NR 602 Advanced Primary Care Nursing Final Exam P… 2026/2027 • Verified • Assured Grade A+
✓ VERIFIED • 2026/2027 UPDATE • 100% ACCURATE
NR 602 Advanced Primary Care Nursing Final Exam Prep
2026/2027 UPDATED
ACTUAL EXAM QUESTIONS & VERIFIED ANSWERS
with Clear, Detailed Rationales
Document Type: Exam (Elaborations) / Study Guide
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 Advanced Primary Care Nursing Final Exam P… 2026/2027 • Verified • Assured Grade A+
Questions & Verified Answers
1. A 14-year-old female presents for a well-child visit. Upon examination, you note breast
bud elevation and the papilla, with enlargement of the areola diameter, and sparse growth of
long, slightly pigmented pubic hair along the labia. Which Tanner Stage best describes her
development?
A. Tanner Stage 1
B. Tanner Stage 3
C. Tanner Stage 2
D. Tanner Stage 4
Answer: C
Rationale: Tanner Stage 2 in females is characterized by breast buds (thelarche) and the appearance
of sparse, long, pigmented pubic hair along the labia majora. 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. A 24-year-old patient presents with thin, grayish-white vaginal discharge and a fishy odor.
The pH of the discharge is 5.0, and microscopy reveals clue cells. What is the first-line
treatment according to CDC guidelines?
A. Fluconazole 150 mg orally once
B. Ceftriaxone 500 mg IM once
C. Metronidazole 500 mg orally twice daily for 7 days
D. Azithromycin 1g orally once
Answer: C
Rationale: The symptoms describe Bacterial Vaginosis (Amsel’s criteria: pH > 4.5, clue cells, thin
discharge, positive whiff test). First-line treatment is Metronidazole 500mg BID for 7 days. Knowing the
reason behind the correct answer makes it easier to rule out the wrong options quickly. Look for the
choice that protects the client and matches the priority need. 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 Advanced Primary Care Nursing Final Exam P… 2026/2027 • Verified • Assured Grade A+
3. In an 18-month-old child, which of the following findings would be most concerning for a
developmental delay?
A. Inability to name at least 10 body parts
B. Inability to copy a circle
C. Inability to use a spoon without spilling
D. Inability to walk independently
Answer: D
Rationale: Most children walk independently by 12-15 months. Inability to walk by 18 months is a
significant gross motor delay requiring further evaluation. 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. 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.
4. A 32-year-old woman requests contraception. She has a history of migraines with aura.
Which of the following is the most appropriate recommendation?
A. Combined oral contraceptive pill
B. Contraceptive patch (Ortho Evra)
C. Vaginal ring (NuvaRing)
D. Copper Intrauterine Device (Paragard) E. N/A
Answer: D
Rationale: Estrogen-containing contraceptives are contraindicated in women with migraine with aura
due to an increased risk of ischemic stroke. Progestin-only methods or non-hormonal methods like the
Copper IUD are safe. In practice, this guides the nurse to set priorities and protect the client from
harm. Safety, nutrition, and clear communication are frequent priorities. 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 3
✓ VERIFIED • 2026/2027 UPDATE • 100% ACCURATE
NR 602 Advanced Primary Care Nursing Final Exam Prep
2026/2027 UPDATED
ACTUAL EXAM QUESTIONS & VERIFIED ANSWERS
with Clear, Detailed Rationales
Document Type: Exam (Elaborations) / Study Guide
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 Advanced Primary Care Nursing Final Exam P… 2026/2027 • Verified • Assured Grade A+
Questions & Verified Answers
1. A 14-year-old female presents for a well-child visit. Upon examination, you note breast
bud elevation and the papilla, with enlargement of the areola diameter, and sparse growth of
long, slightly pigmented pubic hair along the labia. Which Tanner Stage best describes her
development?
A. Tanner Stage 1
B. Tanner Stage 3
C. Tanner Stage 2
D. Tanner Stage 4
Answer: C
Rationale: Tanner Stage 2 in females is characterized by breast buds (thelarche) and the appearance
of sparse, long, pigmented pubic hair along the labia majora. 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. A 24-year-old patient presents with thin, grayish-white vaginal discharge and a fishy odor.
The pH of the discharge is 5.0, and microscopy reveals clue cells. What is the first-line
treatment according to CDC guidelines?
A. Fluconazole 150 mg orally once
B. Ceftriaxone 500 mg IM once
C. Metronidazole 500 mg orally twice daily for 7 days
D. Azithromycin 1g orally once
Answer: C
Rationale: The symptoms describe Bacterial Vaginosis (Amsel’s criteria: pH > 4.5, clue cells, thin
discharge, positive whiff test). First-line treatment is Metronidazole 500mg BID for 7 days. Knowing the
reason behind the correct answer makes it easier to rule out the wrong options quickly. Look for the
choice that protects the client and matches the priority need. 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 Advanced Primary Care Nursing Final Exam P… 2026/2027 • Verified • Assured Grade A+
3. In an 18-month-old child, which of the following findings would be most concerning for a
developmental delay?
A. Inability to name at least 10 body parts
B. Inability to copy a circle
C. Inability to use a spoon without spilling
D. Inability to walk independently
Answer: D
Rationale: Most children walk independently by 12-15 months. Inability to walk by 18 months is a
significant gross motor delay requiring further evaluation. 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. 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.
4. A 32-year-old woman requests contraception. She has a history of migraines with aura.
Which of the following is the most appropriate recommendation?
A. Combined oral contraceptive pill
B. Contraceptive patch (Ortho Evra)
C. Vaginal ring (NuvaRing)
D. Copper Intrauterine Device (Paragard) E. N/A
Answer: D
Rationale: Estrogen-containing contraceptives are contraindicated in women with migraine with aura
due to an increased risk of ischemic stroke. Progestin-only methods or non-hormonal methods like the
Copper IUD are safe. In practice, this guides the nurse to set priorities and protect the client from
harm. Safety, nutrition, and clear communication are frequent priorities. 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 3
