NR 602 FINAL EXAM | Questions & Correct
Answers, Well Elaborated Already Verified
Question 1
An adolescent is dx with major depression, and the mental health specialist has
prescribed fluoxetine. What other tx is important to protect against suicidal risk?
A. Addition of risperidone therapy
B. Cognitive-behavioral therapy
C. Family therapy
D. Hospitalization
Correct Answer
B. Cognitive-behavioral therapy
Question 2
A toddler has begun hitting and biting other children at a day care center and is
exhibiting temper tantrums and bad language at home. The parent reports that these
behaviors began shortly after a sibling was born. What will the NP do?
A. Advise the parent that the child is exhibiting early signs of ADHD
B. Engage the parent in positive parenting strategies to facilitate appropriate child
coping
C. Recommend evaluating the child for conduct or oppositional defiant disorder
D. Suggest putting the child in another day care center to ameliorate the problems
Correct Answer
B. Engage the parent in positive parenting strategies to facilitate appropriate child
coping
Question 3
A major contributor to pelvic stability is
A. the coccyx.
B the pubis.
C the ilium and its ligaments.
D the sacrum.
Correct Answer
C the ilium and ligaments
Page 1 of 55
,Question 4
What initiates contractions of the uterine muscle leading to menstruation?
A. Lysosomal enzymes
B. Vascular thrombosis
C. Rupture of the basal arterioles
D. Prostaglandins
Correct Answer
D. Prostaglandins
Question 5
Of the four symptom clusters of perimenstrual symptoms identified
by Woods, Mitchell & Lentz (1999), which was the dominant one in terms of
explaining variance in premenstrual symptoms?
• Fluid retention
• Arousal
• Turmoil
• Somatic symptoms
Correct Answer
• Turmoil
Question 6
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.
Page 2 of 55
,Question 7
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)
Question 8
What is the function of the Bartholin's gland?
A. To help prevent infection of the introitus
B. To secrete lubricating mucus into the introitus during sexual excitement
C. To assist in keeping the vaginal introitus closed
D. To secrete estrogen and regulate its levels
Correct Answer
A. To help prevent infection of the introitus
Question 9
The NP performs a PE on a 9-mo-old infant with congenital hypothyroidism who
takes daily levothyroxine sodium & notes a recent slowing of the infant's growth rate.
What will the NP order?
A. Free serum T4 & TSH
B. Serum levothyroxine level
C. Total T4 & free T4 levels
D. TSH & total T4 level
Correct Answer
A. Free serum T4 & TSH
Page 3 of 55
, Question 10
An adolescent has right-sided flank pain without fever. A dipstick UA reveals gross
hematuria w/o signs of infection or bacteriuria, and the NP dx possible
nephrolithiasis. What is the initial tx for this condition?
A. extracorporeal shockwave lithotripsy (ESWL)
B. Increase fluid intake up to 2L daily
C. Percutaneous removal of renal calculi
D. Referral to a pediatric nephrologist
Correct Answer
B. Increase fluid intake up to 2L daily
Question 11
Which arteries supply blood to the clitoris?
A. Arcuate arteries
B. Dorsal and clitoral cavernosal arteries
C. Two ovarian arteries
D. Coiled arteries
Correct Answer
B Dorsal and clitoral cavernosal arteries
Question 12
A child has gross hematuria, abdominal pain, and arthralgia as well as a rash. What
diagnosis is most likely?
A. Henoch-Schonlein purpura
B. Rhabdomyosarcoma
C. Sickle cell disease
D. Systemic lupus erythematosus
Correct Answer
A. Henoch-Schonlein purpura
Page 4 of 55
Answers, Well Elaborated Already Verified
Question 1
An adolescent is dx with major depression, and the mental health specialist has
prescribed fluoxetine. What other tx is important to protect against suicidal risk?
A. Addition of risperidone therapy
B. Cognitive-behavioral therapy
C. Family therapy
D. Hospitalization
Correct Answer
B. Cognitive-behavioral therapy
Question 2
A toddler has begun hitting and biting other children at a day care center and is
exhibiting temper tantrums and bad language at home. The parent reports that these
behaviors began shortly after a sibling was born. What will the NP do?
A. Advise the parent that the child is exhibiting early signs of ADHD
B. Engage the parent in positive parenting strategies to facilitate appropriate child
coping
C. Recommend evaluating the child for conduct or oppositional defiant disorder
D. Suggest putting the child in another day care center to ameliorate the problems
Correct Answer
B. Engage the parent in positive parenting strategies to facilitate appropriate child
coping
Question 3
A major contributor to pelvic stability is
A. the coccyx.
B the pubis.
C the ilium and its ligaments.
D the sacrum.
Correct Answer
C the ilium and ligaments
Page 1 of 55
,Question 4
What initiates contractions of the uterine muscle leading to menstruation?
A. Lysosomal enzymes
B. Vascular thrombosis
C. Rupture of the basal arterioles
D. Prostaglandins
Correct Answer
D. Prostaglandins
Question 5
Of the four symptom clusters of perimenstrual symptoms identified
by Woods, Mitchell & Lentz (1999), which was the dominant one in terms of
explaining variance in premenstrual symptoms?
• Fluid retention
• Arousal
• Turmoil
• Somatic symptoms
Correct Answer
• Turmoil
Question 6
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.
Page 2 of 55
,Question 7
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)
Question 8
What is the function of the Bartholin's gland?
A. To help prevent infection of the introitus
B. To secrete lubricating mucus into the introitus during sexual excitement
C. To assist in keeping the vaginal introitus closed
D. To secrete estrogen and regulate its levels
Correct Answer
A. To help prevent infection of the introitus
Question 9
The NP performs a PE on a 9-mo-old infant with congenital hypothyroidism who
takes daily levothyroxine sodium & notes a recent slowing of the infant's growth rate.
What will the NP order?
A. Free serum T4 & TSH
B. Serum levothyroxine level
C. Total T4 & free T4 levels
D. TSH & total T4 level
Correct Answer
A. Free serum T4 & TSH
Page 3 of 55
, Question 10
An adolescent has right-sided flank pain without fever. A dipstick UA reveals gross
hematuria w/o signs of infection or bacteriuria, and the NP dx possible
nephrolithiasis. What is the initial tx for this condition?
A. extracorporeal shockwave lithotripsy (ESWL)
B. Increase fluid intake up to 2L daily
C. Percutaneous removal of renal calculi
D. Referral to a pediatric nephrologist
Correct Answer
B. Increase fluid intake up to 2L daily
Question 11
Which arteries supply blood to the clitoris?
A. Arcuate arteries
B. Dorsal and clitoral cavernosal arteries
C. Two ovarian arteries
D. Coiled arteries
Correct Answer
B Dorsal and clitoral cavernosal arteries
Question 12
A child has gross hematuria, abdominal pain, and arthralgia as well as a rash. What
diagnosis is most likely?
A. Henoch-Schonlein purpura
B. Rhabdomyosarcoma
C. Sickle cell disease
D. Systemic lupus erythematosus
Correct Answer
A. Henoch-Schonlein purpura
Page 4 of 55
