NR 602 Final Exam 2026:
Practice Questions and
Answers for Geriatric
Nursing, Exams of Nursing
Guaranteed A+ Certified Pass
Chapter 40 - GI Disorders - ANSWERS-
The parent of a colicky infant asks about using a probiotic medication.
What will you tell them? - 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? - 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? -
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? - 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? - 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? - 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? -
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? - 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? - 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? - 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? - 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? - ANSWERS-Teaching
about the brain gut interaction causing symptoms.
A school age child has recurrent diarrhea with foul smelling stools, excessive
Practice Questions and
Answers for Geriatric
Nursing, Exams of Nursing
Guaranteed A+ Certified Pass
Chapter 40 - GI Disorders - ANSWERS-
The parent of a colicky infant asks about using a probiotic medication.
What will you tell them? - 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? - 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? -
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? - 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? - 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? - 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? -
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? - 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? - 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? - 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? - 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? - ANSWERS-Teaching
about the brain gut interaction causing symptoms.
A school age child has recurrent diarrhea with foul smelling stools, excessive
