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-answers>>>>There 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-answers>>>>Video
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-answers>>>>Oral 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-answers>>>>Refer 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-
answers>>>>Begin 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-answers>>>>Refer 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-answers>>>>Eliminating 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-answers>>>>Have 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-answers>>>>Appendicitis 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-answers>>>>Intussusception
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-answers>>>>CBC
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-
answers>>>>Teaching 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.
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-answers>>>>There 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-answers>>>>Video
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-answers>>>>Oral 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-answers>>>>Refer 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-
answers>>>>Begin 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-answers>>>>Refer 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-answers>>>>Eliminating 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-answers>>>>Have 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-answers>>>>Appendicitis 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-answers>>>>Intussusception
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-answers>>>>CBC
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-
answers>>>>Teaching 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.
