NR509 WEEK 8 ACTUAL EXAM TEST
GRADED A+
Siblings Sofia and Steven Garcia arrive with a parent for well-child
visits with the NP. Sofia is a 2-year-old female and Steven is a 6-
year-old male who is in kindergarten.
Which assessment question(s) should the NP ask regarding
Sofia's development? Select all that apply.
How many words does Sofia use in a sentence?
Can Sofia walk up and downstairs?
Can Sofia name simple items from a picture like a cat or a dog?
Does Sofia wave bye-bye?
Can Sofia name the colors of objects? Correct Answer Can Sofia
walk up and downstairs?
Can Sofia name simple items from a picture like a cat or a dog?
How many words does Sofia use in a sentence?
Rationale: A 2-year-old can likely use sentences of 2 to 4 words,
walk up and down stairs when holding onto a railing, and name
,simple objects like a cat or a dog. Waving or shaking their head
no is appropriate for a 1-year-old. A 4-year-old is likely to name
the colors of objects, whereas a 2-year-old may be able to sort
objects by color.
Siblings Sofia and Steven Garcia arrive with a parent for well-child
visits with the NP. Sofia is a 2-year-old female and Steven is a 6-
year-old male who is in kindergarten.
Which assessment question(s) should the NP ask regarding
Steven's development? Select all that apply.
Steven, can you tell me how school is going?
Steven, are you reading books out loud at home and school?
Steven, can you write your name?
Steven, can you tell me about your favorite movie?
Steven, can you hop on one foot? Correct Answer Steven, can
you tell me how school is going?
Steven, are you reading books out loud at home and school?
Steven, can you write your name?
Steven, can you tell me about your favorite movie?
Rationale: How well a school-age child is doing in school is a
good indicator of their development. Most 6-year-olds are
beginning to read short books, sound out unfamiliar words, and
can describe a favorite activity, TV show, or movie. They are
,learning to write and may be able to write their name. Most 4-
year-olds can hop on one foot.
Siblings Sofia and Steven Garcia arrive with a parent for well-child
visits with the NP. Sofia is a 2-year-old female and Steven is a 6-
year-old male who is in kindergarten.
List the history and physical exam items in the order the NP
should perform them from first to last:
Examine Sofia's eyes
Examine Sofia's ears
Conduct a health history of both siblings
Palpate Sofia's abdomen
Complete Steven's physical exam Correct Answer Step 1:
Conduct a health history of both siblings
Step 2: Complete Steven's physical exam
Step 3: Examine Sofia's eyes
Step 4: Palpate Sofia's abdomen
Step 5: Examine Sofia's ears
Rationale: The NP should first conduct a health history of both
siblings and establish rapport. Next, the NP should examine the
older child to facilitate a more cooperative exam with the younger
child. When examining Sofia, the NP should conduct as much of
, the exam with the child in the parent's lap as possible and
examine the least distressing areas such as the eyes first. Then
the NP may perform tasks that require laying on the exam table,
such as palpating the abdomen. The NP should examine the most
distressing areas, such as the ears, last.
mnemonic HEADSSS Correct Answer to recall parts of a
psychosocial assessment:
Home environment
Education, employment, eating
Activities
Drugs
Sexuality, Suicide/depression, Safety
tip to obtain infant cooperation: Correct Answer examine 1-2
hours after feeding
Infant assessment: general survey Correct Answer observe
parent/child interactions
look for signs of stress/depression
-follow general survey with somatic growth
respiratory rate of infants Correct Answer greater range
varies from moment to moment
GRADED A+
Siblings Sofia and Steven Garcia arrive with a parent for well-child
visits with the NP. Sofia is a 2-year-old female and Steven is a 6-
year-old male who is in kindergarten.
Which assessment question(s) should the NP ask regarding
Sofia's development? Select all that apply.
How many words does Sofia use in a sentence?
Can Sofia walk up and downstairs?
Can Sofia name simple items from a picture like a cat or a dog?
Does Sofia wave bye-bye?
Can Sofia name the colors of objects? Correct Answer Can Sofia
walk up and downstairs?
Can Sofia name simple items from a picture like a cat or a dog?
How many words does Sofia use in a sentence?
Rationale: A 2-year-old can likely use sentences of 2 to 4 words,
walk up and down stairs when holding onto a railing, and name
,simple objects like a cat or a dog. Waving or shaking their head
no is appropriate for a 1-year-old. A 4-year-old is likely to name
the colors of objects, whereas a 2-year-old may be able to sort
objects by color.
Siblings Sofia and Steven Garcia arrive with a parent for well-child
visits with the NP. Sofia is a 2-year-old female and Steven is a 6-
year-old male who is in kindergarten.
Which assessment question(s) should the NP ask regarding
Steven's development? Select all that apply.
Steven, can you tell me how school is going?
Steven, are you reading books out loud at home and school?
Steven, can you write your name?
Steven, can you tell me about your favorite movie?
Steven, can you hop on one foot? Correct Answer Steven, can
you tell me how school is going?
Steven, are you reading books out loud at home and school?
Steven, can you write your name?
Steven, can you tell me about your favorite movie?
Rationale: How well a school-age child is doing in school is a
good indicator of their development. Most 6-year-olds are
beginning to read short books, sound out unfamiliar words, and
can describe a favorite activity, TV show, or movie. They are
,learning to write and may be able to write their name. Most 4-
year-olds can hop on one foot.
Siblings Sofia and Steven Garcia arrive with a parent for well-child
visits with the NP. Sofia is a 2-year-old female and Steven is a 6-
year-old male who is in kindergarten.
List the history and physical exam items in the order the NP
should perform them from first to last:
Examine Sofia's eyes
Examine Sofia's ears
Conduct a health history of both siblings
Palpate Sofia's abdomen
Complete Steven's physical exam Correct Answer Step 1:
Conduct a health history of both siblings
Step 2: Complete Steven's physical exam
Step 3: Examine Sofia's eyes
Step 4: Palpate Sofia's abdomen
Step 5: Examine Sofia's ears
Rationale: The NP should first conduct a health history of both
siblings and establish rapport. Next, the NP should examine the
older child to facilitate a more cooperative exam with the younger
child. When examining Sofia, the NP should conduct as much of
, the exam with the child in the parent's lap as possible and
examine the least distressing areas such as the eyes first. Then
the NP may perform tasks that require laying on the exam table,
such as palpating the abdomen. The NP should examine the most
distressing areas, such as the ears, last.
mnemonic HEADSSS Correct Answer to recall parts of a
psychosocial assessment:
Home environment
Education, employment, eating
Activities
Drugs
Sexuality, Suicide/depression, Safety
tip to obtain infant cooperation: Correct Answer examine 1-2
hours after feeding
Infant assessment: general survey Correct Answer observe
parent/child interactions
look for signs of stress/depression
-follow general survey with somatic growth
respiratory rate of infants Correct Answer greater range
varies from moment to moment
