CHAMBERLAIN UNIVERSITY FNP
PROGRAM
NR 602: Primary Care of the Childbearing
Pediatric Primary Care Well-Child & Acute Care Systems
i-Human Clinical Case Study Exam Test Bank
Katherine Harris (16-Year-Old Female)
Acute Asthma Exacerbation Management
2026-2027 UPDATED MIDTERM EDITION
Course Materials & Clinical Competencies Covered:
i-Human Case Study – Pediatric Health Supervision – AAP Bright Futures Guidelines
Differential Diagnosis Prioritization – Spirometry & PFT Interpretation
Asthma Action Plan Development – Pharmacological Stepwise Management
Chamberlain University College of Nursing
Master of Science in Nursing (MSN) Family Nurse Practitioner Program
, NR 602 Pediatric Primary Care Midterm Study Guide & Test Bank (2026-2027)
Week 3 i-Human Case: Katherine Harris
EXAM BLUEPRINT & CURRICULUM MAPPING
This specialized test bank has been developed to prepare Family Nurse Practitioner (FNP) students for the NR 602 Pediatric
Midterm Exam. All questions are strictly grounded in the American Academy of Pediatrics (AAP) Bright Futures guidelines
and the i-Human Case Study of Katherine Harris (16-Year-Old Female presenting with acute asthma exacerbation).
Core Course Topics & Question Matrix
Subjective Assessment & Clinical Reasoning: Chief complaint history, nighttime symptom severity, genetic risk
factors, and atopic triad mapping.
Objective Assessment & Pathophysiology: Physical examination of respiratory rate, labored breathing, mechanism
of accessory muscle retractions, hyperresonance vs. resonance, and expiratory wheezes.
Differential Diagnosis Prioritization: Clinical ranking of leading diagnoses (acute asthma flare), secondary differen-
tials (viral URI, bronchitis), and ruling out must-not-miss life-threatening conditions (bacterial/viral pneumonia).
Diagnostic Pulmonary Assessments: Spirometry parameters (FEV1, FVC, FEV1/FVC ratio), bronchodilator
reversibility criteria, fractional exhaled nitric oxide (FeNO), chest X-ray indications, and peak flow meters.
Pharmacological stepwise Management: Acute SABA therapy, chronic daily low-dose Inhaled Corticosteroid (ICS)
controllers, spacer usage benefits, systemic side effect mitigation (oropharyngeal candidiasis), and stepping down criteria.
Self-Management Support Plans: Multi-zone Asthma Action Plans (Green, Yellow, Red), triggers avoidance (cock-
roach IPM, secondhand smoke), and outpatient discharge safety criteria.
Clinical Terminology & Commonly Confused Concepts
Asthma vs. Reactive Airway Disease (RAD): RAD is a descriptive temporary label for young children under 5 who
wheeze during viral infections but cannot perform spirometry. Asthma is a confirmed chronic diagnosis with reversible
airway obstruction on spirometry.
Primary Care vs. Acute Care NP Scopes: Primary Care PNPs manage routine health supervision, well-child
developmental tracking, and outpatient stable chronic diseases. Acute Care PNPs manage unstable, critically ill, and
technology-dependent pediatric patients.
Asthma vs. Panic Attack: Panic attacks cause subjective dyspnea but do not present with objective expiratory
wheezing on lung auscultation, muscle retractions, or hypoxia (SpO2 < 95%) on room air.
Page 2 of 15
PROGRAM
NR 602: Primary Care of the Childbearing
Pediatric Primary Care Well-Child & Acute Care Systems
i-Human Clinical Case Study Exam Test Bank
Katherine Harris (16-Year-Old Female)
Acute Asthma Exacerbation Management
2026-2027 UPDATED MIDTERM EDITION
Course Materials & Clinical Competencies Covered:
i-Human Case Study – Pediatric Health Supervision – AAP Bright Futures Guidelines
Differential Diagnosis Prioritization – Spirometry & PFT Interpretation
Asthma Action Plan Development – Pharmacological Stepwise Management
Chamberlain University College of Nursing
Master of Science in Nursing (MSN) Family Nurse Practitioner Program
, NR 602 Pediatric Primary Care Midterm Study Guide & Test Bank (2026-2027)
Week 3 i-Human Case: Katherine Harris
EXAM BLUEPRINT & CURRICULUM MAPPING
This specialized test bank has been developed to prepare Family Nurse Practitioner (FNP) students for the NR 602 Pediatric
Midterm Exam. All questions are strictly grounded in the American Academy of Pediatrics (AAP) Bright Futures guidelines
and the i-Human Case Study of Katherine Harris (16-Year-Old Female presenting with acute asthma exacerbation).
Core Course Topics & Question Matrix
Subjective Assessment & Clinical Reasoning: Chief complaint history, nighttime symptom severity, genetic risk
factors, and atopic triad mapping.
Objective Assessment & Pathophysiology: Physical examination of respiratory rate, labored breathing, mechanism
of accessory muscle retractions, hyperresonance vs. resonance, and expiratory wheezes.
Differential Diagnosis Prioritization: Clinical ranking of leading diagnoses (acute asthma flare), secondary differen-
tials (viral URI, bronchitis), and ruling out must-not-miss life-threatening conditions (bacterial/viral pneumonia).
Diagnostic Pulmonary Assessments: Spirometry parameters (FEV1, FVC, FEV1/FVC ratio), bronchodilator
reversibility criteria, fractional exhaled nitric oxide (FeNO), chest X-ray indications, and peak flow meters.
Pharmacological stepwise Management: Acute SABA therapy, chronic daily low-dose Inhaled Corticosteroid (ICS)
controllers, spacer usage benefits, systemic side effect mitigation (oropharyngeal candidiasis), and stepping down criteria.
Self-Management Support Plans: Multi-zone Asthma Action Plans (Green, Yellow, Red), triggers avoidance (cock-
roach IPM, secondhand smoke), and outpatient discharge safety criteria.
Clinical Terminology & Commonly Confused Concepts
Asthma vs. Reactive Airway Disease (RAD): RAD is a descriptive temporary label for young children under 5 who
wheeze during viral infections but cannot perform spirometry. Asthma is a confirmed chronic diagnosis with reversible
airway obstruction on spirometry.
Primary Care vs. Acute Care NP Scopes: Primary Care PNPs manage routine health supervision, well-child
developmental tracking, and outpatient stable chronic diseases. Acute Care PNPs manage unstable, critically ill, and
technology-dependent pediatric patients.
Asthma vs. Panic Attack: Panic attacks cause subjective dyspnea but do not present with objective expiratory
wheezing on lung auscultation, muscle retractions, or hypoxia (SpO2 < 95%) on room air.
Page 2 of 15
