NR602-FINAL EXAM QUESTIONS AND ANSWERS|ACCURATE AND VERIFIED ANSWERS|LATEST 2025/2026|GRADED A+|

ANSWERS|ACCURATE AND VERIFIED


The parent of a colicky infant asks about using a probiotic medication.
B B B B B B B B B B B B




What will you tell them? - ANSWER-
B B B B B B



There is no conclusive evidence about using probiotics to treat colic.
B B B B B B B B B B




A toddler who was born prematurely refuses most solid foods and has poor weight gain. A bari
B B B B B B B B B B B B B B B B



um swallow study reveals a normal esophagus.
B B B B B B B




What will the primary care pediatric nurse practitioner consider next to manage this child's nu
B B B B B B B B B B B B B B



tritional needs? - ANSWER- B B B Video fluoroscopy swallowing study
B B B




A toddler is seen in the clinic after a 2 day history of intermittent vomiting and diarrhea. An ass
B B B B B B B B B B B B B B B B B B



essment reveals an irritable child with dry mucous membranes, 3 second capillary refill, 2 seco
B B B B B B B B B B B B B B



nd recoil of skin, mild tachycardia and tachypnea, and cool hands and feet. The child has had t
B B B B B B B B B B B B B B B B B



wo wet diapers in the past 24 hours.
B B B B B B B B




What will the primary care pediatric nurse practitioner recommend? - ANSWER-
B B B B B B B B B B



Oral rehydration solution with follow-up in 24 hours.
B B B B B B B




A 9-year-
B



old girl has a history of frequent vomiting, and her mother has frequent migraine headaches.
B B B B B B B B B B B B B B B



The child has recently begun having more frequent and prolonged episodes accompanied by h
B B B B B B B B B B B B B



eadaches. An exam reveals abnormal eye movements and mild ataxia.
B B B B B B B B B B




What is the correct action? - ANSWER-
B B B B B B



Refer to a pediatric gastroenterologist for further workup.
B B B B B B B




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,The parent of a 3-month-
B B B B



old reports that the infant arches and gags while feeding and spits up undigested formula freq
B B B B B B B B B B B B B B B



uently. The infant's weight gain has dropped to the 5th percentile from the 12 th percentile.
B B B B B B B B B B B B B B B B




What is the best course of treatment for this infant? - ANSWER-
B B B B B B B B B B B



Begin a trial of extensively hydrolyzed protein formula for 2-4 weeks.
B B B B B B B B B B




A school age child has a 3-
B B B B B B



month history of dull, aching epigastric pain that worsens with eating and awakens the child fr
B B B B B B B B B B B B B B B



om sleep. A complete blood count shows a hemoglobin of 8 mg/dL.
B B B B B B B B B B B B




What is the next step in management? - ANSWER-
B B B B B B B B Refer for EGD. B B




A 2-month-
B



old infant cries up to 4 hours each day and, according to the parents, is inconsolable during cry
B B B B B B B B B B B B B B B B B



ing episodes with fists and legs noted to be tense and stiff. The infant is breastfeeding frequent
B B B B B B B B B B B B B B B B



ly but is often fussy during feedings. The physical exam is normal, and the infant is gaining wei
B B B B B B B B B B B B B B B B B



ght normally. B B




What will the primary care pediatric nurse practitioner recommend? - ANSWER-
B B B B B B B B B B



Eliminating certain foods from the mother's diet. B B B B B B




A child is in the clinic after swallowing a metal bead. A radiograph of the GI tract shows a 6 mm
B B B B B B B B B B B B B B B B B B B B



cylindrical object in the child's stomach. The child is able to swallow without difficulty and is n
B B B B B B B B B B B B B B B B B



ot experiencing pain.
B B B




What is the correct course of treatment? - ANSWER-
B B B B B B B B



Have the parents watch for the object in the child's stool.
B B B B B B B B B B




A 10-year-old child has had abdominal pain for 2 days, which began in the
B B B B B B B B B B B B B




periumbilical area and then localized to the right lower quadrant. The child vomited once toda
B B B B B B B B B B B B B B



y and then experienced relief from pain followed by an increased fever.
B B B B B B B B B B B




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,What is the likely diagnosis? - ANSWER-
B B B B B B Appendicitis with perforation B B




An 18-month-
B



old child has a 1 day history of intermittent, cramping abdominal pain with nonbilious vomitin
B B B B B B B B B B B B B B



g. The child is observed to scream and draw up his legs during pain episodes and becomes leth
B B B B B B B B B B B B B B B B B



argic in between. The primary care pediatric nurse practitioner notes a small amount of blood
B B B B B B B B B B B B B B



y, mucous stool in the diaper.
B B B B B B




What is the most likely diagnosis? - ANSWER-
B B B B B B B Intussusception



A school age child has had abdominal pain for 3 months that occurs once or twice weekly and i
B B B B B B B B B B B B B B B B B B



s associated with a headache and occasional difficulty sleeping, often causing the child to stay
B B B B B B B B B B B B B B B



home from school. The child does not have vomiting or diarrhea and is gaining weight normall
B B B B B B B B B B B B B B B



y. The physical exam is normal.
B B B B B B




According to Bishop, what is included in the initial diagnostic workup for this child? - ANSWER-
B B B B B B B B B B B B B B B



CBC

ESR

Amylase

Lipase

UA

Abdominal ultrasound B




An adolescent is diagnosed with functional abdominal pain (FAP). The child's symptoms worse
B B B B B B B B B B B B



n during stressful events, especially with school anxiety.
B B B B B B B B




What will be an important part of treatment for this child? - ANSWER-
B B B B B B B B B B B B



Teaching about the brain gut interaction causing symptoms.
B B B B B B B




A school age child has recurrent diarrhea with foul smelling stools, excessive
B B B B B B B B B B B




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, flatus, abdominal distension, and failure to thrive. A 2-
B B B B B B B B



week lactose free trial failed to reduce symptoms.
B B B B B B B B




What is the next step in diagnosing this condition? - ANSWER-
B B B B B B B B B B



Serologic testing for celiac disease. B B B B




A child is diagnosed with Crohn's disease.
B B B B B B B




What are likely complications? - ANSWER-
B B B B B



Intestinal obstruction with scarring and strictures.
B B B B B




A 12 month old infant exhibits poor weight gain after previously normal growth patterns. Ther
B B B B B B B B B B B B B B



e is no history of vomiting, diarrhea, or irregular bowel movements, and the physical exam is n
B B B B B B B B B B B B B B B B



ormal. B




What is the next step in evaluating these findings? - ANSWER-
B B B B B B B B B B Feeding hx B




Stooling history B B




and a 3-day diet history
B B B B




A 2-year-
B



old child has an acute diarrheal illness. The child is afebrile and, with oral rehydration measure
B B B B B B B B B B B B B B B



s, has remained well hydrated. The parent asks what can be done to help shorten the course o
B B B B B B B B B B B B B B B B B



f this illness. What will the primary care pediatric nurse practitioner recommend? - ANSWER-
B B B B B B B B B B B B B



Lactobacillus



Chapter 41 - GU Disorders - ANSWER- B B B B B B




A 30 month old girl who has been toilet trained for 6 months has daytime enuresis and dysuria
B B B B B B B B B B B B B B B B B



and a low-grade fever. A dipstick urinalysis is negative for leukocyte esterase and nitrites.
B B B B B B B B B B B B B B B




What is the next step? - ANSWER-
B B B B B B Send the urine to the lab for culture.
B B B B B B B




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