NR602 / NR-602 Midterm Exam (Latest
): Primary Care of the
Childbearing & Childrearing Family
Practicum - Chamberlain
Section 1: Pediatric Primary Care (Questions 1–10)
1. Role-play with equipment during a physical examination would be most beneficial
with which of the following groups?
A. Adolescents
B. Preschoolers/Toddlers
C. Infants
D. School-age children
Answer: Preschoolers/Toddlers
Rationale: Role-play with equipment reduces fear and engages preschoolers/toddlers
during physical exams, promoting cooperation.
2. What is the Ortolani sign used to assess?
A. Scoliosis
B. Congenital hip dysplasia
C. Clubfoot
D. Hearing loss
Answer: Congenital hip dysplasia
Rationale: The Ortolani sign is a physical maneuver to detect hip dislocation in infants,
indicating congenital hip dysplasia.
3. When performing a physical examination of a toddler, which body part should be
examined last?
A. Abdomen
B. Ears and throat
C. Heart and lungs
D. Extremities
Answer: Ears and throat
Rationale: Ears and throat are invasive and potentially distressing, so they should be
examined last to maintain toddler cooperation.
, 4. What is a key component of a well-child visit for a 2-year-old?
A. Administering MMR vaccine
B. Assessing developmental milestones
C. Ordering a chest X-ray
D. Performing a Pap smear
Answer: Assessing developmental milestones
Rationale: Well-child visits for 2-year-olds focus on developmental milestone
assessment to ensure age-appropriate growth and development.
5. What is a risk factor for acute otitis media?
A. Breastfeeding for more than 6 months
B. Daycare attendance
C. Exclusive bottle-feeding with formula
D. Annual influenza vaccination
Answer: Daycare attendance
Rationale: Daycare attendance increases exposure to infections, a major risk factor for
acute otitis media. Breastfeeding is protective.
6. What are clinical findings of conjunctivitis? (Select all that apply)
A. Red, watery eyes
B. Purulent discharge
C. Fever
D. Itchy eyes
E. Chest pain
Answer: Red, watery eyes, Purulent discharge, Itchy eyes
Rationale: Conjunctivitis presents with red, watery eyes, purulent discharge (bacterial),
and itching (allergic). Fever may occur but is less common, and chest pain is unrelated.
7. A parent reports a child’s fever and rash. What should the nurse practitioner
prioritize in the assessment?
A. Blood glucose levels
B. History of recent vaccinations
C. Neurological status
D. Dietary intake
Answer: History of recent vaccinations
Rationale: Fever and rash may indicate a vaccine-preventable disease or a vaccine
reaction, so vaccination history is critical.
8. What is a common cause of gastroenteritis in a 10-month-old attending daycare?
A. Escherichia coli
B. Rotavirus
): Primary Care of the
Childbearing & Childrearing Family
Practicum - Chamberlain
Section 1: Pediatric Primary Care (Questions 1–10)
1. Role-play with equipment during a physical examination would be most beneficial
with which of the following groups?
A. Adolescents
B. Preschoolers/Toddlers
C. Infants
D. School-age children
Answer: Preschoolers/Toddlers
Rationale: Role-play with equipment reduces fear and engages preschoolers/toddlers
during physical exams, promoting cooperation.
2. What is the Ortolani sign used to assess?
A. Scoliosis
B. Congenital hip dysplasia
C. Clubfoot
D. Hearing loss
Answer: Congenital hip dysplasia
Rationale: The Ortolani sign is a physical maneuver to detect hip dislocation in infants,
indicating congenital hip dysplasia.
3. When performing a physical examination of a toddler, which body part should be
examined last?
A. Abdomen
B. Ears and throat
C. Heart and lungs
D. Extremities
Answer: Ears and throat
Rationale: Ears and throat are invasive and potentially distressing, so they should be
examined last to maintain toddler cooperation.
, 4. What is a key component of a well-child visit for a 2-year-old?
A. Administering MMR vaccine
B. Assessing developmental milestones
C. Ordering a chest X-ray
D. Performing a Pap smear
Answer: Assessing developmental milestones
Rationale: Well-child visits for 2-year-olds focus on developmental milestone
assessment to ensure age-appropriate growth and development.
5. What is a risk factor for acute otitis media?
A. Breastfeeding for more than 6 months
B. Daycare attendance
C. Exclusive bottle-feeding with formula
D. Annual influenza vaccination
Answer: Daycare attendance
Rationale: Daycare attendance increases exposure to infections, a major risk factor for
acute otitis media. Breastfeeding is protective.
6. What are clinical findings of conjunctivitis? (Select all that apply)
A. Red, watery eyes
B. Purulent discharge
C. Fever
D. Itchy eyes
E. Chest pain
Answer: Red, watery eyes, Purulent discharge, Itchy eyes
Rationale: Conjunctivitis presents with red, watery eyes, purulent discharge (bacterial),
and itching (allergic). Fever may occur but is less common, and chest pain is unrelated.
7. A parent reports a child’s fever and rash. What should the nurse practitioner
prioritize in the assessment?
A. Blood glucose levels
B. History of recent vaccinations
C. Neurological status
D. Dietary intake
Answer: History of recent vaccinations
Rationale: Fever and rash may indicate a vaccine-preventable disease or a vaccine
reaction, so vaccination history is critical.
8. What is a common cause of gastroenteritis in a 10-month-old attending daycare?
A. Escherichia coli
B. Rotavirus
