NR 602 Final Exam Chamberlain Spring Exam Latest 2026 Update!!!, Exams of Nursing

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NR 602 Final Exam Chamberlain

Spring Exam Latest 2026 Update!!!

1. COLIC Unknown abdominal discomfort; "cries for more than 3 hours a day, for more than 3 days a week, and more than 3 weeks"
2. Colic Management Probiotics may be ottered; Considera- tion of hydrolyzed protein formula
3. DEHYDRATION Management Commercially available oral hydration solutions (ORS) Continue breastfeeding with ORS sup- plementation Otter young children 20 ml/kg per hour Otter older children 100 mL of ORS every 5 minutes Combine with IV therapy as needed Reassess after 4 hours; repeat if need- ed Avoid juice, soft drinks, and sports drinks
4. Appendicitis S/S Presence of involuntary guarding, RLQ rebound tenderness, maximal pain over McBurney point Heel-drop jarring test inability to stand straight or climb stairs; winces when getting ott exam- ination table or riding in a car over bumps; child most comfortable with bent knees.

1. Management of Intussusception Therapeutic Air Contrast Enema under fluoroscopy
2. Failure to Thrive (FTT) The most common cause is nutritional deficiency without an underlying med- ical condition (greater than 80%).
3. Asymptomatic bacteriuria bacteria in the urine without other symptoms, is benign, and does not cause renal injury.
4. Cystitis an infection of the bladder that pro- duces lower tract symptoms but does not cause fever or renal injury.
5. Pyelonephritis most severe type of UTI involving the renal parenchyma or kidneys and must be readily identified and treated be- cause of the potential irreversible renal damage.
6. "When was your last menstrual period (LMP)?" A healthy 14-year-old female has a dipstick urinalysis that is positive for 56RBCs per hpf but otherwise normal. What is the first question the prima- ry care pediatric nursepractitioner will ask this patient?
7. Monitor for proteinuria at each annual well child examination. An adolescent has 2+ proteinuria in a random dipstick urinalysis. A sub- sequent first morning voided speci- men is negative. What will the primary

care pediatric nurse practitioner do to manage this condition?

1. Henoch Schonlein purpura A child has gross hematuria, abdom- inal pain, and arthralgia as well as a rash. What diagnosis is most likely?
2. Phenazopyridine^ (Pyridium)^ may be given at 12 mg/kg/day for 6- to 12-year-olds and 200 mg for those older than 12 years old, three times a day for dysuria
3. Refer the infant to a pediatric urologist or sur- A 6-month-old infant has a retractile geon for possible orchiopexy testis that was noted at the 2-month well baby exam. What will the primary care pediatric nurse practitioner do to manage this condition?
4. Nitrites indirect measure of bacteria in the urine and the most specific marker for infection.
5. Proteinuria Possible indicative d/t renal disease or orthostactic
6. Refer immediately to a pediatric surgeon. A 9-month-old infant is brought to the clinic with scrotal swelling and fussi- ness. The primary care pediatric nurse practitioner notes a tender mass in the attected scrotum that is diflcult to re- duce. What is the correct action?
7. Negative leukocyte esterase and nitrites

Begin insulin and refer the child to a children's The primary care pediatric nurse prac- diabetes center. titioner diagnoses an 8 year old child with type 1 diabetes after a routine urine screen is positive for glucose and negative for ketones and plasma glu- cose is 350 mg/dL. The child's weight is normal and the parents report a mild increase in thirst and urine output in the past few days. Which course of ac- tion is correct?

1. Continuous glucose monitoring The primary care pediatric nurse prac- titioner is reviewing lab work and di- abetesmanagement with a school-age child whose HbA1C is 7.6% who reports usual blood sugars before meals as being 80 to 90 mg/dL. The nurse practitioner will consult with the child's endocrinologistto consider which therapy?
2. The importance of checking blood glucose 3 or 4 times daily The primary care pediatric nurse prac- titioner prescribes metformin for a 15 year old adolescent newly diag- nosed with type 2 diabetes. What will the nurse practitioner include when teaching the adolescent about this drug?
3. Polycystic ovary syndrome A 16year old adolescent female whose BMI is at the 90th percentile reports ir- regular periods. The primary care pe-

1. 20 to 35 mcg dose of ethinyl estradiol and a nonandrogenic progestin component is rec- ommended. diatric nurse practitioner notes wide- spread acne on her face and back and an abnormal distribution of facial hair. The nurse practitioner will evaluate her further based on a suspicion of which diagnosis? What is the treatment recommenda- tion for women w/ PCOS not intent on conceiving?
2. Generalized anxiety disorder (GAD) The parent of a school age child re- ports that the child becomes frustrated when unable to perform tasks well and often has temper tantrums and difl- culty sleeping. Which disorder may be considered in this child?
3. Cognitive-behavioral therapy (CBT) is the most common psychotherapeutic approach. First-line pharmacologic treatment is selec- tive serotonin reuptake inhibitors (SSRIs).
4. Worry, Anxiety Tantrums Sleep Difficulties
5. Ask the mother about the child's relationship with the father. What are the treatment modalities for GAD? What are common manifestations of GAD? A newly divorced mother of a toddler reports that the child began having dif- ficulty sleeping and nightmares along with exhibiting angry outbursts and tantrums 2 months prior. The primary care pediatric nurse practitioner learns

Which organism causes 90% of vul- vovaginal candidiasis episodes in women?

1. Fluconazole (Diflucan) Most common treatment for Vulvo- vaginal Candidiasis
2. Vulvovaginal^ pruritis^ What is the most common symptom of vulvovaginal candidiasis?
3. Because these symptoms affect the majority of women. Why shouldn't symptoms such as bloating and breast tenderness be considered disordered premenstrual symptoms?
4. PMS/PMDD present with both attective and somat- ic symptoms during the luteal phase of the menstrual cycle?
5. PMDD What is a severe form of PMS that sig- nificantly disrupts daily functioning?
6. (Chadwicks sign) Cervix color and texture change, be- coming cyanotic
7. (Goodells sign). softening of the cervix
8. Hegar Sign softening of cervix that is a sign of pregnancy, occurring at 10 to 12 weeks' gestation
9. Ovulatory Dysfunction Most common cause of Abnormal Uterine Bleeding?

1. COEIN (coagulopathy, ovulatory dysfunction, endometrial, iatrogenic, not yet classified)
2. PALM (polyps, adenomyosis, leiomyoma, ma- lignancy)
3. GnRH (gonadotropin-releasing hormone), Contraceptives, IUD
4. Exclusion of other diagnoses that may better explain the symptoms. Non-Structural Causes of Abnormal Uterine Bleeding? Structural Causes of Abnormal Uterine Bleeding? Medical treatment of Uterine Fibroids can include? Which of the following is one of the key criteria for a diagnosis of PMS
5. GnRH (gonadotropin-releasing hormone) Exercise-induced amenorrhea is probably due to the combination of low body fat and decreased secretion of?
6. 50% Approximately how many Americans will contract one or more sexual- ly transmitted infections during their lifetime?
7. Primary amenorrhea failure of the initiation of menses by age 14 in the absence of puberty or by 16 years of age regardless of the de- velopment of secondary sexual char- acteristics
8. 40 Of the more than 100 known serotypes of human papillomavirus (HPV), ap- proximately how many can infect the genital tract?
9. 3 weeks

periumbilical area and then localized to the right lower quadrant. The child vomited once today and then expe- rienced relief from pain followed by an increased fever. What is the likely diagnosis?

1. Perpetual HPV infection most important causative agent in cer- vical carcinogenesis.99.7%
2. intussusception An 18 month old child has a 1 day his- tory of intermittent, cramping abdom- inal pain with nonbilious vomiting. The child is observed to scream and draw up his legs during pain episodes and becomes lethargic in between. The primary care pediatric nurse practi- tioner notes a small amount of bloody, mucous stool in the diaper. What is the most likely diagnosis?
3. Prescribe trimethoprim/sulfamethoxazole (TMP) twice daily for 3 to 5 days.
4. Monitor for proteinuria at each annual well child examination A dipstick urinalysis is positive for leukocyte esterase and nitrites in a school-age child with dysuria and foul smelling urine but no fever who has not had previous urinary tract infections. A culture is pending. What will the pediatric nurse practitioner do to treat this child? An adolescent has 2+ proteinuria in a random dipstick urinalysis. A sub-

sequent first morning voided speci- men is negative. What will the primary care pediatric nurse practitioner do to manage this condition?

1. polycystic ovary syndrome (PCOS) A 7yearold female has recently de- veloped pubic and axillary hair with- out breast development. Her bone age is consistent with her chronological age, and a pediatric endocrinologist has diagnosed idiopathic premature adrenarche. The primary care pedi- atric nurse practitioner will monitor this child for which condition?
2. If she has recently begun menstruating When is a pelvic examination unneces- sary for a woman who is experiencing AUB?
3. massage the fundus The nurse notes that the fundus of a postpartum patient is boggy, shifted to the left of the midline, and 2 cm above the umbilicus. What is the nurses pri- ority action?
4. use^ progesterone-only^ contraception^ Progesterone breakthrough bleeding is sometimes seen in women who
5. Have the same theoretical efficacy Compared to COC's, the combined contraceptive patch and vaginal ring
6. Executive Function The FNP cares for a preschool-age child who was exposed to drugs pre-

1. Fundal^ height^ @^16 weeks^ Between PS and Umbilicus
2. Fundal height at 20 weeks At level of the unmbilicus
3. Fundal height 24-36 weeks +/- 2cm equal to gestationla age.
4. Decrease BP; Increase blood volume. Decrease pperipheral vascular resis- tance
5. Primary Dysmenorrhea No physical underlying pathological indication Almost always associated with ovulato- ry cycles
6. Secondary Dysmenorrhea Pain due to an underlying pelvic pathology
7. Endometriosis Most common cause of secondary dysmenorrhea
8. Follicular Phase levels of estrogen and progesterone are low during this phase of menstrual cycle; Menstruation occurs during this phase
9. Ovulatory Phase surge in luteinizing hormone and fol- licle-stimulating hormone levels;
10. Luteal Phase Surge of Progesterone; Post ovulation prior to menstruation
11. Estrogen Surge in this hormone just before ovu- lation

1. Progesterone^ Surge in this hormone post ovulation prior to menstruation
2. Tier 1 Contraception; 1% Failure Rate Surgery (Vasectomy/Tubal Ligation); IUD; DepoProvera
3. Tier 2 Contraception; 2%-3% Failure Rate COC; POP; Cervical Ring; "Day After Pill"
4. Tier 3 Contraception; 20% Failure Rate Barriers; Condoms/Diaphragm/Cervi- cal Cap
5. What are the only vaccines a pregnant woman Tdap and Flu can get?
6. What is true about HPV? 90% have unknown symptoms and most clear up in 2 yrs
7. what is Chadwick's sign? Bluish tint to cervix
8. What's the latest age a child needs to be set up with a dentist? BOOK The child's first dental visit should occur before the child's first birthday (12 months old) or within 6 months of the first tooth eruption
9. Dental caries can be caused by? I think I put excessive fluoride**
10. The first teeth to appear are the teeth. deciduous
11. Mom's exclusively breastfeeding, what sup- plement does baby need? I think I put Vit D**
12. When do kids say mama/dada? 6-8months **
13. mom has immunity to baby passive

Pt has trichomonas on wet prep,? is either what's the dx or how should they me man- aged?

1. During what phase is a woman likely to con- tract HIV? Asymptomatic shedding stage
2. A woman has a 2cm movable, palpable breast CT of the chest, mammogram the af- mass, no nipple discharge. What are the next steps in care? fected side, or normal finding. Ultra- sound was not on the test
3. Kid with HIV, what vaccine can they NOT get they can't get LIVE viruses..varicella
4. when HIV is at its highest transmissionable stage?
5. NON-Pregnant woman presents with BV (THEY don't actually say BV, so know what BV is) The question is what do you tx her with.
6. there was a quest about a person has gonor- When they have high numbers of sex partners or when other STDs are pre- sent TINDAZOLE 2G PO X1. She's not preg- nant so she can have this I think I put chlamydia, bc they usually rhea, what other dz should they be treated for go hand in hand as well?
7. Know which person IS NOT at risk for breast cancer? I put a pregnant woman before 35 yrs of age. Obesity, family hx of breast cancer, and something else was the other choices.
8. 5 yr old TV watching? Aimed at anticipatory guidance, I think I put no more than 1 hour..easy?

which one of the following statements is TRUE More than 20% of isolates are resistant regarding the emerging threat of antimicro- bial-resistant Neisseria gonorrhoeae infection in the United States?

1. A 25-year-old female presents with a one-week history of vaginal itching, dysuria, and vulvar redness. She denies fevers, chills, or pelvic pain. She is monogamous with one long-term male partner and uses condoms consistently. She has no other medical prob- lems and takes no medications. On physical examination of the external genitalia, there is significant vulvar edema and excoriations are noted. A pelvic examination reveals thick white vaginal discharge. Which one of the fol- lowing fungal organisms is most likely con- tributing to the patient's signs and symp- toms? to ciprofloxacin Candida albicans
2. A 32-year-old woman presents for counseling Valacyclovir 500 mg orally once a day regarding management of recurrent genital herpes. She has had 3 episodes in the past 11 months. She is interested in reducing her risk of recurrence. Which one of the following is a recommended suppressive regimen to re- duce genital HSV recurrence?
3. A 24-year-old woman recently diagnosed with Trichomoniasis is associated with an HIV infection presents for her initial visit with her new primary care provider. She acquired HIV through unprotected vaginal sex with a increased incidence of pelvic inflam- matory disease, increased genital tract