NR 602 MIDTERM EXAM PRACTICE
TEST & STUDY GUIDE 2024-2025
QUESTIONS AND DETAIED CORRECT
ANSWERS | A+ STUDY MATERIAL
What are the main sources of health indicators for
pediatrics? Correct Answer Healthy People
Bright Futures
Bright futures Correct Answer National initiative for well
child visits and preventative screenings for kids
12 health-promotion themes like mental health, nutrition,
exercise, oral health, etc.
What should be included in a well child visit for a 9mo old
vs 7yo vs 16yo? Correct Answer 9mo - vision, hearing,
lead screen
7yo - ht/wt/BMI, BP, immunizations
16yo - ht/wt/BMI, developmental & psychosocial &
behavioral & depression assessment, immunizations,
vision test, tobacco/alcohol/drug assessment, testing for
anemia, dyslipidemia and STIs
Healthy People objectives for immunizations Correct
Answer Decrease number of kids without vaccines by 2yo
Maintain 2 doses of MMR vaccines
Increase coverage of 4 doses of DTaP by 2yo
,Active v passive immunity Correct Answer Active : body
makes antibodies after exposure to antigen (live, toxoid,
inactivated, conjugate, or actual virus)
Passive : the short-term immunity that results from the
introduction of antibodies from another person (natural) or
monoclonal antibodies (artificial, for immunocompromised
that can't get live vaccine or were exposed and there isn't
time for vaccine)
Toxoid v inactivated v conjugate vaccine Correct Answer
Toxoid - ex. diphtheria, tetanus - uses toxin made by germ
Inactivated - ex. polio, flu - uses dead germ
Subunit/conjugate - ex. PCV, hib - uses a germ piece
(protein)
Common adverse effects of vaccines Correct Answer
injection site soreness, fever, muscle aches
AE: anaphylaxis
Seizures and encephalitis possible with MMR though rare
Meningitis, hepatitis, pneumonia possible with varicella
although rare
Management of abrasions (scrapes) Correct Answer
Clean, open to air or cover, topic antibiotic ointment q24h
Management of puncture wounds Correct Answer
Puncture through shoes - R/F pseudomonas
Dog/cat bite - R/F pasteurella multocida
,Puncture to bone/joint - R/F osteomylitis
Simple uncomplicated - no antibiotic
Bad location (genitalia, foot, bone...) - antibiotic
Bacteria on skin that can cause infection w/ puncture
sound Correct Answer Staph aureus, beta-hemolytic
streptococci
Antibiotic for human and animal bites Correct Answer
Amoxicillin/clavulanate
Cephalosporin or Bactrim+Clindamyclin if PCN allergy
Management of ingrown toenail Correct Answer Pack
cotton under nail
Soak in warm water and epsom salts TID
Cx podiatry
Management of subungual hematoma Correct Answer
drainage then at home soak TID in antibacterial soapy
water
splint if fracture
cx ortho if needed
Management of laceration (deep cut) Correct Answer
Leave animal and human bites open usually or delay
closure
Otherwise close sooner than later
Antibiotics if contaminated
Cx ortho or plastics if hands, genitals or face involved
, Management of burns Correct Answer Depends on
severity (superficial, partial-thickness [superficial or deep],
full thickness) and body surface area involved (the worse
the burn, the less BSA required to need emergent
attention)
Types of burns Correct Answer Superficial - red, painful,
no blister, epidermis only
Superficial PT - red, pain, blister
Deep PT - pale, yellow, weepy
Full thickness - white, waxy, leathery, nontender, fluid
loss, epidemic and dermis
Management of contusions and hematomas Correct
Answer Contusions - bruise
Hematoma - raised bruise
PRICE - protect rest ice compress elevate
What is Hymenoptera? Correct Answer ants, bees, wasp
bites
mild reaction to anaphylaxis
remove stinger with sharp object like credit card
do not squeeze b/c will release venom
Types of vaccines Correct Answer - live attenuated
- inactivated/killed
- partially inactivated
- mRNA
- toxoid
