NR 602 Final Exam Prep Test Bank Covering 250 Recently
Tested Questions with 100% correct answers/ NR 602 Final
Exam Prep 2026-2027/ Primary care of the childbearing and
the child bearing family
During a well child exam of a 2-year-old child, this NP palpates a unilateral,
smooth, firm abdominal mass which does not cross the midline. What is the next
course of action?
A. Order CT of CAP
B. Perform UA, CBC, renal function test
C. Reevaluate mass in 1-2 weeks
D. Refer child to a oncologist immediately - ANSWER-D. Refer child to a
oncologist immediately
A 6-month-old infant has a retractile testis that was noted at the 2-month well baby
exam. What will the NP do to manage this condition?
A. Reassure the parent that the testis will most likely descend into place on its own
B. Refer the infant to a pediatric urologist or surgeon for possible orchiopexy
C. Teach the parent to manipulate the testis into the scrotum during diaper changes
D. Tell the parent that hormonal therapy may be needed to correct the condition -
ANSWER-B. Refer the infant to a pediatric urologist or surgeon for possible
orchiopexy
A 9-month-old infant is brought to the clinic with scrotal swelling and fussiness.
The NP notes a tender mass in the affected scrotum that is difficult to reduce. What
is the correct action?
A. obtain an abdominal radiograph
B. refer immediately to a pediatric surgeon
1
,C. Schedule an apt w/a pediatric urologist
D. Teach the parents signs of incarceration - ANSWER-B. refer immediately to a
pediatric surgeon
The mother of a 12-month-old uncircumcised male infant reports that the child
seems to have pain associated with voiding. A PE reveals a tight, pinpoint opening
of the foreskin, which thickened and inflamed. What will the NP do?
A. attempt to retract the foreskin to visualize the penis
B. Order corticosteroid cream TIDx4 wks
C. Refer the child to a pediatric urologist
D. Tach the mother gently stretch the foreskin with cleaning - ANSWER-C. Refer
the child to a pediatric urologist
An adolescent male comes to the clinic reporting unilateral scrotal pain, N/V, that
began that morning. The NP palpates a painful, swollen testis and elicits inc pain
w/slight elevation of the testis (a neg Phren's sign) What will the NP do?
A. Admin IM ceftriaxone and prescribe doxy BIDx10days
B. Encourage bed rest, scrotal support, and ice packs to the scrotum as tol
C. Prescribe NSAIDs, limited activities, and warm compress to the scrotum
D. Refer the adolescent immediately to a pediatric urologist or surgeon -
ANSWER-D. Refer the adolescent immediately to a pediatric urologist or surgeon
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
2
,D. TSH & total T4 level - ANSWER-A. Free serum T4 & TSH
A 12-year-old child has a recent hx of inc thirst & frequent urination. This child's
wt has been in the 95th percentile for several yrs. A dipstick UA is positive for
glucose, & random plasma glucose is 350 mg/dL. What test will the NP order to
determine the type of diabetes in this child?
A. fasting plasma glucose
B. Hgb A1C
C. Pancreatic autoantibodies
D. Thyroid function tests - ANSWER-C. Pancreatic autoantibodies
The NP dx an 8-year-old child with type 1 DM after routine urine screen is positive
for glucose and negative for ketones and plasma glucose is 350 mg/dL. The child's
weight is normal and the parents report a mild inc in thirst and urine OP in the past
few days. Which course of action is correct?
A. admit the child to the hospital for initial insulin management
B. begin insulin & refer the child to a child's diabetes center
C. Order fasting serum glucose and a dipstick UA in the morning
D. Send the child to the ED for fluids and IV insulin - ANSWER-B. begin insulin
& refer the child to a child's diabetes center
The NP is reviewing lab work & diabetes management with a school-age child
whose A1C is 7.6% who reports usual blood sugars before meals as being 80-90.
The NP will consult the child's endocrinologist to consider which therapy?
A. Continuous glucose monitoring
B. Continuous subcutaneous insulin infusion
C. Self-monitoring of blood glucose
D. Use of long-acting insulin analogue - ANSWER-A. Continuous glucose
monitoring
3
, The NP is performing a well child examination on a 12-year-old who was dx
w/type 1 DM at age 9. The child has a lipid screen at age 10 with a LDL
cholesterol <100 mg/dL. What will the NP recommend as part of ongoing
management for this child?
A. Annual lipid profile evaluation
B. Annual screening for microalbuminuria
C. Comprehensive ophthalmologic exam
D. Hypothyroidism screening every 5 yr - ANSWER-C. Comprehensive
ophthalmologic exam
A 13-year-old Native American female has a body mass index (BMI) at the 90th
percentile for age. The NP notes the presence of a hyperpigmented velvet-like rash
in skin folds. The child denies polydipsia, polyphagia, and polyuria. The NP will
take what action?
A. Counsel the child to lose weight to prevent type 2 DM
B. Diagnose DM2 in the child has a random glucose of 180ml/dL
C. Order a fasting blood sample for a metabolic screen for DM2
D. Refer the child to a pediatric endocrinologist - ANSWER-C. Order a fasting
blood sample for a metabolic screen for DM2
The NP prescribes metformin for a 15-year-old adolescent newly dx with DM2.
What will the NP include when teaching the adolescent about this drug?
A. That insulin therapy will be necessary in the future
B. The importance of checking blood glucose 3-4 times a day
C. To consume a diet w/food high in Vit B12
D. To use a stool softener to prevent GI SE - ANSWER-B. The importance of
checking blood glucose 3-4 times a day
4
Tested Questions with 100% correct answers/ NR 602 Final
Exam Prep 2026-2027/ Primary care of the childbearing and
the child bearing family
During a well child exam of a 2-year-old child, this NP palpates a unilateral,
smooth, firm abdominal mass which does not cross the midline. What is the next
course of action?
A. Order CT of CAP
B. Perform UA, CBC, renal function test
C. Reevaluate mass in 1-2 weeks
D. Refer child to a oncologist immediately - ANSWER-D. Refer child to a
oncologist immediately
A 6-month-old infant has a retractile testis that was noted at the 2-month well baby
exam. What will the NP do to manage this condition?
A. Reassure the parent that the testis will most likely descend into place on its own
B. Refer the infant to a pediatric urologist or surgeon for possible orchiopexy
C. Teach the parent to manipulate the testis into the scrotum during diaper changes
D. Tell the parent that hormonal therapy may be needed to correct the condition -
ANSWER-B. Refer the infant to a pediatric urologist or surgeon for possible
orchiopexy
A 9-month-old infant is brought to the clinic with scrotal swelling and fussiness.
The NP notes a tender mass in the affected scrotum that is difficult to reduce. What
is the correct action?
A. obtain an abdominal radiograph
B. refer immediately to a pediatric surgeon
1
,C. Schedule an apt w/a pediatric urologist
D. Teach the parents signs of incarceration - ANSWER-B. refer immediately to a
pediatric surgeon
The mother of a 12-month-old uncircumcised male infant reports that the child
seems to have pain associated with voiding. A PE reveals a tight, pinpoint opening
of the foreskin, which thickened and inflamed. What will the NP do?
A. attempt to retract the foreskin to visualize the penis
B. Order corticosteroid cream TIDx4 wks
C. Refer the child to a pediatric urologist
D. Tach the mother gently stretch the foreskin with cleaning - ANSWER-C. Refer
the child to a pediatric urologist
An adolescent male comes to the clinic reporting unilateral scrotal pain, N/V, that
began that morning. The NP palpates a painful, swollen testis and elicits inc pain
w/slight elevation of the testis (a neg Phren's sign) What will the NP do?
A. Admin IM ceftriaxone and prescribe doxy BIDx10days
B. Encourage bed rest, scrotal support, and ice packs to the scrotum as tol
C. Prescribe NSAIDs, limited activities, and warm compress to the scrotum
D. Refer the adolescent immediately to a pediatric urologist or surgeon -
ANSWER-D. Refer the adolescent immediately to a pediatric urologist or surgeon
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
2
,D. TSH & total T4 level - ANSWER-A. Free serum T4 & TSH
A 12-year-old child has a recent hx of inc thirst & frequent urination. This child's
wt has been in the 95th percentile for several yrs. A dipstick UA is positive for
glucose, & random plasma glucose is 350 mg/dL. What test will the NP order to
determine the type of diabetes in this child?
A. fasting plasma glucose
B. Hgb A1C
C. Pancreatic autoantibodies
D. Thyroid function tests - ANSWER-C. Pancreatic autoantibodies
The NP dx an 8-year-old child with type 1 DM after routine urine screen is positive
for glucose and negative for ketones and plasma glucose is 350 mg/dL. The child's
weight is normal and the parents report a mild inc in thirst and urine OP in the past
few days. Which course of action is correct?
A. admit the child to the hospital for initial insulin management
B. begin insulin & refer the child to a child's diabetes center
C. Order fasting serum glucose and a dipstick UA in the morning
D. Send the child to the ED for fluids and IV insulin - ANSWER-B. begin insulin
& refer the child to a child's diabetes center
The NP is reviewing lab work & diabetes management with a school-age child
whose A1C is 7.6% who reports usual blood sugars before meals as being 80-90.
The NP will consult the child's endocrinologist to consider which therapy?
A. Continuous glucose monitoring
B. Continuous subcutaneous insulin infusion
C. Self-monitoring of blood glucose
D. Use of long-acting insulin analogue - ANSWER-A. Continuous glucose
monitoring
3
, The NP is performing a well child examination on a 12-year-old who was dx
w/type 1 DM at age 9. The child has a lipid screen at age 10 with a LDL
cholesterol <100 mg/dL. What will the NP recommend as part of ongoing
management for this child?
A. Annual lipid profile evaluation
B. Annual screening for microalbuminuria
C. Comprehensive ophthalmologic exam
D. Hypothyroidism screening every 5 yr - ANSWER-C. Comprehensive
ophthalmologic exam
A 13-year-old Native American female has a body mass index (BMI) at the 90th
percentile for age. The NP notes the presence of a hyperpigmented velvet-like rash
in skin folds. The child denies polydipsia, polyphagia, and polyuria. The NP will
take what action?
A. Counsel the child to lose weight to prevent type 2 DM
B. Diagnose DM2 in the child has a random glucose of 180ml/dL
C. Order a fasting blood sample for a metabolic screen for DM2
D. Refer the child to a pediatric endocrinologist - ANSWER-C. Order a fasting
blood sample for a metabolic screen for DM2
The NP prescribes metformin for a 15-year-old adolescent newly dx with DM2.
What will the NP include when teaching the adolescent about this drug?
A. That insulin therapy will be necessary in the future
B. The importance of checking blood glucose 3-4 times a day
C. To consume a diet w/food high in Vit B12
D. To use a stool softener to prevent GI SE - ANSWER-B. The importance of
checking blood glucose 3-4 times a day
4
