NR 602 Midterm ACTUAL EXAM
NR 602 MIDTERM ACTUAL EXAM 2025/2026 COMPLETE 200
QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+||BRAND NEW VERSION!!
The primary care pediatric nurse practitioner performs a physical examination on
a 9monthold infant and notes two central incisors on the lower gums. The parent
states that the infant nurses, takes solid foods three times daily, and occasionally
takes water from a cup. What will the pediatric nurse practitioner counsel the
parent to promote optimum dental health?
To make an appointment for an initial dental examination
The parents of a 3yearold child are concerned that the child has begun refusing
usual foods and wants to eat mashed potatoes and chicken strips at every meal
and snack. The child's rate of weight has slowed, but the child remains at the
same percentile for weight on a growth chart. What will the primary care pediatric
nurse practitioner tell the parents to do?
Place a variety of nutritious foods on the child's plate at each meal
The primary care pediatric nurse practitioner is examining a 6yearold child who
attends first grade. The child reports "hating" school. The parent states that the
child pretends to be sick frequently in order to stay home from school. To further
assess this situation, the nurse practitioner will first ask the child.
To name one or two friends
The parent of a 10yearold boy tells the primary care pediatric nurse practitioner
that the child doesn't appear to have any interest in girls and spends most of his
time with a couple of other boys. The parent is worried about the child's sexual
identity. The nurse practitioner will tell the parent
This attachment to other same-gender children is how the child learns to interact
with others.
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, NR 602 Midterm ACTUAL EXAM
The parents of a 12yearold child are concerned that some of the child's older
classmates may be a bad influence on their child, who, they say, has been raised
to believe in right and wrong. What will the primary care pediatric nurse
practitioner tell the parent?
The pressures from outside influences may supersede parental teachings and
should be confronted
During a well child exam of a school age child, the primary care pediatric nurse
practitioner learns that the child has been having angry episodes at school. The
nurse practitioner observes the child to appear withdrawn and sad. Which action
is appropriate?
Ask the child and the parent about stressors at home.
The primary care pediatric nurse practitioner is preparing to conduct a well child
assessment of an 8-year-old child. How will the nurse practitioner begin the
exam?
Ask the child about school, friends, home activities, and sports
The parent of a 6-year -old child expresses concern that the child may have ADHD
C onner's 3 parent and teacher rating scale This tool is specifically designed to
assess ADHD symptoms in children and is commonly used in clinical practice for
screening purposes. It involves gathering information from both parents and
teachers about the child's behavior in various settings, which helps in obtaining a
comprehensive understanding of the child's symptoms and functioning.
The parent of a 5-year-old child who has just begun kindergarten expresses
concern that the child will have difficulty adjusting to the birth of a sibling. What
will the primary care pediatric nurse practitioner recommend?
Having snack time with the child each day to discuss the school day
A school age child has begun refusing all cooked vegetables. What will the primary
care pediatric nurse practitioner recommend to the parent?
2|Page
, NR 602 Midterm ACTUAL EXAM
Ensure that the child has three nutritious meals and two nutritious snacks each
day
The primary care pediatric nurse practitioner performs a physical examination on
a 12-year-old child and notes poor hygiene and inappropriate clothes for the
weather. The child's mother appears clean and well dressed. The child reports
getting 6 to 7 hours of sleep each night because of texting with friends late each
evening. What action by the nurse practitioner will help promote healthy
practices?
. Discuss setting clear expectations about self-care with the mother.
During a well child exam on a 5-year-old child, the primary care pediatric nurse
practitioner assesses the child for school readiness. Which finding may be a factor
in limiting school readiness for this child?
Parental concerns about bullying in school
The primary care pediatric nurse practitioner is examining a school-age child who
complains of frequent stomach pain and headaches. The parent reports that the
child misses several days of school each month. The child has a normal exam.
Before proceeding with further diagnostic tests, what will the nurse practitioner
initially ask the parent?
About the timing of the symptoms each day and during the week
The primary care pediatric nurse practitioner is evaluating recurrent stomach pain
in a school age child. The child's exam is normal. The nurse practitioner learns that
the child reports pain most evenings after school and refuses to participate in
sports but does not have nausea or vomiting. The child's grandmother recently
had gallbladder surgery. Which action is correct?
Encourage the child to keep a log of pain, stool patterns, and dietary intake.
The primary care pediatric nurse practitioner is performing a well child
assessment on a 13 year old female whose mother asks when her daughter's
periods may start. Which information will the nurse practitioner use to help
estimate the onset of periods?
3|Page
, NR 602 Midterm ACTUAL EXAM
The patient's age at thelarche Thelarche refers to the onset of breast
development, which typically occurs before the first menstrual period. It's
considered a sign of the beginning of puberty. By considering the age at thelarche
along with other developmental factors, healthcare providers can make an
estimate of when menarche might occur.
The mother of a 3monthold male infant tells the primary care pediatric nurse
practitioner that she occasionally notices he has a penile erection just after
nursing. What will the nurse practitioner tell the mother?
This is a normal, reflexive behavior at this age
The primary care pediatric nurse practitioner is performing a well child
examination on a 3yearold. The child's parent reports that the child has recently
begun masturbating. What will the nurse practitioner counsel this parent?
To teach the child about privacy and hand hygiene.
The parent of an 8yearold child tells the primary care pediatric nurse practitioner
that the child has begun to ask questions about why a schoolmate has "2 daddies"
and wonders how to talk to the child about this. What will the nurse practitioner
recommend?
Explaining that not all families are the same and what is most important is that
they love and care for their children
The primary care pediatric nurse practitioner is performing a well child exam on
an 8yearold girl and notes the presence of breast buds. What will the nurse
practitioner include when initiating anticipatory guidance for this patient?
Information about sexual maturity and menstrual periods
Information about sexual maturity and menstrual periods
It is important to discuss and support healthy sexuality
During a well child exam on a 13yearold female, the primary care pediatric nurse
practitioner notes that the child is at Tanner Stage 3. During the exam, when the
4|Page
NR 602 MIDTERM ACTUAL EXAM 2025/2026 COMPLETE 200
QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+||BRAND NEW VERSION!!
The primary care pediatric nurse practitioner performs a physical examination on
a 9monthold infant and notes two central incisors on the lower gums. The parent
states that the infant nurses, takes solid foods three times daily, and occasionally
takes water from a cup. What will the pediatric nurse practitioner counsel the
parent to promote optimum dental health?
To make an appointment for an initial dental examination
The parents of a 3yearold child are concerned that the child has begun refusing
usual foods and wants to eat mashed potatoes and chicken strips at every meal
and snack. The child's rate of weight has slowed, but the child remains at the
same percentile for weight on a growth chart. What will the primary care pediatric
nurse practitioner tell the parents to do?
Place a variety of nutritious foods on the child's plate at each meal
The primary care pediatric nurse practitioner is examining a 6yearold child who
attends first grade. The child reports "hating" school. The parent states that the
child pretends to be sick frequently in order to stay home from school. To further
assess this situation, the nurse practitioner will first ask the child.
To name one or two friends
The parent of a 10yearold boy tells the primary care pediatric nurse practitioner
that the child doesn't appear to have any interest in girls and spends most of his
time with a couple of other boys. The parent is worried about the child's sexual
identity. The nurse practitioner will tell the parent
This attachment to other same-gender children is how the child learns to interact
with others.
1|Page
, NR 602 Midterm ACTUAL EXAM
The parents of a 12yearold child are concerned that some of the child's older
classmates may be a bad influence on their child, who, they say, has been raised
to believe in right and wrong. What will the primary care pediatric nurse
practitioner tell the parent?
The pressures from outside influences may supersede parental teachings and
should be confronted
During a well child exam of a school age child, the primary care pediatric nurse
practitioner learns that the child has been having angry episodes at school. The
nurse practitioner observes the child to appear withdrawn and sad. Which action
is appropriate?
Ask the child and the parent about stressors at home.
The primary care pediatric nurse practitioner is preparing to conduct a well child
assessment of an 8-year-old child. How will the nurse practitioner begin the
exam?
Ask the child about school, friends, home activities, and sports
The parent of a 6-year -old child expresses concern that the child may have ADHD
C onner's 3 parent and teacher rating scale This tool is specifically designed to
assess ADHD symptoms in children and is commonly used in clinical practice for
screening purposes. It involves gathering information from both parents and
teachers about the child's behavior in various settings, which helps in obtaining a
comprehensive understanding of the child's symptoms and functioning.
The parent of a 5-year-old child who has just begun kindergarten expresses
concern that the child will have difficulty adjusting to the birth of a sibling. What
will the primary care pediatric nurse practitioner recommend?
Having snack time with the child each day to discuss the school day
A school age child has begun refusing all cooked vegetables. What will the primary
care pediatric nurse practitioner recommend to the parent?
2|Page
, NR 602 Midterm ACTUAL EXAM
Ensure that the child has three nutritious meals and two nutritious snacks each
day
The primary care pediatric nurse practitioner performs a physical examination on
a 12-year-old child and notes poor hygiene and inappropriate clothes for the
weather. The child's mother appears clean and well dressed. The child reports
getting 6 to 7 hours of sleep each night because of texting with friends late each
evening. What action by the nurse practitioner will help promote healthy
practices?
. Discuss setting clear expectations about self-care with the mother.
During a well child exam on a 5-year-old child, the primary care pediatric nurse
practitioner assesses the child for school readiness. Which finding may be a factor
in limiting school readiness for this child?
Parental concerns about bullying in school
The primary care pediatric nurse practitioner is examining a school-age child who
complains of frequent stomach pain and headaches. The parent reports that the
child misses several days of school each month. The child has a normal exam.
Before proceeding with further diagnostic tests, what will the nurse practitioner
initially ask the parent?
About the timing of the symptoms each day and during the week
The primary care pediatric nurse practitioner is evaluating recurrent stomach pain
in a school age child. The child's exam is normal. The nurse practitioner learns that
the child reports pain most evenings after school and refuses to participate in
sports but does not have nausea or vomiting. The child's grandmother recently
had gallbladder surgery. Which action is correct?
Encourage the child to keep a log of pain, stool patterns, and dietary intake.
The primary care pediatric nurse practitioner is performing a well child
assessment on a 13 year old female whose mother asks when her daughter's
periods may start. Which information will the nurse practitioner use to help
estimate the onset of periods?
3|Page
, NR 602 Midterm ACTUAL EXAM
The patient's age at thelarche Thelarche refers to the onset of breast
development, which typically occurs before the first menstrual period. It's
considered a sign of the beginning of puberty. By considering the age at thelarche
along with other developmental factors, healthcare providers can make an
estimate of when menarche might occur.
The mother of a 3monthold male infant tells the primary care pediatric nurse
practitioner that she occasionally notices he has a penile erection just after
nursing. What will the nurse practitioner tell the mother?
This is a normal, reflexive behavior at this age
The primary care pediatric nurse practitioner is performing a well child
examination on a 3yearold. The child's parent reports that the child has recently
begun masturbating. What will the nurse practitioner counsel this parent?
To teach the child about privacy and hand hygiene.
The parent of an 8yearold child tells the primary care pediatric nurse practitioner
that the child has begun to ask questions about why a schoolmate has "2 daddies"
and wonders how to talk to the child about this. What will the nurse practitioner
recommend?
Explaining that not all families are the same and what is most important is that
they love and care for their children
The primary care pediatric nurse practitioner is performing a well child exam on
an 8yearold girl and notes the presence of breast buds. What will the nurse
practitioner include when initiating anticipatory guidance for this patient?
Information about sexual maturity and menstrual periods
Information about sexual maturity and menstrual periods
It is important to discuss and support healthy sexuality
During a well child exam on a 13yearold female, the primary care pediatric nurse
practitioner notes that the child is at Tanner Stage 3. During the exam, when the
4|Page
