NR 602 FINAL EXAM -PRIMARY CARE OF CHILD
BEARING&CHILD BEARING FAMILY PRACTICUM |ACTUAL
QUESTIONS AND VERIFIED ANSWERS|BRAND NEW 2026-
2027 UPDATE|GRADED A+
Question 1
The parent of an infant asks about using a probiotic medication. What will the primary
care pediatric nurse practitioner 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 probiotics to manage colic. D. There is no conclusive evidence about
using probiotics to treat colic
CORRECT ANSWER
D. There is no conclusive evidence about using probiotics to treat colic
Question 2
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?
A. Consultation with a dietician B. Fiberoptic endoscopy evaluation
C. Magnetic resonance imaging
D. Video fluoroscopy swallowing study
CORRECT ANSWER
D. Video fluoroscopy swallowing study
Question 3
1
@THE STUDY VAULT
, 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?
A. Antidiarrheal medication and clear fluids for 24 hours B. Bolus of IV normal saline in the
clinic until improvement C. Hospital admission for IV rehydration and oral fluids D. Oral
rehydration solution with follow-up in 24 hours
CORRECT ANSWER
D. Oral rehydration solution with follow-up in 24 hours
Question 4
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?
A. Begin using an antimigraine medication to prevent headaches. B. Prescribe ondansetron
and lorazepam to help manage symptoms.
C. Reassure the parent that this is expected with cyclic vomiting syndrome. D. Refer to a
pediatric gastroenterologist for further workup
CORRECT ANSWER
D. Refer to a pediatric gastroenterologist for further workup
Question 5
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?
A. Begin a trial of extensively hydrolyzed protein formula for 2 to 4 weeks. B. Institute an
empiric trial of acid suppression with a proton pump inhibitor (PPI). C. Perform esophageal
2
@THE STUDY VAULT
BEARING&CHILD BEARING FAMILY PRACTICUM |ACTUAL
QUESTIONS AND VERIFIED ANSWERS|BRAND NEW 2026-
2027 UPDATE|GRADED A+
Question 1
The parent of an infant asks about using a probiotic medication. What will the primary
care pediatric nurse practitioner 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 probiotics to manage colic. D. There is no conclusive evidence about
using probiotics to treat colic
CORRECT ANSWER
D. There is no conclusive evidence about using probiotics to treat colic
Question 2
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?
A. Consultation with a dietician B. Fiberoptic endoscopy evaluation
C. Magnetic resonance imaging
D. Video fluoroscopy swallowing study
CORRECT ANSWER
D. Video fluoroscopy swallowing study
Question 3
1
@THE STUDY VAULT
, 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?
A. Antidiarrheal medication and clear fluids for 24 hours B. Bolus of IV normal saline in the
clinic until improvement C. Hospital admission for IV rehydration and oral fluids D. Oral
rehydration solution with follow-up in 24 hours
CORRECT ANSWER
D. Oral rehydration solution with follow-up in 24 hours
Question 4
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?
A. Begin using an antimigraine medication to prevent headaches. B. Prescribe ondansetron
and lorazepam to help manage symptoms.
C. Reassure the parent that this is expected with cyclic vomiting syndrome. D. Refer to a
pediatric gastroenterologist for further workup
CORRECT ANSWER
D. Refer to a pediatric gastroenterologist for further workup
Question 5
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?
A. Begin a trial of extensively hydrolyzed protein formula for 2 to 4 weeks. B. Institute an
empiric trial of acid suppression with a proton pump inhibitor (PPI). C. Perform esophageal
2
@THE STUDY VAULT
