NR-602 Midterm Exam
COMPLETE (2025) TEST
WITH LATEST UPDATED
(QUESTIONS AND
ANSWERS)
,tertiary care - CORRECT ANSWERS -highly complex care and therapy services,
requires both specialized expertise and equipment
primary care - CORRECT ANSWERS -generalist care
secondary care - CORRECT ANSWERS -care that requires specialized expertise
quaternary care - CORRECT ANSWERS -care requires highly specialized expertise
and highly unusual or specialized equipment
primary prevention - CORRECT ANSWERS -two subcategories of ____ ____:
Health promotion - health maintenance and education efforts, including lifestyle
changes/choices, nutrition, and maintenance of safe environments
Specific prevention - involves actions targeted at specific diseases, such as
immunizations, anti-malarial prophylaxis, and environmental modifications (such as
fluoride)
primary prevention - CORRECT ANSWERS -includes efforts that keep disease
processes from becoming established by either eliminating the causes or increasing
individual resistance to disease
secondary prevention - CORRECT ANSWERS -involves early diagnosis and prompt
treatment, focusing on efforts that interrupt the disease process before it becomes
symptomatic or halting the disease process at its incipient stage to prevent
complications
*screening, early detection, and prompt treatment*
, tertiary prevention - CORRECT ANSWERS -limit the physical and social consequences
of symptomatic disease. The goal is to improve survival and/or quality of life
inactivated vaccines - CORRECT ANSWERS -____ ____ have killed antigen, including
only the protein remnants that induce antibody responses.
Examples - diphtheria-tetanus-pertussis, polio, Hib, hepatitis A, hepatitis B, human
papilloma virus, meningococcus, and pneumococcus
live vaccines - CORRECT ANSWERS -____ ____ have an attenuated form of the virus,
which induces immunity but does not produce disease
prevention of SIDS - CORRECT ANSWERS -endorsement of room sharing without bed
sharing; use of a pacifier; parental avoidance of illicit drugs, alcohol, and smoke; supine
positioning on a firm sleep surface; avoiding bumper pads and the use of bedding; and
avoiding overheating. Breastfeeding and routine immunization
lead poisoning symptoms - CORRECT ANSWERS -Many children do not demonstrate
signs of acute toxicity until they have high levels
anemia, constipation, abdominal pain, impaired hearing, learning disabilities, delayed
growth, and/or hyperactivity
at higher levels - affects vitamin D metabolism, nerve conduction velocities, and
hemoglobin synthesis that can lead to myocardial excitability, increased intracranial
pressure, seizures, coma, and death
In all cases of lead toxicity (≥5 mcg/dL): - CORRECT ANSWERS -• Inform caregiver of
level of toxicity.
• Provide caregiver dietary and environmental education.
• Remove child from source of lead if known.
• Report to public health department.
• Initiate environmental investigation. Some health department may do this.
• Initiate lead hazard control/abatement.
• Follow up BLL every 3 months until BLL declines.
• Refer to social services as appropriat
chelation therapy - CORRECT ANSWERS -what treatment is recommended for lead
levels higher than 45 mcg/dL
exposures to lead - CORRECT ANSWERS -• The child exhibits pica
• The child lives near a lead smelter, battery recycling plant, or other industry likely to
release lead
• A family member or caregiver works with lead-based materials
• Household members engage in hobbies that might include ceramics, stained glass,
making own fishing tackle
• Painted or unusual materials are burned in wood stoves or fireplaces
• The family uses complementary, herbal, or folk remedies
COMPLETE (2025) TEST
WITH LATEST UPDATED
(QUESTIONS AND
ANSWERS)
,tertiary care - CORRECT ANSWERS -highly complex care and therapy services,
requires both specialized expertise and equipment
primary care - CORRECT ANSWERS -generalist care
secondary care - CORRECT ANSWERS -care that requires specialized expertise
quaternary care - CORRECT ANSWERS -care requires highly specialized expertise
and highly unusual or specialized equipment
primary prevention - CORRECT ANSWERS -two subcategories of ____ ____:
Health promotion - health maintenance and education efforts, including lifestyle
changes/choices, nutrition, and maintenance of safe environments
Specific prevention - involves actions targeted at specific diseases, such as
immunizations, anti-malarial prophylaxis, and environmental modifications (such as
fluoride)
primary prevention - CORRECT ANSWERS -includes efforts that keep disease
processes from becoming established by either eliminating the causes or increasing
individual resistance to disease
secondary prevention - CORRECT ANSWERS -involves early diagnosis and prompt
treatment, focusing on efforts that interrupt the disease process before it becomes
symptomatic or halting the disease process at its incipient stage to prevent
complications
*screening, early detection, and prompt treatment*
, tertiary prevention - CORRECT ANSWERS -limit the physical and social consequences
of symptomatic disease. The goal is to improve survival and/or quality of life
inactivated vaccines - CORRECT ANSWERS -____ ____ have killed antigen, including
only the protein remnants that induce antibody responses.
Examples - diphtheria-tetanus-pertussis, polio, Hib, hepatitis A, hepatitis B, human
papilloma virus, meningococcus, and pneumococcus
live vaccines - CORRECT ANSWERS -____ ____ have an attenuated form of the virus,
which induces immunity but does not produce disease
prevention of SIDS - CORRECT ANSWERS -endorsement of room sharing without bed
sharing; use of a pacifier; parental avoidance of illicit drugs, alcohol, and smoke; supine
positioning on a firm sleep surface; avoiding bumper pads and the use of bedding; and
avoiding overheating. Breastfeeding and routine immunization
lead poisoning symptoms - CORRECT ANSWERS -Many children do not demonstrate
signs of acute toxicity until they have high levels
anemia, constipation, abdominal pain, impaired hearing, learning disabilities, delayed
growth, and/or hyperactivity
at higher levels - affects vitamin D metabolism, nerve conduction velocities, and
hemoglobin synthesis that can lead to myocardial excitability, increased intracranial
pressure, seizures, coma, and death
In all cases of lead toxicity (≥5 mcg/dL): - CORRECT ANSWERS -• Inform caregiver of
level of toxicity.
• Provide caregiver dietary and environmental education.
• Remove child from source of lead if known.
• Report to public health department.
• Initiate environmental investigation. Some health department may do this.
• Initiate lead hazard control/abatement.
• Follow up BLL every 3 months until BLL declines.
• Refer to social services as appropriat
chelation therapy - CORRECT ANSWERS -what treatment is recommended for lead
levels higher than 45 mcg/dL
exposures to lead - CORRECT ANSWERS -• The child exhibits pica
• The child lives near a lead smelter, battery recycling plant, or other industry likely to
release lead
• A family member or caregiver works with lead-based materials
• Household members engage in hobbies that might include ceramics, stained glass,
making own fishing tackle
• Painted or unusual materials are burned in wood stoves or fireplaces
• The family uses complementary, herbal, or folk remedies
