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NR 602 Final Exam Prep Test Bank Covering
250 Recently Tested Questions with 100%
correct answers/ NR 602 Final Exam Prep /
Primary care of the childbearing and the
child bearing family
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?
a. Administer ipecac to induce vomiting.
b. Have the parents watch for the object in the child's stool.
c. Insert a nasogastric tube to flush out the object.
d. Refer the child for endoscopic removal of the object.
..........ANSWER.......b. 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 RLQ. The child vomited once
today and then experienced relief from pain followed by an increased fever.
What is the likely diagnosis?
A. Appendicitis w/perf
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B. Gastroenteritis
C. Pelvic inflammatory disease (PID)
D. UTI ..........ANSWER.......A. Appendicitis w/perf
An 18-month-old child has a 1-day hx of intermittent, cramping abd pain
w/non-bilious vomiting. The child observed to scream and draw up his legs
during pain episodes and becomes lethargic in between. The primary care
pediatric NP notes ta small amount of bloody, mucous stool in the diaper.
What is the most likely diagnosis?
A. Appendicitis
B. Gastroenteritis
C. Intussusception
D. Testicular torsion ..........ANSWER.......C. Intussusception
A school-age child has had abd pain for 3 mo htat occurs once to twice
weekly and is associated with a h/a and occ diff sleeping, often causing the
child to stay home from school. The child does not have V/D & is gaining
weight normally. The PE is normal. According to Bishop, what is included in
the initial diagnostic work-up for this child?
A. CBC, ESR, amylase, lipase, UA, & abd US
B. CBC, ESR, CRP, and fecal calprotectin
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C. CBC, ESR, CRP, UA, stool for ova, parasites, and culture
D. Stool for H.pylori antigen and serum IgA, IgG, tTg ..........ANSWER.......A.
CBC, ESR, amylase, lipase, UA, & abd US
An adolescent is dx with functional abdominal pain (FAP). The child's sx
worsen during stressful events, esp w/school anxiety. What will be an
important part of tx for this child?
A. informing the parents that the pain is most likely not real
B. instituting a lactose-free diet along w/lactobacillus supplements
C. teaching about the brain-gut interaction causing sx
D. using histamine2-blockers to help alleviate sx ..........ANSWER.......C.
teaching about the brain-gut interaction causing sx
A school-age child has recurrent diarrhea w/foul-smelling stools, excessive
flatus, abd distention, and FTT. A 2-week lactose-free trial failed to reduce
sx. What is the next step in diagnosing this condition?
A. lactose hydrogen breath test
B. serologic testing for celiac disease
C. stool for ova and parasites
D. Sweat chloride test for cystic fiborisis ..........ANSWER.......B. serologic
testing for celiac disease
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A child is diagnosed w/Chron disease. What are the likely complications for
this child?
A. cancer of the colon and possible colectomy
B. intestinal obstruction w/scarring and strictures
C. intestinal perforation and hemorrhage
D. liver disease and sepsis ..........ANSWER.......B. intestinal obstruction
w/scarring and strictures
A 12-month old infant exhibits poor wt. gain after previously normal growth
patterns. There is no hx of V/D, or irregular BM, and the PE is normal. What
is the next step in evaluating these findings?
A. CBC and electrolytes
B. Feeding and stooling hx and 3-day diet hx
C. Stool cx for ova and parasites
D. swallow study with videofluoroscopy ..........ANSWER.......B. Feeding and
stooling hx and 3-day diet hx
A 2-year-old child has an acute diarrheal illness. The child is afebrile and
with oral rehydration measures, has remained well hydrated. The parent asks
NR 602 Final Exam Prep Test Bank Covering
250 Recently Tested Questions with 100%
correct answers/ NR 602 Final Exam Prep /
Primary care of the childbearing and the
child bearing family
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?
a. Administer ipecac to induce vomiting.
b. Have the parents watch for the object in the child's stool.
c. Insert a nasogastric tube to flush out the object.
d. Refer the child for endoscopic removal of the object.
..........ANSWER.......b. 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 RLQ. The child vomited once
today and then experienced relief from pain followed by an increased fever.
What is the likely diagnosis?
A. Appendicitis w/perf
,2|Page
B. Gastroenteritis
C. Pelvic inflammatory disease (PID)
D. UTI ..........ANSWER.......A. Appendicitis w/perf
An 18-month-old child has a 1-day hx of intermittent, cramping abd pain
w/non-bilious vomiting. The child observed to scream and draw up his legs
during pain episodes and becomes lethargic in between. The primary care
pediatric NP notes ta small amount of bloody, mucous stool in the diaper.
What is the most likely diagnosis?
A. Appendicitis
B. Gastroenteritis
C. Intussusception
D. Testicular torsion ..........ANSWER.......C. Intussusception
A school-age child has had abd pain for 3 mo htat occurs once to twice
weekly and is associated with a h/a and occ diff sleeping, often causing the
child to stay home from school. The child does not have V/D & is gaining
weight normally. The PE is normal. According to Bishop, what is included in
the initial diagnostic work-up for this child?
A. CBC, ESR, amylase, lipase, UA, & abd US
B. CBC, ESR, CRP, and fecal calprotectin
,3|Page
C. CBC, ESR, CRP, UA, stool for ova, parasites, and culture
D. Stool for H.pylori antigen and serum IgA, IgG, tTg ..........ANSWER.......A.
CBC, ESR, amylase, lipase, UA, & abd US
An adolescent is dx with functional abdominal pain (FAP). The child's sx
worsen during stressful events, esp w/school anxiety. What will be an
important part of tx for this child?
A. informing the parents that the pain is most likely not real
B. instituting a lactose-free diet along w/lactobacillus supplements
C. teaching about the brain-gut interaction causing sx
D. using histamine2-blockers to help alleviate sx ..........ANSWER.......C.
teaching about the brain-gut interaction causing sx
A school-age child has recurrent diarrhea w/foul-smelling stools, excessive
flatus, abd distention, and FTT. A 2-week lactose-free trial failed to reduce
sx. What is the next step in diagnosing this condition?
A. lactose hydrogen breath test
B. serologic testing for celiac disease
C. stool for ova and parasites
D. Sweat chloride test for cystic fiborisis ..........ANSWER.......B. serologic
testing for celiac disease
, 4|Page
A child is diagnosed w/Chron disease. What are the likely complications for
this child?
A. cancer of the colon and possible colectomy
B. intestinal obstruction w/scarring and strictures
C. intestinal perforation and hemorrhage
D. liver disease and sepsis ..........ANSWER.......B. intestinal obstruction
w/scarring and strictures
A 12-month old infant exhibits poor wt. gain after previously normal growth
patterns. There is no hx of V/D, or irregular BM, and the PE is normal. What
is the next step in evaluating these findings?
A. CBC and electrolytes
B. Feeding and stooling hx and 3-day diet hx
C. Stool cx for ova and parasites
D. swallow study with videofluoroscopy ..........ANSWER.......B. Feeding and
stooling hx and 3-day diet hx
A 2-year-old child has an acute diarrheal illness. The child is afebrile and
with oral rehydration measures, has remained well hydrated. The parent asks
