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NSG6435 Final Exam (Over 150 Questions) – Pediatric Primary Care | Growth, Development, Cardiac, Respiratory, Infection Control | South University

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This exam document includes 150+ verified multiple-choice questions and correct answers from the NSG6435 – Pediatric Primary Care final exam for the 2025/2026 academic year at South University. The content is structured to evaluate advanced clinical knowledge in managing pediatric populations, focusing on physical, cognitive, psychosocial, and developmental milestones, as well as the assessment and management of common pediatric illnesses. Key areas covered include: Growth & Development: Milestones from infancy through preschool, Piaget’s and Erikson’s stages, fine/gross motor skills, nutrition, play behavior, sleep patterns, and anticipatory guidance. Communication & Psychosocial Care: Developmentally appropriate communication techniques, sibling rivalry, temper tantrums, negativism, toilet training, and responses to illness. Cardiac & Hematologic Conditions: Congenital heart defects (e.g., Tetralogy of Fallot), congestive heart failure, post-cardiac surgery care, bacterial endocarditis, Kawasaki disease, and shock management. Respiratory Disorders: Otitis media, RSV, asthma, pneumonia, bronchitis, ARDS, and airway obstruction. Includes emergency interventions and medication management. Infectious Diseases & Immunizations: Chickenpox, measles (Koplik spots), mumps, fifth disease, roseola, and immunization guidelines including varicella, EMLA use, and post-exposure prophylaxis. Safety & Injury Prevention: Age-specific injury risks, poison prevention, burn risks, and safe practices with feeding and play. Abuse & Trauma Recognition: Signs of shaken baby syndrome, physical/sexual abuse indicators, and mandatory reporting considerations. Clinical Skills & Documentation: Use of SOAP notes, developmental screening, head-to-toe assessment techniques, vital signs interpretation, and use of pediatric-specific growth charts and tools. This resource is ideal for: Family Nurse Practitioner (FNP) students Pediatric Nurse Practitioner (PNP) candidates Nurse Practitioner (NP) students in primary care tracks BSN to MSN bridge programs Physician Assistant (PA) students focusing on pediatrics Medical students needing pediatric rotation review or licensing exam prep This document is perfectly suited for final exam prep, certification review (AANP/ANCC/PNCB), clinical simulation training, or content reinforcement. Each question includes the correct answer, allowing learners to self-evaluate and review efficiently. Keywords: pediatric care, NSG6435, final exam, 150 questions, FNP, PNP, nurse practitioner, pediatric growth and development, cardiac conditions in children, respiratory pediatric disorders, childhood infections, developmental milestones, Piaget stages, immunizations, RSV, asthma in children, otitis media, Kawasaki disease, shaken baby syndrome, SOAP notes, South University

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NSG6435 Final 2 2025/2026 Exam
Questions with 100% Correct Answers |
Latest Update



The nurse is seeing an adolescent boy and his parents in the clinic for the

first time. What should the nurse do first? - 🧠 ANSWER ✔✔introduce self


What action is most likely to encourage parents to talk about their feelings

related to their child's illness? - 🧠 ANSWER ✔✔Use open-ended questions.


What is the single most important factor to consider when communicating

with children? - 🧠 ANSWER ✔✔The child's developmental level


What is an important consideration for the nurse who is communicating

with a very young child? - 🧠 ANSWER ✔✔Use transition objects such as a

doll.

,When introducing hospital equipment to a preschooler who seems afraid,

the nurse's approach should be based on which principle? - 🧠 ANSWER

✔✔The child may think the equipment is alive.


Which age group is most concerned with body integrity? - 🧠 ANSWER

✔✔School-age child


An 8-year-old girl asks the nurse how the blood pressure apparatus works.

The most appropriate nursing action is to: - 🧠 ANSWER ✔✔Explain in

simple terms how it works.

When the nurse interviews an adolescent, it is especially important to: - 🧠

ANSWER ✔✔Allow an opportunity to express feelings.


The nurse is having difficulty communicating with a hospitalized 6-year-old

child. What technique might be most helpful? - 🧠 ANSWER ✔✔Ask the

child to draw a picture.

The nurse is taking a health history on an adolescent. What best describes

how the chief complaint should be determined? - 🧠 ANSWER ✔✔Ask

adolescent, "Why did you come here today?"

,Where in the health history should the nurse describe all details related to

the chief complaint? - 🧠 ANSWER ✔✔Present illness


The nurse is interviewing the mother of an infant. She reports, "I had a

difficult delivery, and my baby was born prematurely." This information

should be recorded under which heading? - 🧠 ANSWER ✔✔Birth history


When interviewing the mother of a 3-year-old child, the nurse asks about

developmental milestones such as the age of walking without assistance.

This should be considered because these milestones are: - 🧠 ANSWER

✔✔An important part of the child's past growth and development


The nurse is taking a sexual history on an adolescent girl. The best way to

determine whether she is sexually active is to: - 🧠 ANSWER ✔✔Ask her,

"Are you having sex with anyone?"

When doing a nutritional assessment on an Hispanic family, the nurse

learns that their diet consists mainly of vegetables, legumes, and starches.

The nurse should recognize that this diet: - 🧠 ANSWER ✔✔May provide

sufficient amino acids.

Which parameter correlates best with measurements of the body's total

protein stores? - 🧠 ANSWER ✔✔Upper arm circumference

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, An appropriate approach to performing a physical assessment on a toddler

is to: - 🧠 ANSWER ✔✔Use minimal physical contact initially.


With the National Center for Health Statistics (NCHS) criteria, which body

mass index (BMI)-for-age percentile indicates a risk for being overweight? -

🧠 ANSWER ✔✔85th percentile


The nurse is using the NCHS growth chart for an African-American child.

The nurse should consider that: - 🧠 ANSWER ✔✔The NCHS charts are

accurate for U.S. African-American children.


Which tool measures body fat most accurately? - 🧠 ANSWER ✔✔Calipers


By what age do the head and chest circumferences generally become

equal? - 🧠 ANSWER ✔✔1 to 2 years


The earliest age at which a satisfactory radial pulse can be taken in

children is: - 🧠 ANSWER ✔✔2 years


Where is the best place to observe for the presence of petechiae in dark-

skinned individuals? - 🧠 ANSWER ✔✔Oral mucosa

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