1|Page
Nursing 602 i-Human Dysuria Case Study
Examination||Verified Exam!!||, 2026/2027 -Question
Advanced Health Assessment Examination with
Rationales||Newest Exam!!!
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 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? - Answer-Oral rehydration solution with
follow-up in 24 hours. (FTT + Weight loss)
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? - Answer-Refer to a pediatric
gastroenterologist for further workup. (FTT + Weight loss)
,2|Page
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 12th percentile.
What is the best course of treatment for this infant? -
Answer-Begin a trial of extensively hydrolyzed protein
formula for 2-4 weeks. (FTT + Weight loss)
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? - Answer-Refer for
EGD. (FTT + Weight loss)
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? - Answer-Eliminating certain foods from the
mother's diet. (FTT + Weight loss)
,3|Page
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? - Answer-Have
the parents watch for the object in the child's stool.
(Foreign body)
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? - Answer-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.
, 4|Page
What is the most likely diagnosis? - Answer-
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? - Answer-CBC
ESR
Amylase
Lipase
UA
Abdominal ultrasound (GI Bleeding)
What is colic? - Answer-"rule of threes": an infant with colic
"cries for more than 3 hours a day,
for more than 3 days a week,
and more than 3 weeks"
Nursing 602 i-Human Dysuria Case Study
Examination||Verified Exam!!||, 2026/2027 -Question
Advanced Health Assessment Examination with
Rationales||Newest Exam!!!
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 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? - Answer-Oral rehydration solution with
follow-up in 24 hours. (FTT + Weight loss)
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? - Answer-Refer to a pediatric
gastroenterologist for further workup. (FTT + Weight loss)
,2|Page
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 12th percentile.
What is the best course of treatment for this infant? -
Answer-Begin a trial of extensively hydrolyzed protein
formula for 2-4 weeks. (FTT + Weight loss)
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? - Answer-Refer for
EGD. (FTT + Weight loss)
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? - Answer-Eliminating certain foods from the
mother's diet. (FTT + Weight loss)
,3|Page
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? - Answer-Have
the parents watch for the object in the child's stool.
(Foreign body)
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? - Answer-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.
, 4|Page
What is the most likely diagnosis? - Answer-
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? - Answer-CBC
ESR
Amylase
Lipase
UA
Abdominal ultrasound (GI Bleeding)
What is colic? - Answer-"rule of threes": an infant with colic
"cries for more than 3 hours a day,
for more than 3 days a week,
and more than 3 weeks"
