NURS 5432 Family I Exam with Questions and Answers

It covers key domains which include; Pediatric Wellness and Management, Women’s Health, Men’s Health, Geriatric Primary Care, Acute and Chronic Disease Management and Diagnostic Reasoning and Clinical Practice. A 2-month-old infant presents for a routine wellness visit. The parent asks about immunizations. Which of the following vaccines is most appropriate to administer at this visit? a. Measles, mumps, rubella (MMR) b. Human papillomavirus (HPV) c. Diphtheria, tetanus, and acellular pertussis (DTaP) d. Varicella Correct Answer: c. Diphtheria, tetanus, and acellular pertussis (DTaP) Rationale: At 2 months of age, infants begin their primary immunization series, which includes DTaP, IPV, Hib, PCV, and rotavirus. MMR and varicella are given later (typically at 12 months), while HPV is recommended in adolescence. A 5-year-old child is brought to the clinic for a wellness check. The nurse notes the child’s BMI is at the 97th percentile. What is the most appropriate initial management? a. Initiate pharmacologic therapy for weight loss b. Recommend bariatric surgery consultation c. Provide family-centered counseling on diet and physical activity d. Restrict caloric intake to less than 800 kcal/day Correct Answer: c. Provide family-centered counseling on diet and physical activity Rationale: First-line management of pediatric obesity focuses on lifestyle modification involving the entire family, including balanced nutrition and increased physical activity. Pharmacologic and surgical options are reserved for severe cases and older children after conservative measures fail.