and Suicidality/Depression. This assessment tool is crucial for identifying
high-risk behaviors in adolescents during routine visits. The FNP must ensure a private and
confidential environment to obtain accurate information regarding these sensitive topics.
5. A 4-year-old child presents with a ‘barking’ cough and inspiratory stridor. What is the most
likely diagnosis?
A. Croup (Laryngotracheobronchitis)
B. Epiglottitis
C. Bronchiolitis
D. Foreign body aspiration
Answer: A
Children & Families | Actual Q&A with
Rationale (NSG548 Exam 2) | Wilkes
University
1. A 12-month-old child presents for a well-child visit. Which of the following immunizations
should the FNP expect to administer based on the CDC schedule?
A. Rotavirus and Hib only
B. Tdap, IPV, and PCV13
C. Meningococcal and HPV
D. MMR, Varicella, and Hepatitis A
Answer: D
Rationale: At 12 months, children typically receive their first dose of the MMR and
Varicella vaccines. The first dose of Hepatitis A is also recommended between 12 and 23
months of age. The FNP must ensure the child has reached the minimum age requirements
to avoid invalidating the dose.
2. An 18-month-old is brought in for a developmental screening. Which milestone is typically
expected at this age?
A. Riding a tricycle
B. Walking up steps with help
,C. Using a 3-word sentence
D. Drawing a square
Answer: B
Rationale: At 18 months, a toddler should be able to walk up steps with assistance and
walk backward. They should also be able to use a spoon and help undress themselves. Lack
of these motor skills may require further evaluation using the M-CHAT or Denver II tools.
3. Which of the following is a classic clinical manifestation of intussusception in an infant?
A. Currant jelly-like stools
B. Projectile non-bilious vomiting
C. Painless abdominal mass in the left lower quadrant
D. High-grade fever and diarrhea
Answer: A
Rationale: Intussusception is characterized by the sudden onset of intermittent, colicky
abdominal pain and the presence of currant jelly stools, which consist of blood and mucus.
A sausage-shaped mass may also be felt in the right upper quadrant during physical
examination. This is a medical emergency that often requires a contrast or air enema for
reduction.
, 4. According to the HEADSS assessment for adolescents, which area does the ‘S’ at the end
specifically refer to?
A. School performance
B. Suicidality and Depression
C. Social media usage
D. Sleep patterns
Answer: B
Rationale: The HEADSS mnemonic stands for Home, Education/Employment, Activities,
Drugs, Sexuality, and Suicidality/Depression. This assessment tool is crucial for identifying
high-risk behaviors in adolescents during routine visits. The FNP must ensure a private and
confidential environment to obtain accurate information regarding these sensitive topics.
5. A 4-year-old child presents with a ‘barking’ cough and inspiratory stridor. What is the most
likely diagnosis?
A. Croup (Laryngotracheobronchitis)
B. Epiglottitis
C. Bronchiolitis
D. Foreign body aspiration
Answer: A
