Final Exam NR 602 Questions with verified correct detailed
answers latest update 2025
1. The parent of an infant asks about using a probiotic d. There is no
medication. What will the primary care pediatric conclusive evidence
nurse practitioner tell this parent? about using probi-
a. Probiotic medications have demonstrated effica- otics to treat colic.
cy in treating colic.
b. Probiotics are not safe to use to treat infants who
have colic.
c. There are no studies showing usefulness of pro-
biotics to manage colic.
d. There is no conclusive evidence about using
probiotics to treat colic.
2. A toddler who was born prematurely refuses most d. Video fluoroscopy
solid foods and has poor weight gain. A barium swallowing study.
swallow study reveals a normal esophagus. What
will the primary care pediatric nurse practitioner
consider next to manage this child's nutritional
needs?
a. Consultation with a dietician
b. Fiberoptic endoscopy evaluation
c. Magnetic resonance imaging
d. Video fluoroscopy swallowing study.
3. A toddler is seen in the clinic after a 2 day history of d. Oral rehydration
intermittent vomiting and diarrhea. An assessment solution with fol-
reveals an irritable child with dry mucous mem- low-up in 24 hours.
branes, 3 second capillary refill, 2 second recoil
of skin, mild tachycardia and tachypnea, and cool
hands and feet. The child has had two wet diapers
in the past 24 hours. What will the primary care
pediatric nurse practitioner recommend?
a. Antidiarrheal medication and clear fluids for 24
hours
b. Bolus of IV normal saline in the clinic until im-
provement
c. Hospital admission for IV rehydration and oral
fluids
d. Oral rehydration solution with follow-up in 24
hours.
, Final Exam NR 602 Questions with verified correct detailed
answers latest update 2025
4. A 9-year-old girl has a history of frequent vomiting, b. Refer to a pe-
and her mother has frequent migraine headaches. diatric gastroenterol-
The child has recently begun having more fre- ogist for further
quent and prolonged episodes accompanied by workup. Correct
headaches. An exam reveals abnormal eye move-
ments and mild ataxia. What is the correct action?
a. Begin using an antimigraine medication to pre-
vent headaches.
b. Refer to a pediatric gastroenterologist for further
workup.
c. Prescribe ondansetron and lorazepam to help
manage symptoms.
d. Reassure the parent that this is expected with
cyclic vomiting syndrome.
5. The parent of a 3-month-old reports that the infant a. Begin a trial of ex-
arches and gags while feeding and spits up undi- tensively hydrolyzed
gested formula frequently. The infant's weight gain protein formula for 2
has dropped to the 5th percentile from the 12th to 4 weeks.
percentile. 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. Institute an empiric trial of acid suppression with
a proton pump inhibitor (PPI).
c. Perform esophageal pH monitoring to determine
the degree of reflux.
d. Reassure the parent that these symptoms will
likely resolve by 12 to 24 months.
6. A school-age child has a 3 month history of dull, a d. Referral for
ching epigastric pain that worsens with eating and esophagogastroduo-
awakens the child from sleep. A complete blood denoscopy (EGD)
count shows a hemoglobin of 8 mg/dL. What is the Correct
next step in management?
a. Administration of H2RA or PPI medications
b. Empiric therapy for H. pylori (HP)
c. Ordering an upper GI series
, Final Exam NR 602
Study online at https://quizlet.com/_fwb1b3
d. Referral for esophagogastroduodenoscopy
(EGD)
7. A 2-month-old infant cries up to 4 hours each day b. Eliminating certain
and, according to the parents, is inconsolable dur- foods from the moth-
ing crying episodes with fists and legs noted to be er's diet
tense and stiff. The infant is breastfeeding frequent-
ly but is often fussy during feedings. The physical
exam is normal, and the infant is gaining weight
normally. What will the primary care pediatric nurse
practitioner recommend?
a. A complete workup, including laboratory and
radiologic tests
b. Eliminating certain foods from the mother's diet
c. Empiric treatment with a proton pump inhibitor
medication
d. Stopping breastfeeding and beginning a hy-
drolyzed formula
8. A child is in the clinic after swallowing a metal bead. b. Have the parents
A radiograph of the GI tract shows 6 mm cylindrical watch for the object
object in the child's stomach. The child can swal- in the child's stool.
low 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.
9. A 10-year-old child has had abdominal pain for 2 a. Appendicitis with
days, which began in the periumbilical area and perforation.
then localized to the right lower quadrant. The child
vomited once today and then experienced relief
from pain followed by an increased fever. What is
the likely diagnosis?
a. Appendicitis with perforation.
b. Gastroenteritis
answers latest update 2025
1. The parent of an infant asks about using a probiotic d. There is no
medication. What will the primary care pediatric conclusive evidence
nurse practitioner tell this parent? about using probi-
a. Probiotic medications have demonstrated effica- otics to treat colic.
cy in treating colic.
b. Probiotics are not safe to use to treat infants who
have colic.
c. There are no studies showing usefulness of pro-
biotics to manage colic.
d. There is no conclusive evidence about using
probiotics to treat colic.
2. A toddler who was born prematurely refuses most d. Video fluoroscopy
solid foods and has poor weight gain. A barium swallowing study.
swallow study reveals a normal esophagus. What
will the primary care pediatric nurse practitioner
consider next to manage this child's nutritional
needs?
a. Consultation with a dietician
b. Fiberoptic endoscopy evaluation
c. Magnetic resonance imaging
d. Video fluoroscopy swallowing study.
3. A toddler is seen in the clinic after a 2 day history of d. Oral rehydration
intermittent vomiting and diarrhea. An assessment solution with fol-
reveals an irritable child with dry mucous mem- low-up in 24 hours.
branes, 3 second capillary refill, 2 second recoil
of skin, mild tachycardia and tachypnea, and cool
hands and feet. The child has had two wet diapers
in the past 24 hours. What will the primary care
pediatric nurse practitioner recommend?
a. Antidiarrheal medication and clear fluids for 24
hours
b. Bolus of IV normal saline in the clinic until im-
provement
c. Hospital admission for IV rehydration and oral
fluids
d. Oral rehydration solution with follow-up in 24
hours.
, Final Exam NR 602 Questions with verified correct detailed
answers latest update 2025
4. A 9-year-old girl has a history of frequent vomiting, b. Refer to a pe-
and her mother has frequent migraine headaches. diatric gastroenterol-
The child has recently begun having more fre- ogist for further
quent and prolonged episodes accompanied by workup. Correct
headaches. An exam reveals abnormal eye move-
ments and mild ataxia. What is the correct action?
a. Begin using an antimigraine medication to pre-
vent headaches.
b. Refer to a pediatric gastroenterologist for further
workup.
c. Prescribe ondansetron and lorazepam to help
manage symptoms.
d. Reassure the parent that this is expected with
cyclic vomiting syndrome.
5. The parent of a 3-month-old reports that the infant a. Begin a trial of ex-
arches and gags while feeding and spits up undi- tensively hydrolyzed
gested formula frequently. The infant's weight gain protein formula for 2
has dropped to the 5th percentile from the 12th to 4 weeks.
percentile. 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. Institute an empiric trial of acid suppression with
a proton pump inhibitor (PPI).
c. Perform esophageal pH monitoring to determine
the degree of reflux.
d. Reassure the parent that these symptoms will
likely resolve by 12 to 24 months.
6. A school-age child has a 3 month history of dull, a d. Referral for
ching epigastric pain that worsens with eating and esophagogastroduo-
awakens the child from sleep. A complete blood denoscopy (EGD)
count shows a hemoglobin of 8 mg/dL. What is the Correct
next step in management?
a. Administration of H2RA or PPI medications
b. Empiric therapy for H. pylori (HP)
c. Ordering an upper GI series
, Final Exam NR 602
Study online at https://quizlet.com/_fwb1b3
d. Referral for esophagogastroduodenoscopy
(EGD)
7. A 2-month-old infant cries up to 4 hours each day b. Eliminating certain
and, according to the parents, is inconsolable dur- foods from the moth-
ing crying episodes with fists and legs noted to be er's diet
tense and stiff. The infant is breastfeeding frequent-
ly but is often fussy during feedings. The physical
exam is normal, and the infant is gaining weight
normally. What will the primary care pediatric nurse
practitioner recommend?
a. A complete workup, including laboratory and
radiologic tests
b. Eliminating certain foods from the mother's diet
c. Empiric treatment with a proton pump inhibitor
medication
d. Stopping breastfeeding and beginning a hy-
drolyzed formula
8. A child is in the clinic after swallowing a metal bead. b. Have the parents
A radiograph of the GI tract shows 6 mm cylindrical watch for the object
object in the child's stomach. The child can swal- in the child's stool.
low 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.
9. A 10-year-old child has had abdominal pain for 2 a. Appendicitis with
days, which began in the periumbilical area and perforation.
then localized to the right lower quadrant. The child
vomited once today and then experienced relief
from pain followed by an increased fever. What is
the likely diagnosis?
a. Appendicitis with perforation.
b. Gastroenteritis
