NR602 FINAL EXAM/NR 602 FINAL EXAM LATEST WITH CORRECT
ANSWERS TO OVER 160 QUESTIONS FOR A GUARANTEED PASS
A 6-month-old infant has a retractile testis that was noted at the 2-month well baby exam. What will the NP
do to manage this condition?
A. Reassure the parent that the testis will most likely descend into place on its own
B. Refer the infant to a pediatric urologist or surgeon for possible orchiopexy
C. Teach the parent to manipulate the testis into the scrotum during diaper changes
D. Tell the parent that hormonal therapy may be needed to correct the condition
B. Refer the infant to a pediatric urologist or surgeon for possible orchiopexy
A 9-month-old infant is brought to the clinic with scrotal swelling and fussiness. The NP notes a tender mass
in the affected scrotum that is difficult to reduce. What is the correct action?
A. obtain an abdominal radiograph
B. refer immediately to a pediatric surgeon
C. Schedule an apt w/a pediatric urologist
D. Teach the parents signs of incarceration
B. refer immediately to a pediatric surgeon
The mother of a 12-month-old uncircumcised male infant reports that the child seems to have pain
associated with voiding. A PE reveals a tight, pinpoint opening of the foreskin, which thickened and inflamed.
What will the NP do?
A. attempt to retract the foreskin to visualize the penis
B. Order corticosteroid cream TIDx4 wks
C. Refer the child to a pediatric urologist
D. Tach the mother gently stretch the foreskin with cleaning
,C. Refer the child to a pediatric urologist
The parent of an infant experiencing colic asks about using a probiotic medication. What will the primary care
pediatric NP tell this parent?
A. Probiotic medications have demonstrated efficacy in treating colic.
B. Probiotics are not safe to use to treat infants who have colic.
C. There are no studies showing usefulness of probiotic to manage colic.
D. There is no conclusive evidence about using probiotics to treat colic.
D. 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 NP consider the next to manage this
child's nutritional needs?
A. consultation with dietician
B. Fiberoptic endoscopy evaluation.
C. MRI
D. Videofluroscopy swallowing study (VOSS)
D. Videofluroscopy swallowing study (VOSS)
A toddler is seen in clinic after a 2-day hx of intermittent V/D. An assessment reveals an irritable child with
dry mucous membranes, 3-second cap refill. 2-second recoil of skin, mild tachycardia and tachypnea, and
cool hands and feet. The child has had 2 wet diapers in the past 24 hours. What will the primary care
pediatric NP recommend?
A. anti-diarrheal medication & clear fluids for 24H
,B. Bolus of IV NS in the clinic until improvement
C. Hospital admission for IV rehydration & oral fluids
D. Oral rehydration solution with f/u in 24H
D. Oral rehydration solution with f/u in 24H
A 9-year old girl has a hx of frequent vomiting and her mother has frequent migraine ha. The child has
recently begun having more frequent and prolonged episodes accompanied by headaches. An exam reveals
abnormal eye movement and mild ataxia. What is the correct action?
A. begin using anti-migraine meds to prevent HA
B. Prescribe ondansetron and lorazepam to help manage sx
C. Reassure the parent that this is expected with cyclic vomiting syndrome
D. Refer to a pediatric gastroenterologist for further workup.
D. Refer to a pediatric gastroenterologist for further workup.
The parent of a 3-month-old reports that the infant 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
12th. What is the best course of tx for this infant?
A. Begin a trial of extensively hydrolyzed protein formula for 2-4 wks.
B. Institute an emperic trial of acid suppression with a PPI
C. Perform esophageal pH monitoring to determine the degree of reflux.
D. Reassure the parent that these sx will likely resolved by 12-24 mo.
A. Begin a trial of extensively hydrolyzed protein formula for 2-4 wks.
A school-age child has a 3-month hx of dull, aching epigastric pain that worsens with eating and awakens
from sleep. A CBC shows a Hgb of 8mg/dL. What is the next step in management.
A. Administration of H RA or PPI meds
, B. Empiric therapy for H. pylori
C. Ordering an upper GI series
D. Referral for EGD
D. Referral for EGD
A 2-mo old infant cries up to 4 hours each day and according to the parents, is inconsolable during crying
episodes with fits and legs notes to be tense and stiff. The infant is breastfeeding frequently but is often fussy
during feedings. The PE is normal and the infant is gaining weight normally. What will the primary care
pediatric NP recommend?
A. A complete work-up, including lab and radiologic tests.
B. Eliminating certain foods from the mother's diet.
C. Empiric tx w/PPI
D. Stopping breastfeeding & beginning a hydrolyzed formula
B. 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?
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.
b. Have the parents watch for the object in the child's stool.
ANSWERS TO OVER 160 QUESTIONS FOR A GUARANTEED PASS
A 6-month-old infant has a retractile testis that was noted at the 2-month well baby exam. What will the NP
do to manage this condition?
A. Reassure the parent that the testis will most likely descend into place on its own
B. Refer the infant to a pediatric urologist or surgeon for possible orchiopexy
C. Teach the parent to manipulate the testis into the scrotum during diaper changes
D. Tell the parent that hormonal therapy may be needed to correct the condition
B. Refer the infant to a pediatric urologist or surgeon for possible orchiopexy
A 9-month-old infant is brought to the clinic with scrotal swelling and fussiness. The NP notes a tender mass
in the affected scrotum that is difficult to reduce. What is the correct action?
A. obtain an abdominal radiograph
B. refer immediately to a pediatric surgeon
C. Schedule an apt w/a pediatric urologist
D. Teach the parents signs of incarceration
B. refer immediately to a pediatric surgeon
The mother of a 12-month-old uncircumcised male infant reports that the child seems to have pain
associated with voiding. A PE reveals a tight, pinpoint opening of the foreskin, which thickened and inflamed.
What will the NP do?
A. attempt to retract the foreskin to visualize the penis
B. Order corticosteroid cream TIDx4 wks
C. Refer the child to a pediatric urologist
D. Tach the mother gently stretch the foreskin with cleaning
,C. Refer the child to a pediatric urologist
The parent of an infant experiencing colic asks about using a probiotic medication. What will the primary care
pediatric NP tell this parent?
A. Probiotic medications have demonstrated efficacy in treating colic.
B. Probiotics are not safe to use to treat infants who have colic.
C. There are no studies showing usefulness of probiotic to manage colic.
D. There is no conclusive evidence about using probiotics to treat colic.
D. 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 NP consider the next to manage this
child's nutritional needs?
A. consultation with dietician
B. Fiberoptic endoscopy evaluation.
C. MRI
D. Videofluroscopy swallowing study (VOSS)
D. Videofluroscopy swallowing study (VOSS)
A toddler is seen in clinic after a 2-day hx of intermittent V/D. An assessment reveals an irritable child with
dry mucous membranes, 3-second cap refill. 2-second recoil of skin, mild tachycardia and tachypnea, and
cool hands and feet. The child has had 2 wet diapers in the past 24 hours. What will the primary care
pediatric NP recommend?
A. anti-diarrheal medication & clear fluids for 24H
,B. Bolus of IV NS in the clinic until improvement
C. Hospital admission for IV rehydration & oral fluids
D. Oral rehydration solution with f/u in 24H
D. Oral rehydration solution with f/u in 24H
A 9-year old girl has a hx of frequent vomiting and her mother has frequent migraine ha. The child has
recently begun having more frequent and prolonged episodes accompanied by headaches. An exam reveals
abnormal eye movement and mild ataxia. What is the correct action?
A. begin using anti-migraine meds to prevent HA
B. Prescribe ondansetron and lorazepam to help manage sx
C. Reassure the parent that this is expected with cyclic vomiting syndrome
D. Refer to a pediatric gastroenterologist for further workup.
D. Refer to a pediatric gastroenterologist for further workup.
The parent of a 3-month-old reports that the infant 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
12th. What is the best course of tx for this infant?
A. Begin a trial of extensively hydrolyzed protein formula for 2-4 wks.
B. Institute an emperic trial of acid suppression with a PPI
C. Perform esophageal pH monitoring to determine the degree of reflux.
D. Reassure the parent that these sx will likely resolved by 12-24 mo.
A. Begin a trial of extensively hydrolyzed protein formula for 2-4 wks.
A school-age child has a 3-month hx of dull, aching epigastric pain that worsens with eating and awakens
from sleep. A CBC shows a Hgb of 8mg/dL. What is the next step in management.
A. Administration of H RA or PPI meds
, B. Empiric therapy for H. pylori
C. Ordering an upper GI series
D. Referral for EGD
D. Referral for EGD
A 2-mo old infant cries up to 4 hours each day and according to the parents, is inconsolable during crying
episodes with fits and legs notes to be tense and stiff. The infant is breastfeeding frequently but is often fussy
during feedings. The PE is normal and the infant is gaining weight normally. What will the primary care
pediatric NP recommend?
A. A complete work-up, including lab and radiologic tests.
B. Eliminating certain foods from the mother's diet.
C. Empiric tx w/PPI
D. Stopping breastfeeding & beginning a hydrolyzed formula
B. 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?
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.
b. Have the parents watch for the object in the child's stool.
