NR602 Pediatric Primary Care Midterm,
NR602 Exam Questions With Detailed
Answers and Complete Midterm
Preparation Material
Introduction:
This document provides a comprehensive collection of NR602
Pediatric Primary Care midterm-style exam questions with
clearly explained, evidence-based answers. It covers key topics
including developmental milestones, anticipatory guidance,
adolescent health, vision and hearing screening, dermatology,
ENT conditions, gynecology, behavioral health, and common
pediatric pathologies. The material is structured to support
clinical reasoning and aligns closely with board-style questions
and midterm exam expectations for nurse practitioner
students.
Exam Questions and Answers with Rationales:
The primary care pediatric nurse practitioner is examining a
school-age child who complains of frequent stomach pain and
headaches. The parent reports that the child misses several
days of school each month. The child has a normal exam.
,Before proceeding with further diagnostic tests, what will the
nurse practitioner initially ask the parent?
About the timing of the symptoms each day and during the
week
How well the child performs in school and in extracurricular
activities
If the parent feels a strong need to protect the child from
problems
Whether there are any unusual stressors or circumstances at
home ---Correct Answer---A
Children with school refusal or school phobia often have
symptoms that gradually improve as the day progresses and
often disappear on weekends. The PNP should ask about the
frequency and duration of the symptoms to evaluate this
pattern. The other options are important questions when
management of school phobia has begun as a way of
understanding underlying causes for the reluctance to go to
school.
The parent of a 5-year-old child who has just begun
kindergarten expresses concern that the child will have
difficulty adjusting to the birth of a sibling. What will the
primary care pediatric nurse practitioner recommend?
,Allowing the child opportunities to discuss feelings about the
baby
Giving the child specific baby care tasks to promote sibling
bonding
Having snack time with the child each day to discuss the school
day
Providing reassurance that the sibling will not replace the
child ---Correct Answer---C
Family routines provide support to children and help them
self-regulate, especially during times of change, and serve as a
buffer during times of change and transition. This child has
two major changes, so setting aside regular time to spend with
the child will help stabilize these changes. The other options
may be useful as well, but routines and special activities are
most important.
The primary care pediatric nurse practitioner is examining a
15-year-old female who reports having her first period at age
13. She states that she has had five periods in the last year,
with the last one 2 months prior. She participates in basketball
at school. Which action is correct?
Perform biometric screening to determine lean body mass.
Prescribe oral contraceptives pills to regulate her periods.
Reassure her that this is perfectly normal at her age.
, Refer her to an endocrinologist for hormonal evaluation. ---
Correct Answer---A
Although it can take 18 to 24 months for adolescents to
establish regulatory cycles, periods can also be affected by
athletic activity that decreases body fat. The PNP should assess
the percentage of lean body mass, which should be 75% or less
to maintain regular ovulatory cycles. OCPs are useful for
regulating periods if this persists and other causes are ruled
out. It is not necessary to refer her to an endocrinologist
unless problems persist in spite of standard management.
The parent of a 14-year-old child tells the primary care
pediatric nurse practitioner that the child skips classes
frequently in spite of various disciplinary measures, such as
grounding and extra homework and is earning Cs and Ds in
most classes. What will the nurse practitioner recommend?
Counseling for emotional problems
Development of an Individual Education Plan
Evaluation for possible learning disorders
Referral for a behavioral disorder ---Correct Answer---C
Frequent school absenteeism, class skipping, and other types
of school avoidance may indicate a problem with cognitive
ability and should be assessed. When cognitive disorders are
ruled out, other issues, such as behavioral and emotional
NR602 Exam Questions With Detailed
Answers and Complete Midterm
Preparation Material
Introduction:
This document provides a comprehensive collection of NR602
Pediatric Primary Care midterm-style exam questions with
clearly explained, evidence-based answers. It covers key topics
including developmental milestones, anticipatory guidance,
adolescent health, vision and hearing screening, dermatology,
ENT conditions, gynecology, behavioral health, and common
pediatric pathologies. The material is structured to support
clinical reasoning and aligns closely with board-style questions
and midterm exam expectations for nurse practitioner
students.
Exam Questions and Answers with Rationales:
The primary care pediatric nurse practitioner is examining a
school-age child who complains of frequent stomach pain and
headaches. The parent reports that the child misses several
days of school each month. The child has a normal exam.
,Before proceeding with further diagnostic tests, what will the
nurse practitioner initially ask the parent?
About the timing of the symptoms each day and during the
week
How well the child performs in school and in extracurricular
activities
If the parent feels a strong need to protect the child from
problems
Whether there are any unusual stressors or circumstances at
home ---Correct Answer---A
Children with school refusal or school phobia often have
symptoms that gradually improve as the day progresses and
often disappear on weekends. The PNP should ask about the
frequency and duration of the symptoms to evaluate this
pattern. The other options are important questions when
management of school phobia has begun as a way of
understanding underlying causes for the reluctance to go to
school.
The parent of a 5-year-old child who has just begun
kindergarten expresses concern that the child will have
difficulty adjusting to the birth of a sibling. What will the
primary care pediatric nurse practitioner recommend?
,Allowing the child opportunities to discuss feelings about the
baby
Giving the child specific baby care tasks to promote sibling
bonding
Having snack time with the child each day to discuss the school
day
Providing reassurance that the sibling will not replace the
child ---Correct Answer---C
Family routines provide support to children and help them
self-regulate, especially during times of change, and serve as a
buffer during times of change and transition. This child has
two major changes, so setting aside regular time to spend with
the child will help stabilize these changes. The other options
may be useful as well, but routines and special activities are
most important.
The primary care pediatric nurse practitioner is examining a
15-year-old female who reports having her first period at age
13. She states that she has had five periods in the last year,
with the last one 2 months prior. She participates in basketball
at school. Which action is correct?
Perform biometric screening to determine lean body mass.
Prescribe oral contraceptives pills to regulate her periods.
Reassure her that this is perfectly normal at her age.
, Refer her to an endocrinologist for hormonal evaluation. ---
Correct Answer---A
Although it can take 18 to 24 months for adolescents to
establish regulatory cycles, periods can also be affected by
athletic activity that decreases body fat. The PNP should assess
the percentage of lean body mass, which should be 75% or less
to maintain regular ovulatory cycles. OCPs are useful for
regulating periods if this persists and other causes are ruled
out. It is not necessary to refer her to an endocrinologist
unless problems persist in spite of standard management.
The parent of a 14-year-old child tells the primary care
pediatric nurse practitioner that the child skips classes
frequently in spite of various disciplinary measures, such as
grounding and extra homework and is earning Cs and Ds in
most classes. What will the nurse practitioner recommend?
Counseling for emotional problems
Development of an Individual Education Plan
Evaluation for possible learning disorders
Referral for a behavioral disorder ---Correct Answer---C
Frequent school absenteeism, class skipping, and other types
of school avoidance may indicate a problem with cognitive
ability and should be assessed. When cognitive disorders are
ruled out, other issues, such as behavioral and emotional
