NR602-FINAL QUESTIONS EXAM WITH
CORRECT QUESTIONS AND ANSWERS
2025
Chapter 40 - GI Disorders - CORRECT ANSWERS
The parent of a colicky infant asks about using a probiotic medication.
What will you tell them? - CORRECT ANSWERSThere is no conclusive evidence about
using probiotics to treat colic.
A toddler who was born prematurely refuses most solid foods and has poor weight gain.
A barium swallow study reveals a normal esophagus.
What will the primary care pediatric nurse practitioner consider next to manage this
child's nutritional needs? - CORRECT ANSWERSVideo fluoroscopy swallowing study
A toddler is seen in the clinic after a 2 day history of intermittent vomiting and diarrhea.
An assessment reveals an irritable child with dry mucous membranes, 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? - CORRECT
ANSWERSOral rehydration solution with follow-up in 24 hours.
A 9-year-old girl has a history of frequent vomiting, and her mother has frequent
migraine headaches. The child has recently begun having more frequent and prolonged
episodes accompanied by headaches. An exam reveals abnormal eye movements and
mild ataxia.
, What is the correct action? - CORRECT ANSWERSRefer to a pediatric
gastroenterologist for further workup.
The parent of a 3-month-old reports that the infant arches and gags while feeding and
spits up undigested formula frequently. The infant's weight gain has dropped to the 5th
percentile from the 12 th percentile.
What is the best course of treatment for this infant? - CORRECT ANSWERSBegin a trial
of extensively hydrolyzed protein formula for 2-4 weeks.
A school age child has a 3-month history of dull, aching epigastric pain that worsens with
eating and awakens the child from sleep. A complete blood count shows a hemoglobin of
8 mg/dL.
What is the next step in management? - CORRECT ANSWERSRefer for EGD.
A 2-month-old infant cries up to 4 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 frequently 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? - CORRECT
ANSWERSEliminating certain foods from the mother's diet.
A child is in the clinic after swallowing a metal bead. A radiograph of the GI tract shows
a 6 mm cylindrical object in the child's stomach. The child is able to swallow without
difficulty and is not experiencing pain.
What is the correct course of treatment? - CORRECT ANSWERSHave the parents watch
for the object in the child's stool.
A 10-year-old child has had abdominal pain for 2 days, which began in the
periumbilical area and 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? - CORRECT ANSWERSAppendicitis with perforation
An 18-month-old child has a 1 day history of 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 primary care pediatric nurse practitioner
notes a small amount of bloody, mucous stool in the diaper.
What is the most likely diagnosis? - CORRECT ANSWERSIntussusception
A school age child has had 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 does not have vomiting or diarrhea and is
gaining weight normally. The physical exam is normal.
According to Bishop, what is included in the initial diagnostic workup for this child? -
CORRECT ANSWERSCBC
ESR
Amylase
Lipase
UA
Abdominal ultrasound
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? - CORRECT
ANSWERSTeaching about the brain gut interaction causing symptoms.
A school age child has recurrent diarrhea with foul smelling stools, excessive
flatus, abdominal distension, and failure to thrive. A 2-week lactose free trial failed to
reduce symptoms.
What is the next step in diagnosing this condition? - CORRECT ANSWERSSerologic
testing for celiac disease.
A child is diagnosed with Crohn's disease.
CORRECT QUESTIONS AND ANSWERS
2025
Chapter 40 - GI Disorders - CORRECT ANSWERS
The parent of a colicky infant asks about using a probiotic medication.
What will you tell them? - CORRECT ANSWERSThere is no conclusive evidence about
using probiotics to treat colic.
A toddler who was born prematurely refuses most solid foods and has poor weight gain.
A barium swallow study reveals a normal esophagus.
What will the primary care pediatric nurse practitioner consider next to manage this
child's nutritional needs? - CORRECT ANSWERSVideo fluoroscopy swallowing study
A toddler is seen in the clinic after a 2 day history of intermittent vomiting and diarrhea.
An assessment reveals an irritable child with dry mucous membranes, 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? - CORRECT
ANSWERSOral rehydration solution with follow-up in 24 hours.
A 9-year-old girl has a history of frequent vomiting, and her mother has frequent
migraine headaches. The child has recently begun having more frequent and prolonged
episodes accompanied by headaches. An exam reveals abnormal eye movements and
mild ataxia.
, What is the correct action? - CORRECT ANSWERSRefer to a pediatric
gastroenterologist for further workup.
The parent of a 3-month-old reports that the infant arches and gags while feeding and
spits up undigested formula frequently. The infant's weight gain has dropped to the 5th
percentile from the 12 th percentile.
What is the best course of treatment for this infant? - CORRECT ANSWERSBegin a trial
of extensively hydrolyzed protein formula for 2-4 weeks.
A school age child has a 3-month history of dull, aching epigastric pain that worsens with
eating and awakens the child from sleep. A complete blood count shows a hemoglobin of
8 mg/dL.
What is the next step in management? - CORRECT ANSWERSRefer for EGD.
A 2-month-old infant cries up to 4 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 frequently 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? - CORRECT
ANSWERSEliminating certain foods from the mother's diet.
A child is in the clinic after swallowing a metal bead. A radiograph of the GI tract shows
a 6 mm cylindrical object in the child's stomach. The child is able to swallow without
difficulty and is not experiencing pain.
What is the correct course of treatment? - CORRECT ANSWERSHave the parents watch
for the object in the child's stool.
A 10-year-old child has had abdominal pain for 2 days, which began in the
periumbilical area and 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? - CORRECT ANSWERSAppendicitis with perforation
An 18-month-old child has a 1 day history of 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 primary care pediatric nurse practitioner
notes a small amount of bloody, mucous stool in the diaper.
What is the most likely diagnosis? - CORRECT ANSWERSIntussusception
A school age child has had 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 does not have vomiting or diarrhea and is
gaining weight normally. The physical exam is normal.
According to Bishop, what is included in the initial diagnostic workup for this child? -
CORRECT ANSWERSCBC
ESR
Amylase
Lipase
UA
Abdominal ultrasound
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? - CORRECT
ANSWERSTeaching about the brain gut interaction causing symptoms.
A school age child has recurrent diarrhea with foul smelling stools, excessive
flatus, abdominal distension, and failure to thrive. A 2-week lactose free trial failed to
reduce symptoms.
What is the next step in diagnosing this condition? - CORRECT ANSWERSSerologic
testing for celiac disease.
A child is diagnosed with Crohn's disease.
