NR 602
FINAL EXAM
Verified Questions & Answers With Rationales
(Primary Care of the Childbearing
and Childrearing Family)
Chamberlain
CONSISTS OF 100+ QUESTIONS
WEEKS 5 – 8 COVERED
,1. An adolescent male comes to the clinic reporting unilateral scrotal pain,
nausea, and vomiting that began that morning. The primary care pediatric nurse
practitioner palpates a painful, swollen testis and elicits increased pain with
slight elevation of the testis (a negative Prehn sign). What will the family nurse
practitioner do:
A. Prescribe oral antibiotics and follow up in 1 week
B. Refer the adolescent immediately to a pediatric urologist or surgeon
C. Reassure the patient that this is normal puberty
D. Recommend ice and rest only
Correct Answer:
B. Refer the adolescent immediately to a pediatric urologist or surgeon
Rationale:
Sudden unilateral scrotal pain with nausea/vomiting and a negative Prehn sign is
highly concerning for testicular torsion. This is a surgical emergency because
delayed treatment can result in testicular ischemia and infertility.
2. The primary family nurse practitioner diagnoses an 8 year old child with type
1 diabetes after a routine urine screen is positive for glucose and negative for
ketones and plasma glucose is 350 mg/dL. The child’s weight is normal and the
parents report a mild increase in thirst and urine output in the past few days.
Which course of action is correct:
A. Admit the child to the hospital for initial insulin management
B. Start metformin only and follow up in 6 months
C. Restrict fluids and observe
D. Delay treatment until ketones are positive
Correct Answer:
A. Admit the child to the hospital for initial insulin management
Rationale:
New-onset type 1 diabetes requires insulin therapy, education, glucose
monitoring, and assessment for ketosis or diabetic ketoacidosis risk. Hospital
admission is appropriate for initial stabilization and family teaching.
3. Which organism causes vulvovaginal candidiasis in women:
A. Candida albicans
,B. Trichomonas vaginalis
C. Gardnerella vaginalis
D. Neisseria gonorrhoeae
Correct Answer:
A. Candida albicans
Rationale:
Vulvovaginal candidiasis is most commonly caused by Candida albicans and
typically presents with vulvar itching, irritation, and thick white discharge.
4. The family nurse practitioner is performing an examination on a 5 year old
child who exhibits ritualistic behaviors, avoids contact with other children, and
has limited speech. The parent reports having had concerns more than 2 years
ago about autism but was told that it was too early to diagnose. What will the
nurse practitioner do first:
A. Ask the parent to describe the child’s earlier behaviors from infancy through
preschool
B. Reassure the parent that autism cannot be diagnosed in childhood
C. Start stimulant medication immediately
D. Ignore the developmental history
Correct Answer:
A. Ask the parent to describe the child’s earlier behaviors from infancy through
preschool
Rationale:
Autism spectrum disorder is diagnosed using current symptoms and
developmental history. Early social communication, language, play, and repetitive
behavior patterns are important for diagnosis.
5. Which of the following is caused by an anaerobic one celled protozoan that
commonly lives in the vagina:
A. Trichomoniasis
B. Vulvovaginal candidiasis
C. Chlamydia
D. Gonorrhea
Correct Answer:
A. Trichomoniasis
, Rationale:
Trichomoniasis is caused by Trichomonas vaginalis, a protozoan organism. It may
cause vaginal discharge, odor, irritation, dysuria, or may be asymptomatic.
6. Approximately how many Americans will contract one or more sexually
transmitted infections during their lifetime:
A. 10 percent
B. 25 percent
C. 50 percent
D. 90 percent
Correct Answer:
C. 50 percent
Rationale:
Sexually transmitted infections are common across the lifespan. The statistic
reinforces the importance of prevention counseling, screening, vaccination, and
prompt treatment.
7. To avoid opportunity for thromboembolism, postpartum women should:
Ambulate soon after birth:
A. Remain on strict bedrest for several weeks
B. Ambulate soon after birth
C. Avoid all movement until discharge
D. Use estrogen therapy immediately after delivery
Correct Answer:
B. Ambulate soon after birth
Rationale:
Early ambulation after birth helps reduce venous stasis and lowers
thromboembolism risk, especially during the hypercoagulable postpartum period.
8. What step can a clinician take to learn more about any chemicals used in a
woman’s workplace:
A. Ask the woman to obtain her workplace Safety Data Sheets
B. Ignore occupational exposure history
C. Assume all workplaces are safe
D. Ask only about home cleaning products
FINAL EXAM
Verified Questions & Answers With Rationales
(Primary Care of the Childbearing
and Childrearing Family)
Chamberlain
CONSISTS OF 100+ QUESTIONS
WEEKS 5 – 8 COVERED
,1. An adolescent male comes to the clinic reporting unilateral scrotal pain,
nausea, and vomiting that began that morning. The primary care pediatric nurse
practitioner palpates a painful, swollen testis and elicits increased pain with
slight elevation of the testis (a negative Prehn sign). What will the family nurse
practitioner do:
A. Prescribe oral antibiotics and follow up in 1 week
B. Refer the adolescent immediately to a pediatric urologist or surgeon
C. Reassure the patient that this is normal puberty
D. Recommend ice and rest only
Correct Answer:
B. Refer the adolescent immediately to a pediatric urologist or surgeon
Rationale:
Sudden unilateral scrotal pain with nausea/vomiting and a negative Prehn sign is
highly concerning for testicular torsion. This is a surgical emergency because
delayed treatment can result in testicular ischemia and infertility.
2. The primary family nurse practitioner diagnoses an 8 year old child with type
1 diabetes after a routine urine screen is positive for glucose and negative for
ketones and plasma glucose is 350 mg/dL. The child’s weight is normal and the
parents report a mild increase in thirst and urine output in the past few days.
Which course of action is correct:
A. Admit the child to the hospital for initial insulin management
B. Start metformin only and follow up in 6 months
C. Restrict fluids and observe
D. Delay treatment until ketones are positive
Correct Answer:
A. Admit the child to the hospital for initial insulin management
Rationale:
New-onset type 1 diabetes requires insulin therapy, education, glucose
monitoring, and assessment for ketosis or diabetic ketoacidosis risk. Hospital
admission is appropriate for initial stabilization and family teaching.
3. Which organism causes vulvovaginal candidiasis in women:
A. Candida albicans
,B. Trichomonas vaginalis
C. Gardnerella vaginalis
D. Neisseria gonorrhoeae
Correct Answer:
A. Candida albicans
Rationale:
Vulvovaginal candidiasis is most commonly caused by Candida albicans and
typically presents with vulvar itching, irritation, and thick white discharge.
4. The family nurse practitioner is performing an examination on a 5 year old
child who exhibits ritualistic behaviors, avoids contact with other children, and
has limited speech. The parent reports having had concerns more than 2 years
ago about autism but was told that it was too early to diagnose. What will the
nurse practitioner do first:
A. Ask the parent to describe the child’s earlier behaviors from infancy through
preschool
B. Reassure the parent that autism cannot be diagnosed in childhood
C. Start stimulant medication immediately
D. Ignore the developmental history
Correct Answer:
A. Ask the parent to describe the child’s earlier behaviors from infancy through
preschool
Rationale:
Autism spectrum disorder is diagnosed using current symptoms and
developmental history. Early social communication, language, play, and repetitive
behavior patterns are important for diagnosis.
5. Which of the following is caused by an anaerobic one celled protozoan that
commonly lives in the vagina:
A. Trichomoniasis
B. Vulvovaginal candidiasis
C. Chlamydia
D. Gonorrhea
Correct Answer:
A. Trichomoniasis
, Rationale:
Trichomoniasis is caused by Trichomonas vaginalis, a protozoan organism. It may
cause vaginal discharge, odor, irritation, dysuria, or may be asymptomatic.
6. Approximately how many Americans will contract one or more sexually
transmitted infections during their lifetime:
A. 10 percent
B. 25 percent
C. 50 percent
D. 90 percent
Correct Answer:
C. 50 percent
Rationale:
Sexually transmitted infections are common across the lifespan. The statistic
reinforces the importance of prevention counseling, screening, vaccination, and
prompt treatment.
7. To avoid opportunity for thromboembolism, postpartum women should:
Ambulate soon after birth:
A. Remain on strict bedrest for several weeks
B. Ambulate soon after birth
C. Avoid all movement until discharge
D. Use estrogen therapy immediately after delivery
Correct Answer:
B. Ambulate soon after birth
Rationale:
Early ambulation after birth helps reduce venous stasis and lowers
thromboembolism risk, especially during the hypercoagulable postpartum period.
8. What step can a clinician take to learn more about any chemicals used in a
woman’s workplace:
A. Ask the woman to obtain her workplace Safety Data Sheets
B. Ignore occupational exposure history
C. Assume all workplaces are safe
D. Ask only about home cleaning products
