Chamberlain NR602 Final Exam | Primary Care of the Childbearing and Childrearing Family | Practice Questions & Verified Answer
The parent of an infant experiencing colic asks about using D. There is no conclusive evidence about using probiotics to treat colic.
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.
A toddler who was born prematurely refuses most solid D. Videofluroscopy swallowing study (VOSS)
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)
A toddler is seen in clinic after a 2-day hx of intermittent D. Oral rehydration solution with f/u in 24H
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
A 9-year old girl has a hx of frequent vomiting and her D. Refer to a pediatric gastroenterologist for further workup.
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.
The parent of a 3-month-old reports that the infant reports A. Begin a trial of extensively hydrolyzed protein formula for 2-4 wks.
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.
A school-age child has a 3-month hx of dull, aching D. Referral for EGD
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
,Chamberlain NR602 Final Exam | Primary Care of the Childbearing and Childrearing Family | Practice Questions & Verified Answer
A 2-mo old infant cries up to 4 hours each day and B. Eliminating certain foods from the mother's diet.
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
A child is in the clinic after swallowing a metal bead. A b. Have the parents watch for the object in the child's stool.
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.
A 10-year-old child has had abdominal pain for 2 days, A. Appendicitis w/perf
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
An 18-month-old child has a 1-day hx of intermittent, C. Intussusception
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
A school-age child has had abd pain for 3 mo htat occurs A. CBC, ESR, amylase, lipase, UA, & abd US
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
An adolescent is dx with functional abdominal pain (FAP). C. teaching about the brain-gut interaction causing sx
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
D. using histamine2-blockers to help alleviate sx
,Chamberlain NR602 Final Exam | Primary Care of the Childbearing and Childrearing Family | Practice Questions & Verified Answer
A school-age child has recurrent diarrhea w/foul-smelling B. serologic testing for celiac disease
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
A child is diagnosed w/Chron disease. What are the likely B. intestinal obstruction w/scarring and strictures
complications for this child?
A. cancer of the colon and possible colectomy
B. intestinal obstruction w/scarring and strictures
C. intestinal perforation and hemorrhage
D. liver disease and sepsis
A 12-month old infant exhibits poor wt. gain after B. Feeding and stooling hx and 3-day diet hx
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
A 2-year-old child has an acute diarrheal illness. The child B. Lactobacillus
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
A 30-month-old girl who has been toilet trained for 6 mo d. send the urine to the lab for cx
has daytime enuresis and dysuria and a low-grade fever. A
dipstick urinalysis is negative for leukocyte esterase and
nitrates. What is the next step?
a. begin empiric tx w/trimethoprim-sulfamethoxazole
b. discuss behavioral interventions for toilet training
c. reassure the child's parents that the child does not have
a UTI
d. send the urine to the lab for cx
The clean catch urine specimen of a child w/dysuria, d. tx w/antibiotics for UTI
frequency, and fever has a colony count between 50,000
and 100,000 of E. coli. What is the tx for this child?
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
A dipstick urinalysis is positive for leukocyte esterase and B. Prescribe trimethoprim-sulfamethoxazole (TMP) BID for 3-5 days
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
The parent of an infant experiencing colic asks about using D. There is no conclusive evidence about using probiotics to treat colic.
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.
A toddler who was born prematurely refuses most solid D. Videofluroscopy swallowing study (VOSS)
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)
A toddler is seen in clinic after a 2-day hx of intermittent D. Oral rehydration solution with f/u in 24H
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
A 9-year old girl has a hx of frequent vomiting and her D. Refer to a pediatric gastroenterologist for further workup.
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.
The parent of a 3-month-old reports that the infant reports A. Begin a trial of extensively hydrolyzed protein formula for 2-4 wks.
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.
A school-age child has a 3-month hx of dull, aching D. Referral for EGD
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
,Chamberlain NR602 Final Exam | Primary Care of the Childbearing and Childrearing Family | Practice Questions & Verified Answer
A 2-mo old infant cries up to 4 hours each day and B. Eliminating certain foods from the mother's diet.
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
A child is in the clinic after swallowing a metal bead. A b. Have the parents watch for the object in the child's stool.
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.
A 10-year-old child has had abdominal pain for 2 days, A. Appendicitis w/perf
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
An 18-month-old child has a 1-day hx of intermittent, C. Intussusception
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
A school-age child has had abd pain for 3 mo htat occurs A. CBC, ESR, amylase, lipase, UA, & abd US
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
An adolescent is dx with functional abdominal pain (FAP). C. teaching about the brain-gut interaction causing sx
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
D. using histamine2-blockers to help alleviate sx
,Chamberlain NR602 Final Exam | Primary Care of the Childbearing and Childrearing Family | Practice Questions & Verified Answer
A school-age child has recurrent diarrhea w/foul-smelling B. serologic testing for celiac disease
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
A child is diagnosed w/Chron disease. What are the likely B. intestinal obstruction w/scarring and strictures
complications for this child?
A. cancer of the colon and possible colectomy
B. intestinal obstruction w/scarring and strictures
C. intestinal perforation and hemorrhage
D. liver disease and sepsis
A 12-month old infant exhibits poor wt. gain after B. Feeding and stooling hx and 3-day diet hx
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
A 2-year-old child has an acute diarrheal illness. The child B. Lactobacillus
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
A 30-month-old girl who has been toilet trained for 6 mo d. send the urine to the lab for cx
has daytime enuresis and dysuria and a low-grade fever. A
dipstick urinalysis is negative for leukocyte esterase and
nitrates. What is the next step?
a. begin empiric tx w/trimethoprim-sulfamethoxazole
b. discuss behavioral interventions for toilet training
c. reassure the child's parents that the child does not have
a UTI
d. send the urine to the lab for cx
The clean catch urine specimen of a child w/dysuria, d. tx w/antibiotics for UTI
frequency, and fever has a colony count between 50,000
and 100,000 of E. coli. What is the tx for this child?
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
A dipstick urinalysis is positive for leukocyte esterase and B. Prescribe trimethoprim-sulfamethoxazole (TMP) BID for 3-5 days
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
