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NR 602 Final Exam Study Guide | Advanced Practice Nursing Questions and Verified Answers with Rationales Graded a+ Latest

HEAL100 Health Care — exam and revision material · Other

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Health Care exam material, 52 pages. Originally published on StudyMerit.

Pages
52
Academic year
2025/2026
Language
English

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NR 602 FINAL EXAM (2026 UPDATE) PRIMARY CARE OF THE CHILDBEARING AND CHILDREARING FAMILY QUESTIONS AND VERIFIED ANSWERS WITH RATIONALES GRADED A+ LATEST | CHAMBERLAIN 1. A 30 - week gestation woman presents wit h sudden, painless vaginal bleeding. Fetal heart tones are normal. The most likely diagnosis is: A. Placenta previa B. Abruptio placentae C. Preterm labor D. Vaginal infection Answer: A Rationale: Painless, bright - red third - trimester bleeding with a soft u terus is classic for placenta previa. Immediate evaluation is required to prevent maternal and fetal complications. 2. A 4 - year - old presents with fever, irritability, and a maculopapular rash that began on the face and s pread to the trunk and extremities. Most likely diagnosis: A. Measles B. Rubella C. Scarlet fever D. Fifth disease Answer: A Rationale: Measles presents with fever, cough, coryza, conjunctivitis, and a maculopapular rash that spreads from face to trunk.

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3. A 26 - week gestation woman reports persistent headaches, blurred vision, and BP of 160/102 mmHg. Urine shows 3+ protein. The most likely diagnosis is: A. Severe preeclampsia B. Chronic hypertension C. Gestational hyper tension D. Migraine Answer: A Rationale: Severe hypertension with proteinuria after 20 weeks gestation is consistent with preeclampsia. Neurologic symptoms indicate severe disease, requiring urgent management. 4. A 6 - mon th - old infant presents with projectile vomiting, dehydration, and a palpable “olive” in the right upper quadrant. The most likely diagnosis is: A. Pyloric stenosis B. Gastroesophageal reflux C. Intussusception D. Malrotation Answer: A Rationale: Projectile vomiting and palpable pyloric mass are pathognomonic for hypertrophic pyloric stenosis in infants. 5. A 15 - year - old female presents with irregular menses, acne, and hirsutism. Labs reveal elevated androgen levels. Most likely diagnosis: A. Polycystic ovary syndrome (PCOS) B. Hypothyroidism C. Cushing syndrome D. Premature ovarian failure Answer: A Rationale: Hyperandrogenism with menstrual irregularities in adolescents is characteristic of PCOS.

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6. A 32 - week gestation woman presents with intense pruritus on palms and soles. Labs show elevated bile acids. Most likely diagnosis: A. Intrahepatic cholestasis of pregnancy B. Preeclampsia C. HELLP syndrome D. Hyperemesis gravidarum Answer: A Rationale: Intrahepatic cholestasis of pregnancy presents with pruritus and elevated bile acids. Monitoring and potential early delivery may be necessary to prevent fetal complications. 7. A 2 - week - old newborn presents with jaundice visible in the first 24 hours of life. Most appropriate next step is: A. Evaluate for hemolysis, infection, and other pathologic causes B. Reassure parents and monitor at ho me C. Begin phototherapy immediately D. Stop breastfeeding Answer: A Rationale: Jaundice within the first 24 hours is considered pathologic and requires evaluation for underlying causes such as hemolysis or infection. 8. A 5 - year - old presents with acute onset fever, cough, and inspiratory stridor. A barking cough is noted. Most likely cause: A. Parainfluenza virus B. Streptococcus pyogenes C. Haemophilus influenzae type B D. Respiratory syncytial virus (RSV)

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