NR 602 MIDTERM EXAM 2026/2027 | ADVANCED NURSING QUESTIONS & ANSWERS | CO…
P R O F E S S I O N A L P R A C T I C E M AT E R I A L S
NR 602 Midterm Exam
2026/2027 | Advanced
Nursing Questions &
Answers | Comprehensive
Course Review (Rationales)
Verified Answers Exam Ready With Rationales 98 QUESTIONS
DOCUMENT OVERVIEW
This comprehensive review document contains 98 advanced nursing questions and
answers, complete with detailed rationales and visual aids. It covers essential pediatric
health topics, providing students with a powerful tool for thorough course review, exam
preparation, and certification readiness.
TOPICS
Pediatric Infectious Diseases & Immunizations Q1–Q33
Pediatric Neurological & Developmental Disorders Q34–Q52
Pediatric Respiratory & Endocrine Conditions Q53–Q61
Pediatric Musculoskeletal & Genetic Conditions Q62–Q73
Pediatric Health Screening & Prevention Q74–Q90
Pediatric Cardiovascular & Hematologic Conditions Q91–Q98
Page 1
, E XA M Q U EST I O N S
Q1 QUESTION 1 OF 98
How is Kawasaki disease diagnosed?
RESPONSE
No specific lab test. (no blood test)
Liver tests may be abnormal
Diagnosis is made by meeting these criteria:
Fever for at least 5 days
4 of these 5 conditions must be met
- Mucous membrane changes such as red tongue and dry fissured lips
- Swelling of hands and feet.
- Enlarged lymph nodes in the neck
- Diffuse red rash covering most of
the body.
- Redness of eyes.
o Illness cannot be explained by any known disease process.
Q2 QUESTION 2 OF 98
How to treat Kawasaki disease:
RESPONSE
IVIG and aspirin
RATIONALE
Kawasaki disease is an acute febrile vasculitis. Intravenous immunoglobulin (IVIG) is used to reduce
inflammation and prevent coronary artery aneurysms. Aspirin is administered for its anti-
inflammatory and antiplatelet effects to prevent thrombus formation.
Q3 QUESTION 3 OF 98
What is the recommendation(s) for human papillomavirus (HPV) vaccine?
Page 2
, RESPONSE
HPV vaccine is recommended for routine vaccination at age 11 or 12 years. (Vaccination can be
started at age 9.) ACIP also recommends vaccination for everyone through age 26 years if not
adequately vaccinated when younger.
RATIONALE
Routine HPV vaccination is initiated at 11-12 years of age, with catch-up vaccination recommended
through age 26 for individuals not adequately vaccinated earlier. The vaccination series can
commence as early as age 9. This strategy aims to prevent HPV-related cancers and infections.
Q4 QUESTION 4 OF 98
What population(s) at-risk for contracting meningococcal infection?
RESPONSE
Anyone can get meningococcal disease, but rates of disease are highest in children younger
than 1 year old, with a second peak in adolescence. Among teens and young adults, those 16
through 23 years old have the highest rates of meningococcal disease.
RATIONALE
Meningococcal infection incidence shows a bimodal distribution. The highest rates are observed in
infants under one year old due to immature immune systems. A second peak occurs in adolescents
and young adults, particularly those aged 16-23, often linked to close-contact settings like college
dormitories.
Q5 QUESTION 5 OF 98
What vaccines are contraindicated in pregnancy or those planning to become pregnant?
RESPONSE
Human papillomavirus (HPV) vaccine
Measles, mumps, and rubella (MMR) vaccine
Live influenza vaccine (nasal flu vaccine)
Varicella (chicken pox) vaccine
Page 3
, RATIONALE
Live-attenuated vaccines pose a theoretical risk of fetal infection and are therefore generally
contraindicated in pregnancy. This includes the MMR, varicella, and live influenza vaccines. The HPV
vaccine is also not recommended during pregnancy due to a lack of evidence regarding fetal safety.
Q6 QUESTION 6 OF 98
Which vaccines should I get if I am pregnant?
RESPONSE
the inactivated flu vaccine (the injection, not the live nasal flu vaccine) and the Tdap vaccine.
RATIONALE
Pregnant individuals require specific immunizations to protect both mother and fetus. The
inactivated influenza vaccine is safe and recommended during pregnancy to prevent severe illness
from flu. The Tdap vaccine (tetanus, diphtheria, and pertussis) is also crucial to provide passive
immunity against pertussis to the newborn.
Q7 QUESTION 7 OF 98
Paul, 14, is accompanied by his guardian with complaints of fever, headache, neck stiffness,
and nausea. He is alert but not oriented to time and place. Which of the following diagnoses
is likely?
RESPONSE
Meningitis
RATIONALE
The constellation of fever, headache, and nuchal rigidity are hallmark symptoms indicative of
meningeal irritation. Altered mental status, such as disorientation, further supports inflammation of
the central nervous system. These clinical findings strongly point towards meningitis as the likely
diagnosis.
Q8 QUESTION 8 OF 98
Meningitis
Page 4
P R O F E S S I O N A L P R A C T I C E M AT E R I A L S
NR 602 Midterm Exam
2026/2027 | Advanced
Nursing Questions &
Answers | Comprehensive
Course Review (Rationales)
Verified Answers Exam Ready With Rationales 98 QUESTIONS
DOCUMENT OVERVIEW
This comprehensive review document contains 98 advanced nursing questions and
answers, complete with detailed rationales and visual aids. It covers essential pediatric
health topics, providing students with a powerful tool for thorough course review, exam
preparation, and certification readiness.
TOPICS
Pediatric Infectious Diseases & Immunizations Q1–Q33
Pediatric Neurological & Developmental Disorders Q34–Q52
Pediatric Respiratory & Endocrine Conditions Q53–Q61
Pediatric Musculoskeletal & Genetic Conditions Q62–Q73
Pediatric Health Screening & Prevention Q74–Q90
Pediatric Cardiovascular & Hematologic Conditions Q91–Q98
Page 1
, E XA M Q U EST I O N S
Q1 QUESTION 1 OF 98
How is Kawasaki disease diagnosed?
RESPONSE
No specific lab test. (no blood test)
Liver tests may be abnormal
Diagnosis is made by meeting these criteria:
Fever for at least 5 days
4 of these 5 conditions must be met
- Mucous membrane changes such as red tongue and dry fissured lips
- Swelling of hands and feet.
- Enlarged lymph nodes in the neck
- Diffuse red rash covering most of
the body.
- Redness of eyes.
o Illness cannot be explained by any known disease process.
Q2 QUESTION 2 OF 98
How to treat Kawasaki disease:
RESPONSE
IVIG and aspirin
RATIONALE
Kawasaki disease is an acute febrile vasculitis. Intravenous immunoglobulin (IVIG) is used to reduce
inflammation and prevent coronary artery aneurysms. Aspirin is administered for its anti-
inflammatory and antiplatelet effects to prevent thrombus formation.
Q3 QUESTION 3 OF 98
What is the recommendation(s) for human papillomavirus (HPV) vaccine?
Page 2
, RESPONSE
HPV vaccine is recommended for routine vaccination at age 11 or 12 years. (Vaccination can be
started at age 9.) ACIP also recommends vaccination for everyone through age 26 years if not
adequately vaccinated when younger.
RATIONALE
Routine HPV vaccination is initiated at 11-12 years of age, with catch-up vaccination recommended
through age 26 for individuals not adequately vaccinated earlier. The vaccination series can
commence as early as age 9. This strategy aims to prevent HPV-related cancers and infections.
Q4 QUESTION 4 OF 98
What population(s) at-risk for contracting meningococcal infection?
RESPONSE
Anyone can get meningococcal disease, but rates of disease are highest in children younger
than 1 year old, with a second peak in adolescence. Among teens and young adults, those 16
through 23 years old have the highest rates of meningococcal disease.
RATIONALE
Meningococcal infection incidence shows a bimodal distribution. The highest rates are observed in
infants under one year old due to immature immune systems. A second peak occurs in adolescents
and young adults, particularly those aged 16-23, often linked to close-contact settings like college
dormitories.
Q5 QUESTION 5 OF 98
What vaccines are contraindicated in pregnancy or those planning to become pregnant?
RESPONSE
Human papillomavirus (HPV) vaccine
Measles, mumps, and rubella (MMR) vaccine
Live influenza vaccine (nasal flu vaccine)
Varicella (chicken pox) vaccine
Page 3
, RATIONALE
Live-attenuated vaccines pose a theoretical risk of fetal infection and are therefore generally
contraindicated in pregnancy. This includes the MMR, varicella, and live influenza vaccines. The HPV
vaccine is also not recommended during pregnancy due to a lack of evidence regarding fetal safety.
Q6 QUESTION 6 OF 98
Which vaccines should I get if I am pregnant?
RESPONSE
the inactivated flu vaccine (the injection, not the live nasal flu vaccine) and the Tdap vaccine.
RATIONALE
Pregnant individuals require specific immunizations to protect both mother and fetus. The
inactivated influenza vaccine is safe and recommended during pregnancy to prevent severe illness
from flu. The Tdap vaccine (tetanus, diphtheria, and pertussis) is also crucial to provide passive
immunity against pertussis to the newborn.
Q7 QUESTION 7 OF 98
Paul, 14, is accompanied by his guardian with complaints of fever, headache, neck stiffness,
and nausea. He is alert but not oriented to time and place. Which of the following diagnoses
is likely?
RESPONSE
Meningitis
RATIONALE
The constellation of fever, headache, and nuchal rigidity are hallmark symptoms indicative of
meningeal irritation. Altered mental status, such as disorientation, further supports inflammation of
the central nervous system. These clinical findings strongly point towards meningitis as the likely
diagnosis.
Q8 QUESTION 8 OF 98
Meningitis
Page 4
