NR 602 Primary Care Midterm Examination 2026/2027… 2026/2027 • Verified • Assured Grade A+
✓ VERIFIED • 2026/2027 UPDATE • 100% ACCURATE
NR 602 Primary Care Midterm Examination 2026/2027
UPDATED Chamberlain
ACTUAL EXAM QUESTIONS & VERIFIED ANSWERS
with Clear, Detailed Rationales
Document Type: Exam (Elaborations) / Study Guide
Institution: Chamberlain
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 Primary Care Midterm Examination 2026/2027… 2026/2027 • Verified • Assured Grade A+
Questions & Verified Answers
1. A 4-month-old infant is brought in for a well-child checkup. Which developmental
milestone is most consistent with this age?
A. Sitting without support
B. Walking while holding onto furniture
C. Pincer grasp development
D. Rolling from front to back
Answer: D
Rationale: By 4 months, most infants can roll from their stomach to their back. Sitting without support
usually occurs around 6 months, while the pincer grasp and cruising occur later in the first year.
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.
2. Which of the following is the first-line antibiotic treatment for an uncomplicated Acute
Otitis Media (AOM) in a child with no penicillin allergy?
A. Azithromycin
B. Ceftriaxone
C. Amoxicillin 80-90 mg/kg/day
D. Amoxicillin-Clavulanate 45 mg/kg/day
Answer: C
Rationale: High-dose Amoxicillin (80-90 mg/kg/day) is the standard first-line treatment for AOM in
children without penicillin allergies to cover resistant Streptococcus pneumoniae. 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 questions often test whether you can pick
the most practical and safe choice for the client in real situations. Focus on what the nurse can actually
do right now.
Exam (Elaborations) • Detailed Rationales Page 2
, NR 602 Primary Care Midterm Examination 2026/2027… 2026/2027 • Verified • Assured Grade A+
3. An 18-month-old presents with a ‘barking’ cough and inspiratory stridor that worsens at
night. What is the most likely diagnosis?
A. Bronchiolitis
B. Epiglottitis
C. Croup (Laryngotracheobronchitis)
D. Foreign body aspiration
Answer: C
Rationale: Croup is characterized by a barking cough, stridor, and hoarseness, usually caused by the
parainfluenza virus. Epiglottitis is more severe and involves high fever and drooling. This knowledge
supports safe care and helps the nurse teach the client and family clearly and simply. Clear teaching
improves cooperation and reduces anxiety. This knowledge supports safe care and helps the nurse
teach the client and family clearly and simply. Clear teaching improves cooperation and reduces
anxiety.
4. A 12-year-old female presents for a sports physical. During the Adams Forward Bend Test,
the clinician notes a rib hump. What is the next diagnostic step?
A. Recheck in 6 months
B. Obtain a spinal radiograph for Cobb angle measurement
C. Refer immediately for spinal fusion surgery
D. Prescribe a back brace
Answer: B
Rationale: The Adams Forward Bend Test is a screening tool for scoliosis. A positive result (rib hump)
requires a full spinal X-ray to measure the Cobb angle for definitive diagnosis and staging. This
knowledge supports safe care and helps the nurse teach the client and family clearly and simply. Clear
teaching improves cooperation and reduces anxiety. 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 3
✓ VERIFIED • 2026/2027 UPDATE • 100% ACCURATE
NR 602 Primary Care Midterm Examination 2026/2027
UPDATED Chamberlain
ACTUAL EXAM QUESTIONS & VERIFIED ANSWERS
with Clear, Detailed Rationales
Document Type: Exam (Elaborations) / Study Guide
Institution: Chamberlain
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 Primary Care Midterm Examination 2026/2027… 2026/2027 • Verified • Assured Grade A+
Questions & Verified Answers
1. A 4-month-old infant is brought in for a well-child checkup. Which developmental
milestone is most consistent with this age?
A. Sitting without support
B. Walking while holding onto furniture
C. Pincer grasp development
D. Rolling from front to back
Answer: D
Rationale: By 4 months, most infants can roll from their stomach to their back. Sitting without support
usually occurs around 6 months, while the pincer grasp and cruising occur later in the first year.
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.
2. Which of the following is the first-line antibiotic treatment for an uncomplicated Acute
Otitis Media (AOM) in a child with no penicillin allergy?
A. Azithromycin
B. Ceftriaxone
C. Amoxicillin 80-90 mg/kg/day
D. Amoxicillin-Clavulanate 45 mg/kg/day
Answer: C
Rationale: High-dose Amoxicillin (80-90 mg/kg/day) is the standard first-line treatment for AOM in
children without penicillin allergies to cover resistant Streptococcus pneumoniae. 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 questions often test whether you can pick
the most practical and safe choice for the client in real situations. Focus on what the nurse can actually
do right now.
Exam (Elaborations) • Detailed Rationales Page 2
, NR 602 Primary Care Midterm Examination 2026/2027… 2026/2027 • Verified • Assured Grade A+
3. An 18-month-old presents with a ‘barking’ cough and inspiratory stridor that worsens at
night. What is the most likely diagnosis?
A. Bronchiolitis
B. Epiglottitis
C. Croup (Laryngotracheobronchitis)
D. Foreign body aspiration
Answer: C
Rationale: Croup is characterized by a barking cough, stridor, and hoarseness, usually caused by the
parainfluenza virus. Epiglottitis is more severe and involves high fever and drooling. This knowledge
supports safe care and helps the nurse teach the client and family clearly and simply. Clear teaching
improves cooperation and reduces anxiety. This knowledge supports safe care and helps the nurse
teach the client and family clearly and simply. Clear teaching improves cooperation and reduces
anxiety.
4. A 12-year-old female presents for a sports physical. During the Adams Forward Bend Test,
the clinician notes a rib hump. What is the next diagnostic step?
A. Recheck in 6 months
B. Obtain a spinal radiograph for Cobb angle measurement
C. Refer immediately for spinal fusion surgery
D. Prescribe a back brace
Answer: B
Rationale: The Adams Forward Bend Test is a screening tool for scoliosis. A positive result (rib hump)
requires a full spinal X-ray to measure the Cobb angle for definitive diagnosis and staging. This
knowledge supports safe care and helps the nurse teach the client and family clearly and simply. Clear
teaching improves cooperation and reduces anxiety. 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 3
