NR-602 NR 602: Primary Care of Women &
Children (FNP II) Practicum Questions and
Correct Answers (Verified Answers) Plus
Rationales 2025
1. A 4-year-old child presents with a barking cough and inspiratory stridor.
What is the most likely diagnosis?
A. Asthma
B. Epiglottitis
C. Croup
D. Bronchiolitis
Croup typically presents in young children with a "barking" cough and
stridor caused by inflammation of the upper airway, particularly the
larynx and trachea.
2. A 3-month-old infant has a harsh systolic murmur heard best at the left
lower sternal border. What condition is this most consistent with?
A. Atrial septal defect
B. Ventricular septal defect
C. Patent ductus arteriosus
D. Pulmonary stenosis
,A ventricular septal defect (VSD) is the most common congenital heart
defect and presents with a harsh systolic murmur at the lower left
sternal border.
3. Which vaccine is contraindicated in a 2-month-old infant?
A. Hepatitis B
B. Rotavirus
C. MMR
D. DTaP
MMR is a live vaccine and is not administered until 12-15 months of
age.
4. A 14-year-old female presents with dysuria and urinary frequency. A urine
dipstick shows positive nitrites and leukocyte esterase. What is the next
best step?
A. Prescribe antifungals
B. Treat for UTI with antibiotics
C. Order pelvic ultrasound
D. Refer to urology
Positive nitrites and leukocyte esterase indicate a urinary tract infection,
which should be treated empirically with appropriate antibiotics.
, 5. A 16-year-old sexually active female presents with lower abdominal pain
and cervical motion tenderness. What is the most likely diagnosis?
A. UTI
B. Ovarian cyst
C. Pelvic inflammatory disease (PID)
D. Appendicitis
PID typically presents in sexually active females with lower abdominal
pain, adnexal tenderness, and cervical motion tenderness.
6. A 10-year-old male presents with itchy lesions between his fingers. They
are erythematous and excoriated. What is the likely diagnosis?
A. Eczema
B. Scabies
C. Tinea corporis
D. Contact dermatitis
Scabies presents with intense itching, especially at night, and lesions in
web spaces of fingers. It's caused by mite infestation.
7. What is the best method to confirm a diagnosis of otitis media in a 3-year-
old?
A. Physical exam
B. Tympanometry
, C. Pneumatic otoscopy
D. CT scan
Pneumatic otoscopy is the preferred method to assess tympanic
membrane mobility, helping to confirm otitis media.
8. A 12-year-old presents with polyuria, polydipsia, and weight loss. A random
glucose is 290 mg/dL. What is the likely diagnosis?
A. Type 2 diabetes
B. Type 1 diabetes
C. Hyperthyroidism
D. Addison's disease
These are classic symptoms of new-onset type 1 diabetes, which is more
common in children.
9. Which of the following milestones should a 6-month-old infant achieve?
A. Walking
B. Sitting with support
C. Saying two words
D. Waving bye
By 6 months, most infants can sit with support, roll both ways, and
babble.
Children (FNP II) Practicum Questions and
Correct Answers (Verified Answers) Plus
Rationales 2025
1. A 4-year-old child presents with a barking cough and inspiratory stridor.
What is the most likely diagnosis?
A. Asthma
B. Epiglottitis
C. Croup
D. Bronchiolitis
Croup typically presents in young children with a "barking" cough and
stridor caused by inflammation of the upper airway, particularly the
larynx and trachea.
2. A 3-month-old infant has a harsh systolic murmur heard best at the left
lower sternal border. What condition is this most consistent with?
A. Atrial septal defect
B. Ventricular septal defect
C. Patent ductus arteriosus
D. Pulmonary stenosis
,A ventricular septal defect (VSD) is the most common congenital heart
defect and presents with a harsh systolic murmur at the lower left
sternal border.
3. Which vaccine is contraindicated in a 2-month-old infant?
A. Hepatitis B
B. Rotavirus
C. MMR
D. DTaP
MMR is a live vaccine and is not administered until 12-15 months of
age.
4. A 14-year-old female presents with dysuria and urinary frequency. A urine
dipstick shows positive nitrites and leukocyte esterase. What is the next
best step?
A. Prescribe antifungals
B. Treat for UTI with antibiotics
C. Order pelvic ultrasound
D. Refer to urology
Positive nitrites and leukocyte esterase indicate a urinary tract infection,
which should be treated empirically with appropriate antibiotics.
, 5. A 16-year-old sexually active female presents with lower abdominal pain
and cervical motion tenderness. What is the most likely diagnosis?
A. UTI
B. Ovarian cyst
C. Pelvic inflammatory disease (PID)
D. Appendicitis
PID typically presents in sexually active females with lower abdominal
pain, adnexal tenderness, and cervical motion tenderness.
6. A 10-year-old male presents with itchy lesions between his fingers. They
are erythematous and excoriated. What is the likely diagnosis?
A. Eczema
B. Scabies
C. Tinea corporis
D. Contact dermatitis
Scabies presents with intense itching, especially at night, and lesions in
web spaces of fingers. It's caused by mite infestation.
7. What is the best method to confirm a diagnosis of otitis media in a 3-year-
old?
A. Physical exam
B. Tympanometry
, C. Pneumatic otoscopy
D. CT scan
Pneumatic otoscopy is the preferred method to assess tympanic
membrane mobility, helping to confirm otitis media.
8. A 12-year-old presents with polyuria, polydipsia, and weight loss. A random
glucose is 290 mg/dL. What is the likely diagnosis?
A. Type 2 diabetes
B. Type 1 diabetes
C. Hyperthyroidism
D. Addison's disease
These are classic symptoms of new-onset type 1 diabetes, which is more
common in children.
9. Which of the following milestones should a 6-month-old infant achieve?
A. Walking
B. Sitting with support
C. Saying two words
D. Waving bye
By 6 months, most infants can sit with support, roll both ways, and
babble.
