Exam Questions With Detailed Answers,
Complete Preparation Material
Introduction:
This document contains an extensive set of pediatric primary
care midterm-style exam questions with clearly explained,
evidence-based answers. It covers developmental milestones,
anticipatory guidance, behavioral and psychosocial health,
vision and hearing screening, dermatology, ENT conditions,
adolescent health, gynecology, and common pediatric
pathologies.
The study set is designed for Nurse Practitioner students
preparing for the NR602 Pediatric Midterm and aligns closely
with clinical decision-making and board-style exam
expectations.
Exam Questions and Answers with Rationales:
The primary care pediatric nurse practitioner is offering
anticipatory guidance to the parents of a 12-month-old child.
The parents are bilingual in Spanish and English and have
many Spanish-speaking relatives nearby. They are resisting
exposing the child to Spanish out of concern that the child will
,not learn English well. What will the pediatric nurse
practitioner tell the parents?
Children who learn two languages simultaneously often
confuse them in conversation.
Children with multi-language proficiency do not understand
that others cannot do this.
Learning two languages at an early age prevents children from
developing a dominant language.
Most bilingual children are able to shift from one language to
another when appropriate. -Answer:-D
Most children who are bilingual are able to sort out the
languages in conversation but may "code switch" at times for
clarity as they speak. They seem to understand that not
everyone has this ability. Most children who are bilingual
develop a dominant language.
The parents of a 3-year-old child are concerned that the child
has begun refusing usual foods and wants to eat mashed
potatoes and chicken strips at every meal and snack. The
child's rate of weight has slowed, but the child remains at the
same percentile for weight on a growth chart. What will the
primary care pediatric nurse practitioner tell the parents to
do?
,Allow the child to choose foods for meals to improve caloric
intake.
Place a variety of nutritious foods on the child's plate at each
meal.
Prepare mashed potatoes and chicken strips for the child at
mealtimes.
Suggest cutting out snacks to improve the child's appetite at
mealtimes. -Answer:-B
Young children should have three meals and two nutritious
snacks each day. The parents' responsibility is to provide
nutritious foods and allow children to choose how much they
will eat. Children who are allowed to choose foods will likely
make selections that are not healthy. Parents should be
discouraged from preparing separate meals for their children.
Snacks are necessary to maintain adequate intake and energy.
The parent of a 24-month-old child asks the primary care
pediatric nurse practitioner when toilet training should begin.
How will the pediatric nurse practitioner respond?
"Begin by reading to your child about toileting."
"Most children are capable by age 2 years."
"Tell me about your child's daily habits."
"We should assess your child's motor skills." -Answer:-C
, To assess the parent's understanding of toilet readiness, the
nurse practitioner will ask the parents about the child's daily
habits and routines to see if the child has predictable patterns
that can be the basis for toilet training. While providing
storybooks about toileting can help children learn, the first
step is to assess toilet readiness. Even though many children
are capable at this age, evaluating personal readiness is key to
beginning toilet training. Assessment of motor skills may be a
second step.
The primary care pediatric nurse practitioner is counseling the
parents of a toddler about appropriate discipline. The parents
report that the child is very active and curious, and they are
worried about the potential for injury. What will the pediatric
nurse practitioner recommend?
Allow the child to explore and experiment while providing
appropriate limits.
Be present while the child plays to continually teach the child
what is appropriate.
Let the child experiment at will and to make mistakes in order
to learn.
Say "no" whenever the child does something that is not
acceptable. -Answer:-A