NURS 629 Exam 2 V2 | NURS 629 Peds |
Actual Q&A with Rationale (NURS629
Exam 2) | Maryville University
1. A 6-year-old child presents with symptoms of asthma including coughing and wheezing
that occur 3 times per week, with nighttime awakenings 3 times per month. How should this
patient’s asthma be classified according to NAEPP guidelines?
A. Mild Persistent
B. Intermittent
C. Moderate Persistent
D. Severe Persistent
Correct Answer: A
Mild persistent asthma is characterized by symptoms occurring more than twice a week
but not daily, and nighttime awakenings 3 to 4 times per month. The patient’s presentation
of symptoms 3 times per week aligns specifically with this classification. Proper
classification is essential for determining the appropriate step-wise pharmacological
management according to the latest clinical guidelines.
2. Which of the following findings are considered ‘red flags’ for developmental delay in a 24-
month-old child? (Select all that apply)
A. Inability to walk up and down stairs
,B. Failure to speak at least 50 words
C. Inability to use two-word phrases
D. Loss of previously acquired skills
E. Persistent toe walking
F. Preferring to play alone
Correct Answer: A,B,C,D,E
Developmental red flags at 24 months include significant motor delays such as the
inability to navigate stairs and linguistic delays such as a vocabulary under 50 words or no
word combinations. Any regression or loss of milestones is a critical indicator for
immediate neurodevelopmental evaluation. Identifying these signs early allows for referral
to Early Intervention services to improve long-term outcomes.
3. A mother brings her 4-year-old son to the clinic with a ‘barky’ cough and inspiratory stridor
that worsens at night. Which treatment is most appropriate for a mild case of Croup?
A. Oral Amoxicillin
B. Nebulized Albuterol
C. Chest Physiotherapy
D. A single dose of oral Dexamethasone
Correct Answer: D
, Dexamethasone is the standard treatment for croup to reduce laryngeal edema and
improve respiratory symptoms. It has a long half-life and is effective even in mild cases to
prevent progression and reduce the need for further medical visits. Antibiotics like
amoxicillin are not indicated as croup is almost exclusively viral in origin.
4. Which physical exam finding is most pathognomonic for Intussusception in a 9-month-old
infant?
A. A sausage-shaped mass in the right upper quadrant
B. A rigid, board-like abdomen
C. Projectile vomiting immediately after feeding
D. Pain localized to McBurney’s point
Correct Answer: A
Intussusception is often characterized by a palpable sausage-shaped mass representing
the segment of bowel that has telescoped into another. This finding is typically associated
with paroxysmal abdominal pain and ‘currant jelly’ stools. Clinical suspicion of this finding
warrants immediate diagnostic imaging, usually an ultrasound, followed by a contrast or
air enema.
5. According to the CDC immunization schedule, which vaccines should a healthy 4-year-old
receive before entering kindergarten? (Select all that apply)
A. DTaP
B. IPV
, C. MMR
D. Varicella
E. Hepatitis B
F. Hib
Correct Answer: A,B,C,D
Between ages 4 and 6, children require booster doses of DTaP, IPV, MMR, and Varicella for
school entry. Hepatitis B and Hib are typically completed within the first 18 months of life
unless the child is on a catch-up schedule. Ensuring these immunizations are up to date is a
primary responsibility of the pediatric primary care provider during the well-child visit.
6. A 12-year-old female presents with a BMI at the 97th percentile for her age and sex. What
is the correct interpretation of this finding?
A. Underweight
B. Healthy weight
C. Obese
D. Overweight
Correct Answer: C
A BMI at or above the 95th percentile for age and sex is classified as obese in the pediatric
population. This finding necessitates further evaluation for comorbid conditions such as
Actual Q&A with Rationale (NURS629
Exam 2) | Maryville University
1. A 6-year-old child presents with symptoms of asthma including coughing and wheezing
that occur 3 times per week, with nighttime awakenings 3 times per month. How should this
patient’s asthma be classified according to NAEPP guidelines?
A. Mild Persistent
B. Intermittent
C. Moderate Persistent
D. Severe Persistent
Correct Answer: A
Mild persistent asthma is characterized by symptoms occurring more than twice a week
but not daily, and nighttime awakenings 3 to 4 times per month. The patient’s presentation
of symptoms 3 times per week aligns specifically with this classification. Proper
classification is essential for determining the appropriate step-wise pharmacological
management according to the latest clinical guidelines.
2. Which of the following findings are considered ‘red flags’ for developmental delay in a 24-
month-old child? (Select all that apply)
A. Inability to walk up and down stairs
,B. Failure to speak at least 50 words
C. Inability to use two-word phrases
D. Loss of previously acquired skills
E. Persistent toe walking
F. Preferring to play alone
Correct Answer: A,B,C,D,E
Developmental red flags at 24 months include significant motor delays such as the
inability to navigate stairs and linguistic delays such as a vocabulary under 50 words or no
word combinations. Any regression or loss of milestones is a critical indicator for
immediate neurodevelopmental evaluation. Identifying these signs early allows for referral
to Early Intervention services to improve long-term outcomes.
3. A mother brings her 4-year-old son to the clinic with a ‘barky’ cough and inspiratory stridor
that worsens at night. Which treatment is most appropriate for a mild case of Croup?
A. Oral Amoxicillin
B. Nebulized Albuterol
C. Chest Physiotherapy
D. A single dose of oral Dexamethasone
Correct Answer: D
, Dexamethasone is the standard treatment for croup to reduce laryngeal edema and
improve respiratory symptoms. It has a long half-life and is effective even in mild cases to
prevent progression and reduce the need for further medical visits. Antibiotics like
amoxicillin are not indicated as croup is almost exclusively viral in origin.
4. Which physical exam finding is most pathognomonic for Intussusception in a 9-month-old
infant?
A. A sausage-shaped mass in the right upper quadrant
B. A rigid, board-like abdomen
C. Projectile vomiting immediately after feeding
D. Pain localized to McBurney’s point
Correct Answer: A
Intussusception is often characterized by a palpable sausage-shaped mass representing
the segment of bowel that has telescoped into another. This finding is typically associated
with paroxysmal abdominal pain and ‘currant jelly’ stools. Clinical suspicion of this finding
warrants immediate diagnostic imaging, usually an ultrasound, followed by a contrast or
air enema.
5. According to the CDC immunization schedule, which vaccines should a healthy 4-year-old
receive before entering kindergarten? (Select all that apply)
A. DTaP
B. IPV
, C. MMR
D. Varicella
E. Hepatitis B
F. Hib
Correct Answer: A,B,C,D
Between ages 4 and 6, children require booster doses of DTaP, IPV, MMR, and Varicella for
school entry. Hepatitis B and Hib are typically completed within the first 18 months of life
unless the child is on a catch-up schedule. Ensuring these immunizations are up to date is a
primary responsibility of the pediatric primary care provider during the well-child visit.
6. A 12-year-old female presents with a BMI at the 97th percentile for her age and sex. What
is the correct interpretation of this finding?
A. Underweight
B. Healthy weight
C. Obese
D. Overweight
Correct Answer: C
A BMI at or above the 95th percentile for age and sex is classified as obese in the pediatric
population. This finding necessitates further evaluation for comorbid conditions such as
