Real NR 602 Midterm Exam Actual
Exam 2026 Edition Actual Questions
And Correct Detailed Answers
, Referral for esophagogastroduodenoscopy (EGD)
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?
A child is in the clinic after swallowinga metal bead.A radiograph of the Gl Have the parents watch for the object in the child's stool.
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?
Appendicitis with perforation
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?
Intussusception
An 18-month-old child has a lday 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?
Feeding and stooling history and 3-day diet history
A 12-month-old infant exhibits poor weight gain after previously 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?
Prescribe trimethoprim-sulfamethoxazole (TMP) twice daily for 3 to 5 days
A dipstick urinalysis is positive for leukocyte esterase and nitrites in a
school-age child with dysuria and foul-smelling urine but no fever who has
not had previous urinary tract infections. A culture is pending. What will the
pediatric nurse practitioner do to treat this child?
"When was your last menstrual period (LMP)?"
A healthy 14-year-old female has a dipstick urinalysis that is positive for 5-
6 RBCs per hpf but otherwise normal.What is the first question the primary
care pediatric nurse
practitioner will ask this patient?
Monitor for proteinuria at each annual well child examination
An adolescent has 2+ proteinuria in a random dipstick urinalysis. A
subsequent first-morning voided specimen is negative.What will the
primary care pediatric nurse practitioner do to manage this condition?
Refer the infant to a pediatric urologist or surgeon for possible orchiopexy.
A 6-month-old infant has a retractile testisthat was noted at the 2-month
well baby exam. What will the primary care pediatric nurse practitioner do
to manage this condition?
Exam 2026 Edition Actual Questions
And Correct Detailed Answers
, Referral for esophagogastroduodenoscopy (EGD)
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?
A child is in the clinic after swallowinga metal bead.A radiograph of the Gl Have the parents watch for the object in the child's stool.
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?
Appendicitis with perforation
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?
Intussusception
An 18-month-old child has a lday 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?
Feeding and stooling history and 3-day diet history
A 12-month-old infant exhibits poor weight gain after previously 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?
Prescribe trimethoprim-sulfamethoxazole (TMP) twice daily for 3 to 5 days
A dipstick urinalysis is positive for leukocyte esterase and nitrites in a
school-age child with dysuria and foul-smelling urine but no fever who has
not had previous urinary tract infections. A culture is pending. What will the
pediatric nurse practitioner do to treat this child?
"When was your last menstrual period (LMP)?"
A healthy 14-year-old female has a dipstick urinalysis that is positive for 5-
6 RBCs per hpf but otherwise normal.What is the first question the primary
care pediatric nurse
practitioner will ask this patient?
Monitor for proteinuria at each annual well child examination
An adolescent has 2+ proteinuria in a random dipstick urinalysis. A
subsequent first-morning voided specimen is negative.What will the
primary care pediatric nurse practitioner do to manage this condition?
Refer the infant to a pediatric urologist or surgeon for possible orchiopexy.
A 6-month-old infant has a retractile testisthat was noted at the 2-month
well baby exam. What will the primary care pediatric nurse practitioner do
to manage this condition?
