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Pediatric Primary Care- Final Exam Questions Newest
2026 Exam Latest Version Solved Questions & Answers
Verified 100 %
Get all Pediatric test banks for Exam preparation for 2026. The test banks
include comprehensive preparation are designed to significantly enhance your
likelihood of passing all exams on the first attempt, with a success rate of up
to 97%. start preparing for your upcoming exams email
Get all NCLEX Tutorial Classes and test banks for Exam preparation for 2026. The
test banks include comprehensive preparation for both Exam I and Exam II, and are
designed to significantly enhance your likelihood of passing all exams on the first
attempt
An 18-month-old child has a 1-day history of intermittent, cramping abdominal
pain with inconsolability. When the child has pain he screams and cries, then
falls asleep in mom's arms afterwards. While the child is resting, the NP
assesses the child and notes the abdomen is soft, round, and minimally
tender. What is the most concerning diagnosis?
a)
Intussusception
b)
Appendicitis
c)
Gastroenteritis
, Page 2 of 58
d)
Temper tantrums
a)
Intussusception
An adolescent is diagnosed with functional abdominal pain (FAP). The child's
symptoms worsen during stressful events, especially with school anxiety.
What will be an important part of treatment for this child?
a)
Instituting a lactose-free diet along with lactobacillus supplements
b)
Informing the parents that the pain is most likely not real
c)
Using histamine2-blockers to help alleviate symptoms
d)
Teaching about the brain-gut interaction causing symptoms
d)
Teaching about the brain-gut interaction causing symptoms
The parent of a 4-month-old reports that the infant arches and gags while
feeding and spits up undigested formula frequently. The infant was born at 3.2
kg and weighs 6 kg today. What is the best course of treatment for this infant?
a)
Begin a trial of extensively hydrolyzed protein formula for 2 to 4 weeks.
b)
Recommend smaller, more frequent feeds and sitting upright after feeding.
c)
Institute an empiric trial of acid suppression with a proton pump inhibitor
(PPI).
d)
Perform esophageal pH monitoring to determine the degree of reflux.
b)
Recommend smaller, more frequent feeds and sitting upright after feeding.
The parent of a 4-week-old infant reports that the infant began having forceful
vomiting 1 week prior, which has worsened over time. The infant continues to
nurse well but is losing weight. A physical examination reveals a 90-g weight
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loss over the past 2 weeks, dry mucous membranes, and a sunken fontanel.
You obtain serum electrolytes and expect to see what derrangement?
a)
Hyperkalemic, hyperchloremic metabolic alkalosis
b)
Hyperkalemic, hyperchloremic metabolic acidosis
c)
Hypokalemic, hypochloremic metabolic alkalosis
d)
Hypokalemic, hypochloremic metabolic acidosis
c)
Hypokalemic, hypochloremic metabolic alkalosis
The parent of a toddler tells the primary care pediatric nurse practitioner that
the family has adopted a plant-based diet and the child is receiving rice and
almond milk instead of cow's milk. The nurse practitioner will counsel the
parents about:
a)
protein deficiency.
b)
calcium deficiency.
c)
excess fat intake.
d)
excess caloric intake.
a)
protein deficiency.
The parents of a toddler tell the primary care pediatric nurse practitioner that
they get frustrated trying to get the child to eat any vegetables other than
squash and carrots. What will the nurse practitioner recommend?
a)
Continue to offer a variety of foods without forcing the child to eat them.
b)
Require the child to take 1 to 2 bites of each food at each meal.
c)
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Offer snacks to make up for calories the child misses by not eating the
vegetables.
d)
Prepare dishes the child likes to ensure that a vegetable is eaten at each meal.
a)
Continue to offer a variety of foods without forcing the child to eat them.
The primary care pediatric nurse practitioner is performing a well child
examination on a 15-year-old girl who consumes a vegan diet. Based on this
assessment, which nutrients may this adolescent need to supplement?
a)
Iron, folic acid, and B12
b)
Vitamin D, vitamin C, and phosphorus
c)
Calcium, vitamin C, and vitamin A
d)
Magnesium, vitamin E, and zinc
a)
Iron, folic acid, and B12
A 3-month-old infant is brought to the clinic by parents concerned about
frequent "spitting up" after feeds. The infant was born at term, is exclusively
breastfed, and has gained weight appropriately (from 3.2 kg at birth to 5.8 kg
currently). The infant is happy, feeds well, and has 6-8 wet diapers daily.
Physical examination reveals a well-appearing, thriving infant with normal vital
signs and no abdominal distention or masses. Which of the following is the
most appropriate initial management?
A)
Provide reassurance and anticipatory guidance
B)
Refer to pediatric gastroenterology for endoscopy
C)
Initiate a proton pump inhibitor for 4-8 weeks
D)
Recommend maternal elimination of dairy products
Pediatric Primary Care- Final Exam Questions Newest
2026 Exam Latest Version Solved Questions & Answers
Verified 100 %
Get all Pediatric test banks for Exam preparation for 2026. The test banks
include comprehensive preparation are designed to significantly enhance your
likelihood of passing all exams on the first attempt, with a success rate of up
to 97%. start preparing for your upcoming exams email
Get all NCLEX Tutorial Classes and test banks for Exam preparation for 2026. The
test banks include comprehensive preparation for both Exam I and Exam II, and are
designed to significantly enhance your likelihood of passing all exams on the first
attempt
An 18-month-old child has a 1-day history of intermittent, cramping abdominal
pain with inconsolability. When the child has pain he screams and cries, then
falls asleep in mom's arms afterwards. While the child is resting, the NP
assesses the child and notes the abdomen is soft, round, and minimally
tender. What is the most concerning diagnosis?
a)
Intussusception
b)
Appendicitis
c)
Gastroenteritis
, Page 2 of 58
d)
Temper tantrums
a)
Intussusception
An adolescent is diagnosed with functional abdominal pain (FAP). The child's
symptoms worsen during stressful events, especially with school anxiety.
What will be an important part of treatment for this child?
a)
Instituting a lactose-free diet along with lactobacillus supplements
b)
Informing the parents that the pain is most likely not real
c)
Using histamine2-blockers to help alleviate symptoms
d)
Teaching about the brain-gut interaction causing symptoms
d)
Teaching about the brain-gut interaction causing symptoms
The parent of a 4-month-old reports that the infant arches and gags while
feeding and spits up undigested formula frequently. The infant was born at 3.2
kg and weighs 6 kg today. What is the best course of treatment for this infant?
a)
Begin a trial of extensively hydrolyzed protein formula for 2 to 4 weeks.
b)
Recommend smaller, more frequent feeds and sitting upright after feeding.
c)
Institute an empiric trial of acid suppression with a proton pump inhibitor
(PPI).
d)
Perform esophageal pH monitoring to determine the degree of reflux.
b)
Recommend smaller, more frequent feeds and sitting upright after feeding.
The parent of a 4-week-old infant reports that the infant began having forceful
vomiting 1 week prior, which has worsened over time. The infant continues to
nurse well but is losing weight. A physical examination reveals a 90-g weight
, Page 3 of 58
loss over the past 2 weeks, dry mucous membranes, and a sunken fontanel.
You obtain serum electrolytes and expect to see what derrangement?
a)
Hyperkalemic, hyperchloremic metabolic alkalosis
b)
Hyperkalemic, hyperchloremic metabolic acidosis
c)
Hypokalemic, hypochloremic metabolic alkalosis
d)
Hypokalemic, hypochloremic metabolic acidosis
c)
Hypokalemic, hypochloremic metabolic alkalosis
The parent of a toddler tells the primary care pediatric nurse practitioner that
the family has adopted a plant-based diet and the child is receiving rice and
almond milk instead of cow's milk. The nurse practitioner will counsel the
parents about:
a)
protein deficiency.
b)
calcium deficiency.
c)
excess fat intake.
d)
excess caloric intake.
a)
protein deficiency.
The parents of a toddler tell the primary care pediatric nurse practitioner that
they get frustrated trying to get the child to eat any vegetables other than
squash and carrots. What will the nurse practitioner recommend?
a)
Continue to offer a variety of foods without forcing the child to eat them.
b)
Require the child to take 1 to 2 bites of each food at each meal.
c)
, Page 4 of 58
Offer snacks to make up for calories the child misses by not eating the
vegetables.
d)
Prepare dishes the child likes to ensure that a vegetable is eaten at each meal.
a)
Continue to offer a variety of foods without forcing the child to eat them.
The primary care pediatric nurse practitioner is performing a well child
examination on a 15-year-old girl who consumes a vegan diet. Based on this
assessment, which nutrients may this adolescent need to supplement?
a)
Iron, folic acid, and B12
b)
Vitamin D, vitamin C, and phosphorus
c)
Calcium, vitamin C, and vitamin A
d)
Magnesium, vitamin E, and zinc
a)
Iron, folic acid, and B12
A 3-month-old infant is brought to the clinic by parents concerned about
frequent "spitting up" after feeds. The infant was born at term, is exclusively
breastfed, and has gained weight appropriately (from 3.2 kg at birth to 5.8 kg
currently). The infant is happy, feeds well, and has 6-8 wet diapers daily.
Physical examination reveals a well-appearing, thriving infant with normal vital
signs and no abdominal distention or masses. Which of the following is the
most appropriate initial management?
A)
Provide reassurance and anticipatory guidance
B)
Refer to pediatric gastroenterology for endoscopy
C)
Initiate a proton pump inhibitor for 4-8 weeks
D)
Recommend maternal elimination of dairy products
