NR 602 Final Review Exam/ Questions &
Collect Answers Latest Update 2025
What is the best definition of abnormal uterine bleeding (AUB)?
• Uterine bleeding for which no pelvic pathology is found
• Uterine bleeding that is irregular during a woman's menstrual cycle
• Uterine bleeding that is irregular in amount or frequency
• Uterine bleeding that is related to systemic conditions - CORRECT ANSWERS -
Uterine bleeding that is irregular in amount or frequency
What is a good first question to ask women who present with
a concern about abnormal bleeding?
• What is a normal pattern for you?
• How long has this persisted?
• What was your last menstrual cycle like?
• How many times has this occurred? - CORRECT ANSWERS -• What is a normal
pattern for you?
In women of reproductive age, the most common cause of a
bleeding pattern that is suddenly different is
• an increase in estrogen.
• a reaction to a change in eating or exercise habits.
• adrenal hyperplasia.
• a complication of pregnancy. - CORRECT ANSWERS -• a complication of pregnancy.
Progesterone breakthrough bleeding is sometimes seen in women who
• have polycystic ovary syndrome.
• are obese.
• use progesterone-only contraception.
• have ceased progesterone therapy. - CORRECT ANSWERS -• use progesterone-only
contraception.
The least variation in menses occurs
during the ages of
a. 30-50.
b. 40-50.
c. 12-20.
d. 20-40. - CORRECT ANSWERS -d. 20-40.
How can liver and renal diseases result in abnormal uterine bleeding?
• They cause an imbalance in platelet aggregation.
• They result in an inability to adequately clear estrogen from the body.
• They cause thyroid dysfunction, which leads to bleeding abnormalities.
,• They result in elevated prolactin levels, which leads to bleeding abnormalities. -
CORRECT ANSWERS -• They result in an inability to adequately clear estrogen from
the body
Signs of endometrial or cervical cancer may present abnormal
uterine bleeding, often as heavy, prolonged bleeding or
• menometrorrhagia.
• amenorrhea.
• oligomenorrhea.
• polymenorrhea. - CORRECT ANSWERS -• menometrorrhagia.
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
ANSWERS -D. There is no conclusive evidence about using probiotics to treat colic.
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 ANSWERS -D.
Videofluroscopy swallowing study (VOSS)
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 ANSWERS -D. Oral
rehydration solution with f/u in 24H
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 ANSWERS -
D. Refer to a pediatric gastroenterologist for further workup.
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?
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
ANSWERS -A. Begin a trial of extensively hydrolyzed protein formula for 2-4 wks.
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 ANSWERS -D. Referral for EGD
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
D. Stopping breastfeeding & beginning a hydrolyzed formula - CORRECT ANSWERS -
B. Eliminating certain foods from the mother's diet.
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 ANSWERS -b.
Have the parents watch for the object in the child's stool.
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
Collect Answers Latest Update 2025
What is the best definition of abnormal uterine bleeding (AUB)?
• Uterine bleeding for which no pelvic pathology is found
• Uterine bleeding that is irregular during a woman's menstrual cycle
• Uterine bleeding that is irregular in amount or frequency
• Uterine bleeding that is related to systemic conditions - CORRECT ANSWERS -
Uterine bleeding that is irregular in amount or frequency
What is a good first question to ask women who present with
a concern about abnormal bleeding?
• What is a normal pattern for you?
• How long has this persisted?
• What was your last menstrual cycle like?
• How many times has this occurred? - CORRECT ANSWERS -• What is a normal
pattern for you?
In women of reproductive age, the most common cause of a
bleeding pattern that is suddenly different is
• an increase in estrogen.
• a reaction to a change in eating or exercise habits.
• adrenal hyperplasia.
• a complication of pregnancy. - CORRECT ANSWERS -• a complication of pregnancy.
Progesterone breakthrough bleeding is sometimes seen in women who
• have polycystic ovary syndrome.
• are obese.
• use progesterone-only contraception.
• have ceased progesterone therapy. - CORRECT ANSWERS -• use progesterone-only
contraception.
The least variation in menses occurs
during the ages of
a. 30-50.
b. 40-50.
c. 12-20.
d. 20-40. - CORRECT ANSWERS -d. 20-40.
How can liver and renal diseases result in abnormal uterine bleeding?
• They cause an imbalance in platelet aggregation.
• They result in an inability to adequately clear estrogen from the body.
• They cause thyroid dysfunction, which leads to bleeding abnormalities.
,• They result in elevated prolactin levels, which leads to bleeding abnormalities. -
CORRECT ANSWERS -• They result in an inability to adequately clear estrogen from
the body
Signs of endometrial or cervical cancer may present abnormal
uterine bleeding, often as heavy, prolonged bleeding or
• menometrorrhagia.
• amenorrhea.
• oligomenorrhea.
• polymenorrhea. - CORRECT ANSWERS -• menometrorrhagia.
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
ANSWERS -D. There is no conclusive evidence about using probiotics to treat colic.
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 ANSWERS -D.
Videofluroscopy swallowing study (VOSS)
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 ANSWERS -D. Oral
rehydration solution with f/u in 24H
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 ANSWERS -
D. Refer to a pediatric gastroenterologist for further workup.
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?
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
ANSWERS -A. Begin a trial of extensively hydrolyzed protein formula for 2-4 wks.
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 ANSWERS -D. Referral for EGD
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
D. Stopping breastfeeding & beginning a hydrolyzed formula - CORRECT ANSWERS -
B. Eliminating certain foods from the mother's diet.
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 ANSWERS -b.
Have the parents watch for the object in the child's stool.
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
