NR 602 FINAL EXAM PREP -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 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.
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
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)
CORRECT ANSWER
D. Videofluroscopy swallowing study (VOSS)
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@THE STUDY VAULT
,Question 3
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
CORRECT ANSWER
D. Oral rehydration solution with f/u in 24H
Question 4
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.
CORRECT ANSWER
D. Refer to a pediatric gastroenterologist for further workup.
Question 5
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?
2
@THE STUDY VAULT
,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.
CORRECT ANSWER
A. Begin a trial of extensively hydrolyzed protein formula for 2-4 wks.
Question 6
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
CORRECT ANSWER
D. Referral for EGD
Question 7
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
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@THE STUDY VAULT
, D. Stopping breastfeeding & beginning a hydrolyzed formula
CORRECT ANSWER
B. Eliminating certain foods from the mother's diet.
Question 8
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.
CORRECT ANSWER
b. Have the parents watch for the object in the child's stool.
Question 9
A 10-year-old child has had abdominal pain for 2 days, which began in the periumbilical
area and then localized to the RLQ. The child vomited once today and then experienced
relief from pain followed by an increased fever. What is the likely diagnosis?
A. Appendicitis w/perf
B. Gastroenteritis
C. Pelvic inflammatory disease (PID)
D. UTI
CORRECT ANSWER
A. Appendicitis w/perf
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@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 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.
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
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)
CORRECT ANSWER
D. Videofluroscopy swallowing study (VOSS)
1
@THE STUDY VAULT
,Question 3
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
CORRECT ANSWER
D. Oral rehydration solution with f/u in 24H
Question 4
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.
CORRECT ANSWER
D. Refer to a pediatric gastroenterologist for further workup.
Question 5
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?
2
@THE STUDY VAULT
,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.
CORRECT ANSWER
A. Begin a trial of extensively hydrolyzed protein formula for 2-4 wks.
Question 6
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
CORRECT ANSWER
D. Referral for EGD
Question 7
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
3
@THE STUDY VAULT
, D. Stopping breastfeeding & beginning a hydrolyzed formula
CORRECT ANSWER
B. Eliminating certain foods from the mother's diet.
Question 8
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.
CORRECT ANSWER
b. Have the parents watch for the object in the child's stool.
Question 9
A 10-year-old child has had abdominal pain for 2 days, which began in the periumbilical
area and then localized to the RLQ. The child vomited once today and then experienced
relief from pain followed by an increased fever. What is the likely diagnosis?
A. Appendicitis w/perf
B. Gastroenteritis
C. Pelvic inflammatory disease (PID)
D. UTI
CORRECT ANSWER
A. Appendicitis w/perf
4
@THE STUDY VAULT
