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NR602 MIDTERM EXAM/NR 602 MIDTERM EXAM
LATEST 2026/2027 REAL EXAM (COMPLETE EXAM)
150 QUESTIONS AND CORRECT
ANSWERS|AGRADE
A 13-year-old Native American female has a body mass index (BMI) at the 90th percentile for age. The
NP notes the presence of a hyperpigmented velvet-like rash in skin folds. The child denies polydipsia,
polyphagia, and polyuria. The NP will take what action?
A. Counsel the child to lose weight to prevent type 2 DM
B. Diagnose DM2 in the child has a random glucose of 180ml/dL
C. Order a fasting blood sample for a metabolic screen for DM2
D. Refer the child to a pediatric endocrinologist - correct answer -C. Order a fasting blood sample for a
metabolic screen for DM2
The NP prescribes metformin for a 15-year-old adolescent newly dx with DM2. What will the NP
include when teaching the adolescent about this drug?
A. That insulin therapy will be necessary in the future
B. The importance of checking blood glucose 3-4 times a day
C. To consume a diet w/food high in Vit B12
D. To use a stool softener to prevent GI SE - correct answer -B. The importance of checking blood
glucose 3-4 times a day
A child dx w/ADHD has difficulty stopping activities to begin other activities at school. The NP
understands that this is due to difficulty with what self-regulation ability?
A. Emotional control
B. Flexibility
C. Inhibition
D. Problem-solving - correct answer -B. Flexibility
,The NP care for a preschool-age child who was exposed to drugs prenatally. The child bites other
children and has tantrums when asked to stop but is able to state later why this behavior is wrong. This
child most likely has a disorder related to what process?
A. Executive function
B. Information processing
C. Sensory processing
D. Social cognition - correct answer -A. Executive function
The parent of a child dx with ADHD tells the NP that the child gets overwhelmed by homework
assignments, doesn't seem to know which ones to do first, and then doesn't do any assignments. The NP
tells the parents that this represents impairment in which executive function?
A. Activation
B. Effort
C. Emotion
D. Focus - correct answer -A. Activation
The NP is performing an examination on a 5-year-old child who exhibits ritualistic behaviors, avoids
contact w/other children, and has limited speech. The parent reports having had concerns more than 2
years ago about autism, but was told that it was too early to diagnose. What will the NP do first?
A. Admin an M-CHAT screen to screen the child for communication and socialization delays
B. Ask the parent to describe the child's earlier behaviors from infancy through preschool
C. Reassure the parent that if sx weren't present earlier, the likelihood of autism is low
D. Refer the child to a pediatric behavioral specialist to develop a plan of tx and management - correct
answer -B. Ask the parent to describe the child's earlier behaviors from infancy through preschool
The NP is examining a 3-year-old child who speaks loudly, in a monotone, does not make eye contact,
and preforms to sit on the exam room floor moving a toy truck back and forth in a repetitive manner.
What disorder does the NP suspect?
A. ADHD
B. Autism
C. Executive function disorder
D. Sensory processing disorder - correct answer -B. Autism
, The NP is conducting a f/u exam on a child who has recently begun taking a low-dose stimulant
medication to tx ADHD. The child's school performance and home behaviors have improved. The child's
parent reports noticing a few tics, such as twitching of the eyelids, but the child is unaware of them and
isn't bothered by them. What will the NP recommend?
A. Adding an alpha-agonist medication
B. Changing to a non-stimulant medication
C. Continuing the medication as prescribed
D. Stopping the medication immediately - correct answer -C. Continuing the medication as prescribed
A 9-year-old child exhibits school refusal and a reluctance to attend sleepovers with classmates. The
parent is concerned because the child has recently begun sleeping in the parents' bed. What initial
action by the NP is appropriate?
A. Assess for environmental stress, parental dysfunction, and maternal depression
B. Ask about traumatic events that may have precipitated this behavior
C. Consider a possible pediatric autoimmune neuropsychiatric disorder cause
D. Recommend firm insistence on school and activity attendance - correct answer -A. Assess for
environmental stress, parental dysfunction, and maternal depression
The parent of a school-age child reports that the child becomes frustrated when unable to perform tasks
well and often has temper tantrums and difficulty sleeping. What disorder may be considered for this
child?
A. Generalized anxiety disorder (GAD)
B. Obsessive-compulsive disorder (OCD)
C. Pediatric autoimmune neuropsychiatric disorder associated with streptococcal infections (PANDAS)
D. Separation anxiety disorder (SAD) - correct answer -A. Generalized anxiety disorder (GAD)
The parent of a school-age girl reports that the child has difficulty getting ready for school and is often
late because of a need to check and recheck whether her teeth are clean and her room light has been
turned off. What will the NP recommend to this parent?
A. Cognitive-behavioral therapy
B. Deferral to tx until sx worsen
NR602 MIDTERM EXAM/NR 602 MIDTERM EXAM
LATEST 2026/2027 REAL EXAM (COMPLETE EXAM)
150 QUESTIONS AND CORRECT
ANSWERS|AGRADE
A 13-year-old Native American female has a body mass index (BMI) at the 90th percentile for age. The
NP notes the presence of a hyperpigmented velvet-like rash in skin folds. The child denies polydipsia,
polyphagia, and polyuria. The NP will take what action?
A. Counsel the child to lose weight to prevent type 2 DM
B. Diagnose DM2 in the child has a random glucose of 180ml/dL
C. Order a fasting blood sample for a metabolic screen for DM2
D. Refer the child to a pediatric endocrinologist - correct answer -C. Order a fasting blood sample for a
metabolic screen for DM2
The NP prescribes metformin for a 15-year-old adolescent newly dx with DM2. What will the NP
include when teaching the adolescent about this drug?
A. That insulin therapy will be necessary in the future
B. The importance of checking blood glucose 3-4 times a day
C. To consume a diet w/food high in Vit B12
D. To use a stool softener to prevent GI SE - correct answer -B. The importance of checking blood
glucose 3-4 times a day
A child dx w/ADHD has difficulty stopping activities to begin other activities at school. The NP
understands that this is due to difficulty with what self-regulation ability?
A. Emotional control
B. Flexibility
C. Inhibition
D. Problem-solving - correct answer -B. Flexibility
,The NP care for a preschool-age child who was exposed to drugs prenatally. The child bites other
children and has tantrums when asked to stop but is able to state later why this behavior is wrong. This
child most likely has a disorder related to what process?
A. Executive function
B. Information processing
C. Sensory processing
D. Social cognition - correct answer -A. Executive function
The parent of a child dx with ADHD tells the NP that the child gets overwhelmed by homework
assignments, doesn't seem to know which ones to do first, and then doesn't do any assignments. The NP
tells the parents that this represents impairment in which executive function?
A. Activation
B. Effort
C. Emotion
D. Focus - correct answer -A. Activation
The NP is performing an examination on a 5-year-old child who exhibits ritualistic behaviors, avoids
contact w/other children, and has limited speech. The parent reports having had concerns more than 2
years ago about autism, but was told that it was too early to diagnose. What will the NP do first?
A. Admin an M-CHAT screen to screen the child for communication and socialization delays
B. Ask the parent to describe the child's earlier behaviors from infancy through preschool
C. Reassure the parent that if sx weren't present earlier, the likelihood of autism is low
D. Refer the child to a pediatric behavioral specialist to develop a plan of tx and management - correct
answer -B. Ask the parent to describe the child's earlier behaviors from infancy through preschool
The NP is examining a 3-year-old child who speaks loudly, in a monotone, does not make eye contact,
and preforms to sit on the exam room floor moving a toy truck back and forth in a repetitive manner.
What disorder does the NP suspect?
A. ADHD
B. Autism
C. Executive function disorder
D. Sensory processing disorder - correct answer -B. Autism
, The NP is conducting a f/u exam on a child who has recently begun taking a low-dose stimulant
medication to tx ADHD. The child's school performance and home behaviors have improved. The child's
parent reports noticing a few tics, such as twitching of the eyelids, but the child is unaware of them and
isn't bothered by them. What will the NP recommend?
A. Adding an alpha-agonist medication
B. Changing to a non-stimulant medication
C. Continuing the medication as prescribed
D. Stopping the medication immediately - correct answer -C. Continuing the medication as prescribed
A 9-year-old child exhibits school refusal and a reluctance to attend sleepovers with classmates. The
parent is concerned because the child has recently begun sleeping in the parents' bed. What initial
action by the NP is appropriate?
A. Assess for environmental stress, parental dysfunction, and maternal depression
B. Ask about traumatic events that may have precipitated this behavior
C. Consider a possible pediatric autoimmune neuropsychiatric disorder cause
D. Recommend firm insistence on school and activity attendance - correct answer -A. Assess for
environmental stress, parental dysfunction, and maternal depression
The parent of a school-age child reports that the child becomes frustrated when unable to perform tasks
well and often has temper tantrums and difficulty sleeping. What disorder may be considered for this
child?
A. Generalized anxiety disorder (GAD)
B. Obsessive-compulsive disorder (OCD)
C. Pediatric autoimmune neuropsychiatric disorder associated with streptococcal infections (PANDAS)
D. Separation anxiety disorder (SAD) - correct answer -A. Generalized anxiety disorder (GAD)
The parent of a school-age girl reports that the child has difficulty getting ready for school and is often
late because of a need to check and recheck whether her teeth are clean and her room light has been
turned off. What will the NP recommend to this parent?
A. Cognitive-behavioral therapy
B. Deferral to tx until sx worsen
