Chamberlain NR602 Spring 2024-Questions with Correct Answers/ Verified
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Course
NR602
Institution
NR602
The parent of an infant asks about using a probiotic medication. What will the primary care pediatric
nurse practitioner tell this parent?
There is no conclusive evidence about using probiotics to treat colic.
A toddler who was born prematurely refuses most solid foods and has poor weight gain. ...
Chamberlain NR602 Spring 2024-Questions with Correct Answers/
Verified
The parent of an infant asks about using a probiotic medication. What will the primary care pediatric
nurse practitioner tell this parent?
There is no conclusive evidence about using probiotics to treat colic.
A toddler who was born prematurely refuses most solid foods and has poor weight gain. A barium
swallow study reveals a normal esophagus. What will the primary care pediatric nurse practitioner
consider next to manage this child's nutritional needs?
Video fluoroscopy swallowing
A toddler is seen in the clinic after a 2 day history of intermittent vomiting and diarrhea. An
assessment reveals an irritable child with dry mucous membranes, 3 second capillary refill, 2 second
recoil of skin, mild tachycardia and tachypnea, and cool hands and feet. The child has had two wet
diapers in the past 24 hours. What will the primary care pediatric nurse practitioner recommend?
Oral rehydration solution with follow-up in 24
A 9 year old girl has a history of frequent vomiting and her mother has frequent migraine headaches.
The child has recently begun having more frequent and prolonged episodes accompanied by
headaches. An exam reveals abnormal eye movements and mild ataxia. What is the correct action?
Refer to a pediatric gastroenterologist for further workup
The parent of a 3 month old reports 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 percentile. What is the best course of treatment for this infant?
Begin a trial of extensively hydrolyzed protein formula for 2 to 4 weeks
A school age child has 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 2 month old infant cries up to 4 hours each day and, according to the parents, is inconsolable
during crying episodes with fists and legs noted to be tense and stiff. The infant is breastfeeding
frequently but is often fussy during feedings. The physical exam is normal and the infant is gaining
weight normally. What will the primary care pediatric nurse practitioner recommend
Eliminating certain foods from the mother's diet
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 1 day 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 school age child has had abdominal pain for 3 months that occurs once or twice weekly and is
associated with a headache and occasional difficulty sleeping, often causing the child to stay home
from school. The child does not have vomiting or diarrhea and is gaining weight normally. The
physical exam is normal. According to Bishop, what is included in the initial diagnostic workupfor this
child?
CBC, ESR, amylase, lipase, UA, and abdominal ultrasound
,An adolescent is diagnosed with functional abdominal pain (FAP). The child's symptoms worsen
during stressful events, especially with school anxiety. What will be an important part of treatment
for this child?
Teaching about the brain gut interaction causing symptoms
A school age child has recurrent diarrhea with foul smelling stools, excessive flatus, abdominal
distension, and failure to thrive. A 2 week lactose free trial failed to reduce symptoms. What is the
next step in diagnosing this condition
Serologic testing for celiac disease
A child is diagnosed with Crohn disease. What are likely complications for this child?
Intestinal obstruction with scarring and strictures
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 3day diet history
A 2 year old child has an acute diarrheal illness. The child 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 nurse practitioner recommend?
Lactobacillus
A 30monthold girl who has been toilet trained for 6 months has daytime enuresis and dysuria and a
lowgrade fever. A dipstick urinalysis is negative for leukocyte esterase and nitrites. What is the next
step?
Send the urine to the lab for culture.
, The clean catch urine specimen of a child with dysuria, frequency, and fever has a colony count
between 50,000 and 100,000 of E. coli. What is the treatment for this child?
Treat with antibiotics for urinary tract infection.
A dipstick urinalysis is positive for leukocyte esterase and nitrites in a schoolage 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 preschool age child with no previous history has mild flank pain and fever but no abdominal pain
or vomiting. A urinalysis is positive for leukocyte esterase and nitrites. A culture is pending. Which is
the correct course of treatment for this child?
Order amoxicillin clavulanate
A 3 year old child has just completed a 7day course of amoxicillin for a second febrile urinary tract
infection and currently has a negative urine culture. What is the next course of action?
Obtain a renal and bladder ultrasound.
A 9 month old infant with a history of three urinary tract infections is diagnosed with grade II
vesicoureteral reflux. Which medication will be prescribed?
TMP-SMX; TMP 2 mg/kg as a single daily dose
The parent of a toddler diagnosed with grade V vesicoureteral reflux asks the primary care pediatric
nurse practitioner how the disease will be treated. What will the nurse practitioner tell this parent?
That surgery to correct the condition is possible
A healthy 14yearold female has a dipstick urinalysis that is positive for 56 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
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