NR602 MIDTERM EXAM/NR 602 MIDTERM EXAM LATEST
2026/2027 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. - correct answer-D. There is
no conclusive evidence about using probiotics to treat colic.
The NP care for a preschool-age child who was exposed to drugs prenatally. The child bites
other children and has tantrums when asked to stop but is able to state later why this
behavior is wrong. This child most likely has a disorder related to what process?
A. Executive function
B. Information processing
C. Sensory processing
D. Social cognition - correct answer-A. Executive function
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 - correct 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
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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 - correct 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 - correct answer-A. Continuous glucose monitoring
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 - correct 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 - correct 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
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C. To consume a diet w/food high in Vit B12
D. To use a stool softener to prevent GI SE - correct answer-B. The importance of checking blood
glucose 3-4 times a day
A child dx w/ADHD has difficulty stopping activities to begin other activities at school. The NP
understands that this is due to difficulty with what self-regulation ability?
A. Emotional control
B. Flexibility
C. Inhibition
D. Problem-solving - correct answer-B. Flexibility
What causes the epithelium to thicken, differentiate, and accumulate glycogen?
A Progesterone
B Pudendal nerve
C Estrogen
D Vagus nerves - correct answer-C Estrogen
About how many openings are in the nipple?
A 1 to 5
B 5 to 10
C. 10 - 15
D. 15 - 20 - correct answer-D. 15-20
What is one of the most frequent reasons women visit their clinician?
A. Changes in menstruation
B Family planning
C Pregnancy
D Prevention and wellness - correct answer-A Changes in menstruation
What is the objective of the endometrial cycle?
A To emulate the activities of the ovaries