Pediatric Exam 3 Practice Test 2026 | Verified Answers |
Exam Prep
1. The NP is performing an examination on a 5-year-old child who exhibits
ritualistic behaviors, avoids contact with other children, and has limited
speech. The parent reports having had concerns more than 2 years ago about
autism, but was told that it was too early to diagnose. What will the NP do
first?
Reassure the parent that if symptoms weren't present earlier, the
likelihood of autism is low
Administer an M-CHAT screen to screen the child for communication
and socialization delays
Ask the parent to describe the child's earlier behaviors from infancy
through preschool
refer the child to a pediatric behavioral specialist to develop a plan of
treatment and management
2. What role does a child often assume when caregivers are emotionally
immature and lack parenting skills?
The child often assumes the role of the rebel.
The child often assumes the role of the caretaker.
The child often assumes the role of the observer.
The child often assumes the role of the victim.
3. Describe the characteristics of avoidant attachment in infants and how it
differs from secure attachment.
Infants with avoidant attachment show little distress when separated
from parents and avoid them upon return, unlike securely attached
infants who seek comfort from parents.
, Infants with avoidant attachment are indifferent to their parents, while
securely attached infants display anxiety when separated.
Infants with avoidant attachment cry when parents leave and cling to
them upon return, while securely attached infants explore freely.
Infants with avoidant attachment are overly dependent on parents,
while securely attached infants are independent.
4. What is a recommended strategy for parents managing a child with a difficult
temperament?
It is important for the parent to learn to manage criticism and power
struggles.
The child needs more playtime.
The child should be punished for bad behavior.
The parent should ignore the child's behavior.
5. If a school-age child is showing signs of unresolved grief over a loss, what
intervention should a pediatric nurse practitioner recommend?
Suggest that the child will get over it with time.
Advise the child to ignore their feelings about the loss.
Facilitate discussions about the loss that are appropriate for the
child's developmental level.
Recommend immediate therapy without discussing the loss.
6. What is the term for the attachment style where an infant shows distress upon
separation from the caregiver but is comforted upon their return?
Avoidant attachment
Ambivalent attachment
, Secure attachment
Disorganized attachment
7. Why is it important for a pediatric nurse practitioner to monitor weight gain in
infants during well baby examinations?
Monitoring weight gain is crucial as it indicates the infant's overall
health and nutritional status.
Weight gain does not correlate with developmental milestones.
Weight gain is only important after the first year of life.
Weight gain is not a significant indicator of health in infants.
8. In a scenario where an adolescent exhibits difficulties in peer interactions,
how might a pediatric nurse practitioner utilize the Neurodevelopmental
Learning Framework to guide their assessment?
By conducting a physical examination of the adolescent.
By asking targeted questions about the adolescent's understanding
of social cues.
By referring the adolescent to a psychiatrist without further
assessment.
By focusing exclusively on the adolescent's academic performance.
9. Children in this age range account for the highest percentage of child abuse
and neglect victims.
from birth to age 3
from age 10 to age 14
from age 15 to age 18
, from age 4 to age 9
10. In a scenario where a pediatric nurse practitioner identifies a family with high
levels of domestic violence and substance abuse, what should be the
immediate course of action?
Provide the family with educational materials on parenting.
Ignore the situation and focus on the child's physical health.
Suggest family counseling without further assessment.
Conduct a thorough assessment and make appropriate referrals to
social services.
11. Describe the mechanism by which straddle injuries occur in pediatric females
during bicycle accidents.
Straddle injuries result from prolonged sitting on the bicycle seat.
Straddle injuries happen due to direct impact from another object.
Straddle injuries occur when a child falls onto the bicycle's crossbar,
causing trauma to the genital area.
Straddle injuries are caused by improper bicycle sizing.
12. Describe the role of the Neurodevelopmental Learning Framework in
assessing social cognition in adolescents.
The Neurodevelopmental Learning Framework is irrelevant to
pediatric assessments.
The Neurodevelopmental Learning Framework is used only for
diagnosing ADHD.
The Neurodevelopmental Learning Framework focuses solely on
physical health assessments.
Exam Prep
1. The NP is performing an examination on a 5-year-old child who exhibits
ritualistic behaviors, avoids contact with other children, and has limited
speech. The parent reports having had concerns more than 2 years ago about
autism, but was told that it was too early to diagnose. What will the NP do
first?
Reassure the parent that if symptoms weren't present earlier, the
likelihood of autism is low
Administer an M-CHAT screen to screen the child for communication
and socialization delays
Ask the parent to describe the child's earlier behaviors from infancy
through preschool
refer the child to a pediatric behavioral specialist to develop a plan of
treatment and management
2. What role does a child often assume when caregivers are emotionally
immature and lack parenting skills?
The child often assumes the role of the rebel.
The child often assumes the role of the caretaker.
The child often assumes the role of the observer.
The child often assumes the role of the victim.
3. Describe the characteristics of avoidant attachment in infants and how it
differs from secure attachment.
Infants with avoidant attachment show little distress when separated
from parents and avoid them upon return, unlike securely attached
infants who seek comfort from parents.
, Infants with avoidant attachment are indifferent to their parents, while
securely attached infants display anxiety when separated.
Infants with avoidant attachment cry when parents leave and cling to
them upon return, while securely attached infants explore freely.
Infants with avoidant attachment are overly dependent on parents,
while securely attached infants are independent.
4. What is a recommended strategy for parents managing a child with a difficult
temperament?
It is important for the parent to learn to manage criticism and power
struggles.
The child needs more playtime.
The child should be punished for bad behavior.
The parent should ignore the child's behavior.
5. If a school-age child is showing signs of unresolved grief over a loss, what
intervention should a pediatric nurse practitioner recommend?
Suggest that the child will get over it with time.
Advise the child to ignore their feelings about the loss.
Facilitate discussions about the loss that are appropriate for the
child's developmental level.
Recommend immediate therapy without discussing the loss.
6. What is the term for the attachment style where an infant shows distress upon
separation from the caregiver but is comforted upon their return?
Avoidant attachment
Ambivalent attachment
, Secure attachment
Disorganized attachment
7. Why is it important for a pediatric nurse practitioner to monitor weight gain in
infants during well baby examinations?
Monitoring weight gain is crucial as it indicates the infant's overall
health and nutritional status.
Weight gain does not correlate with developmental milestones.
Weight gain is only important after the first year of life.
Weight gain is not a significant indicator of health in infants.
8. In a scenario where an adolescent exhibits difficulties in peer interactions,
how might a pediatric nurse practitioner utilize the Neurodevelopmental
Learning Framework to guide their assessment?
By conducting a physical examination of the adolescent.
By asking targeted questions about the adolescent's understanding
of social cues.
By referring the adolescent to a psychiatrist without further
assessment.
By focusing exclusively on the adolescent's academic performance.
9. Children in this age range account for the highest percentage of child abuse
and neglect victims.
from birth to age 3
from age 10 to age 14
from age 15 to age 18
, from age 4 to age 9
10. In a scenario where a pediatric nurse practitioner identifies a family with high
levels of domestic violence and substance abuse, what should be the
immediate course of action?
Provide the family with educational materials on parenting.
Ignore the situation and focus on the child's physical health.
Suggest family counseling without further assessment.
Conduct a thorough assessment and make appropriate referrals to
social services.
11. Describe the mechanism by which straddle injuries occur in pediatric females
during bicycle accidents.
Straddle injuries result from prolonged sitting on the bicycle seat.
Straddle injuries happen due to direct impact from another object.
Straddle injuries occur when a child falls onto the bicycle's crossbar,
causing trauma to the genital area.
Straddle injuries are caused by improper bicycle sizing.
12. Describe the role of the Neurodevelopmental Learning Framework in
assessing social cognition in adolescents.
The Neurodevelopmental Learning Framework is irrelevant to
pediatric assessments.
The Neurodevelopmental Learning Framework is used only for
diagnosing ADHD.
The Neurodevelopmental Learning Framework focuses solely on
physical health assessments.
