NR 602 ACTUAL MIDTERM &FINAL EXAM
TESTBANK Questions and Answers
(2024/2025) (Verified All Answers)
An adolescent male comes to the clinic reporting unilateral scrotal pain, N/V, that began that morning.
The NP palpates a painful, swollen testis and elicits inc pain with w/slight elevation of the testis (a neg
Phren's sign). What will the NP do?
A. Admin IM ceftriaxone and prescribe doxy BIDx10days
B. Encourage bed rest, scrotal support, and ice packs to the scrotum as tol
C. Prescribe NSAIDs, limited activities, and warm compress to the scrotum
D. Refer the adolescent immediately to a pediatric urologist or surgeon
D. Refer the adolescent immediately to a pediatric urologist or surgeon
The NP performs a PE on a 9-mo-old infant with congenital hypothyroidism who takes daily levothyroxine
sodium & notes a recent slowing of the infant's growth rate. What will the NP order?
A. Free serum T4 & TSH
B. Serum levothyroxine level
C. Total T4 & free T4 levels
D. TSH & total T4 level
A. Free serum T4 & TSH
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
C. Pancreatic autoantibodies
The NP dx an 8-year-old child with type 1 DM after routine urine screen is positive for glucose and
negative for ketones and plasma glucose is 350 mg/dL. The child's weight is normal and the parents
report a mild inc in thirst and urine OP in the past few days. Which course of action is correct?
,A. admit the child to the hospital for initial insulin management
B. begin insulin & refer the child to a child's diabetes center
C. Order fasting serum glucose and a dipstick UA in the morning
D. Send the child to the ED for fluids and IV insulin
B. begin insulin & refer the child to a child's diabetes center
The NP is reviewing lab work & diabetes management with a school-age child whose A1C is 7.6% who
reports usual blood sugars before meals as being 80-90. The NP will consult the child's endocrinologist to
consider which therapy?
A. Continuous glucose monitoring
B. Continuous subcutaneous insulin infusion
C. Self-monitoring of blood glucose
D. Use of long-acting insulin analogue
A. Continuous glucose monitoring
The NP is performing a well child examination on a 12-year-old who was dx w/type 1 DM at age 9. The
child has a lipid screen at age 10 with a LDL cholesterol <100 mg/dL. What will the NP recommend as
part of ongoing management for this child?
A. Annual lipid profile evaluation
B. Annual screening for microalbuminuria
C. Comprehensive ophthalmologic exam
D. Hypothyroidism screening every 5 yr
C. Comprehensive ophthalmologic exam
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
B. Diagnose DM2 in the child has a random glucose of 180ml/dL
C. Order a fasting blood sample for a metabolic screen for DM2
D. Refer the child to a pediatric endocrinologist
C. Order a fasting blood sample for a metabolic screen for DM2
,The NP prescribes metformin for a 15-year-old adolescent newly dx with DM2. What will the NP include
when teaching the adolescent about this drug?
A. That insulin therapy will be necessary in the future
B. The importance of checking blood glucose 3-4 times a day
C. To consume a diet w/food high in Vit B12
D. To use a stool softener to prevent GI SE
B. The importance of checking blood glucose 3-4 times a day
A child dx w/ADHD has difficulty stopping activities to begin other activities at school. The NP
understands that this is due to difficulty with what self-regulation ability?
A. Emotional control
B. Flexibility
C. Inhibition
D. Problem-solving
B. Flexibility
The NP care for a preschool-age child who was exposed to drugs prenatally. The child bites other children
and has tantrums when asked to stop but is able to state later why this behavior is wrong. This child
most likely has a disorder related to what process?
A. Executive function
B. Information processing
C. Sensory processing
D. Social cognition
A. Executive function
The parent of a child dx with ADHD tells the NP that the child gets overwhelmed by homework
assignments, doesn't seem to know which ones to do first, and then doesn't do any assignments. The NP
tells the parents that this represents impairment in which executive function?
A. Activation
B. Effort
C. Emotion
D. Focus
, A. Activation
The NP is performing an examination on a 5-year-old child who exhibits ritualistic behaviors, avoids
contact w/other children, and has limited speech. The parent reports having had concerns more than 2
years ago about autism, but was told that it was too early to diagnose. What will the NP do first?
A. Admin an M-CHAT screen to screen the child for communication and socialization delays
B. Ask the parent to describe the child's earlier behaviors from infancy through preschool
C. Reassure the parent that if sx weren't present earlier, the likelihood of autism is low
D. Refer the child to a pediatric behavioral specialist to develop a plan of tx and management
B. Ask the parent to describe the child's earlier behaviors from infancy through preschool
The NP is examining a 3-year-old child who speaks loudly, in a monotone, does not make eye contact, and
preforms to sit on the exam room floor moving a toy truck back and forth in a repetitive manner. What
disorder does the NP suspect?
A. ADHD
B. Autism
C. Executive function disorder
D. Sensory processing disorder
B. Autism
The NP is conducting a f/u exam on a child who has recently begun taking a low-dose stimulant
medication to tx ADHD. The child's school performance and home behaviors have improved. The child's
parent reports noticing a few tics, such as twitching of the eyelids, but the child is unaware of them and
isn't bothered by them. What will the NP recommend?
A. Adding an alpha-agonist medication
B. Changing to a non-stimulant medication
C. Continuing the medication as prescribed
D. Stopping the medication immediately
C. Continuing the medication as prescribed
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?
TESTBANK Questions and Answers
(2024/2025) (Verified All Answers)
An adolescent male comes to the clinic reporting unilateral scrotal pain, N/V, that began that morning.
The NP palpates a painful, swollen testis and elicits inc pain with w/slight elevation of the testis (a neg
Phren's sign). What will the NP do?
A. Admin IM ceftriaxone and prescribe doxy BIDx10days
B. Encourage bed rest, scrotal support, and ice packs to the scrotum as tol
C. Prescribe NSAIDs, limited activities, and warm compress to the scrotum
D. Refer the adolescent immediately to a pediatric urologist or surgeon
D. Refer the adolescent immediately to a pediatric urologist or surgeon
The NP performs a PE on a 9-mo-old infant with congenital hypothyroidism who takes daily levothyroxine
sodium & notes a recent slowing of the infant's growth rate. What will the NP order?
A. Free serum T4 & TSH
B. Serum levothyroxine level
C. Total T4 & free T4 levels
D. TSH & total T4 level
A. Free serum T4 & TSH
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
C. Pancreatic autoantibodies
The NP dx an 8-year-old child with type 1 DM after routine urine screen is positive for glucose and
negative for ketones and plasma glucose is 350 mg/dL. The child's weight is normal and the parents
report a mild inc in thirst and urine OP in the past few days. Which course of action is correct?
,A. admit the child to the hospital for initial insulin management
B. begin insulin & refer the child to a child's diabetes center
C. Order fasting serum glucose and a dipstick UA in the morning
D. Send the child to the ED for fluids and IV insulin
B. begin insulin & refer the child to a child's diabetes center
The NP is reviewing lab work & diabetes management with a school-age child whose A1C is 7.6% who
reports usual blood sugars before meals as being 80-90. The NP will consult the child's endocrinologist to
consider which therapy?
A. Continuous glucose monitoring
B. Continuous subcutaneous insulin infusion
C. Self-monitoring of blood glucose
D. Use of long-acting insulin analogue
A. Continuous glucose monitoring
The NP is performing a well child examination on a 12-year-old who was dx w/type 1 DM at age 9. The
child has a lipid screen at age 10 with a LDL cholesterol <100 mg/dL. What will the NP recommend as
part of ongoing management for this child?
A. Annual lipid profile evaluation
B. Annual screening for microalbuminuria
C. Comprehensive ophthalmologic exam
D. Hypothyroidism screening every 5 yr
C. Comprehensive ophthalmologic exam
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
B. Diagnose DM2 in the child has a random glucose of 180ml/dL
C. Order a fasting blood sample for a metabolic screen for DM2
D. Refer the child to a pediatric endocrinologist
C. Order a fasting blood sample for a metabolic screen for DM2
,The NP prescribes metformin for a 15-year-old adolescent newly dx with DM2. What will the NP include
when teaching the adolescent about this drug?
A. That insulin therapy will be necessary in the future
B. The importance of checking blood glucose 3-4 times a day
C. To consume a diet w/food high in Vit B12
D. To use a stool softener to prevent GI SE
B. The importance of checking blood glucose 3-4 times a day
A child dx w/ADHD has difficulty stopping activities to begin other activities at school. The NP
understands that this is due to difficulty with what self-regulation ability?
A. Emotional control
B. Flexibility
C. Inhibition
D. Problem-solving
B. Flexibility
The NP care for a preschool-age child who was exposed to drugs prenatally. The child bites other children
and has tantrums when asked to stop but is able to state later why this behavior is wrong. This child
most likely has a disorder related to what process?
A. Executive function
B. Information processing
C. Sensory processing
D. Social cognition
A. Executive function
The parent of a child dx with ADHD tells the NP that the child gets overwhelmed by homework
assignments, doesn't seem to know which ones to do first, and then doesn't do any assignments. The NP
tells the parents that this represents impairment in which executive function?
A. Activation
B. Effort
C. Emotion
D. Focus
, A. Activation
The NP is performing an examination on a 5-year-old child who exhibits ritualistic behaviors, avoids
contact w/other children, and has limited speech. The parent reports having had concerns more than 2
years ago about autism, but was told that it was too early to diagnose. What will the NP do first?
A. Admin an M-CHAT screen to screen the child for communication and socialization delays
B. Ask the parent to describe the child's earlier behaviors from infancy through preschool
C. Reassure the parent that if sx weren't present earlier, the likelihood of autism is low
D. Refer the child to a pediatric behavioral specialist to develop a plan of tx and management
B. Ask the parent to describe the child's earlier behaviors from infancy through preschool
The NP is examining a 3-year-old child who speaks loudly, in a monotone, does not make eye contact, and
preforms to sit on the exam room floor moving a toy truck back and forth in a repetitive manner. What
disorder does the NP suspect?
A. ADHD
B. Autism
C. Executive function disorder
D. Sensory processing disorder
B. Autism
The NP is conducting a f/u exam on a child who has recently begun taking a low-dose stimulant
medication to tx ADHD. The child's school performance and home behaviors have improved. The child's
parent reports noticing a few tics, such as twitching of the eyelids, but the child is unaware of them and
isn't bothered by them. What will the NP recommend?
A. Adding an alpha-agonist medication
B. Changing to a non-stimulant medication
C. Continuing the medication as prescribed
D. Stopping the medication immediately
C. Continuing the medication as prescribed
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?
