NR 602 PRIMARY CARE
CHILDBEARING &
CHILDREARING FAMILY FINAL
LATEST MOCK PRACTICE SET
190 Questions with Answers and Detailed Rationales
100 PERCENT GUARANTEED PASS
INSTANT DOWNLOAD ANSWERS INCLUDED
IMPORTANCE OF THIS DOCUMENT
This comprehensive examination preparation guide has been meticulously developed to help you succeed in the
NR 602 PRIMARY CARE CHILDBEARING & CHILDREARING FAMILY FINAL EXAM ACTUAL 2026/2027 -
COMPLETE EXAM-STYLE QUESTIONS | 100% VERIFIED - PASS GUARANTEED - A+ GRADED. It contains
190 carefully selected questions that reflect the most current exam content and testing strategies. Each question
is accompanied by a correct answer and a detailed rationale that explains the underlying pathophysiology,
pharmacology, or clinical reasoning.
Self-Assessment – Test your knowledge and Exam Preparation – Familiarize yourself with the
identify areas requiring further question format and content
study areas
Concept Reinforcement – Deepen your Confidence Building – Develop test-taking
understanding through strategies and reduce
evidence-based exam anxiety
rationales
Time Management – Practice answering
questions under simulated
exam conditions
Review Summary 190 Questions
Foundations - Application - NR 602 Primary CARE Childbearing & Childrearing Family Actual 2026/2027
Complete -style 100 PASS Guaranteed A Primary CARE FOR Childbearing AND Childrearing Families
Graduate
All answers with rationales
,Table of Contents
Section A - Appropriate Section B - Presents
Questions 1 to 48 Questions 49 to 96
Section C - Infant Section D - Child
Questions 97 to 144 Questions 145 to 190
,Section A - Appropriate
Q1.
A primigravid client at 28 weeks gestation presents with new-onset hypertension (blood
pressure 158/96 mmHg) and proteinuria (2+ on dipstick). Which finding would most
strongly suggest the diagnosis of preeclampsia with severe features rather than
gestational hypertension?
A. Blood pressure returning to normal within B. Elevated liver enzymes (AST 80 U/L, ALT
24 hours postpartum 90 U/L)
C. Absence of proteinuria on a subsequent D. Fetal heart rate baseline of 140 bpm with
24-hour urine collection moderate variability
Correct: B - Elevated liver enzymes (AST 80 U/L, ALT 90 U/L)
Rationale:Preeclampsia with severe features is diagnosed by severe hypertension plus
end-organ involvement, such as elevated liver enzymes, thrombocytopenia, renal
insufficiency, or neurological symptoms. Elevated liver enzymes indicate hepatic dysfunction,
a severe feature. Gestational hypertension lacks proteinuria and end-organ damage.
Normalization postpartum is expected in both. Absence of proteinuria and a reassuring fetal
heart rate do not rule out severe features.
Q2.
A 4-year-old child is brought to the clinic with a 2-day history of fever, sore throat, and a
sandpaper-like rash. The provider suspects scarlet fever. Which additional finding would
be most consistent with this diagnosis?
A. A negative rapid antigen detection test for B. A positive throat culture for group A
group A Streptococcus Streptococcus
C. A negative anti-streptolysin O (ASO) titer D. The presence of a viral exanthem with
in the acute phase oral lesions (Koplik spots)
Correct: B - A positive throat culture for group A Streptococcus
Rationale:Scarlet fever is caused by group A Streptococcus (GAS) infection, and a positive
throat culture confirms the etiology. A negative rapid antigen test does not exclude GAS;
culture is the gold standard. ASO titers are not useful acutely. Koplik spots are
pathognomonic for measles, not scarlet fever.
Q3.
A 16-year-old adolescent with asthma is poorly controlled on medium-dose inhaled
corticosteroids and is prescribed a long-acting beta-agonist (LABA). Which statement
accurately reflects the current evidence-based recommendation regarding LABA therapy
in adolescents?
Page 3
, Section A - Appropriate
A. LABA monotherapy is preferred for B. LABA should be used as an adjunct to
adolescents who fail ICS monotherapy. ICS, not as monotherapy, due to increased
risk of asthma-related death.
C. LABA is contraindicated in all D. LABA is only recommended as a rescue
adolescents due to excessive medication, not for maintenance therapy.
cardiovascular adverse effects.
Correct: B - LABA should be used as an adjunct to ICS, not as monotherapy, due to
increased risk of asthma-related death.
Rationale:Current guidelines (e.g., GINA, NAEPP) recommend that LABA should be used
only in combination with ICS, not as monotherapy, because LABA monotherapy increases the
risk of asthma-related death. LABA is not contraindicated; it is effective when combined with
ICS. It is not a rescue medication; SABA is preferred for rescue.
Q4.
In a family with a history of cystic fibrosis (CF), a newborn screening test returns positive.
The infant is asymptomatic. Which confirmatory diagnostic test is most appropriate?
A. Chest radiograph B. Sweat chloride test
C. Complete blood count D. Stool elastase measurement
Correct: B - Sweat chloride test
Rationale:The sweat chloride test is the gold standard for diagnosing CF. Newborn screening
identifies elevated immunoreactive trypsinogen (IRT), but a positive screen requires
confirmation with sweat chloride testing. Chest radiography and stool elastase are supportive
but not diagnostic. CBC is not specific for CF.
Q5.
A postpartum client who delivered 2 hours ago has heavy bleeding and a boggy uterus
despite uterine massage and oxytocin administration. Which intervention is the next
priority?
A. Administer methylergonovine 0.2 mg IM B. Place a urinary catheter
C. Begin IV fluid bolus with normal saline D. Prepare for uterine artery embolization
Correct: A - Administer methylergonovine 0.2 mg IM
Rationale:Postpartum hemorrhage due to uterine atony unresponsive to oxytocin requires
escalation to second-line uterotonics, such as methylergonovine (unless contraindicated, e.g.,
hypertension). Placing a catheter is important but not the priority. IV fluids are supportive but
do not treat atony. Embolization is reserved for refractory cases.
Page 4
CHILDBEARING &
CHILDREARING FAMILY FINAL
LATEST MOCK PRACTICE SET
190 Questions with Answers and Detailed Rationales
100 PERCENT GUARANTEED PASS
INSTANT DOWNLOAD ANSWERS INCLUDED
IMPORTANCE OF THIS DOCUMENT
This comprehensive examination preparation guide has been meticulously developed to help you succeed in the
NR 602 PRIMARY CARE CHILDBEARING & CHILDREARING FAMILY FINAL EXAM ACTUAL 2026/2027 -
COMPLETE EXAM-STYLE QUESTIONS | 100% VERIFIED - PASS GUARANTEED - A+ GRADED. It contains
190 carefully selected questions that reflect the most current exam content and testing strategies. Each question
is accompanied by a correct answer and a detailed rationale that explains the underlying pathophysiology,
pharmacology, or clinical reasoning.
Self-Assessment – Test your knowledge and Exam Preparation – Familiarize yourself with the
identify areas requiring further question format and content
study areas
Concept Reinforcement – Deepen your Confidence Building – Develop test-taking
understanding through strategies and reduce
evidence-based exam anxiety
rationales
Time Management – Practice answering
questions under simulated
exam conditions
Review Summary 190 Questions
Foundations - Application - NR 602 Primary CARE Childbearing & Childrearing Family Actual 2026/2027
Complete -style 100 PASS Guaranteed A Primary CARE FOR Childbearing AND Childrearing Families
Graduate
All answers with rationales
,Table of Contents
Section A - Appropriate Section B - Presents
Questions 1 to 48 Questions 49 to 96
Section C - Infant Section D - Child
Questions 97 to 144 Questions 145 to 190
,Section A - Appropriate
Q1.
A primigravid client at 28 weeks gestation presents with new-onset hypertension (blood
pressure 158/96 mmHg) and proteinuria (2+ on dipstick). Which finding would most
strongly suggest the diagnosis of preeclampsia with severe features rather than
gestational hypertension?
A. Blood pressure returning to normal within B. Elevated liver enzymes (AST 80 U/L, ALT
24 hours postpartum 90 U/L)
C. Absence of proteinuria on a subsequent D. Fetal heart rate baseline of 140 bpm with
24-hour urine collection moderate variability
Correct: B - Elevated liver enzymes (AST 80 U/L, ALT 90 U/L)
Rationale:Preeclampsia with severe features is diagnosed by severe hypertension plus
end-organ involvement, such as elevated liver enzymes, thrombocytopenia, renal
insufficiency, or neurological symptoms. Elevated liver enzymes indicate hepatic dysfunction,
a severe feature. Gestational hypertension lacks proteinuria and end-organ damage.
Normalization postpartum is expected in both. Absence of proteinuria and a reassuring fetal
heart rate do not rule out severe features.
Q2.
A 4-year-old child is brought to the clinic with a 2-day history of fever, sore throat, and a
sandpaper-like rash. The provider suspects scarlet fever. Which additional finding would
be most consistent with this diagnosis?
A. A negative rapid antigen detection test for B. A positive throat culture for group A
group A Streptococcus Streptococcus
C. A negative anti-streptolysin O (ASO) titer D. The presence of a viral exanthem with
in the acute phase oral lesions (Koplik spots)
Correct: B - A positive throat culture for group A Streptococcus
Rationale:Scarlet fever is caused by group A Streptococcus (GAS) infection, and a positive
throat culture confirms the etiology. A negative rapid antigen test does not exclude GAS;
culture is the gold standard. ASO titers are not useful acutely. Koplik spots are
pathognomonic for measles, not scarlet fever.
Q3.
A 16-year-old adolescent with asthma is poorly controlled on medium-dose inhaled
corticosteroids and is prescribed a long-acting beta-agonist (LABA). Which statement
accurately reflects the current evidence-based recommendation regarding LABA therapy
in adolescents?
Page 3
, Section A - Appropriate
A. LABA monotherapy is preferred for B. LABA should be used as an adjunct to
adolescents who fail ICS monotherapy. ICS, not as monotherapy, due to increased
risk of asthma-related death.
C. LABA is contraindicated in all D. LABA is only recommended as a rescue
adolescents due to excessive medication, not for maintenance therapy.
cardiovascular adverse effects.
Correct: B - LABA should be used as an adjunct to ICS, not as monotherapy, due to
increased risk of asthma-related death.
Rationale:Current guidelines (e.g., GINA, NAEPP) recommend that LABA should be used
only in combination with ICS, not as monotherapy, because LABA monotherapy increases the
risk of asthma-related death. LABA is not contraindicated; it is effective when combined with
ICS. It is not a rescue medication; SABA is preferred for rescue.
Q4.
In a family with a history of cystic fibrosis (CF), a newborn screening test returns positive.
The infant is asymptomatic. Which confirmatory diagnostic test is most appropriate?
A. Chest radiograph B. Sweat chloride test
C. Complete blood count D. Stool elastase measurement
Correct: B - Sweat chloride test
Rationale:The sweat chloride test is the gold standard for diagnosing CF. Newborn screening
identifies elevated immunoreactive trypsinogen (IRT), but a positive screen requires
confirmation with sweat chloride testing. Chest radiography and stool elastase are supportive
but not diagnostic. CBC is not specific for CF.
Q5.
A postpartum client who delivered 2 hours ago has heavy bleeding and a boggy uterus
despite uterine massage and oxytocin administration. Which intervention is the next
priority?
A. Administer methylergonovine 0.2 mg IM B. Place a urinary catheter
C. Begin IV fluid bolus with normal saline D. Prepare for uterine artery embolization
Correct: A - Administer methylergonovine 0.2 mg IM
Rationale:Postpartum hemorrhage due to uterine atony unresponsive to oxytocin requires
escalation to second-line uterotonics, such as methylergonovine (unless contraindicated, e.g.,
hypertension). Placing a catheter is important but not the priority. IV fluids are supportive but
do not treat atony. Embolization is reserved for refractory cases.
Page 4
