https://www.stuvia.com/user/Prose1
Nursing NR 602 Final Exam Study Guide | Complete 2025–2026 gt gt gt gt gt gt gt gt gt
gt Advanced Practice Nursing Review with Verified Questions, Correct gt gt gt gt gt gt gt
Answers, and Detailed Rationales – Comprehensive Guide for NR
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602 Final Preparation gt gt gt
1
NR 602 Final Exam Study Guide
gt gt gt gt gt
Week 5 gt
Pediatrics
• Unit II - Child Development gt gt gt gt
o Chapter 34 - Dermatologic Disorders gt gt gt gt
o Chapter 35 - Eye and Vision Disorders gt gt gt gt gt gt
o Chapter 36 - Ear and Hearing Disorders gt gt gt gt gt gt
o Chapter 37 - Respiratory Disorders gt gt gt gt
Lieberthal, A. S., Carroll, A. E., Chonmaitree, T., Ganiats, T. G., Hoberman, A., Jackson, M. A., ... & Schwartz, R. H. (2013). The diagnosis
gt gt gt gt gt gt gt gt gt gt gt gt gt gt gt gt gt gt gt gt gt gt gt
and management of acute otitis media. Pediatrics, 131(3), e964-e999. https://chamberlain-on-worldcat-
gt gt gt gt gt gt gt gt gt gt
org.chamberlainuniversity.idm.oclc.org/oclc/8588117369
gt
Week 6 gt
Pediatrics
Unit IV - Common Childhood Conditions and Disorders
gt gt gt gt gt gt gt
• Chapter 38 - Cardiovascular Disorders gt gt gt gt
• Chapter 39 - Hematologic Disorders gt gt gt gt
• Chapter 46 - Neurologic Disorders gt gt gt gt
• Chapter 43 - Musculoskeletal Disorders gt gt gt gt
, G. C., Tulloh, L. E., & Tulloh, R. R. (2016). Kawasaki disease incidence in children and adolescents: an observational study in
gt gt gt gt gt gt gt gt gt gt gt gt gt gt gt gt gt gt gt gt gt
primary care. The British Journal of General Practice: The Journal of The Royal College of General Practitioners,
gt gt gt gt gt gt gt gt gt gt gt gt gt gt gt gt gt
66(645), e271-e276.
gt gt gt
tin-Hermoso, M. R., Berger, S., Bhatt, A. B., Richerson, J. E., Morrow, R., Freed, M. D., & Beekman, R. H. (2017). The care of
gt gt gt gt gt gt gt gt gt gt gt gt gt gt gt gt gt gt gt gt gt gt gt
children with congenital heart disease in their primary medical home. Pediatrics, 140(5), e20172607.
gt gt gt gt gt gt gt gt gt gt gt gt gt gt
Week 7 gt
Pediatrics
Unit IV - Common Childhood Conditions and Disorders
gt gt gt gt gt gt gt
• Chapter 18 - Elimination gt gt gt
• Chapter 40 - Gastrointestinal Disorders gt gt gt gt
• Chapter 41 - Genitourinary Disorders gt gt gt gt
• Chapter 45 - Endocrine and Metabolic Disorders
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• Chapter 33 - Atopic, Rheumatic, and Immunodeficiency Disorders
gt gt gt gt gt gt gt
,https://www.stuvia.com/user/Prose1
Week 8 gt
Pediatrics
Unit IV - Common Childhood Conditions and Disorders
gt gt gt gt gt gt gt
,https://www.stuvia.com/user/Prose1
• Chapter 15 - Behavioral and Mental Health Promotion
gt gt gt gt gt gt gt
• Chapter 24 - Injury Prevention and Child Maltreatment
gt gt gt gt gt gt gt
• Chapter 30 - Neurodevelopmental, Behavioral, and Mental Health Disorders
gt gt gt gt gt gt gt gt
Eye disorders
gt
,https://www.stuvia.com/user/Prose1
2
• USPSTF recommendations for vision screening for children 6 months to 5 years of age note
gt gt gt gt gt gt gt gt gt gt gt gt gt gt
that screening tests have reasonable accuracy in identifying strabismus, amblyopia, and
gt gt gt gt gt gt gt gt gt gt gt
refractive errors in children 3 to 5 years of age.
gt gt gt gt gt gt gt gt gt gt
• Refractive errors are the most common visual disorders seen in children
gt gt gt gt gt gt gt gt gt gt
o Myopia, or nearsightedness, exists when the axial length of the eye is increased in
gt gt gt gt gt gt gt gt gt gt gt gt gt
relation to the eye’s optical power. As a result, light from a distant object is focused in
gt gt gt gt gt gt gt gt gt gt gt gt gt gt gt gt gt
front of the retina rather than directly on it. A myopic child sees close objects clearly but
gt gt gt gt gt gt gt gt gt gt gt gt gt gt gt gt
distant objects are blurry.
gt gt gt gt
▪ Myopia may be present at birth however more likely to develop between 6 and 9 gt gt gt gt gt gt gt gt gt gt gt gt gt
years of age, with increased prevalence after the adolescent growth spurt. Mild
gt gt gt gt gt gt gt gt gt gt gt gt
hyperopia is normal in a young child and should decrease rapidly between 7 and
gt gt gt gt gt gt gt gt gt gt gt gt gt gt
14 years of age. gt gt gt gt
o Hyperopia, or farsightedness, exists when the visual image is focused behind the gt gt gt gt gt gt gt gt gt gt gt
retina. As a result, distant objects are seen clearly but close objects are blurry.
gt gt gt gt gt gt gt gt gt gt gt gt gt gt
o Astigmatism exists when the curvature of the cornea or the lens is uneven; thus the gt gt gt gt gt gt gt gt gt gt gt gt gt gt
retina cannot appropriately focus light from an object regardless of the distance,
gt gt gt gt gt gt gt gt gt gt gt gt
which makes vision blurry close up and far away. Rarely, astigmatism can be caused
gt gt gt gt gt gt gt gt gt gt gt gt gt gt
by an alteration in the corneal sphere caused by a soft tissue mass on the inner aspect
gt gt gt gt gt gt gt gt gt gt gt gt gt gt gt gt gt
of the eyelid, such as a chalazion or hemangioma.
gt gt gt gt gt gt gt gt gt
o Anisometropia is a different refractive error in each eye. It may consist of any gt gt gt gt gt gt gt gt gt gt gt gt gt
combination of refractive errors discussed earlier, or it may occur with aphakia.
gt gt gt gt gt gt gt gt gt gt gt gt
• Amblyopia usually a unilateral deficit in which there is defective development of the visual
gt gt gt gt gt gt gt gt gt gt gt gt gt
pathways needed to attain central vision
gt gt gt gt gt gt
o Clear focused images fail to reach the brain, resulting in reduced or permanent loss of
gt gt gt gt gt gt gt gt gt gt gt gt gt gt
vision.gt
o The condition is labeled (or typed) according to the structural or refractive problem that
gt gt gt gt gt gt gt gt gt gt gt gt gt
is causing the poor visual image to reach the brain: deprivational, or obstruction of
gt gt gt gt gt gt gt gt gt gt gt gt gt gt
vision (e.g., caused by ptosis, cataract, nystagmus), strabismic (caused by strabismus
g t gt gt gt gt gt gt gt gt gt gt
or lazy eye), or refractive (myopia, hyperopia, astigmatism, anisometropia). Diagnosis of
gt gt gt gt gt gt gt gt gt gt gt
amblyopia prevents permanent loss of vision in the affected eye.
gt gt gt gt gt gt gt gt gt gt
o clinical findings: gt
▪ Squinting, tendency to cover or close one eye when concentrating gt gt gt gt gt gt gt gt gt
▪ Abnormal vision, cover/uncover, and/or fundoscopic exam gt gt gt gt gt
▪ Pain in or around eyes and/or headaches (rare) gt gt gt gt gt gt gt
▪ Fatigue, dizziness gt
▪ Developmental delay gt
▪ Family history of refractive errors, strabismus, or amblyopia gt gt gt gt gt gt gt
o Management:
▪ Refer to an ophthalmologist or optometrist for prescription corrective lenses. gt gt gt gt gt gt gt gt gt
School-age children and teenagers should participate in the selection of frames;
gt gt gt gt gt gt gt gt gt gt gt
contact lenses may be considered. gt gt gt gt gt
▪ Once a refractive error has been determined or if a child is wearing glasses, gt gt gt gt gt gt gt gt gt gt gt gt gt
annual evaluations are recommended. gt gt gt gt
▪ Moderate amblyopia usually responds to 2 hours of daily patching or weekend gt gt gt gt gt gt gt gt gt gt gt
atropine (produces cycloplegia of nonamblyopic eye).
gt gt gt gt gt gt
▪ Untreated or inadequately treated amblyopia in young childhood results in gt gt gt gt gt gt gt gt gt
irreversible and lifelong visual lossgt gt gt gt gt
• Strabismus defect in ocular alignment, or the position of the eyes in relation to each other; it
gt gt gt gt gt gt gt gt gt gt gt gt gt gt gt gt
is commonly called lazy eye.
gt gt gt gt gt
o strabismus may be hereditary or the result of various eye diseases (e.g., gt gt gt gt gt gt gt gt gt gt gt
neuroblastoma), trauma, systemic or neurologic dysfunction that paralyzes the
gt gt gt gt gt gt gt gt gt
Nursing NR 602 Final Exam Study Guide | Complete 2025–2026 gt gt gt gt gt gt gt gt gt
gt Advanced Practice Nursing Review with Verified Questions, Correct gt gt gt gt gt gt gt
Answers, and Detailed Rationales – Comprehensive Guide for NR
gt gt gt gt gt gt gt gt gt
602 Final Preparation gt gt gt
1
NR 602 Final Exam Study Guide
gt gt gt gt gt
Week 5 gt
Pediatrics
• Unit II - Child Development gt gt gt gt
o Chapter 34 - Dermatologic Disorders gt gt gt gt
o Chapter 35 - Eye and Vision Disorders gt gt gt gt gt gt
o Chapter 36 - Ear and Hearing Disorders gt gt gt gt gt gt
o Chapter 37 - Respiratory Disorders gt gt gt gt
Lieberthal, A. S., Carroll, A. E., Chonmaitree, T., Ganiats, T. G., Hoberman, A., Jackson, M. A., ... & Schwartz, R. H. (2013). The diagnosis
gt gt gt gt gt gt gt gt gt gt gt gt gt gt gt gt gt gt gt gt gt gt gt
and management of acute otitis media. Pediatrics, 131(3), e964-e999. https://chamberlain-on-worldcat-
gt gt gt gt gt gt gt gt gt gt
org.chamberlainuniversity.idm.oclc.org/oclc/8588117369
gt
Week 6 gt
Pediatrics
Unit IV - Common Childhood Conditions and Disorders
gt gt gt gt gt gt gt
• Chapter 38 - Cardiovascular Disorders gt gt gt gt
• Chapter 39 - Hematologic Disorders gt gt gt gt
• Chapter 46 - Neurologic Disorders gt gt gt gt
• Chapter 43 - Musculoskeletal Disorders gt gt gt gt
, G. C., Tulloh, L. E., & Tulloh, R. R. (2016). Kawasaki disease incidence in children and adolescents: an observational study in
gt gt gt gt gt gt gt gt gt gt gt gt gt gt gt gt gt gt gt gt gt
primary care. The British Journal of General Practice: The Journal of The Royal College of General Practitioners,
gt gt gt gt gt gt gt gt gt gt gt gt gt gt gt gt gt
66(645), e271-e276.
gt gt gt
tin-Hermoso, M. R., Berger, S., Bhatt, A. B., Richerson, J. E., Morrow, R., Freed, M. D., & Beekman, R. H. (2017). The care of
gt gt gt gt gt gt gt gt gt gt gt gt gt gt gt gt gt gt gt gt gt gt gt
children with congenital heart disease in their primary medical home. Pediatrics, 140(5), e20172607.
gt gt gt gt gt gt gt gt gt gt gt gt gt gt
Week 7 gt
Pediatrics
Unit IV - Common Childhood Conditions and Disorders
gt gt gt gt gt gt gt
• Chapter 18 - Elimination gt gt gt
• Chapter 40 - Gastrointestinal Disorders gt gt gt gt
• Chapter 41 - Genitourinary Disorders gt gt gt gt
• Chapter 45 - Endocrine and Metabolic Disorders
gt gt gt gt gt gt
• Chapter 33 - Atopic, Rheumatic, and Immunodeficiency Disorders
gt gt gt gt gt gt gt
,https://www.stuvia.com/user/Prose1
Week 8 gt
Pediatrics
Unit IV - Common Childhood Conditions and Disorders
gt gt gt gt gt gt gt
,https://www.stuvia.com/user/Prose1
• Chapter 15 - Behavioral and Mental Health Promotion
gt gt gt gt gt gt gt
• Chapter 24 - Injury Prevention and Child Maltreatment
gt gt gt gt gt gt gt
• Chapter 30 - Neurodevelopmental, Behavioral, and Mental Health Disorders
gt gt gt gt gt gt gt gt
Eye disorders
gt
,https://www.stuvia.com/user/Prose1
2
• USPSTF recommendations for vision screening for children 6 months to 5 years of age note
gt gt gt gt gt gt gt gt gt gt gt gt gt gt
that screening tests have reasonable accuracy in identifying strabismus, amblyopia, and
gt gt gt gt gt gt gt gt gt gt gt
refractive errors in children 3 to 5 years of age.
gt gt gt gt gt gt gt gt gt gt
• Refractive errors are the most common visual disorders seen in children
gt gt gt gt gt gt gt gt gt gt
o Myopia, or nearsightedness, exists when the axial length of the eye is increased in
gt gt gt gt gt gt gt gt gt gt gt gt gt
relation to the eye’s optical power. As a result, light from a distant object is focused in
gt gt gt gt gt gt gt gt gt gt gt gt gt gt gt gt gt
front of the retina rather than directly on it. A myopic child sees close objects clearly but
gt gt gt gt gt gt gt gt gt gt gt gt gt gt gt gt
distant objects are blurry.
gt gt gt gt
▪ Myopia may be present at birth however more likely to develop between 6 and 9 gt gt gt gt gt gt gt gt gt gt gt gt gt
years of age, with increased prevalence after the adolescent growth spurt. Mild
gt gt gt gt gt gt gt gt gt gt gt gt
hyperopia is normal in a young child and should decrease rapidly between 7 and
gt gt gt gt gt gt gt gt gt gt gt gt gt gt
14 years of age. gt gt gt gt
o Hyperopia, or farsightedness, exists when the visual image is focused behind the gt gt gt gt gt gt gt gt gt gt gt
retina. As a result, distant objects are seen clearly but close objects are blurry.
gt gt gt gt gt gt gt gt gt gt gt gt gt gt
o Astigmatism exists when the curvature of the cornea or the lens is uneven; thus the gt gt gt gt gt gt gt gt gt gt gt gt gt gt
retina cannot appropriately focus light from an object regardless of the distance,
gt gt gt gt gt gt gt gt gt gt gt gt
which makes vision blurry close up and far away. Rarely, astigmatism can be caused
gt gt gt gt gt gt gt gt gt gt gt gt gt gt
by an alteration in the corneal sphere caused by a soft tissue mass on the inner aspect
gt gt gt gt gt gt gt gt gt gt gt gt gt gt gt gt gt
of the eyelid, such as a chalazion or hemangioma.
gt gt gt gt gt gt gt gt gt
o Anisometropia is a different refractive error in each eye. It may consist of any gt gt gt gt gt gt gt gt gt gt gt gt gt
combination of refractive errors discussed earlier, or it may occur with aphakia.
gt gt gt gt gt gt gt gt gt gt gt gt
• Amblyopia usually a unilateral deficit in which there is defective development of the visual
gt gt gt gt gt gt gt gt gt gt gt gt gt
pathways needed to attain central vision
gt gt gt gt gt gt
o Clear focused images fail to reach the brain, resulting in reduced or permanent loss of
gt gt gt gt gt gt gt gt gt gt gt gt gt gt
vision.gt
o The condition is labeled (or typed) according to the structural or refractive problem that
gt gt gt gt gt gt gt gt gt gt gt gt gt
is causing the poor visual image to reach the brain: deprivational, or obstruction of
gt gt gt gt gt gt gt gt gt gt gt gt gt gt
vision (e.g., caused by ptosis, cataract, nystagmus), strabismic (caused by strabismus
g t gt gt gt gt gt gt gt gt gt gt
or lazy eye), or refractive (myopia, hyperopia, astigmatism, anisometropia). Diagnosis of
gt gt gt gt gt gt gt gt gt gt gt
amblyopia prevents permanent loss of vision in the affected eye.
gt gt gt gt gt gt gt gt gt gt
o clinical findings: gt
▪ Squinting, tendency to cover or close one eye when concentrating gt gt gt gt gt gt gt gt gt
▪ Abnormal vision, cover/uncover, and/or fundoscopic exam gt gt gt gt gt
▪ Pain in or around eyes and/or headaches (rare) gt gt gt gt gt gt gt
▪ Fatigue, dizziness gt
▪ Developmental delay gt
▪ Family history of refractive errors, strabismus, or amblyopia gt gt gt gt gt gt gt
o Management:
▪ Refer to an ophthalmologist or optometrist for prescription corrective lenses. gt gt gt gt gt gt gt gt gt
School-age children and teenagers should participate in the selection of frames;
gt gt gt gt gt gt gt gt gt gt gt
contact lenses may be considered. gt gt gt gt gt
▪ Once a refractive error has been determined or if a child is wearing glasses, gt gt gt gt gt gt gt gt gt gt gt gt gt
annual evaluations are recommended. gt gt gt gt
▪ Moderate amblyopia usually responds to 2 hours of daily patching or weekend gt gt gt gt gt gt gt gt gt gt gt
atropine (produces cycloplegia of nonamblyopic eye).
gt gt gt gt gt gt
▪ Untreated or inadequately treated amblyopia in young childhood results in gt gt gt gt gt gt gt gt gt
irreversible and lifelong visual lossgt gt gt gt gt
• Strabismus defect in ocular alignment, or the position of the eyes in relation to each other; it
gt gt gt gt gt gt gt gt gt gt gt gt gt gt gt gt
is commonly called lazy eye.
gt gt gt gt gt
o strabismus may be hereditary or the result of various eye diseases (e.g., gt gt gt gt gt gt gt gt gt gt gt
neuroblastoma), trauma, systemic or neurologic dysfunction that paralyzes the
gt gt gt gt gt gt gt gt gt
