NR602 FINAL EXAM/NR 602 FINAL EXAM 2026 EDITION REAL EXAM
(COMPLETE EXAM) 150 QUESTIONS AND CORRECT DETAILED ANSWERS
The parent of an infant experiencing colic asks about using a probiotic D.There is no conclusive evidence about using probiotics to treat colic.
medication. What will the primary care
pediatric NP tell this parent?
A. Probiotic medications have demonstrated efficacy in
treating colic.
B. Probiotics are not safe to use to treat infants who have colic.
C.There are no studies showing usefulness of probiotic
to manage colic.
D.There is no conclusive evidence about using probiotics
to treat colic.
A toddler who was born prematurely refuses most solid D.Videofluroscopy swallowing study (VOSS)
foods and has poor weight gain. A barium swallow study
reveals a normal esophagus. What will the primary care
pediatric NP consider the next to manage this child's
nutritional needs?
A.consultation wvith dietician
B.Fiberoptic endoscopy evaluation.
C.MRI
D.Videofluroscopy swallowing study (VOSS)
,A toddler is seen in clinic after a 2-day hx of intermittent D.Oral rehydration solution with f/u in 24H
V/D. An assessment reveals an irritable child with dry
mucous membranes,3-second cap refill.2-second recoil of skin, mild
tachycardia and tachypnea, and cool hands and feet. The child has had
2 wet diapers in the past 24
hours. What will the primary care pediatric NP
recommend?
A.anti-diarrheal medication & clear fluids for 24H
B. Bolus of IV NS in the clinic until improvement
C. Hospital admission for IV rehydration & oral fluids
D.Oral rehydration solution with f/u in 24H
A 9-year old girl has a hx of frequent vomiting and her mother has D. Refer to a pediatric gastroenterologist for frther workup.
frequent migraine ha. The child has recently begun having more
frequent and prolonged episodes
accompanied by headaches. An exam reveals abnormal
eye movement and mild ataxia. What is the correct
action?
A.begin using anti-migraine meds to prevent HA
B. Prescribe ondansetron and lorazepam to help manage
SX
C. Reassure the parent that this is expected with cyclic vomiting
syndrome
D. Refer to a pediatric gastroenterologist for further workup.
The parent of a 3-month-old reports that the infant reports that the A. Begin a trial of extensively hydrolyzed protein formula for 2-4 wks.
infant arches and gags while feeding and spits up undigested formula
frequently. The infant's weight gain has dropped to the 5th percentile
from the
12th.What is the best course of tx for this infant?
A.Begin a trial of extensively hydrolyzed protein formula for 2-4 wks.
B. Institute an emperic trial of acid suppression with a PPI
C.Perform esophageal pH monitoring to determine the degree of
reflux.
D. Reassure the parent that these sx will likely resolved by 12-24 mo.
D.Referral for EGD
A school-age child has a 3-month hx of dull,aching epigastric pain
that worsens with eating and awakens from sleep.A CBC shows a
Hgb of 8mg/dL.What is the next step in management.
A.Administration of HH RA or PPI meds
B. Empiric therapy for H.pylori
C.Ordering an upper GI series
D.Referral for EGD
, A 2-mo old infant cries up to 4 hours each day and according to the B. Eliminating certain foods from the mother's diet.
parents, is inconsolable during crying
episodes with fits and legs notes to be tense and stiff.The infant is
breastfeeding frequently but is often fussy during feedings. The PE is
normal and the infant is gaining weight normally. What will the primary
care pediatric NP recommend?
A.A complete work-up, including lab and radiologic tests.
B. Eliminating certain foods from the mother's diet.
C.Empiric tx w/PPI
D. Stopping breastfeeding & beginning a hydrolyzed formula
b.Have the parents watch for the object in the child's stool.
A child is in the clinic after swallowing a metal bead.A radiograph of the
Gl tract shows a 6 mm cylindrical object in the child's stomach. The child
is able to swallow without difficulty and is not experiencing pain. What
is the correct course of treatment?
a.Administer ipecac to induce vomiting.
b. Have the parents watch for the object in the child's stool.
c. Insert a nasogastric tube to flush out the object.
d. Refer the child for endoscopic removal of the object.
A 10-year-old child has had abdominal pain for 2 days,which began in A.Appendicitis w/perf
the periumbilical area and then localized to the RLQ.The child vomited
once today and then
experienced relief from pain followed by an increased
fever.What is the likely diagnosis?
A.Appendicitis w/perf
B.Gastroenteritis
C.Pelvic inflammatory disease (PID)
D.UTI
An 18-month-old child has a l-day hx of intermittent,cramping abd C.Intussusception
pain w/non-bilious vomiting. The child observed to scream and
draw up his legs during pain
episodes and becomes lethargic in between. The primary
care pediatric NP notes ta small amount of bloody,
mucous stool in the diaper. What is the most likely
diagnosis?
A.Appendicitis
B.Gastroenteritis
C.Intussusception
D.Testicular torsion
(COMPLETE EXAM) 150 QUESTIONS AND CORRECT DETAILED ANSWERS
The parent of an infant experiencing colic asks about using a probiotic D.There is no conclusive evidence about using probiotics to treat colic.
medication. What will the primary care
pediatric NP tell this parent?
A. Probiotic medications have demonstrated efficacy in
treating colic.
B. Probiotics are not safe to use to treat infants who have colic.
C.There are no studies showing usefulness of probiotic
to manage colic.
D.There is no conclusive evidence about using probiotics
to treat colic.
A toddler who was born prematurely refuses most solid D.Videofluroscopy swallowing study (VOSS)
foods and has poor weight gain. A barium swallow study
reveals a normal esophagus. What will the primary care
pediatric NP consider the next to manage this child's
nutritional needs?
A.consultation wvith dietician
B.Fiberoptic endoscopy evaluation.
C.MRI
D.Videofluroscopy swallowing study (VOSS)
,A toddler is seen in clinic after a 2-day hx of intermittent D.Oral rehydration solution with f/u in 24H
V/D. An assessment reveals an irritable child with dry
mucous membranes,3-second cap refill.2-second recoil of skin, mild
tachycardia and tachypnea, and cool hands and feet. The child has had
2 wet diapers in the past 24
hours. What will the primary care pediatric NP
recommend?
A.anti-diarrheal medication & clear fluids for 24H
B. Bolus of IV NS in the clinic until improvement
C. Hospital admission for IV rehydration & oral fluids
D.Oral rehydration solution with f/u in 24H
A 9-year old girl has a hx of frequent vomiting and her mother has D. Refer to a pediatric gastroenterologist for frther workup.
frequent migraine ha. The child has recently begun having more
frequent and prolonged episodes
accompanied by headaches. An exam reveals abnormal
eye movement and mild ataxia. What is the correct
action?
A.begin using anti-migraine meds to prevent HA
B. Prescribe ondansetron and lorazepam to help manage
SX
C. Reassure the parent that this is expected with cyclic vomiting
syndrome
D. Refer to a pediatric gastroenterologist for further workup.
The parent of a 3-month-old reports that the infant reports that the A. Begin a trial of extensively hydrolyzed protein formula for 2-4 wks.
infant arches and gags while feeding and spits up undigested formula
frequently. The infant's weight gain has dropped to the 5th percentile
from the
12th.What is the best course of tx for this infant?
A.Begin a trial of extensively hydrolyzed protein formula for 2-4 wks.
B. Institute an emperic trial of acid suppression with a PPI
C.Perform esophageal pH monitoring to determine the degree of
reflux.
D. Reassure the parent that these sx will likely resolved by 12-24 mo.
D.Referral for EGD
A school-age child has a 3-month hx of dull,aching epigastric pain
that worsens with eating and awakens from sleep.A CBC shows a
Hgb of 8mg/dL.What is the next step in management.
A.Administration of HH RA or PPI meds
B. Empiric therapy for H.pylori
C.Ordering an upper GI series
D.Referral for EGD
, A 2-mo old infant cries up to 4 hours each day and according to the B. Eliminating certain foods from the mother's diet.
parents, is inconsolable during crying
episodes with fits and legs notes to be tense and stiff.The infant is
breastfeeding frequently but is often fussy during feedings. The PE is
normal and the infant is gaining weight normally. What will the primary
care pediatric NP recommend?
A.A complete work-up, including lab and radiologic tests.
B. Eliminating certain foods from the mother's diet.
C.Empiric tx w/PPI
D. Stopping breastfeeding & beginning a hydrolyzed formula
b.Have the parents watch for the object in the child's stool.
A child is in the clinic after swallowing a metal bead.A radiograph of the
Gl tract shows a 6 mm cylindrical object in the child's stomach. The child
is able to swallow without difficulty and is not experiencing pain. What
is the correct course of treatment?
a.Administer ipecac to induce vomiting.
b. Have the parents watch for the object in the child's stool.
c. Insert a nasogastric tube to flush out the object.
d. Refer the child for endoscopic removal of the object.
A 10-year-old child has had abdominal pain for 2 days,which began in A.Appendicitis w/perf
the periumbilical area and then localized to the RLQ.The child vomited
once today and then
experienced relief from pain followed by an increased
fever.What is the likely diagnosis?
A.Appendicitis w/perf
B.Gastroenteritis
C.Pelvic inflammatory disease (PID)
D.UTI
An 18-month-old child has a l-day hx of intermittent,cramping abd C.Intussusception
pain w/non-bilious vomiting. The child observed to scream and
draw up his legs during pain
episodes and becomes lethargic in between. The primary
care pediatric NP notes ta small amount of bloody,
mucous stool in the diaper. What is the most likely
diagnosis?
A.Appendicitis
B.Gastroenteritis
C.Intussusception
D.Testicular torsion
