NR602 PEDIATRIC MIDTERM EXAM
(CHAMBERLAIN) NEWEST 2026/2027 TEST
BANK | NR 602 PEDIATRIC MIDTERM EXAM
REVIEW WITH COMPLETE REAL EXAM
QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) ALREADY
GRADED A+ (MOST RECENT!!)
Core Domains
• Pediatric Growth, Development, and Developmental Milestones
• Immunizations and Vaccine-Preventable Diseases
• Pediatric Respiratory Disorders and Airway Emergencies
• Pediatric Cardiovascular and Hematologic Disorders
• Pediatric Gastrointestinal and Genitourinary Conditions
• Pediatric Infectious Diseases and Dermatologic Conditions
• Pediatric Neurology, Musculoskeletal, and Eye/Ear Disorders
• Health Promotion, Anticipatory Guidance, and Injury Prevention
Introduction
The NR602 Pediatric Midterm Examination assesses a candidate's mastery of
primary care of the childbearing and childrearing family, with a concentrated focus
on pediatric health assessment and management. This comprehensive assessment
evaluates knowledge of growth and development, immunizations, respiratory,
cardiovascular, gastrointestinal, infectious, neurologic, and dermatologic conditions
affecting children. The multiple-choice and scenario-based questions emphasize
,real-world application, diagnostic reasoning, and clinical decision-making skills
essential for family nurse practitioner practice. Candidates must demonstrate
competency across all core domains to achieve academic and clinical success.
SECTION ONE: QUESTIONS 1–100
Question 1
A nurse practitioner is assessing a 9-month-old infant at a well-child visit. Which
developmental milestone should the infant be able to demonstrate?
A. Walk independently
B. Sit without support
C. Ride a tricycle
D. Say full sentences
B. Sit without support
RATIONALE: Sitting without support is a developmental milestone typically
achieved by 6–8 months of age. Independent walking usually occurs around 12
months, tricycle riding is a preschool skill, and speaking full sentences is expected
around 2 years of age.
Question 2
A 2-year-old child presents with a sudden onset of stridor, drooling, and fever. The
child is sitting upright with chin thrust forward. What is the most likely diagnosis and
priority action?
A. Croup; give dexamethasone
B. Epiglottitis; secure airway immediately
C. Foreign body aspiration; perform Heimlich maneuver
,D. Peritonsillar abscess; refer to ENT
B. Epiglottitis; secure airway immediately
RATIONALE: Epiglottitis is a life-threatening emergency presenting with sudden
stridor, drooling, dysphagia, fever, and a "tripod" position. The priority is to secure
the airway; do not examine the throat or agitate the child.
Question 3
A 6-year-old child has a fever for 5 days with conjunctival injection (non-exudative),
cracked lips, strawberry tongue, rash, and cervical lymphadenopathy. What is the
most likely diagnosis?
A. Measles
B. Scarlet fever
C. Kawasaki disease
D. Stevens-Johnson syndrome
C. Kawasaki disease
RATIONALE: Kawasaki disease is an acute vasculitis. Diagnostic criteria include
fever for more than 5 days plus at least 4 of 5: bilateral conjunctival injection, oral
mucosal changes (cracked lips, strawberry tongue), rash, cervical
lymphadenopathy, and extremity changes. An echocardiogram is essential to
evaluate for coronary artery aneurysms.
Question 4
Sandra, age 12 years, has several vesicles and honey-colored crusted lesions on
her face above the right nares. She has a history of a bad scratch in the same area
several days ago. What condition do you suspect?
A. Impetigo
, B. Herpes simplex
C. Atopic dermatitis
D. Contact dermatitis
A. Impetigo
RATIONALE: Honey-colored crusted lesions, often following a break in the skin
(like a scratch), are classic signs of impetigo, a highly contagious bacterial skin
infection commonly caused by Staphylococcus aureus or Streptococcus pyogenes.
Question 5
During a well-child examination on a 13-year-old female, the nurse practitioner
notes that the child is at Tanner Stage 3. During the exam, when the nurse
practitioner initiates a conversation about healthy sexuality education, the parent
states that this topic is "off limits." What will the nurse practitioner do?
A. Spend private time with the parent to discuss how sexuality education reduces
the risk of early sexual intercourse and risky sexual behaviors
B. Respect the parent's wishes and never discuss sexuality with the adolescent
C. Report the parent to authorities for neglect
D. Tell the adolescent to search the internet for information
A. Spend private time with the parent to discuss how sexuality education
reduces the risk of early sexual intercourse and risky sexual behaviors
RATIONALE: Evidence shows comprehensive sexuality education delays sexual
debut and increases contraceptive use. The NP should educate the parent on these
benefits while addressing their concerns, as the NP has a duty to provide age-
appropriate anticipatory guidance.
Question 6
(CHAMBERLAIN) NEWEST 2026/2027 TEST
BANK | NR 602 PEDIATRIC MIDTERM EXAM
REVIEW WITH COMPLETE REAL EXAM
QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) ALREADY
GRADED A+ (MOST RECENT!!)
Core Domains
• Pediatric Growth, Development, and Developmental Milestones
• Immunizations and Vaccine-Preventable Diseases
• Pediatric Respiratory Disorders and Airway Emergencies
• Pediatric Cardiovascular and Hematologic Disorders
• Pediatric Gastrointestinal and Genitourinary Conditions
• Pediatric Infectious Diseases and Dermatologic Conditions
• Pediatric Neurology, Musculoskeletal, and Eye/Ear Disorders
• Health Promotion, Anticipatory Guidance, and Injury Prevention
Introduction
The NR602 Pediatric Midterm Examination assesses a candidate's mastery of
primary care of the childbearing and childrearing family, with a concentrated focus
on pediatric health assessment and management. This comprehensive assessment
evaluates knowledge of growth and development, immunizations, respiratory,
cardiovascular, gastrointestinal, infectious, neurologic, and dermatologic conditions
affecting children. The multiple-choice and scenario-based questions emphasize
,real-world application, diagnostic reasoning, and clinical decision-making skills
essential for family nurse practitioner practice. Candidates must demonstrate
competency across all core domains to achieve academic and clinical success.
SECTION ONE: QUESTIONS 1–100
Question 1
A nurse practitioner is assessing a 9-month-old infant at a well-child visit. Which
developmental milestone should the infant be able to demonstrate?
A. Walk independently
B. Sit without support
C. Ride a tricycle
D. Say full sentences
B. Sit without support
RATIONALE: Sitting without support is a developmental milestone typically
achieved by 6–8 months of age. Independent walking usually occurs around 12
months, tricycle riding is a preschool skill, and speaking full sentences is expected
around 2 years of age.
Question 2
A 2-year-old child presents with a sudden onset of stridor, drooling, and fever. The
child is sitting upright with chin thrust forward. What is the most likely diagnosis and
priority action?
A. Croup; give dexamethasone
B. Epiglottitis; secure airway immediately
C. Foreign body aspiration; perform Heimlich maneuver
,D. Peritonsillar abscess; refer to ENT
B. Epiglottitis; secure airway immediately
RATIONALE: Epiglottitis is a life-threatening emergency presenting with sudden
stridor, drooling, dysphagia, fever, and a "tripod" position. The priority is to secure
the airway; do not examine the throat or agitate the child.
Question 3
A 6-year-old child has a fever for 5 days with conjunctival injection (non-exudative),
cracked lips, strawberry tongue, rash, and cervical lymphadenopathy. What is the
most likely diagnosis?
A. Measles
B. Scarlet fever
C. Kawasaki disease
D. Stevens-Johnson syndrome
C. Kawasaki disease
RATIONALE: Kawasaki disease is an acute vasculitis. Diagnostic criteria include
fever for more than 5 days plus at least 4 of 5: bilateral conjunctival injection, oral
mucosal changes (cracked lips, strawberry tongue), rash, cervical
lymphadenopathy, and extremity changes. An echocardiogram is essential to
evaluate for coronary artery aneurysms.
Question 4
Sandra, age 12 years, has several vesicles and honey-colored crusted lesions on
her face above the right nares. She has a history of a bad scratch in the same area
several days ago. What condition do you suspect?
A. Impetigo
, B. Herpes simplex
C. Atopic dermatitis
D. Contact dermatitis
A. Impetigo
RATIONALE: Honey-colored crusted lesions, often following a break in the skin
(like a scratch), are classic signs of impetigo, a highly contagious bacterial skin
infection commonly caused by Staphylococcus aureus or Streptococcus pyogenes.
Question 5
During a well-child examination on a 13-year-old female, the nurse practitioner
notes that the child is at Tanner Stage 3. During the exam, when the nurse
practitioner initiates a conversation about healthy sexuality education, the parent
states that this topic is "off limits." What will the nurse practitioner do?
A. Spend private time with the parent to discuss how sexuality education reduces
the risk of early sexual intercourse and risky sexual behaviors
B. Respect the parent's wishes and never discuss sexuality with the adolescent
C. Report the parent to authorities for neglect
D. Tell the adolescent to search the internet for information
A. Spend private time with the parent to discuss how sexuality education
reduces the risk of early sexual intercourse and risky sexual behaviors
RATIONALE: Evidence shows comprehensive sexuality education delays sexual
debut and increases contraceptive use. The NP should educate the parent on these
benefits while addressing their concerns, as the NP has a duty to provide age-
appropriate anticipatory guidance.
Question 6
