NR603 WEEK 8 FINAL EXAM | 100 COMPLETE
ACTUAL EXAM QUESTIONS AND CORRECT
ANSWERS (VERIFIED ANSWERS) PLUS
RATIONALES 2026 Q&A | LATEST EXAM UPDATE
2026/2027
Core Domains
• Neurological Disorders and Diagnostic Reasoning
• Cardiovascular Pathophysiology and Management
• Hematologic Disorders and Anemias
• Primary Care of the Childbearing Family
• Prenatal Care and Maternal Adaptations
• Antepartum Complications and High-Risk Pregnancy
• Gynecologic Health and Reproductive Endocrinology
• Contraception and Sexually Transmitted Infections
• Postpartum Care and Newborn Assessment
• Pharmacologic and Non-Pharmacologic Interventions Across
the Lifespan
Introduction
This comprehensive 100-question examination is specifically designed
to evaluate clinical readiness for the Chamberlain University NR603
Week 8 Final Examination in Primary Care of the Childbearing Family
and Advanced Clinical Diagnosis. This assessment covers essential
domains including neurological disorders, cardiovascular
pathophysiology, hematologic conditions, prenatal care, antepartum
complications, gynecologic health, contraception, sexually
transmitted infections, postpartum care, and pharmacologic
interventions. Each question is constructed to mirror the complexity
and clinical reasoning required on the actual Examplify proctored
examination, emphasizing diagnostic prioritization, evidence-based
decision-making, and patient-centered care. Candidates will
demonstrate proficiency in managing patients across the lifespan
with a focus on the childbearing family. Success on this examination
,reflects readiness for advanced practice nursing in primary care
settings.
SECTION ONE: QUESTIONS 1 – 100
1. A 26-year-old woman is planning pregnancy. Which supplement is
most important to begin prior to conception to prevent neural tube
defects?
A. Iron
B. Vitamin D
C. Calcium
D. Folic acid
D. Folic acid
RATIONALE: Folic acid supplementation (400–800 mcg daily) before
conception and during early pregnancy significantly reduces the risk of neural
tube defects such as spina bifida and anencephaly.
2. A 62-year-old man presents with vision problems, difficulty
swallowing, and progressive ascending weakness that began with
numbness and tingling in his feet. Over the last day, he has noticed
difficulty swallowing, double vision, and difficulty taking a deep
breath. Exam reveals bilateral absence of patellar and ulnar reflexes. A
lumbar puncture is performed. What CSF finding is most likely?
A. Decreased CSF glucose content
B. Decreased CSF protein content
C. Elevated CSF polymorphonuclear cell count
D. Elevated CSF protein content
E. Elevated CSF lymphocyte count
D. Elevated CSF protein content
RATIONALE: Symmetrical ascending paralysis with sensory symptoms
and areflexia is indicative of Guillain-Barré syndrome (GBS). Lumbar
,puncture characteristically reveals elevated CSF protein content with normal
cell counts (albuminocytologic dissociation).
3. A 70-year-old woman is brought in by her family due to a slowly
progressive gait disorder, impairment of mental function, and urinary
incontinence. Over the past year, she has developed weakness in her
legs, unsteadiness, shorter steps, and unexplained backward falls. She
has become emotionally indifferent and inattentive. Over the past
month, she has had urinary urgency and involuntary leaking. What is
the most likely best method of treating this patient's urinary
problems?
A. Antimuscarinic drug (Tolterodine)
B. Antibiotic (Sulfamethoxazole/trimethoprim)
C. Acetylcholinesterase inhibitor (Donepezil)
D. Ventriculoperitoneal shunt
D. Ventriculoperitoneal shunt
RATIONALE: The clinical triad of slowly progressive gait disorder,
impairment of mental function, and urinary incontinence strongly suggests
normal-pressure hydrocephalus (NPH). Ventricular expansion causes
symptoms, and surgical CSF shunting is the main treatment modality.
4. A 60-year-old woman with a history of hypertension and diabetes
presents with progressive fatigue. Laboratory findings show
microcytic, hypochromic anemia. What is the most likely diagnosis?
A. Vitamin B12 deficiency anemia
B. Iron deficiency anemia
C. Aplastic anemia
D. Hemolytic anemia
B. Iron deficiency anemia
, RATIONALE: Microcytic (low MCV) and hypochromic (low MCHC) red
blood cells are hallmark signs of iron deficiency anemia, often due to chronic
blood loss (e.g., GI bleed or heavy menses).
5. A 78-year-old patient presents with pancytopenia and dysplastic cells
on peripheral smear. Which diagnostic test is most appropriate for
confirming the suspected diagnosis?
A. CT scan of the abdomen
B. Bone marrow biopsy with flow cytometry
C. Serum B12 and folate levels
D. Coombs test
B. Bone marrow biopsy with flow cytometry
RATIONALE: Pancytopenia with dysplasia suggests a bone marrow
disorder such as myelodysplastic syndrome (MDS) or leukemia. A bone
marrow biopsy is required to evaluate cellularity and morphology.
6. A patient with known intrinsic factor autoantibodies is most at risk
for developing which condition?
A. Iron deficiency anemia
B. Pernicious anemia
C. Hemolytic anemia
D. Sickle cell disease
B. Pernicious anemia
RATIONALE: Intrinsic factor (IF) autoantibodies block the absorption of
vitamin B12 in the ileum, leading to B12 deficiency and pernicious anemia.
7. Which laboratory finding confirms iron deficiency anemia in a
patient with microcytic anemia?
A. Elevated ferritin
B. Low serum ferritin
ACTUAL EXAM QUESTIONS AND CORRECT
ANSWERS (VERIFIED ANSWERS) PLUS
RATIONALES 2026 Q&A | LATEST EXAM UPDATE
2026/2027
Core Domains
• Neurological Disorders and Diagnostic Reasoning
• Cardiovascular Pathophysiology and Management
• Hematologic Disorders and Anemias
• Primary Care of the Childbearing Family
• Prenatal Care and Maternal Adaptations
• Antepartum Complications and High-Risk Pregnancy
• Gynecologic Health and Reproductive Endocrinology
• Contraception and Sexually Transmitted Infections
• Postpartum Care and Newborn Assessment
• Pharmacologic and Non-Pharmacologic Interventions Across
the Lifespan
Introduction
This comprehensive 100-question examination is specifically designed
to evaluate clinical readiness for the Chamberlain University NR603
Week 8 Final Examination in Primary Care of the Childbearing Family
and Advanced Clinical Diagnosis. This assessment covers essential
domains including neurological disorders, cardiovascular
pathophysiology, hematologic conditions, prenatal care, antepartum
complications, gynecologic health, contraception, sexually
transmitted infections, postpartum care, and pharmacologic
interventions. Each question is constructed to mirror the complexity
and clinical reasoning required on the actual Examplify proctored
examination, emphasizing diagnostic prioritization, evidence-based
decision-making, and patient-centered care. Candidates will
demonstrate proficiency in managing patients across the lifespan
with a focus on the childbearing family. Success on this examination
,reflects readiness for advanced practice nursing in primary care
settings.
SECTION ONE: QUESTIONS 1 – 100
1. A 26-year-old woman is planning pregnancy. Which supplement is
most important to begin prior to conception to prevent neural tube
defects?
A. Iron
B. Vitamin D
C. Calcium
D. Folic acid
D. Folic acid
RATIONALE: Folic acid supplementation (400–800 mcg daily) before
conception and during early pregnancy significantly reduces the risk of neural
tube defects such as spina bifida and anencephaly.
2. A 62-year-old man presents with vision problems, difficulty
swallowing, and progressive ascending weakness that began with
numbness and tingling in his feet. Over the last day, he has noticed
difficulty swallowing, double vision, and difficulty taking a deep
breath. Exam reveals bilateral absence of patellar and ulnar reflexes. A
lumbar puncture is performed. What CSF finding is most likely?
A. Decreased CSF glucose content
B. Decreased CSF protein content
C. Elevated CSF polymorphonuclear cell count
D. Elevated CSF protein content
E. Elevated CSF lymphocyte count
D. Elevated CSF protein content
RATIONALE: Symmetrical ascending paralysis with sensory symptoms
and areflexia is indicative of Guillain-Barré syndrome (GBS). Lumbar
,puncture characteristically reveals elevated CSF protein content with normal
cell counts (albuminocytologic dissociation).
3. A 70-year-old woman is brought in by her family due to a slowly
progressive gait disorder, impairment of mental function, and urinary
incontinence. Over the past year, she has developed weakness in her
legs, unsteadiness, shorter steps, and unexplained backward falls. She
has become emotionally indifferent and inattentive. Over the past
month, she has had urinary urgency and involuntary leaking. What is
the most likely best method of treating this patient's urinary
problems?
A. Antimuscarinic drug (Tolterodine)
B. Antibiotic (Sulfamethoxazole/trimethoprim)
C. Acetylcholinesterase inhibitor (Donepezil)
D. Ventriculoperitoneal shunt
D. Ventriculoperitoneal shunt
RATIONALE: The clinical triad of slowly progressive gait disorder,
impairment of mental function, and urinary incontinence strongly suggests
normal-pressure hydrocephalus (NPH). Ventricular expansion causes
symptoms, and surgical CSF shunting is the main treatment modality.
4. A 60-year-old woman with a history of hypertension and diabetes
presents with progressive fatigue. Laboratory findings show
microcytic, hypochromic anemia. What is the most likely diagnosis?
A. Vitamin B12 deficiency anemia
B. Iron deficiency anemia
C. Aplastic anemia
D. Hemolytic anemia
B. Iron deficiency anemia
, RATIONALE: Microcytic (low MCV) and hypochromic (low MCHC) red
blood cells are hallmark signs of iron deficiency anemia, often due to chronic
blood loss (e.g., GI bleed or heavy menses).
5. A 78-year-old patient presents with pancytopenia and dysplastic cells
on peripheral smear. Which diagnostic test is most appropriate for
confirming the suspected diagnosis?
A. CT scan of the abdomen
B. Bone marrow biopsy with flow cytometry
C. Serum B12 and folate levels
D. Coombs test
B. Bone marrow biopsy with flow cytometry
RATIONALE: Pancytopenia with dysplasia suggests a bone marrow
disorder such as myelodysplastic syndrome (MDS) or leukemia. A bone
marrow biopsy is required to evaluate cellularity and morphology.
6. A patient with known intrinsic factor autoantibodies is most at risk
for developing which condition?
A. Iron deficiency anemia
B. Pernicious anemia
C. Hemolytic anemia
D. Sickle cell disease
B. Pernicious anemia
RATIONALE: Intrinsic factor (IF) autoantibodies block the absorption of
vitamin B12 in the ileum, leading to B12 deficiency and pernicious anemia.
7. Which laboratory finding confirms iron deficiency anemia in a
patient with microcytic anemia?
A. Elevated ferritin
B. Low serum ferritin
