Page 1 of 94
NR 602 FINAL EXAM AND STUDY GUIDE NEWEST
2025/2026 TEST BANK| NR602 FINAL EXAM PREP
WITH 300 ACTUAL EXAM QUESTIONS AND CORRECT
VERIFIED ANSWERS/ GRADED A+ (MOST RECENT!!)
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
An 18-month-old child has a 1-day hx of intermittent, cramping abd pain
w/non-bilious vomiting. The child observed to scream and draw up his
legs during pain episodes and becomes lethargic in between. The
primary care pediatric NP notes ta small amount of bloody, mucous stool
in the diaper. What is the most likely diagnosis?
A. Appendicitis
B. Gastroenteritis
C. Intussusception
D. Testicular torsion - Correct Answer -C. Intussusception
pg. 1
,Page 2 of 94
A school-age child has had abd pain for 3 mo htat occurs once to twice
weekly and is associated with a h/a and occ diff sleeping, often causing
the child to stay home from school. The child does not have V/D & is
gaining weight normally. The PE is normal. According to Bishop, what
is included in the initial diagnostic work-up for this child?
A. CBC, ESR, amylase, lipase, UA, & abd US
B. CBC, ESR, CRP, and fecal calprotectin
C. CBC, ESR, CRP, UA, stool for ova, parasites, and culture
D. Stool for H.pylori antigen and serum IgA, IgG, tTg - Correct Answer
-A. CBC, ESR, amylase, lipase, UA, & abd US
A school-age child has recurrent diarrhea w/foul-smelling stools,
excessive flatus, abd distention, and FTT. A 2-week lactose-free trial
failed to reduce sx. What is the next step in diagnosing this condition?
A. lactose hydrogen breath test
B. serologic testing for celiac disease
C. stool for ova and parasites
D. Sweat chloride test for cystic fiborisis - Correct Answer -B. serologic
testing for celiac disease
A child is diagnosed w/Chron disease. What are the likely complications
for this child?
A. cancer of the colon and possible colectomy
B. intestinal obstruction w/scarring and strictures
pg. 2
,Page 3 of 94
C. intestinal perforation and hemorrhage
D. liver disease and sepsis - Correct Answer -B. intestinal obstruction
w/scarring and strictures
A 12-month old infant exhibits poor wt. gain after previously normal
growth patterns. There is no hx of V/D, or irregular BM, and the PE is
normal. What is the next step in evaluating these findings?
A. CBC and electrolytes
B. Feeding and stooling hx and 3-day diet hx
C. Stool cx for ova and parasites
D. swallow study with videofluoroscopy - Correct Answer -B.
A 2-year-old child has an acute diarrheal illness. The child is afebrile
and with oral rehydration measures, has remained well hydrated. The
parent asks what can be done to help shorten the course of this illness.
What will the primary care pediatric NP recommend?
A. Clear liquids only
B. Lactobacillus
C. Loperamide
D. Peppermint oil - Correct Answer -B. Lactobacillus
The clean catch urine specimen of a child w/dysuria, frequency, and
fever has a colony count between 50,000 and 100,000 of E. coli. What is
the tx for this child?
pg. 3
, Page 4 of 94
a. obtain a CBC & CRP
b. perform sensitivity testing before treating w/antibiotics
c. repeat the culture if sx persist or worsen
d. tx w/antibiotics for UTI - Correct Answer -d. tx w/antibiotics for UTI
A dipstick urinalysis is positive for leukocyte esterase and nitrites in a
school-age child with dysuria and foul-smelling urine but no fever who
has not had previous UTI. A culture is pending. What will the pediatric
NP do to tx this child?
A. order cipro ER once daily x3 days if cx is positive
B. Prescribe trimethoprim-sulfamethoxazole (TMP) BID for 3-5 days
C. Reassure the child's parents that this is likely an asymptomatic
bacteriuria
D. Wait for urine cx results to determine the correct course of tx -
Correct Answer -B.
A3-year-old child has just completed a 7-day course of amoxicillin for a
second febrile UTI and currently has a neg urine cx. What is the next
course of action?
A. Obtain a renal and bladder US
B. Prescribe prophylactic antibiotics to prevent recurrence
C. Refer the child for a voiding cystourethrogram
D. Scree urine regularly for leukocyte esterase and nitrites - Correct
Answer -A. Obtain a renal and bladder US
pg. 4
NR 602 FINAL EXAM AND STUDY GUIDE NEWEST
2025/2026 TEST BANK| NR602 FINAL EXAM PREP
WITH 300 ACTUAL EXAM QUESTIONS AND CORRECT
VERIFIED ANSWERS/ GRADED A+ (MOST RECENT!!)
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
An 18-month-old child has a 1-day hx of intermittent, cramping abd pain
w/non-bilious vomiting. The child observed to scream and draw up his
legs during pain episodes and becomes lethargic in between. The
primary care pediatric NP notes ta small amount of bloody, mucous stool
in the diaper. What is the most likely diagnosis?
A. Appendicitis
B. Gastroenteritis
C. Intussusception
D. Testicular torsion - Correct Answer -C. Intussusception
pg. 1
,Page 2 of 94
A school-age child has had abd pain for 3 mo htat occurs once to twice
weekly and is associated with a h/a and occ diff sleeping, often causing
the child to stay home from school. The child does not have V/D & is
gaining weight normally. The PE is normal. According to Bishop, what
is included in the initial diagnostic work-up for this child?
A. CBC, ESR, amylase, lipase, UA, & abd US
B. CBC, ESR, CRP, and fecal calprotectin
C. CBC, ESR, CRP, UA, stool for ova, parasites, and culture
D. Stool for H.pylori antigen and serum IgA, IgG, tTg - Correct Answer
-A. CBC, ESR, amylase, lipase, UA, & abd US
A school-age child has recurrent diarrhea w/foul-smelling stools,
excessive flatus, abd distention, and FTT. A 2-week lactose-free trial
failed to reduce sx. What is the next step in diagnosing this condition?
A. lactose hydrogen breath test
B. serologic testing for celiac disease
C. stool for ova and parasites
D. Sweat chloride test for cystic fiborisis - Correct Answer -B. serologic
testing for celiac disease
A child is diagnosed w/Chron disease. What are the likely complications
for this child?
A. cancer of the colon and possible colectomy
B. intestinal obstruction w/scarring and strictures
pg. 2
,Page 3 of 94
C. intestinal perforation and hemorrhage
D. liver disease and sepsis - Correct Answer -B. intestinal obstruction
w/scarring and strictures
A 12-month old infant exhibits poor wt. gain after previously normal
growth patterns. There is no hx of V/D, or irregular BM, and the PE is
normal. What is the next step in evaluating these findings?
A. CBC and electrolytes
B. Feeding and stooling hx and 3-day diet hx
C. Stool cx for ova and parasites
D. swallow study with videofluoroscopy - Correct Answer -B.
A 2-year-old child has an acute diarrheal illness. The child is afebrile
and with oral rehydration measures, has remained well hydrated. The
parent asks what can be done to help shorten the course of this illness.
What will the primary care pediatric NP recommend?
A. Clear liquids only
B. Lactobacillus
C. Loperamide
D. Peppermint oil - Correct Answer -B. Lactobacillus
The clean catch urine specimen of a child w/dysuria, frequency, and
fever has a colony count between 50,000 and 100,000 of E. coli. What is
the tx for this child?
pg. 3
, Page 4 of 94
a. obtain a CBC & CRP
b. perform sensitivity testing before treating w/antibiotics
c. repeat the culture if sx persist or worsen
d. tx w/antibiotics for UTI - Correct Answer -d. tx w/antibiotics for UTI
A dipstick urinalysis is positive for leukocyte esterase and nitrites in a
school-age child with dysuria and foul-smelling urine but no fever who
has not had previous UTI. A culture is pending. What will the pediatric
NP do to tx this child?
A. order cipro ER once daily x3 days if cx is positive
B. Prescribe trimethoprim-sulfamethoxazole (TMP) BID for 3-5 days
C. Reassure the child's parents that this is likely an asymptomatic
bacteriuria
D. Wait for urine cx results to determine the correct course of tx -
Correct Answer -B.
A3-year-old child has just completed a 7-day course of amoxicillin for a
second febrile UTI and currently has a neg urine cx. What is the next
course of action?
A. Obtain a renal and bladder US
B. Prescribe prophylactic antibiotics to prevent recurrence
C. Refer the child for a voiding cystourethrogram
D. Scree urine regularly for leukocyte esterase and nitrites - Correct
Answer -A. Obtain a renal and bladder US
pg. 4
