4/6/25, 8:29 NR602 Final Exam Peds |
AM
NR602 FINAL EXAM PEDS EXAM QUESTIONS AND ANSWERS WITH
COMPLETE SOLUTIONS VERIFIED LATEST UPDATE
Terms in this set (73)
What will the NP tell the parents about There is no conclusive evidence about using probiotics to treat colic
the use of probiotics?
Premature infant with poor feeding has Video fluoroscopy swallowing study
a barium study with a normal
esophagus what should the NP
consider next to manage the child's
nutritional needs?
A toddler is seen in the clinic for 2 days of Oral rehydration solution with follow up in 24 hours
vomiting & diarrhea. Assessment
reveals an irritable child, with dry
mucous membranes, 3 second cap refill,
2 second recoil of skin, mild
tachycardia and tachypnea. Cool hands
and feet. The child has had two wet
diapers in 24 hours. What will the NP
recommend?
A 9 year old girl has a history of Refer to pediatric gastroenterologist for further workup
frequent vomiting and her mother has
frequent migraines. The child has
begun having more frequent and
prolonged episodes accompanied by
headaches. An exam reveals abnormal
eye movement and mild ataxia. What is
the correct action?
The parent of a 3 month old reports that Begin a trial of extensively hydrolyzed protein formula for 2 to 4 weeks
the infant arches and gags while feeding
and spits up undigested formula
frequently. The infants weight gain
has dropped to 5th percentile from
12th percentile. What is the best
course of treatment for this infant?
A school aged child has a 3 month history Referral for esophagogastroduodenoscopy (EGD)
of dull, aching, epigastric pain that
worsens with eating and awakens the
child from sleep. A CBC shows a
hemoglobin of 8mg/dL. What is the
next step in management?
A 2 month old infant cries up to 4 Eliminating certain food from the mothers diet
hours each day and according to the
parents is inconsolable during crying
episodes with fists and legs noted to be
tense and stiff. The infant is
breastfeeding exclusively and is often
fussy during feedings.
Physical exam is normal with infant
gaining weight normally. What would
the NP recommend?
A child is in the clinic after swallowing Have the parents watch for the object in the child's stool
a metal bead. A xray of the GI tract
shows a 6mm cylindrical object in the
child's stomach. The child is able to
swallow without difficulty and is not
experiencing pain. What is the correct
1/
9
, 4/6/25, 8:29 NR602 Final Exam Peds |
AM
course of
treatment?
A 10 year old has had abdominal pain for Appendicitis with perforation
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 18 month old child has 1 day history of Intussusception
intermittent cramping abdominal pain
with nonbilious vomiting. The child is
observed to scream and draw up his legs
during pain episodes and becomes
lethargic in between. The NP notes a
small amount of bloody, mucous stool in
the diaper. What is the most likely
diagnosis?
A school age child has had CBC, ESR, amylase, lipase, UA, and abdominal US
abdominal pain for 3 months that
occurs once or twice weekly and is
associated with a headache and
occasional difficulty sleeping, often
causing the child to stay home from
school. The child has not vomited or
had diarrhea and is gaining weight
normally. The physical exam is
normal. What should be included in the
initial diagnostic workup?
An adolescent is diagnosed with Teaching about the brain gut interaction causing symptoms
functional abdominal pain. The child's
symptoms worsen during stressful events,
especially school anxiety. What will be an
important part of treatment for this child?
A school age child has recurrent Serologic testing for celiac disease
diarrhea with foul smelling stools,
excessive flatus, abdominal distention,
and failure to thrive. A 2 week lactose
free trial failed to reduce symptoms.
What is the next step in diagnosing the
child?
A child is diagnosed with Crohn disease. Intestinal obstruction with scarring and strictures
What are the likely complications for
this child?
A 12 month old infant exhibits poor Feeding and stool history and 3 day diet history
weight gain after previous normal
growth patterns. There is no history of
vomiting, diarrhea, or irregular bowel
movements and the physical exam is
normal. What is
the next step in evaluating these findings?
2/
9
AM
NR602 FINAL EXAM PEDS EXAM QUESTIONS AND ANSWERS WITH
COMPLETE SOLUTIONS VERIFIED LATEST UPDATE
Terms in this set (73)
What will the NP tell the parents about There is no conclusive evidence about using probiotics to treat colic
the use of probiotics?
Premature infant with poor feeding has Video fluoroscopy swallowing study
a barium study with a normal
esophagus what should the NP
consider next to manage the child's
nutritional needs?
A toddler is seen in the clinic for 2 days of Oral rehydration solution with follow up in 24 hours
vomiting & diarrhea. Assessment
reveals an irritable child, with dry
mucous membranes, 3 second cap refill,
2 second recoil of skin, mild
tachycardia and tachypnea. Cool hands
and feet. The child has had two wet
diapers in 24 hours. What will the NP
recommend?
A 9 year old girl has a history of Refer to pediatric gastroenterologist for further workup
frequent vomiting and her mother has
frequent migraines. The child has
begun having more frequent and
prolonged episodes accompanied by
headaches. An exam reveals abnormal
eye movement and mild ataxia. What is
the correct action?
The parent of a 3 month old reports that Begin a trial of extensively hydrolyzed protein formula for 2 to 4 weeks
the infant arches and gags while feeding
and spits up undigested formula
frequently. The infants weight gain
has dropped to 5th percentile from
12th percentile. What is the best
course of treatment for this infant?
A school aged child has a 3 month history Referral for esophagogastroduodenoscopy (EGD)
of dull, aching, epigastric pain that
worsens with eating and awakens the
child from sleep. A CBC shows a
hemoglobin of 8mg/dL. What is the
next step in management?
A 2 month old infant cries up to 4 Eliminating certain food from the mothers diet
hours each day and according to the
parents is inconsolable during crying
episodes with fists and legs noted to be
tense and stiff. The infant is
breastfeeding exclusively and is often
fussy during feedings.
Physical exam is normal with infant
gaining weight normally. What would
the NP recommend?
A child is in the clinic after swallowing Have the parents watch for the object in the child's stool
a metal bead. A xray of the GI tract
shows a 6mm cylindrical object in the
child's stomach. The child is able to
swallow without difficulty and is not
experiencing pain. What is the correct
1/
9
, 4/6/25, 8:29 NR602 Final Exam Peds |
AM
course of
treatment?
A 10 year old has had abdominal pain for Appendicitis with perforation
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 18 month old child has 1 day history of Intussusception
intermittent cramping abdominal pain
with nonbilious vomiting. The child is
observed to scream and draw up his legs
during pain episodes and becomes
lethargic in between. The NP notes a
small amount of bloody, mucous stool in
the diaper. What is the most likely
diagnosis?
A school age child has had CBC, ESR, amylase, lipase, UA, and abdominal US
abdominal pain for 3 months that
occurs once or twice weekly and is
associated with a headache and
occasional difficulty sleeping, often
causing the child to stay home from
school. The child has not vomited or
had diarrhea and is gaining weight
normally. The physical exam is
normal. What should be included in the
initial diagnostic workup?
An adolescent is diagnosed with Teaching about the brain gut interaction causing symptoms
functional abdominal pain. The child's
symptoms worsen during stressful events,
especially school anxiety. What will be an
important part of treatment for this child?
A school age child has recurrent Serologic testing for celiac disease
diarrhea with foul smelling stools,
excessive flatus, abdominal distention,
and failure to thrive. A 2 week lactose
free trial failed to reduce symptoms.
What is the next step in diagnosing the
child?
A child is diagnosed with Crohn disease. Intestinal obstruction with scarring and strictures
What are the likely complications for
this child?
A 12 month old infant exhibits poor Feeding and stool history and 3 day diet history
weight gain after previous normal
growth patterns. There is no history of
vomiting, diarrhea, or irregular bowel
movements and the physical exam is
normal. What is
the next step in evaluating these findings?
2/
9
