FNP NURS6401
Pediatric Primary Care
4.0 Credits
Final Exam Review (Qns & Ans)
2025
©2025
, Multiple Choice Questions (Questions 1–15)
1.
Case: A 2‑month‑old infant presents for his well‑child exam. In keeping
with the CDC immunization schedule, which group of vaccines should be
administered at this visit?
Options:
A. Measles, Mumps, Rubella (MMR) and Varicella
B. Diphtheria-Tetanus-acellular Pertussis (DTaP), Haemophilus influenzae
type b (Hib), Inactivated Poliovirus (IPV), 13‑valent Pneumococcal
Conjugate (PCV13), and Rotavirus
C. Influenza and Tdap
D. Hepatitis A and B
Correct ANS: B
Rationale: At 2 months, the recommended vaccines include DTaP, Hib,
IPV, PCV13, and Rotavirus. This combination protects against several
serious infections and is standard for this age group.
---
2.
Case: A 12‑month‑old child is seen for a routine visit. During
developmental screening, you assess the child’s fine motor abilities.
Which milestone is typically expected by 12 months of age?
Options:
A. Walking unassisted
B. Using a pincer grasp to pick up small objects
C. Speaking in two‑word sentences
D. Reciting nursery rhymes
Correct ANS: B
Rationale: By 12 months, most infants demonstrate the use of a pincer
grasp. Although some children may begin walking, independent
ambulation is variable, and two‑word sentences or reciting nursery
rhymes are skills usually acquired later.
©2025
, ---
3.
Case: A 4‑year‑old child with a history of recurrent episodes of cough
and wheezing—often triggered by allergens—presents for evaluation.
Question: What is the most likely diagnosis?
Options:
A. Bronchiolitis
B. Asthma
C. Acute laryngotracheitis
D. Pneumonia
Correct ANS: B
Rationale: Recurrent wheezing and cough, especially with allergen
triggers, strongly support a diagnosis of pediatric asthma. In preschool
children, asthma is common and often presents with episodic symptoms.
---
4.
Case: A 6‑month‑old presents with fever, cough, and labored
breathing. You suspect bronchiolitis.
Question: Which viral agent is the most common cause of bronchiolitis
in infants?
Options:
A. Influenza virus
B. Respiratory Syncytial Virus (RSV)
C. Adenovirus
D. Parainfluenza virus
Correct ANS: B
Rationale: RSV is the leading cause of bronchiolitis in infants. Its
seasonal prevalence makes it the primary suspect when infants present
with lower respiratory tract infections.
---
©2025
Pediatric Primary Care
4.0 Credits
Final Exam Review (Qns & Ans)
2025
©2025
, Multiple Choice Questions (Questions 1–15)
1.
Case: A 2‑month‑old infant presents for his well‑child exam. In keeping
with the CDC immunization schedule, which group of vaccines should be
administered at this visit?
Options:
A. Measles, Mumps, Rubella (MMR) and Varicella
B. Diphtheria-Tetanus-acellular Pertussis (DTaP), Haemophilus influenzae
type b (Hib), Inactivated Poliovirus (IPV), 13‑valent Pneumococcal
Conjugate (PCV13), and Rotavirus
C. Influenza and Tdap
D. Hepatitis A and B
Correct ANS: B
Rationale: At 2 months, the recommended vaccines include DTaP, Hib,
IPV, PCV13, and Rotavirus. This combination protects against several
serious infections and is standard for this age group.
---
2.
Case: A 12‑month‑old child is seen for a routine visit. During
developmental screening, you assess the child’s fine motor abilities.
Which milestone is typically expected by 12 months of age?
Options:
A. Walking unassisted
B. Using a pincer grasp to pick up small objects
C. Speaking in two‑word sentences
D. Reciting nursery rhymes
Correct ANS: B
Rationale: By 12 months, most infants demonstrate the use of a pincer
grasp. Although some children may begin walking, independent
ambulation is variable, and two‑word sentences or reciting nursery
rhymes are skills usually acquired later.
©2025
, ---
3.
Case: A 4‑year‑old child with a history of recurrent episodes of cough
and wheezing—often triggered by allergens—presents for evaluation.
Question: What is the most likely diagnosis?
Options:
A. Bronchiolitis
B. Asthma
C. Acute laryngotracheitis
D. Pneumonia
Correct ANS: B
Rationale: Recurrent wheezing and cough, especially with allergen
triggers, strongly support a diagnosis of pediatric asthma. In preschool
children, asthma is common and often presents with episodic symptoms.
---
4.
Case: A 6‑month‑old presents with fever, cough, and labored
breathing. You suspect bronchiolitis.
Question: Which viral agent is the most common cause of bronchiolitis
in infants?
Options:
A. Influenza virus
B. Respiratory Syncytial Virus (RSV)
C. Adenovirus
D. Parainfluenza virus
Correct ANS: B
Rationale: RSV is the leading cause of bronchiolitis in infants. Its
seasonal prevalence makes it the primary suspect when infants present
with lower respiratory tract infections.
---
©2025
