NR602 Pediatric Midterm Study Set
QUESTIONS WITH 100% RATED CORRECT ANSWERS
2025 LATEST UPDATED
100% VERIFIED GET IT CORRECT!!!
1. 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
mailto:https://www.stuvia.com/user/Wisdoms
, evaluation.
Tell the parent that this result indicates that the child has autism.:
ANS: C
RATIONALE 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.
2. 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:
mailto:https://www.stuvia.com/user/Wisdoms
, ANS: A
RATIONALE 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.
3. 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
mailto:https://www.stuvia.com/user/Wisdoms
, 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 developmen-
tal delay.:
ANS: A
RATIONALE 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.
4. When formulating developmental diagnoses for pediatric patients, the pri-
mary care pediatric nurse practitioner may use which resource?
DC: 0-3R
ICD-10-CM
ICSD-3
mailto:https://www.stuvia.com/user/Wisdoms
QUESTIONS WITH 100% RATED CORRECT ANSWERS
2025 LATEST UPDATED
100% VERIFIED GET IT CORRECT!!!
1. 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
mailto:https://www.stuvia.com/user/Wisdoms
, evaluation.
Tell the parent that this result indicates that the child has autism.:
ANS: C
RATIONALE 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.
2. 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:
mailto:https://www.stuvia.com/user/Wisdoms
, ANS: A
RATIONALE 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.
3. 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
mailto:https://www.stuvia.com/user/Wisdoms
, 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 developmen-
tal delay.:
ANS: A
RATIONALE 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.
4. When formulating developmental diagnoses for pediatric patients, the pri-
mary care pediatric nurse practitioner may use which resource?
DC: 0-3R
ICD-10-CM
ICSD-3
mailto:https://www.stuvia.com/user/Wisdoms
