NR 602 Week 3 iHuman Paisley Ward Exam Prep Document
| 2026/2027 Edition | 200 Verified Questions - 200 Questions
with Answers
NR 602 Primary Care of the Childbearing and Childrearing Family Week 3 iHuman (Paisley Ward) 2026-200
QUESTIONS AND ANSWERS ALREADY GRADED A+. 100% Verified Solutions | Updated Per Latest Guidelines
| Graded A+
This comprehensive exam preparation document is meticulously designed for Chamberlain
University's NR 602 course, focusing on the Week 3 iHuman case of Paisley Ward, a child presenting
with cough and shortness of breath. It contains 200 verified questions that cover essential primary care
concepts for the childbearing and childrearing family, ensuring a thorough understanding of pediatric
respiratory assessment and management. The content is aligned with the latest clinical guidelines and
evidence-based practices, providing a robust study tool for nursing students. Each question is crafted to
mirror the rigor of the actual exam, with detailed rationales to enhance critical thinking and clinical
reasoning.
Key Features:
Pediatric respiratory assessment and differential diagnosis
Management of cough and shortness of breath in children
Family-centered care and communication strategies
Pharmacological and non-pharmacological interventions
Health promotion and disease prevention in pediatric primary care
Application of clinical guidelines and evidence-based practice
Updates for 2026:
- Updated to reflect the 2026/2027 academic year and latest clinical guidelines
- Revised to include current evidence-based practice for pediatric respiratory conditions
- Enhanced rationales to align with recent research and best practices
- Expanded coverage of iHuman simulation case specifics for Paisley Ward
- Incorporated feedback from recent NR 602 exam trends and student performance
Abstract:
This exam preparation document is an indispensable resource for students enrolled in NR 602 at Chamberlain
University, specifically targeting the Week 3 iHuman case of Paisley Ward, a pediatric patient presenting with
cough and shortness of breath. The document comprises 200 verified questions that systematically address the core
competencies required for primary care of the childbearing and childrearing family, with a focus on pediatric
respiratory conditions. Each question is accompanied by a detailed rationale that explains the correct answer and
distractor options, fostering a deep understanding of the underlying pathophysiology, clinical presentation, and
evidence-based management. The content is structured to enhance clinical reasoning, diagnostic accuracy, and
therapeutic decision-making, ensuring that students are well-prepared for both the exam and real-world clinical
practice. By integrating the latest guidelines and research, this document serves as a current and reliable study
aid, promoting excellence in pediatric primary care nursing.
Keywords:
NR 602, iHuman, Paisley Ward, cough, shortness of breath, pediatric primary care, childbearing family,
childrearing family
Answer Format:
Each question is presented in a format consistent with the exam, followed by the correct answer and a
Page 1
,comprehensive rationale. Rationales explain why the correct answer is appropriate and why the distractors are
incorrect, referencing relevant clinical guidelines and evidence. This format reinforces learning and aids in
retention of key concepts.
Compliance Checklist:
Aligned with Chamberlain University NR 602 course objectives
Reflects the latest clinical practice guidelines (e.g., AAP, AAFP)
Covers all key topics for the Week 3 iHuman case
Includes 200 verified questions with accurate answers
Provides rationales for each answer to support learning
Updated for the 2026/2027 academic year
Content Area Overview:
Content Area Questions Key Topics Weight
Pediatric Respiratory 1-40 History taking, physical exam, respiratory 20%
Assessment rate, auscultation, pulse oximetry
Differential Diagnosis 41-80 Asthma, bronchiolitis, pneumonia, croup, 20%
foreign body aspiration
Management and Treatment 81-120 Bronchodilators, corticosteroids, antibiotics, 20%
supportive care, referral criteria
Family-Centered Care 121-150 Patient education, caregiver communication, 15%
shared decision-making, follow-up planning
Health Promotion and 151-170 Immunizations, smoking cessation, 10%
Prevention environmental controls, asthma action plans
Clinical Guidelines and 171-200 AAP/AAFP guidelines, evidence-based 15%
Evidence-Based Practice interventions, quality improvement,
documentation
Page 2
,Q1. A 6-year-old presents with a 3-day history of dry cough, low-grade fever, and
mild wheezing. Rapid influenza test is negative. Which finding would most strongly
suggest Mycoplasma pneumoniae infection rather than viral bronchiolitis?
A. Perihilar infiltrates on chest radiograph
B. Presence of audible wheezing on auscultation
C. White blood cell count of 8,000/µL with lymphocytic predominance
D. Sudden onset of high fever with rigors
Correct Answer: A. Perihilar infiltrates on chest radiograph
Rationale: Mycoplasma pneumoniae often presents with a dry cough and minimal
systemic symptoms, and chest radiographs may show perihilar infiltrates or interstitial
changes that are more pronounced than physical findings. Viral bronchiolitis typically
shows hyperinflation and atelectasis, not prominent perihilar infiltrates. Wheezing is
common in both, leukocytosis is not typical for mycoplasma, and sudden high fever is more
characteristic of influenza or bacterial pneumonia.
Why Wrong:
B - Wheezing is common in both viral bronchiolitis and mycoplasma, so it does not
differentiate.
C - Mycoplasma typically presents with a normal or slightly elevated WBC, not a
specific lymphocytic pattern.
D - High fever with rigors suggests bacterial or influenza infection, not typical of
mycoplasma.
Reference: Cherry, J.D., et al. (2020). Feigin and Cherry's Textbook of Pediatric Infectious
Diseases, 8th Ed., Ch. 100
Q2. In a school-age child with suspected asthma, which combination of findings most
reliably confirms the diagnosis?
A. Recurrent wheezing, nocturnal cough, and a family history of atopy
B. Positive exercise challenge test and reversibility of FEV1 by 12% after
bronchodilator
C. Elevated IgE levels and peripheral eosinophilia
D. Chest radiograph showing hyperinflation and peribronchial cuffing
Correct Answer: B. Positive exercise challenge test and reversibility of FEV1 by 12%
after bronchodilator
Rationale: The diagnosis of asthma requires demonstration of variable expiratory airflow
limitation, typically via spirometry showing reversibility (FEV1 increase 12% and 200
mL) or a positive bronchial challenge test. While symptoms and atopy are suggestive, they
are not confirmatory. Elevated IgE and eosinophilia support atopy but not asthma
diagnosis. Hyperinflation on CXR is nonspecific.
Page 3
, Why Wrong:
A - These are clinical clues but do not confirm variable airflow limitation.
C - These indicate allergic predisposition but are not diagnostic for asthma.
D - Hyperinflation can occur in many conditions and does not confirm reversible
obstruction.
Reference: Global Initiative for Asthma (GINA). (2024). Global Strategy for Asthma
Management and Prevention, Ch. 1
Q3. A child with a history of recurrent pneumonia and chronic wet cough is suspected
of having cystic fibrosis. Which diagnostic test is most definitive?
A. Sweat chloride test
B. Genetic panel for CFTR mutations
C. Fecal elastase measurement
D. Chest computed tomography (CT) showing bronchiectasis
Correct Answer: A. Sweat chloride test
Rationale: The sweat chloride test remains the gold standard for diagnosing cystic
fibrosis, with values >60 mmol/L considered diagnostic. Genetic testing supports the
diagnosis but may not detect all mutations. Fecal elastase indicates pancreatic
insufficiency but is not specific. CT findings are suggestive but not diagnostic.
Why Wrong:
B - Genetic panels miss rare mutations and are not always definitive.
C - Fecal elastase indicates pancreatic insufficiency, which is not specific to CF.
D - Bronchiectasis on CT can result from many other causes.
Reference: Farrell, P.M., et al. (2017). Journal of Pediatrics, 181S:S4-S15
Q4. For a child with moderate persistent asthma, what is the recommended step-up
therapy if low-dose inhaled corticosteroids (ICS) alone fail to achieve control?
A. Increase to medium-dose ICS
B. Add a long-acting beta-agonist (LABA)
C. Add a leukotriene receptor antagonist (LTRA)
D. Switch to a combination of ICS and LABA
Correct Answer: D. Switch to a combination of ICS and LABA
Rationale: Current asthma guidelines (GINA) recommend that for children >5 years, if
low-dose ICS alone does not control symptoms, the preferred step-up is to a combination
of ICS and LABA (or medium-dose ICS). However, in children 4-11 years, the preferred
option is medium-dose ICS or ICS-LABA. The question specifies moderate persistent, so
combination is the preferred step-up. Adding LTRA is an alternative, but not preferred.
Increasing to medium-dose ICS is also an option, but combination therapy is generally
recommended for step-up.
Page 4
| 2026/2027 Edition | 200 Verified Questions - 200 Questions
with Answers
NR 602 Primary Care of the Childbearing and Childrearing Family Week 3 iHuman (Paisley Ward) 2026-200
QUESTIONS AND ANSWERS ALREADY GRADED A+. 100% Verified Solutions | Updated Per Latest Guidelines
| Graded A+
This comprehensive exam preparation document is meticulously designed for Chamberlain
University's NR 602 course, focusing on the Week 3 iHuman case of Paisley Ward, a child presenting
with cough and shortness of breath. It contains 200 verified questions that cover essential primary care
concepts for the childbearing and childrearing family, ensuring a thorough understanding of pediatric
respiratory assessment and management. The content is aligned with the latest clinical guidelines and
evidence-based practices, providing a robust study tool for nursing students. Each question is crafted to
mirror the rigor of the actual exam, with detailed rationales to enhance critical thinking and clinical
reasoning.
Key Features:
Pediatric respiratory assessment and differential diagnosis
Management of cough and shortness of breath in children
Family-centered care and communication strategies
Pharmacological and non-pharmacological interventions
Health promotion and disease prevention in pediatric primary care
Application of clinical guidelines and evidence-based practice
Updates for 2026:
- Updated to reflect the 2026/2027 academic year and latest clinical guidelines
- Revised to include current evidence-based practice for pediatric respiratory conditions
- Enhanced rationales to align with recent research and best practices
- Expanded coverage of iHuman simulation case specifics for Paisley Ward
- Incorporated feedback from recent NR 602 exam trends and student performance
Abstract:
This exam preparation document is an indispensable resource for students enrolled in NR 602 at Chamberlain
University, specifically targeting the Week 3 iHuman case of Paisley Ward, a pediatric patient presenting with
cough and shortness of breath. The document comprises 200 verified questions that systematically address the core
competencies required for primary care of the childbearing and childrearing family, with a focus on pediatric
respiratory conditions. Each question is accompanied by a detailed rationale that explains the correct answer and
distractor options, fostering a deep understanding of the underlying pathophysiology, clinical presentation, and
evidence-based management. The content is structured to enhance clinical reasoning, diagnostic accuracy, and
therapeutic decision-making, ensuring that students are well-prepared for both the exam and real-world clinical
practice. By integrating the latest guidelines and research, this document serves as a current and reliable study
aid, promoting excellence in pediatric primary care nursing.
Keywords:
NR 602, iHuman, Paisley Ward, cough, shortness of breath, pediatric primary care, childbearing family,
childrearing family
Answer Format:
Each question is presented in a format consistent with the exam, followed by the correct answer and a
Page 1
,comprehensive rationale. Rationales explain why the correct answer is appropriate and why the distractors are
incorrect, referencing relevant clinical guidelines and evidence. This format reinforces learning and aids in
retention of key concepts.
Compliance Checklist:
Aligned with Chamberlain University NR 602 course objectives
Reflects the latest clinical practice guidelines (e.g., AAP, AAFP)
Covers all key topics for the Week 3 iHuman case
Includes 200 verified questions with accurate answers
Provides rationales for each answer to support learning
Updated for the 2026/2027 academic year
Content Area Overview:
Content Area Questions Key Topics Weight
Pediatric Respiratory 1-40 History taking, physical exam, respiratory 20%
Assessment rate, auscultation, pulse oximetry
Differential Diagnosis 41-80 Asthma, bronchiolitis, pneumonia, croup, 20%
foreign body aspiration
Management and Treatment 81-120 Bronchodilators, corticosteroids, antibiotics, 20%
supportive care, referral criteria
Family-Centered Care 121-150 Patient education, caregiver communication, 15%
shared decision-making, follow-up planning
Health Promotion and 151-170 Immunizations, smoking cessation, 10%
Prevention environmental controls, asthma action plans
Clinical Guidelines and 171-200 AAP/AAFP guidelines, evidence-based 15%
Evidence-Based Practice interventions, quality improvement,
documentation
Page 2
,Q1. A 6-year-old presents with a 3-day history of dry cough, low-grade fever, and
mild wheezing. Rapid influenza test is negative. Which finding would most strongly
suggest Mycoplasma pneumoniae infection rather than viral bronchiolitis?
A. Perihilar infiltrates on chest radiograph
B. Presence of audible wheezing on auscultation
C. White blood cell count of 8,000/µL with lymphocytic predominance
D. Sudden onset of high fever with rigors
Correct Answer: A. Perihilar infiltrates on chest radiograph
Rationale: Mycoplasma pneumoniae often presents with a dry cough and minimal
systemic symptoms, and chest radiographs may show perihilar infiltrates or interstitial
changes that are more pronounced than physical findings. Viral bronchiolitis typically
shows hyperinflation and atelectasis, not prominent perihilar infiltrates. Wheezing is
common in both, leukocytosis is not typical for mycoplasma, and sudden high fever is more
characteristic of influenza or bacterial pneumonia.
Why Wrong:
B - Wheezing is common in both viral bronchiolitis and mycoplasma, so it does not
differentiate.
C - Mycoplasma typically presents with a normal or slightly elevated WBC, not a
specific lymphocytic pattern.
D - High fever with rigors suggests bacterial or influenza infection, not typical of
mycoplasma.
Reference: Cherry, J.D., et al. (2020). Feigin and Cherry's Textbook of Pediatric Infectious
Diseases, 8th Ed., Ch. 100
Q2. In a school-age child with suspected asthma, which combination of findings most
reliably confirms the diagnosis?
A. Recurrent wheezing, nocturnal cough, and a family history of atopy
B. Positive exercise challenge test and reversibility of FEV1 by 12% after
bronchodilator
C. Elevated IgE levels and peripheral eosinophilia
D. Chest radiograph showing hyperinflation and peribronchial cuffing
Correct Answer: B. Positive exercise challenge test and reversibility of FEV1 by 12%
after bronchodilator
Rationale: The diagnosis of asthma requires demonstration of variable expiratory airflow
limitation, typically via spirometry showing reversibility (FEV1 increase 12% and 200
mL) or a positive bronchial challenge test. While symptoms and atopy are suggestive, they
are not confirmatory. Elevated IgE and eosinophilia support atopy but not asthma
diagnosis. Hyperinflation on CXR is nonspecific.
Page 3
, Why Wrong:
A - These are clinical clues but do not confirm variable airflow limitation.
C - These indicate allergic predisposition but are not diagnostic for asthma.
D - Hyperinflation can occur in many conditions and does not confirm reversible
obstruction.
Reference: Global Initiative for Asthma (GINA). (2024). Global Strategy for Asthma
Management and Prevention, Ch. 1
Q3. A child with a history of recurrent pneumonia and chronic wet cough is suspected
of having cystic fibrosis. Which diagnostic test is most definitive?
A. Sweat chloride test
B. Genetic panel for CFTR mutations
C. Fecal elastase measurement
D. Chest computed tomography (CT) showing bronchiectasis
Correct Answer: A. Sweat chloride test
Rationale: The sweat chloride test remains the gold standard for diagnosing cystic
fibrosis, with values >60 mmol/L considered diagnostic. Genetic testing supports the
diagnosis but may not detect all mutations. Fecal elastase indicates pancreatic
insufficiency but is not specific. CT findings are suggestive but not diagnostic.
Why Wrong:
B - Genetic panels miss rare mutations and are not always definitive.
C - Fecal elastase indicates pancreatic insufficiency, which is not specific to CF.
D - Bronchiectasis on CT can result from many other causes.
Reference: Farrell, P.M., et al. (2017). Journal of Pediatrics, 181S:S4-S15
Q4. For a child with moderate persistent asthma, what is the recommended step-up
therapy if low-dose inhaled corticosteroids (ICS) alone fail to achieve control?
A. Increase to medium-dose ICS
B. Add a long-acting beta-agonist (LABA)
C. Add a leukotriene receptor antagonist (LTRA)
D. Switch to a combination of ICS and LABA
Correct Answer: D. Switch to a combination of ICS and LABA
Rationale: Current asthma guidelines (GINA) recommend that for children >5 years, if
low-dose ICS alone does not control symptoms, the preferred step-up is to a combination
of ICS and LABA (or medium-dose ICS). However, in children 4-11 years, the preferred
option is medium-dose ICS or ICS-LABA. The question specifies moderate persistent, so
combination is the preferred step-up. Adding LTRA is an alternative, but not preferred.
Increasing to medium-dose ICS is also an option, but combination therapy is generally
recommended for step-up.
Page 4
