NR 602 FINAL EXAM WITH QUESTIONS AND
WELL VERIFIED ANSWERS|| GUARANTEED
PASS|| ALREADY GRADED A+|| LATEST
VERSION 2026
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 - ANSWER-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 - ANSWER-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 - ANSWER-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?
A. Assess for environmental stress, parental dysfunction, and maternal
depression
B. Ask about traumatic events that may have precipitated this behavior
C. Consider a possible pediatric autoimmune neuropsychiatric disorder cause
D. Recommend firm insistence on school and activity attendance - ANSWER-
A. Assess for environmental stress, parental dysfunction, and maternal
depression
The parent of a school-age child reports that the child becomes frustrated when
unable to perform tasks well and often has temper tantrums and difficulty
sleeping. What disorder may be considered for this child?
A. Generalized anxiety disorder (GAD)
B. Obsessive-compulsive disorder (OCD)
C. Pediatric autoimmune neuropsychiatric disorder associated with
streptococcal infections (PANDAS)
D. Separation anxiety disorder (SAD) - ANSWER-A. Generalized anxiety
disorder (GAD)
,The parent of a toddler diagnosed with grade V vesicoureteral reflux asks the
primary care pediatric NP how the disease will be tx. What will the NP tell this
patient?
A. The long-term antibiotic prophylaxis will prevent scarring
B. That surgery to correct the condition is possible
C. That the child will most likely require kidney transplant
D. That the condition will probably resolve spontaneously - ANSWER-B. That
surgery to correct the condition is possible
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?
a. "Are you sexually active?"
b. "Are you taking any medications?"
c. "Have you had a recent fever?"
d. "When was your last menstrual period (LMP)?" - ANSWER-d. "When was
your last menstrual period (LMP)?"
A child has gross hematuria, abdominal pain, and arthralgia as well as a rash.
What diagnosis is most likely?
A. Henoch-Schonlein purpura
B. Rhabdomyosarcoma
C. Sickle cell disease
D. Systemic lupus erythematosus - ANSWER-A. Henoch-Schonlein purpura
An adolescent has 2+ proteinuria in a random dipstick urinalysis. A subsequent
first-morning voided specimen is negative. What will the primary care pediatric
NP do to manage this condition?
A. Monitor for proteinuria at each annual well child exam
, B. Order a 24-hour timed urine collection for creatinine and protein exrection.
C. Reassure the parents that this is benign condition with no follow-up needed.
D. Refer the child to a pediatric nephrologist for further evaluation. -
ANSWER-A. Monitor for proteinuria at each annual well child exam
A child is diagnosed with nephrotic syndrome, and the pediatric nurse
practitioner provides primary care in a consultation with pediatric nephrologist.
The child was treated with steroids and responded well to this treatment. What
will the nurse practitioner tell the child's parents about this disease?
A. "Future episodes are likely to have worse outcomes"
B. "Steroids will be used when relapses occur"
C. "This represents a cure from this disease."
D. "Your child will need to take steroid indefinitely" - ANSWER-B. "Steroids
will be used when relapses occur"
The parent of a school-age girl reports that the child has difficulty getting ready
for school and is often late because of a need to check and recheck whether her
teeth are clean and her room light has been turned off. What will the NP
recommend to this parent?
A. Cognitive-behavioral therapy
B. Deferral to tx until sx worsen
C. Medication management with an SSRI
D. Referral to a child psychiatrist - ANSWER-A. Cognitive-behavioral therapy
A newly divorced mother of a toddler reports that the child began having
difficulty sleeping and nightmares along with exhibiting angry outbursts and
tantrums 2 months prior. The NP learns that the child refuses to play with usual
playmates and often spends time sitting quietly. What will the NP do initially?
A. Ask the mother about the relationship with the father.
B. Consult with a child psychiatrist to prescribe medications
C. Recommend cognitive behavioral or psychodynamic therapy
WELL VERIFIED ANSWERS|| GUARANTEED
PASS|| ALREADY GRADED A+|| LATEST
VERSION 2026
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 - ANSWER-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 - ANSWER-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 - ANSWER-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?
A. Assess for environmental stress, parental dysfunction, and maternal
depression
B. Ask about traumatic events that may have precipitated this behavior
C. Consider a possible pediatric autoimmune neuropsychiatric disorder cause
D. Recommend firm insistence on school and activity attendance - ANSWER-
A. Assess for environmental stress, parental dysfunction, and maternal
depression
The parent of a school-age child reports that the child becomes frustrated when
unable to perform tasks well and often has temper tantrums and difficulty
sleeping. What disorder may be considered for this child?
A. Generalized anxiety disorder (GAD)
B. Obsessive-compulsive disorder (OCD)
C. Pediatric autoimmune neuropsychiatric disorder associated with
streptococcal infections (PANDAS)
D. Separation anxiety disorder (SAD) - ANSWER-A. Generalized anxiety
disorder (GAD)
,The parent of a toddler diagnosed with grade V vesicoureteral reflux asks the
primary care pediatric NP how the disease will be tx. What will the NP tell this
patient?
A. The long-term antibiotic prophylaxis will prevent scarring
B. That surgery to correct the condition is possible
C. That the child will most likely require kidney transplant
D. That the condition will probably resolve spontaneously - ANSWER-B. That
surgery to correct the condition is possible
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?
a. "Are you sexually active?"
b. "Are you taking any medications?"
c. "Have you had a recent fever?"
d. "When was your last menstrual period (LMP)?" - ANSWER-d. "When was
your last menstrual period (LMP)?"
A child has gross hematuria, abdominal pain, and arthralgia as well as a rash.
What diagnosis is most likely?
A. Henoch-Schonlein purpura
B. Rhabdomyosarcoma
C. Sickle cell disease
D. Systemic lupus erythematosus - ANSWER-A. Henoch-Schonlein purpura
An adolescent has 2+ proteinuria in a random dipstick urinalysis. A subsequent
first-morning voided specimen is negative. What will the primary care pediatric
NP do to manage this condition?
A. Monitor for proteinuria at each annual well child exam
, B. Order a 24-hour timed urine collection for creatinine and protein exrection.
C. Reassure the parents that this is benign condition with no follow-up needed.
D. Refer the child to a pediatric nephrologist for further evaluation. -
ANSWER-A. Monitor for proteinuria at each annual well child exam
A child is diagnosed with nephrotic syndrome, and the pediatric nurse
practitioner provides primary care in a consultation with pediatric nephrologist.
The child was treated with steroids and responded well to this treatment. What
will the nurse practitioner tell the child's parents about this disease?
A. "Future episodes are likely to have worse outcomes"
B. "Steroids will be used when relapses occur"
C. "This represents a cure from this disease."
D. "Your child will need to take steroid indefinitely" - ANSWER-B. "Steroids
will be used when relapses occur"
The parent of a school-age girl reports that the child has difficulty getting ready
for school and is often late because of a need to check and recheck whether her
teeth are clean and her room light has been turned off. What will the NP
recommend to this parent?
A. Cognitive-behavioral therapy
B. Deferral to tx until sx worsen
C. Medication management with an SSRI
D. Referral to a child psychiatrist - ANSWER-A. Cognitive-behavioral therapy
A newly divorced mother of a toddler reports that the child began having
difficulty sleeping and nightmares along with exhibiting angry outbursts and
tantrums 2 months prior. The NP learns that the child refuses to play with usual
playmates and often spends time sitting quietly. What will the NP do initially?
A. Ask the mother about the relationship with the father.
B. Consult with a child psychiatrist to prescribe medications
C. Recommend cognitive behavioral or psychodynamic therapy
