NR602 FINAL EXAM/NR 602 FINAL
EXAM LATEST 2025 REAL EXAM
(COMPLETE EXAM) 150 QUESTIONS
AND CORRECT ANSWERS|AGRADE
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. - Answer--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) - Answer--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 - Answer--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. - Answer--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. - Answer--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 - Answer--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 - Answer--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. - Answer--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
C. Pelvic inflammatory disease (PID)
D. UTI - 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 - Answer--C. Intussusception
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 - Answer--A. CBC, ESR,
amylase, lipase, UA, & abd US
An adolescent is dx with functional abdominal pain (FAP). The child's sx worsen
during stressful events, esp w/school anxiety. What will be an important part of tx for
this child?
A. informing the parents that the pain is most likely not real
B. instituting a lactose-free diet along w/lactobacillus supplements
C. teaching about the brain-gut interaction causing sx
EXAM LATEST 2025 REAL EXAM
(COMPLETE EXAM) 150 QUESTIONS
AND CORRECT ANSWERS|AGRADE
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. - Answer--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) - Answer--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 - Answer--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. - Answer--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. - Answer--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 - Answer--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 - Answer--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. - Answer--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
C. Pelvic inflammatory disease (PID)
D. UTI - 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 - Answer--C. Intussusception
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 - Answer--A. CBC, ESR,
amylase, lipase, UA, & abd US
An adolescent is dx with functional abdominal pain (FAP). The child's sx worsen
during stressful events, esp w/school anxiety. What will be an important part of tx for
this child?
A. informing the parents that the pain is most likely not real
B. instituting a lactose-free diet along w/lactobacillus supplements
C. teaching about the brain-gut interaction causing sx
