NR 602 PEDIATRIC PRIMARY CARE MIDTERM ASSESSMENT QUESTIONS & ANSWER… EXAM
P R O F E S S I O N A L P R A C T I C E M AT E R I A L S
NR 602 Pediatric Primary
Care Midterm Assessment
Questions & Answers 2026-
2027 | Chamberlain
University
Verified Answers Exam Ready With Rationales
293 QUESTIONS
DOCUMENT OVERVIEW
This document provides 293 pediatric primary care exam questions with correct answers and explanations.
It covers a broad range of pediatric primary care topics, offering a comprehensive resource for students.
This assessment material is suitable for in-depth study, thorough review, and preparation for certification
exams.
CONTENTS
01 • All Questions
Page 1
, E XA M Q U EST I O N S
Q1 QUESTION 1 OF 293
The parent of a toddler is concerned that the child may have autism. The primary care pediatric nurse practitioner
completes a Modified Checklist for Autism in Toddlers (M-CHAT) tool, which indicates several areas of concern.
What will the nurse practitioner do?
Administer a Childhood Autism Rating Scale (CARS) in the clinic.
Consult a specialist to determine appropriate early intervention strategies.
Refer the child to a behavioral specialist for further evaluation.
Tell the parent that this result indicates that the child has autism.
CORRECT ANSWER
ANS: C
The M-CHAT is a screening tool and is useful for detecting behaviors that may indicate autism. This instrument has
been found to have acceptable sensitivity, specificity, and significant positive predictive value. If these behaviors are
detected, the PNP should refer the child to a specialist for further assessment, using more diagnostic tools. The
CARS may be used but requires specialty training and proper credentials. Until the diagnosis is determined,
strategies for intervention are not discussed. The M-CHAT is a screening tool and is not diagnostic.
Q2 QUESTION 2 OF 293
The mother of a newborn tells the primary care pediatric nurse practitioner that she is worried that her child will
develop allergies and asthma. Which tool will the nurse practitioner use to evaluate this risk?
Three-generation pedigree
Review of systems
Genogram
Ecomap
CORRECT ANSWER
ANS: A
The three-generation pedigree is used to map out risks for genetic diseases in families, as well as conditions with
modifiable risk factors. The review of systems is used to evaluate the history of the child's body systems. The
genogram is an approach to developing a family database to provide a graphic representation of family structure,
roles, and problems of recurring significance in a family. The ecomap is used to identify relationships in the family
and community that are supportive or harmful.
Q3 QUESTION 3 OF 293
Page 2
,The primary care pediatric nurse practitioner is performing a well child check-up on a 20-month-old child. The
child was 4 weeks premature and, according to a parent-completed developmental questionnaire, has achieved
milestones for a 15-month-old infant. Which action is correct?
Perform an in-depth developmental assessment screen at this visit to evaluate this child.
Reassure the parent that the child will catch up to normal development by age 2 years.
Re-evaluate this child's development and milestone achievements at the 2-year visit.
Refer the child to a specialty clinic for evaluation and treatment of developmental delay.
CORRECT ANSWER
ANS: A
This child should be at a 19-month adjusted age for prematurity so, according to the parent screen, is 4 months
behind. The PNP should perform a more in-depth screen to evaluate this delay. Waiting to see if the child will "catch
up" or assuring the parent that this will happen will cause the delays to become more severe. A referral to a specialty
clinic should not be made solely on the basis of the parent-completed questionnaire but only after further evaluation
of possible delays.
Q4 QUESTION 4 OF 293
When formulating developmental diagnoses for pediatric patients, the primary care pediatric nurse practitioner
may use which resource?
DC: 0-3R
ICD-10-CM
ICSD-3
NANDA International
CORRECT ANSWER
ANS: A
The DC: 0-3R refers to the Diagnostic Classification of Mental Health and Developmental Disorders of Infancy and
Early Childhood and is useful for developmental problem diagnosis. The ICD-10-CM is the International
Classification of Diseases-Tenth Revision, Clinical Modification and is useful for identifying physiologic diseases.
The ICSD-3 is the International Classification of Sleep Disorders - 3rd edition. NANDA International is used to label
problems in the functional health domain.
Q5 QUESTION 5 OF 293
The primary care pediatric nurse practitioner is evaluating health literacy in the mother of a new preschool-age
child. How will the nurse practitioner assess this?
Ask the child how many books he has at home.
Ask the mother about her highest grade in school.
Page 3
, Ask the mother to determine the correct dose of a drug from a label.
Ask the mother to read a health information handout aloud.
CORRECT ANSWER
ANS: A
The "newest vital sign," or health literacy, can be determined quickly by asking the parent how many children's books
are in the home. Greater than 10 books in the home is an independent positive predictor of adequate parent health
literacy. The other questions may determine a specific level of literacy in general but are not as efficient.
Q6 QUESTION 6 OF 293
The primary care pediatric nurse practitioner learns that the mother of a 3-year-old child has been treated for
depression for over 5 years. Which aspect of this child's development will be of the most concern to the nurse
practitioner?
Fine motor
Gross motor
Social/emotional
Speech and language
CORRECT ANSWER
ANS: D
Maternal depression in the first year of life has been associated with poorer language development at 3 years of age.
Q7 QUESTION 7 OF 293
The primary care pediatric nurse practitioner sees a 3-year-old child who chronically withholds stools, in spite of
the parents' attempts to stop the behavior, requiring frequent treatments with laxative medications. Which
diagnosis will the nurse practitioner use to facilitate third-party reimbursement?
Altered elimination pattern
Elimination disorder
Encopresis
Parenting alteration
CORRECT ANSWER
ANS: C
Encopresis is a medical diagnosis, classified in the ICD-10-CM, and is recognized for reimbursement purposes.
"Altered elimination pattern" and "Parenting alteration" are NANDA International diagnoses and are not recognized
for reimbursement. "Elimination disorder" is a developmental diagnosis.
Page 4
P R O F E S S I O N A L P R A C T I C E M AT E R I A L S
NR 602 Pediatric Primary
Care Midterm Assessment
Questions & Answers 2026-
2027 | Chamberlain
University
Verified Answers Exam Ready With Rationales
293 QUESTIONS
DOCUMENT OVERVIEW
This document provides 293 pediatric primary care exam questions with correct answers and explanations.
It covers a broad range of pediatric primary care topics, offering a comprehensive resource for students.
This assessment material is suitable for in-depth study, thorough review, and preparation for certification
exams.
CONTENTS
01 • All Questions
Page 1
, E XA M Q U EST I O N S
Q1 QUESTION 1 OF 293
The parent of a toddler is concerned that the child may have autism. The primary care pediatric nurse practitioner
completes a Modified Checklist for Autism in Toddlers (M-CHAT) tool, which indicates several areas of concern.
What will the nurse practitioner do?
Administer a Childhood Autism Rating Scale (CARS) in the clinic.
Consult a specialist to determine appropriate early intervention strategies.
Refer the child to a behavioral specialist for further evaluation.
Tell the parent that this result indicates that the child has autism.
CORRECT ANSWER
ANS: C
The M-CHAT is a screening tool and is useful for detecting behaviors that may indicate autism. This instrument has
been found to have acceptable sensitivity, specificity, and significant positive predictive value. If these behaviors are
detected, the PNP should refer the child to a specialist for further assessment, using more diagnostic tools. The
CARS may be used but requires specialty training and proper credentials. Until the diagnosis is determined,
strategies for intervention are not discussed. The M-CHAT is a screening tool and is not diagnostic.
Q2 QUESTION 2 OF 293
The mother of a newborn tells the primary care pediatric nurse practitioner that she is worried that her child will
develop allergies and asthma. Which tool will the nurse practitioner use to evaluate this risk?
Three-generation pedigree
Review of systems
Genogram
Ecomap
CORRECT ANSWER
ANS: A
The three-generation pedigree is used to map out risks for genetic diseases in families, as well as conditions with
modifiable risk factors. The review of systems is used to evaluate the history of the child's body systems. The
genogram is an approach to developing a family database to provide a graphic representation of family structure,
roles, and problems of recurring significance in a family. The ecomap is used to identify relationships in the family
and community that are supportive or harmful.
Q3 QUESTION 3 OF 293
Page 2
,The primary care pediatric nurse practitioner is performing a well child check-up on a 20-month-old child. The
child was 4 weeks premature and, according to a parent-completed developmental questionnaire, has achieved
milestones for a 15-month-old infant. Which action is correct?
Perform an in-depth developmental assessment screen at this visit to evaluate this child.
Reassure the parent that the child will catch up to normal development by age 2 years.
Re-evaluate this child's development and milestone achievements at the 2-year visit.
Refer the child to a specialty clinic for evaluation and treatment of developmental delay.
CORRECT ANSWER
ANS: A
This child should be at a 19-month adjusted age for prematurity so, according to the parent screen, is 4 months
behind. The PNP should perform a more in-depth screen to evaluate this delay. Waiting to see if the child will "catch
up" or assuring the parent that this will happen will cause the delays to become more severe. A referral to a specialty
clinic should not be made solely on the basis of the parent-completed questionnaire but only after further evaluation
of possible delays.
Q4 QUESTION 4 OF 293
When formulating developmental diagnoses for pediatric patients, the primary care pediatric nurse practitioner
may use which resource?
DC: 0-3R
ICD-10-CM
ICSD-3
NANDA International
CORRECT ANSWER
ANS: A
The DC: 0-3R refers to the Diagnostic Classification of Mental Health and Developmental Disorders of Infancy and
Early Childhood and is useful for developmental problem diagnosis. The ICD-10-CM is the International
Classification of Diseases-Tenth Revision, Clinical Modification and is useful for identifying physiologic diseases.
The ICSD-3 is the International Classification of Sleep Disorders - 3rd edition. NANDA International is used to label
problems in the functional health domain.
Q5 QUESTION 5 OF 293
The primary care pediatric nurse practitioner is evaluating health literacy in the mother of a new preschool-age
child. How will the nurse practitioner assess this?
Ask the child how many books he has at home.
Ask the mother about her highest grade in school.
Page 3
, Ask the mother to determine the correct dose of a drug from a label.
Ask the mother to read a health information handout aloud.
CORRECT ANSWER
ANS: A
The "newest vital sign," or health literacy, can be determined quickly by asking the parent how many children's books
are in the home. Greater than 10 books in the home is an independent positive predictor of adequate parent health
literacy. The other questions may determine a specific level of literacy in general but are not as efficient.
Q6 QUESTION 6 OF 293
The primary care pediatric nurse practitioner learns that the mother of a 3-year-old child has been treated for
depression for over 5 years. Which aspect of this child's development will be of the most concern to the nurse
practitioner?
Fine motor
Gross motor
Social/emotional
Speech and language
CORRECT ANSWER
ANS: D
Maternal depression in the first year of life has been associated with poorer language development at 3 years of age.
Q7 QUESTION 7 OF 293
The primary care pediatric nurse practitioner sees a 3-year-old child who chronically withholds stools, in spite of
the parents' attempts to stop the behavior, requiring frequent treatments with laxative medications. Which
diagnosis will the nurse practitioner use to facilitate third-party reimbursement?
Altered elimination pattern
Elimination disorder
Encopresis
Parenting alteration
CORRECT ANSWER
ANS: C
Encopresis is a medical diagnosis, classified in the ICD-10-CM, and is recognized for reimbursement purposes.
"Altered elimination pattern" and "Parenting alteration" are NANDA International diagnoses and are not recognized
for reimbursement. "Elimination disorder" is a developmental diagnosis.
Page 4
