,
,NR 602 Final Exam Test Bank
Primary Care of the Childbearing & Childrearing Family
Chamberlain University | 2026 Edition
Chamberlain NR 602 Final Exam Primary Care of the Childbearing & Childrearing
Family (2026) Actual Questions & Verified Answers | 3 full exam sets | Guarantee
Pass
EXAM SET 1
Questions 1-100
Question 1:
A mother presents with her 3-month-old child and complains of a "goopy" eye that is
sometimes matted shut after naps. Upon exam, the conjunctiva is clear with some mild
crusting to the eyelashes. What is the diagnosis and appropriate patient teaching?
A) Bacterial conjunctivitis; prescribe erythromycin ointment TID
B) Probable lacrimal duct obstruction; daily massage and warm compresses
C) Viral conjunctivitis; cold compresses and artificial tears
D) Blepharitis; lid scrubs with baby shampoo
Answer: B
Rationale: Clear conjunctiva with crusting in an infant indicates nasolacrimal duct
obstruction rather than infection. Parents should be taught lacrimal duct massage and
, warm compresses while monitoring for signs of bacterial superinfection or periorbital
cellulitis. Most cases resolve spontaneously by 6-12 months of age.
Question 2:
A 9-month-old presents with vomiting and diarrhea. Capillary refill is 3.5 seconds, and
mucous membranes are dry. What is the most accurate interpretation of this
presentation?
A) Severe dehydration
B) Moderate dehydration
C) No dehydration
D) Mild dehydration
Answer: B
Rationale: Delayed capillary refill, dry mucosa, and approximately 6% weight loss
indicate moderate fluid deficit rather than mild dehydration or shock-level severe
dehydration. Moderate dehydration typically presents with decreased skin turgor, dry
mucous membranes, and delayed capillary refill.
Question 3:
A 2-year-old has diarrhea and is only drinking water. Labs show low sodium. What is the
most likely cause of this finding?
A) Isonatremic dehydration
B) Hyponatremic dehydration
C) Hypernatremic dehydration
D) Sodium loss greater than water loss
Answer: D
Rationale: Diarrheal losses contain electrolytes; replacing losses with free water alone
dilutes serum sodium and produces hyponatremia. Sodium loss exceeds water loss in
this scenario, leading to hyponatremic dehydration.
,NR 602 Final Exam Test Bank
Primary Care of the Childbearing & Childrearing Family
Chamberlain University | 2026 Edition
Chamberlain NR 602 Final Exam Primary Care of the Childbearing & Childrearing
Family (2026) Actual Questions & Verified Answers | 3 full exam sets | Guarantee
Pass
EXAM SET 1
Questions 1-100
Question 1:
A mother presents with her 3-month-old child and complains of a "goopy" eye that is
sometimes matted shut after naps. Upon exam, the conjunctiva is clear with some mild
crusting to the eyelashes. What is the diagnosis and appropriate patient teaching?
A) Bacterial conjunctivitis; prescribe erythromycin ointment TID
B) Probable lacrimal duct obstruction; daily massage and warm compresses
C) Viral conjunctivitis; cold compresses and artificial tears
D) Blepharitis; lid scrubs with baby shampoo
Answer: B
Rationale: Clear conjunctiva with crusting in an infant indicates nasolacrimal duct
obstruction rather than infection. Parents should be taught lacrimal duct massage and
, warm compresses while monitoring for signs of bacterial superinfection or periorbital
cellulitis. Most cases resolve spontaneously by 6-12 months of age.
Question 2:
A 9-month-old presents with vomiting and diarrhea. Capillary refill is 3.5 seconds, and
mucous membranes are dry. What is the most accurate interpretation of this
presentation?
A) Severe dehydration
B) Moderate dehydration
C) No dehydration
D) Mild dehydration
Answer: B
Rationale: Delayed capillary refill, dry mucosa, and approximately 6% weight loss
indicate moderate fluid deficit rather than mild dehydration or shock-level severe
dehydration. Moderate dehydration typically presents with decreased skin turgor, dry
mucous membranes, and delayed capillary refill.
Question 3:
A 2-year-old has diarrhea and is only drinking water. Labs show low sodium. What is the
most likely cause of this finding?
A) Isonatremic dehydration
B) Hyponatremic dehydration
C) Hypernatremic dehydration
D) Sodium loss greater than water loss
Answer: D
Rationale: Diarrheal losses contain electrolytes; replacing losses with free water alone
dilutes serum sodium and produces hyponatremia. Sodium loss exceeds water loss in
this scenario, leading to hyponatremic dehydration.
