NR602 FINAL EXAM/NR 602 FINAL EXAM
QUESTIONS AND ANSWERS | LATEST VERSION
Save
Terms in this set (110)
The parent of an infant experiencing D. There is no conclusive evidence about using
colic asks about using a probiotic 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 D. Videofluroscopy swallowing study (VOSS)
refuses most solid 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 with dietician
B. Fiberoptic endoscopy evaluation.
C. MRI
D. Videofluroscopy swallowing study
(VOSS)
A toddler is seen in clinic after a 2- D. Oral rehydration solution with f/u in 24H
day hx of intermittent 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 D. Refer to a pediatric gastroenterologist for further
vomiting and her mother has frequent workup.
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 A. Begin a trial of extensively hydrolyzed protein
that the infant reports that the infant formula for 2-4 wks.
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.
A school-age child has a 3-month hx D. Referral for EGD
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 H RA or PPI
meds
B. Empiric therapy for H. pylori
C. Ordering an upper GI series
D. Referral for EGD
QUESTIONS AND ANSWERS | LATEST VERSION
Save
Terms in this set (110)
The parent of an infant experiencing D. There is no conclusive evidence about using
colic asks about using a probiotic 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 D. Videofluroscopy swallowing study (VOSS)
refuses most solid 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 with dietician
B. Fiberoptic endoscopy evaluation.
C. MRI
D. Videofluroscopy swallowing study
(VOSS)
A toddler is seen in clinic after a 2- D. Oral rehydration solution with f/u in 24H
day hx of intermittent 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 D. Refer to a pediatric gastroenterologist for further
vomiting and her mother has frequent workup.
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 A. Begin a trial of extensively hydrolyzed protein
that the infant reports that the infant formula for 2-4 wks.
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.
A school-age child has a 3-month hx D. Referral for EGD
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 H RA or PPI
meds
B. Empiric therapy for H. pylori
C. Ordering an upper GI series
D. Referral for EGD
