31 August 2026
NR602 FINAL EXAM/NR 602 FINAL 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
The parent of a child dx with ADHD tells the NP that the child gets overwhelmed by
homework assignments, doesn't seem to know which ones to do first, and then doesn't do
any assignments. The NP tells the parents that this represents impairment in which
executive function?
A. Activation
B. Effort
C. Emotion
D. Focus - correct answer-A. Activation
The NP is performing an examination on a 5-year-old child who exhibits ritualistic behaviors, avoids
contact w/other children, and has limited speech. The parent reports having had concerns more
than 2 years ago about autism, but was told that it was too early to diagnose. What will the NP do
first?
A. Admin an M-CHAT screen to screen the child for communication and socialization delays
,31 August 2026
B. Ask the parent to describe the child's earlier behaviors from infancy through preschool
C. Reassure the parent that if sx weren't present earlier, the likelihood of autism is low
D. Refer the child to a pediatric behavioral specialist to develop a plan of tx and management -
correct answer-B. Ask the parent to describe the child's earlier behaviors from infancy through
preschool
The NP is examining a 3-year-old child who speaks loudly, in a monotone, does not make eye
contact, and preforms to sit on the exam room floor moving a toy truck back and forth in a repetitive
manner. What disorder does the NP suspect?
A. ADHD
B. Autism
C. Executive function disorder
D. Sensory processing disorder - correct answer-B. Autism
The NP is conducting a f/u exam on a child who has recently begun taking a low-dose stimulant
medication to tx ADHD. The child's school performance and home behaviors have improved. The
child's parent reports noticing a few tics, such as twitching of the eyelids, but the child is unaware of
them and isn't bothered by them. What will the NP recommend?
A. Adding an alpha-agonist medication
B. Changing to a non-stimulant medication
C. Continuing the medication as prescribed
D. Stopping the medication immediately - correct answer-C. Continuing the medication as prescribed
A 9-year-old child exhibits school refusal and a reluctance to attend sleepovers with classmates. The
parent is concerned because the child has recently begun sleeping in the parents' bed. What initial
action by the NP is appropriate?
A. Assess for environmental stress, parental dysfunction, and maternal depression
B. Ask about traumatic events that may have precipitated this behavior
C. Consider a possible pediatric autoimmune neuropsychiatric disorder cause
D. Recommend firm insistence on school and activity attendance - correct answer-A. Assess for
environmental stress, parental dysfunction, and maternal depression
The parent of a school-age child reports that the child becomes frustrated when unable to perform
tasks well and often has temper tantrums and difficulty sleeping. What disorder may be considered
for this child?
, 31 August 2026
A. Generalized anxiety disorder (GAD)
B. Obsessive-compulsive disorder (OCD)
C. Pediatric autoimmune neuropsychiatric disorder associated with streptococcal infections
(PANDAS)
D. Separation anxiety disorder (SAD) - correct answer-A. Generalized anxiety disorder (GAD)
The parent of a school-age girl reports that the child has difficulty getting ready for school and is
often late because of a need to check and recheck whether her teeth are clean and her room light
has been turned off. What will the NP recommend to this parent?
A. Cognitive-behavioral therapy
B. Deferral to tx until sx worsen
C. Medication management with an SSRI
D. Referral to a child psychiatrist - correct answer-A. Cognitive-behavioral therapy
A newly divorced mother of a toddler reports that the child began having difficulty sleeping and
nightmares along with exhibiting angry outbursts and tantrums 2 months prior. The NP learns that
the child refuses to play with usual playmates and often spends time sitting quietly. What will the NP
do initially?
A. Ask the mother about the relationship with the father.
B. Consult with a child psychiatrist to prescribe medications
C. Recommend cognitive behavioral or psychodynamic therapy
D. Refer the family to a child behavioral specialist for counseling - correct answer-A. Ask the mother
about the relationship with the father.
An adolescent has recently begun doing poorly in school and has stopped participating in sports and
other extracurricular activities. During the history interview, the adolescent reports feeling tired,
having difficulty concentrating, and experiencing a loss of appetite for the past few weeks but
cannot attribute these changes to any major life event. Which is an important next step in managing
this patient?
A. Admin a dx rating scale for depression
B. Considering a short-term trial of an antidepressant medication
C. Determining suicidal ideation and risk of suicide
D. Referring the adolescent to a mental health specialist - correct answer-C. Determining suicidal
ideation and risk of suicide
NR602 FINAL EXAM/NR 602 FINAL 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
The parent of a child dx with ADHD tells the NP that the child gets overwhelmed by
homework assignments, doesn't seem to know which ones to do first, and then doesn't do
any assignments. The NP tells the parents that this represents impairment in which
executive function?
A. Activation
B. Effort
C. Emotion
D. Focus - correct answer-A. Activation
The NP is performing an examination on a 5-year-old child who exhibits ritualistic behaviors, avoids
contact w/other children, and has limited speech. The parent reports having had concerns more
than 2 years ago about autism, but was told that it was too early to diagnose. What will the NP do
first?
A. Admin an M-CHAT screen to screen the child for communication and socialization delays
,31 August 2026
B. Ask the parent to describe the child's earlier behaviors from infancy through preschool
C. Reassure the parent that if sx weren't present earlier, the likelihood of autism is low
D. Refer the child to a pediatric behavioral specialist to develop a plan of tx and management -
correct answer-B. Ask the parent to describe the child's earlier behaviors from infancy through
preschool
The NP is examining a 3-year-old child who speaks loudly, in a monotone, does not make eye
contact, and preforms to sit on the exam room floor moving a toy truck back and forth in a repetitive
manner. What disorder does the NP suspect?
A. ADHD
B. Autism
C. Executive function disorder
D. Sensory processing disorder - correct answer-B. Autism
The NP is conducting a f/u exam on a child who has recently begun taking a low-dose stimulant
medication to tx ADHD. The child's school performance and home behaviors have improved. The
child's parent reports noticing a few tics, such as twitching of the eyelids, but the child is unaware of
them and isn't bothered by them. What will the NP recommend?
A. Adding an alpha-agonist medication
B. Changing to a non-stimulant medication
C. Continuing the medication as prescribed
D. Stopping the medication immediately - correct answer-C. Continuing the medication as prescribed
A 9-year-old child exhibits school refusal and a reluctance to attend sleepovers with classmates. The
parent is concerned because the child has recently begun sleeping in the parents' bed. What initial
action by the NP is appropriate?
A. Assess for environmental stress, parental dysfunction, and maternal depression
B. Ask about traumatic events that may have precipitated this behavior
C. Consider a possible pediatric autoimmune neuropsychiatric disorder cause
D. Recommend firm insistence on school and activity attendance - correct answer-A. Assess for
environmental stress, parental dysfunction, and maternal depression
The parent of a school-age child reports that the child becomes frustrated when unable to perform
tasks well and often has temper tantrums and difficulty sleeping. What disorder may be considered
for this child?
, 31 August 2026
A. Generalized anxiety disorder (GAD)
B. Obsessive-compulsive disorder (OCD)
C. Pediatric autoimmune neuropsychiatric disorder associated with streptococcal infections
(PANDAS)
D. Separation anxiety disorder (SAD) - correct answer-A. Generalized anxiety disorder (GAD)
The parent of a school-age girl reports that the child has difficulty getting ready for school and is
often late because of a need to check and recheck whether her teeth are clean and her room light
has been turned off. What will the NP recommend to this parent?
A. Cognitive-behavioral therapy
B. Deferral to tx until sx worsen
C. Medication management with an SSRI
D. Referral to a child psychiatrist - correct answer-A. Cognitive-behavioral therapy
A newly divorced mother of a toddler reports that the child began having difficulty sleeping and
nightmares along with exhibiting angry outbursts and tantrums 2 months prior. The NP learns that
the child refuses to play with usual playmates and often spends time sitting quietly. What will the NP
do initially?
A. Ask the mother about the relationship with the father.
B. Consult with a child psychiatrist to prescribe medications
C. Recommend cognitive behavioral or psychodynamic therapy
D. Refer the family to a child behavioral specialist for counseling - correct answer-A. Ask the mother
about the relationship with the father.
An adolescent has recently begun doing poorly in school and has stopped participating in sports and
other extracurricular activities. During the history interview, the adolescent reports feeling tired,
having difficulty concentrating, and experiencing a loss of appetite for the past few weeks but
cannot attribute these changes to any major life event. Which is an important next step in managing
this patient?
A. Admin a dx rating scale for depression
B. Considering a short-term trial of an antidepressant medication
C. Determining suicidal ideation and risk of suicide
D. Referring the adolescent to a mental health specialist - correct answer-C. Determining suicidal
ideation and risk of suicide
