NR 602 Midterm Exam - Primary Care of Women and C… 2026/2027 • Verified • Assured Grade A+
✓ VERIFIED • 2026/2027 UPDATE • 100% ACCURATE
NR 602 Midterm Exam - Primary Care of Women and Children
2026/2027 UPDATED
ACTUAL EXAM QUESTIONS & VERIFIED ANSWERS
with Clear, Detailed Rationales
Document Type: Exam (Elaborations) / Study Guide
Academic Year:
Total Questions: 50 Multiple Choice
Includes: Correct Answers + Rationales
Grade: A+ Assured
ASSURED GRADE A+
Exam (Elaborations) • Detailed Rationales Page 1
,NR 602 Midterm Exam - Primary Care of Women and C… 2026/2027 • Verified • Assured Grade A+
Questions & Verified Answers
1. A 4-year-old child presents with a sudden onset of high fever, muffled voice, and drooling.
The child is sitting in a tripod position. What is the most likely diagnosis?
A. Epiglottitis
B. Laryngotracheobronchitis (Croup)
C. Retropharyngeal abscess
D. Bacterial tracheitis
Answer: A
Rationale: Epiglottitis is a medical emergency characterized by the ‘4 Ds’: Drooling, Dysphagia,
Dysphonia, and Distressed inspiratory efforts. The tripod position is a hallmark sign. Knowing the
reason behind the correct answer makes it easier to rule out the wrong options quickly. Look for the
choice that protects the client and matches the priority need. Understanding this helps the nurse notice
early warning signs and act before the problem gets worse. Early action often prevents bigger
complications for the client.
2. According to the CDC immunization schedule, which vaccine is typically administered at
the 12-month visit but not before?
A. MMR (Measles, Mumps, Rubella)
B. Rotavirus
C. Hepatitis B
D. DTaP
Answer: A
Rationale: The MMR vaccine is a live attenuated vaccine and is generally not administered until 12
months of age due to the presence of maternal antibodies. In practice, this guides the nurse to set
priorities and protect the client from harm. Safety, nutrition, and clear communication are frequent
priorities. Clear understanding of this concept improves both test performance and everyday clinical
judgment. Practice applying it to short case scenarios to lock the idea in place.
Exam (Elaborations) • Detailed Rationales Page 2
, NR 602 Midterm Exam - Primary Care of Women and C… 2026/2027 • Verified • Assured Grade A+
3. A 28-year-old female presents with thin, grayish-white vaginal discharge and a ‘fishy’
odor. Under the microscope, you observe clue cells. What is the first-line treatment?
A. Fluconazole 150mg PO once
B. Metronidazole 500mg PO BID for 7 days
C. Azithromycin 1g PO once
D. Ceftriaxone 500mg IM once
Answer: B
Rationale: The symptoms and clue cells indicate Bacterial Vaginosis. The CDC recommended
treatment is Metronidazole 500 mg orally twice a day for 7 days. Clear understanding of this concept
improves both test performance and everyday clinical judgment. Practice applying it to short case
scenarios to lock the idea in place. Clear understanding of this concept improves both test
performance and everyday clinical judgment. Practice applying it to short case scenarios to lock the
idea in place.
4. Which of the following is considered a ‘red flag’ in developmental milestones for an 18-
month-old?
A. Inability to run
B. Inability to walk independently
C. Not using at least 50 words
D. Not knowing colors
Answer: B
Rationale: While vocabulary varies, most children should be walking independently by 15- 18 months.
Failure to walk by 18 months is a significant developmental delay. Understanding this helps the nurse
notice early warning signs and act before the problem gets worse. Early action often prevents bigger
complications for the client. Remembering this point will help you decide the best nursing action when
similar questions appear on the exam. Link the answer to the client’s current condition and risk level.
Exam (Elaborations) • Detailed Rationales Page 3
✓ VERIFIED • 2026/2027 UPDATE • 100% ACCURATE
NR 602 Midterm Exam - Primary Care of Women and Children
2026/2027 UPDATED
ACTUAL EXAM QUESTIONS & VERIFIED ANSWERS
with Clear, Detailed Rationales
Document Type: Exam (Elaborations) / Study Guide
Academic Year:
Total Questions: 50 Multiple Choice
Includes: Correct Answers + Rationales
Grade: A+ Assured
ASSURED GRADE A+
Exam (Elaborations) • Detailed Rationales Page 1
,NR 602 Midterm Exam - Primary Care of Women and C… 2026/2027 • Verified • Assured Grade A+
Questions & Verified Answers
1. A 4-year-old child presents with a sudden onset of high fever, muffled voice, and drooling.
The child is sitting in a tripod position. What is the most likely diagnosis?
A. Epiglottitis
B. Laryngotracheobronchitis (Croup)
C. Retropharyngeal abscess
D. Bacterial tracheitis
Answer: A
Rationale: Epiglottitis is a medical emergency characterized by the ‘4 Ds’: Drooling, Dysphagia,
Dysphonia, and Distressed inspiratory efforts. The tripod position is a hallmark sign. Knowing the
reason behind the correct answer makes it easier to rule out the wrong options quickly. Look for the
choice that protects the client and matches the priority need. Understanding this helps the nurse notice
early warning signs and act before the problem gets worse. Early action often prevents bigger
complications for the client.
2. According to the CDC immunization schedule, which vaccine is typically administered at
the 12-month visit but not before?
A. MMR (Measles, Mumps, Rubella)
B. Rotavirus
C. Hepatitis B
D. DTaP
Answer: A
Rationale: The MMR vaccine is a live attenuated vaccine and is generally not administered until 12
months of age due to the presence of maternal antibodies. In practice, this guides the nurse to set
priorities and protect the client from harm. Safety, nutrition, and clear communication are frequent
priorities. Clear understanding of this concept improves both test performance and everyday clinical
judgment. Practice applying it to short case scenarios to lock the idea in place.
Exam (Elaborations) • Detailed Rationales Page 2
, NR 602 Midterm Exam - Primary Care of Women and C… 2026/2027 • Verified • Assured Grade A+
3. A 28-year-old female presents with thin, grayish-white vaginal discharge and a ‘fishy’
odor. Under the microscope, you observe clue cells. What is the first-line treatment?
A. Fluconazole 150mg PO once
B. Metronidazole 500mg PO BID for 7 days
C. Azithromycin 1g PO once
D. Ceftriaxone 500mg IM once
Answer: B
Rationale: The symptoms and clue cells indicate Bacterial Vaginosis. The CDC recommended
treatment is Metronidazole 500 mg orally twice a day for 7 days. Clear understanding of this concept
improves both test performance and everyday clinical judgment. Practice applying it to short case
scenarios to lock the idea in place. Clear understanding of this concept improves both test
performance and everyday clinical judgment. Practice applying it to short case scenarios to lock the
idea in place.
4. Which of the following is considered a ‘red flag’ in developmental milestones for an 18-
month-old?
A. Inability to run
B. Inability to walk independently
C. Not using at least 50 words
D. Not knowing colors
Answer: B
Rationale: While vocabulary varies, most children should be walking independently by 15- 18 months.
Failure to walk by 18 months is a significant developmental delay. Understanding this helps the nurse
notice early warning signs and act before the problem gets worse. Early action often prevents bigger
complications for the client. Remembering this point will help you decide the best nursing action when
similar questions appear on the exam. Link the answer to the client’s current condition and risk level.
Exam (Elaborations) • Detailed Rationales Page 3
