NR 602 ACTUAL EXAM PAPER 2026
QUESTIONS WITH SOLUTIONS GRADED A+
◉ How to treat Kawasaki disease: Answer: IVIG and aspirin
◉ What is retinoblastoma? Answer: malignant tumor of the retina
◉ signs and symptoms of retinoblastoma Answer: whitish glow in pupil
- cat's eye reflex (leukocoria). Eyes looking in different directions, poor
vision, eye swelling, eye redness
◉ When should children be screened for retinoblastoma Answer: from
birth up to the age of 7 years. After age 7 years, no further screening of
asymptomatic children is recommended, unless they are known to carry
an RB1 mutation. Most children diagnosed are younger than 3 years old.
◉ Risk factors for retinoblastoma Answer: Diets low in fruits and
vegetables among mothers during pregnancy
Exposure to chemicals in gasoline or diesel exhaust during pregnancy
Exposure of fathers to radiation
Older age among fathers
,◉ s/sx of hypothyroidism in pediatric clients Answer: Slowed growth
rate
Puffy face
Swollen hands and feet
Poor muscle tone
Sluggishness, sleepiness
Constipation
Fatigue
Dry, itchy scalp
Dry, coarse skin
Heavy menstruation in girls
Mood swings
Weight gain
Hoarse cry or voice
Dry, coarse skin
Enlarged thyroid gland (goiter)
◉ Is imaging warranted in a pediatric client with Asthma Answer:
imaging should be minimized r/t the exposure to radiation in children.
◉ What is intermittent asthma? Answer: Rule of 2's:
Symptoms: <2 days/week
, Nighttime: <2 times/ mo
Rescue inhaler use: <2 days per week
Limitation with activity: none
Lung function: FEV1>80% , normal between exacerbations.
Intermittent asthma means that you only have symptoms sometimes.
People with intermittent asthma usually have symptoms 2 days a week
or less often
◉ What is mild persistent asthma? Answer: • *Symptoms*: >2
days/week but not daily
• Nighttime awakenings: 3-4x/month
• *SABA use*: > 2 days/week but not daily
• *Interference with normal activity*: Minor
• *Lung Function*:
- FEV*: > 80% predicted
- FEV1/FVC: normal
Persistent asthma means that you have symptoms regularly. People with
mild persistent asthma have asthma symptoms more than twice a week,
but not every day.
◉ What is moderate persistent asthma? Answer: • *Symptoms*: Daily
QUESTIONS WITH SOLUTIONS GRADED A+
◉ How to treat Kawasaki disease: Answer: IVIG and aspirin
◉ What is retinoblastoma? Answer: malignant tumor of the retina
◉ signs and symptoms of retinoblastoma Answer: whitish glow in pupil
- cat's eye reflex (leukocoria). Eyes looking in different directions, poor
vision, eye swelling, eye redness
◉ When should children be screened for retinoblastoma Answer: from
birth up to the age of 7 years. After age 7 years, no further screening of
asymptomatic children is recommended, unless they are known to carry
an RB1 mutation. Most children diagnosed are younger than 3 years old.
◉ Risk factors for retinoblastoma Answer: Diets low in fruits and
vegetables among mothers during pregnancy
Exposure to chemicals in gasoline or diesel exhaust during pregnancy
Exposure of fathers to radiation
Older age among fathers
,◉ s/sx of hypothyroidism in pediatric clients Answer: Slowed growth
rate
Puffy face
Swollen hands and feet
Poor muscle tone
Sluggishness, sleepiness
Constipation
Fatigue
Dry, itchy scalp
Dry, coarse skin
Heavy menstruation in girls
Mood swings
Weight gain
Hoarse cry or voice
Dry, coarse skin
Enlarged thyroid gland (goiter)
◉ Is imaging warranted in a pediatric client with Asthma Answer:
imaging should be minimized r/t the exposure to radiation in children.
◉ What is intermittent asthma? Answer: Rule of 2's:
Symptoms: <2 days/week
, Nighttime: <2 times/ mo
Rescue inhaler use: <2 days per week
Limitation with activity: none
Lung function: FEV1>80% , normal between exacerbations.
Intermittent asthma means that you only have symptoms sometimes.
People with intermittent asthma usually have symptoms 2 days a week
or less often
◉ What is mild persistent asthma? Answer: • *Symptoms*: >2
days/week but not daily
• Nighttime awakenings: 3-4x/month
• *SABA use*: > 2 days/week but not daily
• *Interference with normal activity*: Minor
• *Lung Function*:
- FEV*: > 80% predicted
- FEV1/FVC: normal
Persistent asthma means that you have symptoms regularly. People with
mild persistent asthma have asthma symptoms more than twice a week,
but not every day.
◉ What is moderate persistent asthma? Answer: • *Symptoms*: Daily
