NR602 FINAL EXAM PEDS QUESTIONS &
ANSWERS PASSED ALREADY GRADED A+
1. What will the NP tell the parents about the
There is no conclusive
use of probiotics?
evi- dence about using
probi- otics to treat
colic
2. Premature infant with poor feeding has a barium study Video
fluoroscopy swal-
with a normal esophagus what should the NP consider lowing study
next to manage the child's nutritional needs?
3. A toddler is seen in the clinic for 2 days of Oral rehydration
vomiting
solution with follow up
& diarrhea. Assessment reveals an irritable
in 24 hours
child, with dry mucous membranes, 3 second
cap refill, 2 second recoil of skin, mild
tachycardia and tachypnea. Cool hands and
feet. The child has had two wet diapers in 24
hours. What will the NP recommend?
Refer to pediatric gas-
4. A 9 year old girl has a history of frequent
vomiting
and her mother has frequent migraines. The child has troenterologist
for further
begun having more frequent and prolonged infants
episodes accompanied by headaches. An exam weight gain
reveals abnor- mal eye movement and mild has
ataxia. What is the correct action? dropped to
5th
5. The parent of a 3 month old reports that the percentile
infant arches and gags while feeding and spits from 12th
up undigest- ed formula frequently. The percentile.
,NR602 FINAL EXAM PEDS QUESTIONS &
ANSWERS PASSED ALREADY GRADED A+
What is the best course of treatment for this workup
infant?
6. A school aged child has a 3 month history of
dull, aching, epigastric pain that worsens with
eating and awakens the child from sleep. A CBC Begin a trial of
shows a hemoglo- bin of 8mg/dL. What is the extensively hydrolyzed
next step in management? protein formu- la for 2
to 4 weeks
Referral for
esophagogas-
troduodenoscopy
(EGD)
, NR602 FINAL EXAM PEDS QUESTIONS &
ANSWERS PASSED ALREADY GRADED A+
7. A 2 month old infant cries up to 4 hours each Eliminating certain food
day and according to the parents is from the mothers
inconsolable during crying episodes with fists diet
and legs noted to be tense
and stiff. The infant is breastfeeding exclusively
and is often fussy during feedings. Physical
exam is normal with infant gaining weight
normally. What would the NP recommend?
8. A child is in the clinic after swallowing a metal Have the parents watch
bead. A xray of the GI tract shows a 6mm for the object in the
cylindrical object in the child's stomach. The child's stool
child is able to swallow
without difficulty and is not experiencing pain.
What is the correct course of treatment?
9. A 10 year old has had abdominal pain for 2 days which Appendicitis
with perfora-
began in the periumbilical area and then most likely
localized to the RLQ. The child vomited once diagnosis?
today and then expe- rienced relief from pain
followed by an increased fever. What is the 11. A school age
likely diagnosis? child has
had
10. A 18 month old child has 1 day history of abdominal
intermit- tent cramping abdominal pain with pain for 3
nonbilious vom- iting. The child is observed months that
to scream and draw up his legs during pain occurs once
episodes and becomes lethargic in between. or twice
The NP notes a small amount of bloody, weekly and
mucous stool in the diaper. What is the is asso-
ANSWERS PASSED ALREADY GRADED A+
1. What will the NP tell the parents about the
There is no conclusive
use of probiotics?
evi- dence about using
probi- otics to treat
colic
2. Premature infant with poor feeding has a barium study Video
fluoroscopy swal-
with a normal esophagus what should the NP consider lowing study
next to manage the child's nutritional needs?
3. A toddler is seen in the clinic for 2 days of Oral rehydration
vomiting
solution with follow up
& diarrhea. Assessment reveals an irritable
in 24 hours
child, with dry mucous membranes, 3 second
cap refill, 2 second recoil of skin, mild
tachycardia and tachypnea. Cool hands and
feet. The child has had two wet diapers in 24
hours. What will the NP recommend?
Refer to pediatric gas-
4. A 9 year old girl has a history of frequent
vomiting
and her mother has frequent migraines. The child has troenterologist
for further
begun having more frequent and prolonged infants
episodes accompanied by headaches. An exam weight gain
reveals abnor- mal eye movement and mild has
ataxia. What is the correct action? dropped to
5th
5. The parent of a 3 month old reports that the percentile
infant arches and gags while feeding and spits from 12th
up undigest- ed formula frequently. The percentile.
,NR602 FINAL EXAM PEDS QUESTIONS &
ANSWERS PASSED ALREADY GRADED A+
What is the best course of treatment for this workup
infant?
6. A school aged child has a 3 month history of
dull, aching, epigastric pain that worsens with
eating and awakens the child from sleep. A CBC Begin a trial of
shows a hemoglo- bin of 8mg/dL. What is the extensively hydrolyzed
next step in management? protein formu- la for 2
to 4 weeks
Referral for
esophagogas-
troduodenoscopy
(EGD)
, NR602 FINAL EXAM PEDS QUESTIONS &
ANSWERS PASSED ALREADY GRADED A+
7. A 2 month old infant cries up to 4 hours each Eliminating certain food
day and according to the parents is from the mothers
inconsolable during crying episodes with fists diet
and legs noted to be tense
and stiff. The infant is breastfeeding exclusively
and is often fussy during feedings. Physical
exam is normal with infant gaining weight
normally. What would the NP recommend?
8. A child is in the clinic after swallowing a metal Have the parents watch
bead. A xray of the GI tract shows a 6mm for the object in the
cylindrical object in the child's stomach. The child's stool
child is able to swallow
without difficulty and is not experiencing pain.
What is the correct course of treatment?
9. A 10 year old has had abdominal pain for 2 days which Appendicitis
with perfora-
began in the periumbilical area and then most likely
localized to the RLQ. The child vomited once diagnosis?
today and then expe- rienced relief from pain
followed by an increased fever. What is the 11. A school age
likely diagnosis? child has
had
10. A 18 month old child has 1 day history of abdominal
intermit- tent cramping abdominal pain with pain for 3
nonbilious vom- iting. The child is observed months that
to scream and draw up his legs during pain occurs once
episodes and becomes lethargic in between. or twice
The NP notes a small amount of bloody, weekly and
mucous stool in the diaper. What is the is asso-
