NR602 Pediatric Midterm 2026/2027
TestBANK EXAM With 350 Questions And Correct
Answers (100% Correct Verified Answers) WITH
RATIONALES / NR602 Pediatric 2026
A child has an area of inflammation on the neck that began after wearing a hand-knot woolen
sweater. On examination, the skin appears chafed with mild erythematous patches. The lesions
are not pruritic. What is an appropriate initial treatment?
Application of a lanolin-based emollient
Burow solution soaks and cool compresses
Oral antihistamines given 4 times daily
Topical corticosteroids applied 2 to 3 times daily ANS: D
Topical corticosteroids are useful for contact dermatitis. Lanolin-based emollients are
contraindicated when inflammation is present. Burow solution soaks are useful for vesicular rashes.
Oral antihistamines are not indicated unless itching and scratching occur.
An adolescent who had cradle cap as an infant is in the clinic with thick crusts of yellow, greasy
scales on the forehead and behind the ears. What will the primary care pediatric nurse
practitioner recommend?
Daily application of ketoconazole 2% topical cream
High-potency topical corticosteroids applied daily
Mineral oil and shampoo on the affected areas
Selenium sulfide shampoo twice weekly to the face ANS: A
For facial dermatitis, daily ketoconazole 2% topical cream may be used. If steroids are prescribed,
only low-dose steroids should be used on the face. Mineral oil and shampoo are recommended for
cradle cap in infants. Selenium sulfide shampoo is used for scalp dermatitis.
A school-age child is brought to clinic after a pediculosis capitis infestation is reported at the
child's school. If this child is positive, what will the primary care pediatric nurse practitioner expect
to find on physical examination, along with live lice near the scalp?
Excoriated macules along the child's collar and underwear lines
Inflammation and pustules on the face and neck
Itching of the scalp, with skin excoriation on the back of the head
Linear or S-shaped lesions in webs of fingers and sides of hands ANS: C
,Head lice commonly cause itching of the scalp, especially on the back of the head and neck, along
with skin excoriation, and may be the only initial sign. Excoriated lesions along underwear lines are
typical of body lice. Inflammation and pustules occur with acne. Linear or S-shaped lesions occur
with scabies infestations.
The primary care pediatric nurse practitioner is performing a pre-participation sports physical
examination on a 14-year-old male who will be on the wrestling team at school. What will the
nurse practitioner include when discussing healthy practices with this adolescent?
Risks associated with repeatedly losing and gaining weight
The need for an electrocardiogram or echocardiogram prior to participation
The need to consume 20 to 30 grams of protein after exercise
To consume water with CHO prior to activity lasting up to an hour ANS: A
Wrestlers often try to lose weight rapidly prior to wrestling matches to put themselves into a lower
weight category. It is important to teach young athletes about the risks associated with repeated
weight loss and gain. ECG and echocardiograms are not recommended as a requirement for all pre-
participation physical exams unless there is an indication for doing so, such as with syncope or
murmurs. Athletes do not need to consume 10 to 20 grams of protein after exercise; complex
carbohydrates are recommended to improve muscle glycogen resynthesis. Plain water is
recommended before, during, and after all activity lasting up to an hour.
The primary care pediatric nurse practitioner counseling the parent of an overweight school-age
child about improving overall fitness. What will the nurse practitioner include?
Encourage the child to begin by engaging in swimming or cycling.
Exercise will help lower total cholesterol and low-density lipoproteins.
School-age children need 60 minutes of moderate exercise daily.
Strength training exercises are not safe for school-age children. ANS: A
The AAP suggests that overweight children initially participate in activities that place less stress on
weight-bearing joints, such as swimming or cycling. Exercise helps raise HDL levels but does not
reduce total cholesterol or LDL levels. School-age children need 60 minutes of physical activity but
not necessarily exercise each day. Strength training exercises are safe, but powerlifting and maximal
weight training are not, because of effects on developing bones.
The parents of a pre-pubertal female who is on the local swim team tell the primary care pediatric
nurse practitioner that their daughter wants to begin a strength training program to help improve
her swimming ability. What will the nurse practitioner recommend?
Avoiding strength training programs until after puberty to minimize the risk for injury
Enrolling their daughter in a program that uses fixed weight machines or resistance bands
,Having their daughter participate in weight training 4 or 5 times each week for maximum effect
Making sure that their daughter begins with the greatest weight tolerable using lower repetitions
ANS: B
Fixed weights or resistance bands are recommended for pre-pubertal youth to help prevent injury.
Strength training prior to menarche helps to strengthen long bones and is considered beneficial.
Weight training should be 2 to 3 times weekly with a day in between sessions. Initially, youth should
begin with a low number of sets and low intensity.
The parent of a 14-year-old child asks the primary care pediatric nurse practitioner how to help
the child prevent injuries when basketball tryouts begin later in the school year. Which
recommendation will be of most benefit?
Preseason conditioning
Proper footwear
Protective knee braces
Stretching before practices ANS: A
Conditioning in the preseason is one of the most important things children can do to build muscle
strength, to prevent sports injuries, and to learn how to make twisting, jumping, and landing
movements safely. Proper footwear is also recommended but is not the most important. Protective
knee braces may be worn but do not prevent injury. Stretching should be done after warming up to
maintain flexibility.
The parent of a high school basketball player tells the primary care pediatric nurse practitioner
that the adolescent becomes short of breath only when exercising. What will the nurse
practitioner recommend?
Permanent discontinuation of all strenuous and aerobic activities
Enrollment in a conditioning program to improve performance
Evaluation for underlying cardiac causes of this symptom
Treatment for exercise-induced asthma with a bronchodilator ANS: C
While shortness of breath may indicate several more benign causes, athletes who exhibit this
symptom should be evaluated for underlying cardiac causes to prevent sudden cardiac death. Once
this is ruled out, other causes may be considered, such as EIA or poor conditioning.
A 15-year-old female basketball player who has secondary amenorrhea is evaluated by the
primary care pediatric nurse practitioner who notes a BMI in the 3rd percentile. What will the
nurse practitioner counsel this patient?
That amenorrhea in female athletes is not concerning
, That she should begin a program of plyometrics and strength trainin
To consider a different sport, such as volleyball
To work with a dietician to improve healthy weight gain ANS: D
Female athletes who have amenorrhea have an increased risk of stress fractures. The adolescent
should work to attain a healthy weight, which should allow normal periods to return and reduce this
risk. Even though amenorrhea in female athletes is common, it is concerning. Plyometrics and
volleyball can increase the risk of stress fractures since both involve jumping and thus not be
suggested.
The parent of a child who has asthma asks the primary care pediatric nurse practitioner about
whether the child may engage in strenuous exercise. What will the nurse practitioner tell the
parent?
Children with asthma should be excluded from vigorous exercise and most strenuous sports.
Children with asthma show improved aerobic and anaerobic fitness with moderate to
vigorous/physical activity.
Physical activity has been shown to improve overall pulmonary function in children with asthma.
Vigorous exercise helps improve symptoms in children with poorly controlled asthma. ANS: B
Children with mild or well-controlled asthma may participate in moderate to vigorous sports and
show benefits to aerobic and anaerobic fitness, which helps lung function and overall health
outcomes. It is not necessary to exclude children with asthma from sports as long as symptoms are
well controlled. Overall pulmonary function does not substantially improve with exercise. Children
with poor control should not engage in sports until symptoms are under control.
The primary care pediatric nurse practitioner diagnoses a high school basketball player with
mononucleosis. The adolescent asks when she may resume play. What will the nurse practitioner
tell her?
After 3 weeks, she may begin lifting weights but not full sports.
After 4 weeks, she may return to full play and practice.
At 4 weeks, she must have an exam to determine fitness for play.
She may engage in moderate exertion and practice after 3 weeks. ANS: C
Full return to play should be determined on a case-by-case basis and is generally considered safe at
4 weeks after symptom onset, assuming physical stamina has returned, all symptoms have resolved,
and the sport does not increase intraabdominal pressure during play. Athletes should avoid any form
of exertion, including all sports during the first 3 weeks at a minimum and should avoid anything
with a risk of chest or abdominal contact or anything that involves increased intra-abdominal
pressure. Splenic rupture can occur spontaneously (rare), but the risk of rupture increases when
participating in a contact or collision sport or a sport in which there is an increase in intraabdominal
TestBANK EXAM With 350 Questions And Correct
Answers (100% Correct Verified Answers) WITH
RATIONALES / NR602 Pediatric 2026
A child has an area of inflammation on the neck that began after wearing a hand-knot woolen
sweater. On examination, the skin appears chafed with mild erythematous patches. The lesions
are not pruritic. What is an appropriate initial treatment?
Application of a lanolin-based emollient
Burow solution soaks and cool compresses
Oral antihistamines given 4 times daily
Topical corticosteroids applied 2 to 3 times daily ANS: D
Topical corticosteroids are useful for contact dermatitis. Lanolin-based emollients are
contraindicated when inflammation is present. Burow solution soaks are useful for vesicular rashes.
Oral antihistamines are not indicated unless itching and scratching occur.
An adolescent who had cradle cap as an infant is in the clinic with thick crusts of yellow, greasy
scales on the forehead and behind the ears. What will the primary care pediatric nurse
practitioner recommend?
Daily application of ketoconazole 2% topical cream
High-potency topical corticosteroids applied daily
Mineral oil and shampoo on the affected areas
Selenium sulfide shampoo twice weekly to the face ANS: A
For facial dermatitis, daily ketoconazole 2% topical cream may be used. If steroids are prescribed,
only low-dose steroids should be used on the face. Mineral oil and shampoo are recommended for
cradle cap in infants. Selenium sulfide shampoo is used for scalp dermatitis.
A school-age child is brought to clinic after a pediculosis capitis infestation is reported at the
child's school. If this child is positive, what will the primary care pediatric nurse practitioner expect
to find on physical examination, along with live lice near the scalp?
Excoriated macules along the child's collar and underwear lines
Inflammation and pustules on the face and neck
Itching of the scalp, with skin excoriation on the back of the head
Linear or S-shaped lesions in webs of fingers and sides of hands ANS: C
,Head lice commonly cause itching of the scalp, especially on the back of the head and neck, along
with skin excoriation, and may be the only initial sign. Excoriated lesions along underwear lines are
typical of body lice. Inflammation and pustules occur with acne. Linear or S-shaped lesions occur
with scabies infestations.
The primary care pediatric nurse practitioner is performing a pre-participation sports physical
examination on a 14-year-old male who will be on the wrestling team at school. What will the
nurse practitioner include when discussing healthy practices with this adolescent?
Risks associated with repeatedly losing and gaining weight
The need for an electrocardiogram or echocardiogram prior to participation
The need to consume 20 to 30 grams of protein after exercise
To consume water with CHO prior to activity lasting up to an hour ANS: A
Wrestlers often try to lose weight rapidly prior to wrestling matches to put themselves into a lower
weight category. It is important to teach young athletes about the risks associated with repeated
weight loss and gain. ECG and echocardiograms are not recommended as a requirement for all pre-
participation physical exams unless there is an indication for doing so, such as with syncope or
murmurs. Athletes do not need to consume 10 to 20 grams of protein after exercise; complex
carbohydrates are recommended to improve muscle glycogen resynthesis. Plain water is
recommended before, during, and after all activity lasting up to an hour.
The primary care pediatric nurse practitioner counseling the parent of an overweight school-age
child about improving overall fitness. What will the nurse practitioner include?
Encourage the child to begin by engaging in swimming or cycling.
Exercise will help lower total cholesterol and low-density lipoproteins.
School-age children need 60 minutes of moderate exercise daily.
Strength training exercises are not safe for school-age children. ANS: A
The AAP suggests that overweight children initially participate in activities that place less stress on
weight-bearing joints, such as swimming or cycling. Exercise helps raise HDL levels but does not
reduce total cholesterol or LDL levels. School-age children need 60 minutes of physical activity but
not necessarily exercise each day. Strength training exercises are safe, but powerlifting and maximal
weight training are not, because of effects on developing bones.
The parents of a pre-pubertal female who is on the local swim team tell the primary care pediatric
nurse practitioner that their daughter wants to begin a strength training program to help improve
her swimming ability. What will the nurse practitioner recommend?
Avoiding strength training programs until after puberty to minimize the risk for injury
Enrolling their daughter in a program that uses fixed weight machines or resistance bands
,Having their daughter participate in weight training 4 or 5 times each week for maximum effect
Making sure that their daughter begins with the greatest weight tolerable using lower repetitions
ANS: B
Fixed weights or resistance bands are recommended for pre-pubertal youth to help prevent injury.
Strength training prior to menarche helps to strengthen long bones and is considered beneficial.
Weight training should be 2 to 3 times weekly with a day in between sessions. Initially, youth should
begin with a low number of sets and low intensity.
The parent of a 14-year-old child asks the primary care pediatric nurse practitioner how to help
the child prevent injuries when basketball tryouts begin later in the school year. Which
recommendation will be of most benefit?
Preseason conditioning
Proper footwear
Protective knee braces
Stretching before practices ANS: A
Conditioning in the preseason is one of the most important things children can do to build muscle
strength, to prevent sports injuries, and to learn how to make twisting, jumping, and landing
movements safely. Proper footwear is also recommended but is not the most important. Protective
knee braces may be worn but do not prevent injury. Stretching should be done after warming up to
maintain flexibility.
The parent of a high school basketball player tells the primary care pediatric nurse practitioner
that the adolescent becomes short of breath only when exercising. What will the nurse
practitioner recommend?
Permanent discontinuation of all strenuous and aerobic activities
Enrollment in a conditioning program to improve performance
Evaluation for underlying cardiac causes of this symptom
Treatment for exercise-induced asthma with a bronchodilator ANS: C
While shortness of breath may indicate several more benign causes, athletes who exhibit this
symptom should be evaluated for underlying cardiac causes to prevent sudden cardiac death. Once
this is ruled out, other causes may be considered, such as EIA or poor conditioning.
A 15-year-old female basketball player who has secondary amenorrhea is evaluated by the
primary care pediatric nurse practitioner who notes a BMI in the 3rd percentile. What will the
nurse practitioner counsel this patient?
That amenorrhea in female athletes is not concerning
, That she should begin a program of plyometrics and strength trainin
To consider a different sport, such as volleyball
To work with a dietician to improve healthy weight gain ANS: D
Female athletes who have amenorrhea have an increased risk of stress fractures. The adolescent
should work to attain a healthy weight, which should allow normal periods to return and reduce this
risk. Even though amenorrhea in female athletes is common, it is concerning. Plyometrics and
volleyball can increase the risk of stress fractures since both involve jumping and thus not be
suggested.
The parent of a child who has asthma asks the primary care pediatric nurse practitioner about
whether the child may engage in strenuous exercise. What will the nurse practitioner tell the
parent?
Children with asthma should be excluded from vigorous exercise and most strenuous sports.
Children with asthma show improved aerobic and anaerobic fitness with moderate to
vigorous/physical activity.
Physical activity has been shown to improve overall pulmonary function in children with asthma.
Vigorous exercise helps improve symptoms in children with poorly controlled asthma. ANS: B
Children with mild or well-controlled asthma may participate in moderate to vigorous sports and
show benefits to aerobic and anaerobic fitness, which helps lung function and overall health
outcomes. It is not necessary to exclude children with asthma from sports as long as symptoms are
well controlled. Overall pulmonary function does not substantially improve with exercise. Children
with poor control should not engage in sports until symptoms are under control.
The primary care pediatric nurse practitioner diagnoses a high school basketball player with
mononucleosis. The adolescent asks when she may resume play. What will the nurse practitioner
tell her?
After 3 weeks, she may begin lifting weights but not full sports.
After 4 weeks, she may return to full play and practice.
At 4 weeks, she must have an exam to determine fitness for play.
She may engage in moderate exertion and practice after 3 weeks. ANS: C
Full return to play should be determined on a case-by-case basis and is generally considered safe at
4 weeks after symptom onset, assuming physical stamina has returned, all symptoms have resolved,
and the sport does not increase intraabdominal pressure during play. Athletes should avoid any form
of exertion, including all sports during the first 3 weeks at a minimum and should avoid anything
with a risk of chest or abdominal contact or anything that involves increased intra-abdominal
pressure. Splenic rupture can occur spontaneously (rare), but the risk of rupture increases when
participating in a contact or collision sport or a sport in which there is an increase in intraabdominal
