NR 602 FINAL EXAM CHAMBERLAIN
QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES ||
100% GUARANTEED PASS!!
<LATEST VERSION>
CHAMBERLAIN COLLEGE OF NURSING
1.
A 2-year-old presents with vomiting and diarrhea for 24 hours. Capillary refill is 4
seconds, mucous membranes are dry, and the child is irritable. Which finding best
supports a diagnosis of moderate dehydration?
A. Tachypnea
B. Sunken fontanelle
C. Capillary refill >3 seconds
D. Bradycardia
Correct Answer: C
Rationale:
Capillary refill greater than 3 seconds is a reliable indicator of moderate
dehydration in children. Sunken fontanelle is more severe, while tachypnea and
bradycardia are not primary indicators of dehydration severity.
,2.
A 6-year-old presents with periumbilical pain that has migrated to the right lower
quadrant, anorexia, and fever. Which physical finding most strongly supports
appendicitis?
A. Rebound tenderness
B. Hyperactive bowel sounds
C. Left lower quadrant pain
D. Abdominal distention
Correct Answer: A
Rationale:
Rebound tenderness in the right lower quadrant is classic for appendicitis.
Hyperactive bowel sounds and distention are nonspecific, while left-sided pain is
atypical.
3.
Which laboratory finding is most consistent with acute bacterial infection in a
child?
A. Elevated lymphocytes
B. Decreased hemoglobin
C. Elevated neutrophils
D. Increased platelets
Correct Answer: C
Rationale:
Neutrophilia is associated with bacterial infections, while lymphocytosis is more
common in viral illness.
,4.
A 9-month-old has not yet achieved independent sitting. Which action is most
appropriate?
A. Reassure parents this is normal
B. Assess for developmental red flags
C. Initiate toilet training education
D. Refer for speech therapy
Correct Answer: B
Rationale:
Independent sitting is expected by 6–8 months. Delay requires further
developmental assessment.
5.
Which statement by a parent indicates understanding of toilet training readiness?
A. “I will begin when my child is 18 months old.”
B. “I will wait until my child stays dry for several hours.”
C. “I will start when my child can say simple words.”
D. “I will begin when my child stops napping.”
Correct Answer: B
Rationale:
Physiologic readiness includes bladder control, demonstrated by staying dry for
extended periods.
6.
A 4-year-old swallowed a coin one hour ago and is asymptomatic. What is the best
initial management?
A. Immediate surgical removal
B. Endoscopy within 24 hours
, C. Observe and monitor stools
D. Induce vomiting
Correct Answer: C
Rationale:
Asymptomatic ingestion of a coin beyond the esophagus is typically managed
conservatively with observation.
7.
Which electrolyte abnormality is most commonly associated with prolonged
vomiting in children?
A. Hyperkalemia
B. Hyponatremia
C. Hypokalemia
D. Hypercalcemia
Correct Answer: C
Rationale:
Loss of gastric contents leads to potassium depletion and hypokalemia.
8.
A pregnant patient at 28 weeks gestation reports regular uterine contractions every
10 minutes. What is the priority action?
A. Reassure the patient
B. Assess cervical dilation
C. Administer oxytocin
D. Schedule induction
Correct Answer: B
Rationale:
Regular contractions before 37 weeks require evaluation for preterm labor,
including cervical assessment.
QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES ||
100% GUARANTEED PASS!!
<LATEST VERSION>
CHAMBERLAIN COLLEGE OF NURSING
1.
A 2-year-old presents with vomiting and diarrhea for 24 hours. Capillary refill is 4
seconds, mucous membranes are dry, and the child is irritable. Which finding best
supports a diagnosis of moderate dehydration?
A. Tachypnea
B. Sunken fontanelle
C. Capillary refill >3 seconds
D. Bradycardia
Correct Answer: C
Rationale:
Capillary refill greater than 3 seconds is a reliable indicator of moderate
dehydration in children. Sunken fontanelle is more severe, while tachypnea and
bradycardia are not primary indicators of dehydration severity.
,2.
A 6-year-old presents with periumbilical pain that has migrated to the right lower
quadrant, anorexia, and fever. Which physical finding most strongly supports
appendicitis?
A. Rebound tenderness
B. Hyperactive bowel sounds
C. Left lower quadrant pain
D. Abdominal distention
Correct Answer: A
Rationale:
Rebound tenderness in the right lower quadrant is classic for appendicitis.
Hyperactive bowel sounds and distention are nonspecific, while left-sided pain is
atypical.
3.
Which laboratory finding is most consistent with acute bacterial infection in a
child?
A. Elevated lymphocytes
B. Decreased hemoglobin
C. Elevated neutrophils
D. Increased platelets
Correct Answer: C
Rationale:
Neutrophilia is associated with bacterial infections, while lymphocytosis is more
common in viral illness.
,4.
A 9-month-old has not yet achieved independent sitting. Which action is most
appropriate?
A. Reassure parents this is normal
B. Assess for developmental red flags
C. Initiate toilet training education
D. Refer for speech therapy
Correct Answer: B
Rationale:
Independent sitting is expected by 6–8 months. Delay requires further
developmental assessment.
5.
Which statement by a parent indicates understanding of toilet training readiness?
A. “I will begin when my child is 18 months old.”
B. “I will wait until my child stays dry for several hours.”
C. “I will start when my child can say simple words.”
D. “I will begin when my child stops napping.”
Correct Answer: B
Rationale:
Physiologic readiness includes bladder control, demonstrated by staying dry for
extended periods.
6.
A 4-year-old swallowed a coin one hour ago and is asymptomatic. What is the best
initial management?
A. Immediate surgical removal
B. Endoscopy within 24 hours
, C. Observe and monitor stools
D. Induce vomiting
Correct Answer: C
Rationale:
Asymptomatic ingestion of a coin beyond the esophagus is typically managed
conservatively with observation.
7.
Which electrolyte abnormality is most commonly associated with prolonged
vomiting in children?
A. Hyperkalemia
B. Hyponatremia
C. Hypokalemia
D. Hypercalcemia
Correct Answer: C
Rationale:
Loss of gastric contents leads to potassium depletion and hypokalemia.
8.
A pregnant patient at 28 weeks gestation reports regular uterine contractions every
10 minutes. What is the priority action?
A. Reassure the patient
B. Assess cervical dilation
C. Administer oxytocin
D. Schedule induction
Correct Answer: B
Rationale:
Regular contractions before 37 weeks require evaluation for preterm labor,
including cervical assessment.
