NR602 FINAL EXAM/NR 602 FINAL EXAM LATEST 2025 REAL EXAM
(COMPLETE EXAM) 150 QUESTIONS WITH ACCURATE ANSWERS
• What hormone has been shown to help with relieving the mood
discomfort cluster of symptoms of PMS?
• Diuretics
• NSAID
• Progesterone
• Fluoxetine correct answer • Progesterone
A 2-mo old infant cries up to 4 hours each day and according to the 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 correct answer B.
Eliminating certain foods from the mother's diet.
A 2-year-old child has an acute diarrheal illness. The child is afebrile and with oral
rehydration measures, has remained well hydrated. The parent asks what can be
done to help shorten the course of this illness. What will the primary care
pediatric NP recommend?
A. Clear liquids only
B. Lactobacillus
C. Loperamide
,D. Peppermint oil correct answer B. Lactobacillus
A 6-month-old infant has a retractile testis that was noted at the 2-month well
baby exam. What will the NP do to manage this condition?
A. Reassure the parent that the testis will most likely descend into place on its
own
B. Refer the infant to a pediatric urologist or surgeon for possible orchiopexy
C. Teach the parent to manipulate the testis into the scrotum during diaper
changes
D. Tell the parent that hormonal therapy may be needed to correct the condition
correct answer B. Refer the infant to a pediatric urologist or surgeon for possible
orchiopexy
A 9-month-old infant is brought to the clinic with scrotal swelling and fussiness.
The NP notes a tender mass in the affected scrotum that is difficult to reduce.
What is the correct action?
A. obtain an abdominal radiograph
B. refer immediately to a pediatric surgeon
C. Schedule an apt w/a pediatric urologist
D. Teach the parents signs of incarceration correct answer B. refer immediately to
a pediatric surgeon
A 9-year old girl has a hx of frequent vomiting and her mother has 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. correct answer D.
Refer to a pediatric gastroenterologist for further workup.
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
A 10-year-old child has had abdominal pain for 2 days, which began in 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 correct answer A. Appendicitis w/perf
A 12-month old infant exhibits poor wt. gain after previously normal growth
patterns. There is no hx of V/D, or irregular BM, and the PE is normal. What is the
next step in evaluating these findings?
A. CBC and electrolytes
B. Feeding and stooling hx and 3-day diet hx
, C. Stool cx for ova and parasites
D. swallow study with videofluoroscopy correct answer B. Feeding and stooling hx
and 3-day diet hx
A 12-year-old child has a recent hx of inc thirst & frequent urination. This child's
wt has been in the 95th percentile for several yrs. A dipstick UA is positive for
glucose, & random plasma glucose is 350 mg/dL. What test will the NP order to
determine the type of diabetes in this child?
A. fasting plasma glucose
B. Hgb A1C
C. Pancreatic autoantibodies
D. Thyroid function tests correct answer C. Pancreatic autoantibodies
A 13-year-old child has exhibited sx of mild depression for several weeks. The
parent reports feeling relieved that the sx have passed but concerned that the
child now seems to have boundless energy and an inability to sit still. What will
the NP do?
A. Administer an ADHD dx scale and consider an ADHD med
B. Consult w/a child psychiatrist to prescribe an antidepressant med
C. Reassure the parent that this behavior is common after mild depression sx
D. Refer the child to a child psychiatrist for evaluation of bipolar disorder correct
answer D. Refer the child to a child psychiatrist for evaluation of bipolar disorder
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
(COMPLETE EXAM) 150 QUESTIONS WITH ACCURATE ANSWERS
• What hormone has been shown to help with relieving the mood
discomfort cluster of symptoms of PMS?
• Diuretics
• NSAID
• Progesterone
• Fluoxetine correct answer • Progesterone
A 2-mo old infant cries up to 4 hours each day and according to the 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 correct answer B.
Eliminating certain foods from the mother's diet.
A 2-year-old child has an acute diarrheal illness. The child is afebrile and with oral
rehydration measures, has remained well hydrated. The parent asks what can be
done to help shorten the course of this illness. What will the primary care
pediatric NP recommend?
A. Clear liquids only
B. Lactobacillus
C. Loperamide
,D. Peppermint oil correct answer B. Lactobacillus
A 6-month-old infant has a retractile testis that was noted at the 2-month well
baby exam. What will the NP do to manage this condition?
A. Reassure the parent that the testis will most likely descend into place on its
own
B. Refer the infant to a pediatric urologist or surgeon for possible orchiopexy
C. Teach the parent to manipulate the testis into the scrotum during diaper
changes
D. Tell the parent that hormonal therapy may be needed to correct the condition
correct answer B. Refer the infant to a pediatric urologist or surgeon for possible
orchiopexy
A 9-month-old infant is brought to the clinic with scrotal swelling and fussiness.
The NP notes a tender mass in the affected scrotum that is difficult to reduce.
What is the correct action?
A. obtain an abdominal radiograph
B. refer immediately to a pediatric surgeon
C. Schedule an apt w/a pediatric urologist
D. Teach the parents signs of incarceration correct answer B. refer immediately to
a pediatric surgeon
A 9-year old girl has a hx of frequent vomiting and her mother has 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. correct answer D.
Refer to a pediatric gastroenterologist for further workup.
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
A 10-year-old child has had abdominal pain for 2 days, which began in 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 correct answer A. Appendicitis w/perf
A 12-month old infant exhibits poor wt. gain after previously normal growth
patterns. There is no hx of V/D, or irregular BM, and the PE is normal. What is the
next step in evaluating these findings?
A. CBC and electrolytes
B. Feeding and stooling hx and 3-day diet hx
, C. Stool cx for ova and parasites
D. swallow study with videofluoroscopy correct answer B. Feeding and stooling hx
and 3-day diet hx
A 12-year-old child has a recent hx of inc thirst & frequent urination. This child's
wt has been in the 95th percentile for several yrs. A dipstick UA is positive for
glucose, & random plasma glucose is 350 mg/dL. What test will the NP order to
determine the type of diabetes in this child?
A. fasting plasma glucose
B. Hgb A1C
C. Pancreatic autoantibodies
D. Thyroid function tests correct answer C. Pancreatic autoantibodies
A 13-year-old child has exhibited sx of mild depression for several weeks. The
parent reports feeling relieved that the sx have passed but concerned that the
child now seems to have boundless energy and an inability to sit still. What will
the NP do?
A. Administer an ADHD dx scale and consider an ADHD med
B. Consult w/a child psychiatrist to prescribe an antidepressant med
C. Reassure the parent that this behavior is common after mild depression sx
D. Refer the child to a child psychiatrist for evaluation of bipolar disorder correct
answer D. Refer the child to a child psychiatrist for evaluation of bipolar disorder
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
