NR 602 FINAL EXAM JUNE 2025/2026 QUESTIONS
AND CORRECT ANSWERS GRADED A+
A school age child as a 3-month history of dull, aching epigastric pain that worsens
with eating and awakens the child from sleep. A complete blood count shows a
hemoglobin of 8 mg/dL. What is the next step in management?
Referral for esophagogastroduodenoscopy (EGD)
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?
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 right lower quadrant. The child
vomited once today and then experienced relief from pain followed by an
increased fever. What is the likely diagnosis?
Appendicitis with perforation
An 18-month-old child has a 1day history of intermittent, cramping abdominal
pain with nonbilious vomiting. The child is observed to scream and draw up his
legs during pain episodes and becomes lethargic in between. The primary care
pediatric nurse practitioner notes a small amount of bloody, mucous stool in the
diaper. What is the most likely diagnosis?
, Intussusception
A 12-month-old infant exhibits poor weight gain after previously normal growth
patterns. There is no history of vomiting, diarrhea, or irregular bowel movements,
and the physical exam is normal. What is the next step in evaluating these
findings?
Feeding and stooling history and 3-day diet history
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
urinary tract infections. A culture is pending. What will the pediatric nurse
practitioner do to treat this child?
Prescribe trimethoprim-sulfamethoxazole (TMP) twice daily for 3 to 5 days
A healthy 14-year-old female has a dipstick urinalysis that is positive for 5-6 RBCs
per hpf but otherwise normal. What is the first question the primary care pediatric
nurse practitioner will ask this patient?
"When was your last menstrual period (LMP)?"
An adolescent has 2+ proteinuria in a random dipstick urinalysis. A subsequent
first-morning voided specimen is negative. What will the primary care pediatric
nurse practitioner do to manage this condition?
Monitor for proteinuria at each annual well child examination
AND CORRECT ANSWERS GRADED A+
A school age child as a 3-month history of dull, aching epigastric pain that worsens
with eating and awakens the child from sleep. A complete blood count shows a
hemoglobin of 8 mg/dL. What is the next step in management?
Referral for esophagogastroduodenoscopy (EGD)
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?
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 right lower quadrant. The child
vomited once today and then experienced relief from pain followed by an
increased fever. What is the likely diagnosis?
Appendicitis with perforation
An 18-month-old child has a 1day history of intermittent, cramping abdominal
pain with nonbilious vomiting. The child is observed to scream and draw up his
legs during pain episodes and becomes lethargic in between. The primary care
pediatric nurse practitioner notes a small amount of bloody, mucous stool in the
diaper. What is the most likely diagnosis?
, Intussusception
A 12-month-old infant exhibits poor weight gain after previously normal growth
patterns. There is no history of vomiting, diarrhea, or irregular bowel movements,
and the physical exam is normal. What is the next step in evaluating these
findings?
Feeding and stooling history and 3-day diet history
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
urinary tract infections. A culture is pending. What will the pediatric nurse
practitioner do to treat this child?
Prescribe trimethoprim-sulfamethoxazole (TMP) twice daily for 3 to 5 days
A healthy 14-year-old female has a dipstick urinalysis that is positive for 5-6 RBCs
per hpf but otherwise normal. What is the first question the primary care pediatric
nurse practitioner will ask this patient?
"When was your last menstrual period (LMP)?"
An adolescent has 2+ proteinuria in a random dipstick urinalysis. A subsequent
first-morning voided specimen is negative. What will the primary care pediatric
nurse practitioner do to manage this condition?
Monitor for proteinuria at each annual well child examination
