NR602 Pediatric Midterm Questions and
Answers | 2025 New Update | 100% Correct -
Galen College of Nursing
Terms in this set (293) Quizzes VERIFIED ANSWERS
1. The parent of a toddler is concerned ANS: C
that the child may have autism. The The M-CHAT is a screening tool and is
primary care pediatric nurse useful for detecting behaviors that may
practitioner completes a Modified indicate autism. This instrument has
Checklist for Autism in Toddlers (M- been found to have acceptable
CHAT) tool, which indicates several sensitivity, specificity, and significant
areas of concern. What will the nurse positive predictive value. If these
practitioner do? behaviors are detected, the PNP should
Administer a Childhood Autism Rating refer the child to a specialist for further
Scale (CARS) in the clinic. assessment, using more diagnostic
Consult a specialist to determine tools. The CARS may be used but
appropriate early intervention requires specialty training and proper
strategies. credentials. Until the diagnosis is
Refer the child to a behavioral determined, strategies for intervention
, specialist for further evaluation. are not discussed. The M-CHAT is a
Tell the parent that this result indicates screening tool and is not diagnostic.
that the child has autism.
2. The mother of a newborn tells the ANS: A
primary care pediatric nurse The three-generation pedigree is used
practitioner that she is worried that her to map out risks for genetic diseases in
child will develop allergies and asthma. families, as well as conditions with
Which tool will the nurse practitioner modifiable risk factors. The review of
use to evaluate this risk? systems is used to evaluate the history
Three-generation pedigree of the child's body systems. The
Review of systems genogram is an approach to developing
Genogram a family database to provide a graphic
Ecomap representation of family structure, roles,
and problems of recurring significance
in a family. The ecomap is used to
identify relationships in the family and
community that are supportive or
harmful.
3. The primary care pediatric nurse ANS: A
practitioner is performing a well child This child should be at a 19-month
check-up on a 20-month-old child. The adjusted age for prematurity so,
child was 4 weeks premature and, according to the parent screen, is 4
according to a parent-completed months behind. The PNP should
, developmental questionnaire, has perform a more in-depth screen to
achieved milestones for a 15-month-old evaluate this delay. Waiting to see if the
infant. Which action is correct? child will "catch up" or assuring the
Perform an in-depth developmental parent that this will happen will cause
assessment screen at this visit to the delays to become more severe. A
evaluate this child. referral to a specialty clinic should not
Reassure the parent that the child will be made solely on the basis of the
catch up to normal development by age parent-completed questionnaire but
2 years. only after further evaluation of possible
Re-evaluate this child's development delays.
and milestone achievements at the 2-
year visit.
Refer the child to a specialty clinic for
evaluation and treatment of
developmental delay.
4. When formulating developmental ANS: A
diagnoses for pediatric patients, the The DC: 0-3R refers to the Diagnostic
primary care pediatric nurse Classification of Mental Health and
practitioner may use which resource? Developmental Disorders of Infancy
DC: 0-3R and Early Childhood and is useful for
ICD-10-CM developmental problem diagnosis. The
ICSD-3 ICD-10-CM is the International
NANDA International Classification of Diseases-Tenth
, Revision, Clinical Modification and is
useful for identifying physiologic
diseases. The ICSD-3 is the
International Classification of Sleep
Disorders - 3rd edition. NANDA
International is used to label problems
in the functional health domain.
5. The primary care pediatric nurse ANS: A
practitioner is evaluating health literacy The "newest vital sign," or health
in the mother of a new preschool-age literacy, can be determined quickly by
child. How will the nurse practitioner asking the parent how many children's
assess this? books are in the home. Greater than 10
Ask the child how many books he has books in the home is an independent
at home. positive predictor of adequate parent
Ask the mother about her highest grade health literacy. The other questions
in school. may determine a specific level of
Ask the mother to determine the correct literacy in general but are not as
dose of a drug from a label. efficient.
Ask the mother to read a health
information handout aloud.
6. The primary care pediatric nurse ANS: D
practitioner learns that the mother of a Maternal depression in the first year of
3-year-old child has been treated for life has been associated with poorer
Answers | 2025 New Update | 100% Correct -
Galen College of Nursing
Terms in this set (293) Quizzes VERIFIED ANSWERS
1. The parent of a toddler is concerned ANS: C
that the child may have autism. The The M-CHAT is a screening tool and is
primary care pediatric nurse useful for detecting behaviors that may
practitioner completes a Modified indicate autism. This instrument has
Checklist for Autism in Toddlers (M- been found to have acceptable
CHAT) tool, which indicates several sensitivity, specificity, and significant
areas of concern. What will the nurse positive predictive value. If these
practitioner do? behaviors are detected, the PNP should
Administer a Childhood Autism Rating refer the child to a specialist for further
Scale (CARS) in the clinic. assessment, using more diagnostic
Consult a specialist to determine tools. The CARS may be used but
appropriate early intervention requires specialty training and proper
strategies. credentials. Until the diagnosis is
Refer the child to a behavioral determined, strategies for intervention
, specialist for further evaluation. are not discussed. The M-CHAT is a
Tell the parent that this result indicates screening tool and is not diagnostic.
that the child has autism.
2. The mother of a newborn tells the ANS: A
primary care pediatric nurse The three-generation pedigree is used
practitioner that she is worried that her to map out risks for genetic diseases in
child will develop allergies and asthma. families, as well as conditions with
Which tool will the nurse practitioner modifiable risk factors. The review of
use to evaluate this risk? systems is used to evaluate the history
Three-generation pedigree of the child's body systems. The
Review of systems genogram is an approach to developing
Genogram a family database to provide a graphic
Ecomap representation of family structure, roles,
and problems of recurring significance
in a family. The ecomap is used to
identify relationships in the family and
community that are supportive or
harmful.
3. The primary care pediatric nurse ANS: A
practitioner is performing a well child This child should be at a 19-month
check-up on a 20-month-old child. The adjusted age for prematurity so,
child was 4 weeks premature and, according to the parent screen, is 4
according to a parent-completed months behind. The PNP should
, developmental questionnaire, has perform a more in-depth screen to
achieved milestones for a 15-month-old evaluate this delay. Waiting to see if the
infant. Which action is correct? child will "catch up" or assuring the
Perform an in-depth developmental parent that this will happen will cause
assessment screen at this visit to the delays to become more severe. A
evaluate this child. referral to a specialty clinic should not
Reassure the parent that the child will be made solely on the basis of the
catch up to normal development by age parent-completed questionnaire but
2 years. only after further evaluation of possible
Re-evaluate this child's development delays.
and milestone achievements at the 2-
year visit.
Refer the child to a specialty clinic for
evaluation and treatment of
developmental delay.
4. When formulating developmental ANS: A
diagnoses for pediatric patients, the The DC: 0-3R refers to the Diagnostic
primary care pediatric nurse Classification of Mental Health and
practitioner may use which resource? Developmental Disorders of Infancy
DC: 0-3R and Early Childhood and is useful for
ICD-10-CM developmental problem diagnosis. The
ICSD-3 ICD-10-CM is the International
NANDA International Classification of Diseases-Tenth
, Revision, Clinical Modification and is
useful for identifying physiologic
diseases. The ICSD-3 is the
International Classification of Sleep
Disorders - 3rd edition. NANDA
International is used to label problems
in the functional health domain.
5. The primary care pediatric nurse ANS: A
practitioner is evaluating health literacy The "newest vital sign," or health
in the mother of a new preschool-age literacy, can be determined quickly by
child. How will the nurse practitioner asking the parent how many children's
assess this? books are in the home. Greater than 10
Ask the child how many books he has books in the home is an independent
at home. positive predictor of adequate parent
Ask the mother about her highest grade health literacy. The other questions
in school. may determine a specific level of
Ask the mother to determine the correct literacy in general but are not as
dose of a drug from a label. efficient.
Ask the mother to read a health
information handout aloud.
6. The primary care pediatric nurse ANS: D
practitioner learns that the mother of a Maternal depression in the first year of
3-year-old child has been treated for life has been associated with poorer
