NR-602 NR 602 Primary Care of Women &
Children (FNP II) Final Exam Questions and
Correct Answers (Verified Answers) Plus
Rationales 2025 Chamberlain College Of
Nursing
1. A 5-year-old child presents with a barking cough, inspiratory stridor,
and hoarseness. What is the most likely diagnosis?
A. Epiglottitis
B. Asthma
C. Croup (laryngotracheobronchitis)
D. Bronchiolitis
Croup presents with a classic "barking" cough, stridor, and hoarseness due
to upper airway inflammation, often following a viral URI.
2. A 30-year-old woman presents with dysuria, urinary frequency, and
urgency. Urinalysis shows positive leukocyte esterase and nitrites.
What is the most likely diagnosis?
A. Interstitial cystitis
B. Acute uncomplicated urinary tract infection (UTI)
C. Vaginitis
D. Pyelonephritis
,The presence of leukocyte esterase and nitrites strongly suggests a UTI,
especially with classic urinary symptoms.
3. Which of the following is a contraindication for combined oral
contraceptive use in women?
A. Age over 35
B. History of dysmenorrhea
C. Family history of breast cancer
D. History of migraine with aura
Combined oral contraceptives are contraindicated in women with migraines
with aura due to increased risk of stroke.
4. A 2-month-old infant presents with projectile, non-bilious vomiting
after feeding. The physical exam reveals a palpable olive-shaped mass
in the right upper quadrant. What is the most likely diagnosis?
A. GERD
B. Pyloric stenosis
C. Intussusception
D. Hirschsprung disease
Pyloric stenosis presents in young infants with projectile vomiting and a
palpable olive-shaped mass.
5. What is the most appropriate initial treatment for mastitis in a
breastfeeding woman?
A. Continue breastfeeding and prescribe antibiotics
, B. Stop breastfeeding and apply warm compresses only
C. Refer to surgery
D. Prescribe antifungal medication
Mastitis is usually treated with antibiotics and continued breastfeeding or
pumping to prevent milk stasis.
6. A 6-year-old boy presents with fever, sore throat, and a sandpaper-
like rash. What is the most likely diagnosis?
A. Scarlet fever
B. Roseola
C. Fifth disease
D. Rubella
Scarlet fever is caused by group A strep and is characterized by fever,
pharyngitis, and a sandpaper-textured rash.
7. A 16-year-old girl presents with irregular, heavy periods for the past
year. What is the most likely cause?
A. Immature hypothalamic-pituitary-ovarian axis
B. Endometrial cancer
C. Polycystic ovary syndrome (PCOS)
D. Hyperprolactinemia
In adolescents, irregular menses are commonly due to an immature HPO
axis that results in anovulatory cycles.
Children (FNP II) Final Exam Questions and
Correct Answers (Verified Answers) Plus
Rationales 2025 Chamberlain College Of
Nursing
1. A 5-year-old child presents with a barking cough, inspiratory stridor,
and hoarseness. What is the most likely diagnosis?
A. Epiglottitis
B. Asthma
C. Croup (laryngotracheobronchitis)
D. Bronchiolitis
Croup presents with a classic "barking" cough, stridor, and hoarseness due
to upper airway inflammation, often following a viral URI.
2. A 30-year-old woman presents with dysuria, urinary frequency, and
urgency. Urinalysis shows positive leukocyte esterase and nitrites.
What is the most likely diagnosis?
A. Interstitial cystitis
B. Acute uncomplicated urinary tract infection (UTI)
C. Vaginitis
D. Pyelonephritis
,The presence of leukocyte esterase and nitrites strongly suggests a UTI,
especially with classic urinary symptoms.
3. Which of the following is a contraindication for combined oral
contraceptive use in women?
A. Age over 35
B. History of dysmenorrhea
C. Family history of breast cancer
D. History of migraine with aura
Combined oral contraceptives are contraindicated in women with migraines
with aura due to increased risk of stroke.
4. A 2-month-old infant presents with projectile, non-bilious vomiting
after feeding. The physical exam reveals a palpable olive-shaped mass
in the right upper quadrant. What is the most likely diagnosis?
A. GERD
B. Pyloric stenosis
C. Intussusception
D. Hirschsprung disease
Pyloric stenosis presents in young infants with projectile vomiting and a
palpable olive-shaped mass.
5. What is the most appropriate initial treatment for mastitis in a
breastfeeding woman?
A. Continue breastfeeding and prescribe antibiotics
, B. Stop breastfeeding and apply warm compresses only
C. Refer to surgery
D. Prescribe antifungal medication
Mastitis is usually treated with antibiotics and continued breastfeeding or
pumping to prevent milk stasis.
6. A 6-year-old boy presents with fever, sore throat, and a sandpaper-
like rash. What is the most likely diagnosis?
A. Scarlet fever
B. Roseola
C. Fifth disease
D. Rubella
Scarlet fever is caused by group A strep and is characterized by fever,
pharyngitis, and a sandpaper-textured rash.
7. A 16-year-old girl presents with irregular, heavy periods for the past
year. What is the most likely cause?
A. Immature hypothalamic-pituitary-ovarian axis
B. Endometrial cancer
C. Polycystic ovary syndrome (PCOS)
D. Hyperprolactinemia
In adolescents, irregular menses are commonly due to an immature HPO
axis that results in anovulatory cycles.
