NR-602 Final Exam (Latest ) | Questions and
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1. The parent of an infant experiencing colic asks about using a probioticmedication. 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.: D.There is no conclusive evidence about
using probiotics to treat colic.
2. A toddler who was born prematurely refuses most solid foods and has poor weight gain. A barium swallow
study reveals a normal esophagus. Whatwill the primary care pediatric NP consider the next to manage this
child's nutritional needs?
A. consultation with dietician
B. Fiberoptic endoscopy evaluation.
C. MRI
D. Videofluroscopy swallowing study (VOSS): D. Videofluroscopy swallowingstudy (VOSS)
3. A toddler is seen in clinic after a 2-day hx of intermittent V/D. An assessment reveals an irritable child with dry
mucous membranes, 3-second cap refill.
2-second recoil of skin, mild tachycardia and tachypnea, and cool hands and feet. The child has had 2 wet diapers in
the past 24 hours.What will the primarycare pediatric NP recommend?
A. anti-diarrheal medication & clear fluids for 24H
,B. Bolus of IV NS in the clinic until improvement
C. Hospital admission for IV rehydration & oral fluids
D. Oral rehydration solution with f/u in 24H: D. Oral rehydration solution with f/uin 24H
4. A 9-year old girl has a hx of frequent vomiting and her mother has fre- quent migraine ha. The child has
recently begun having more frequent and prolonged episodes accompanied by headaches. An exam reveals
abnormaleye movement and mild ataxia. What is the correct action?
A. begin using anti-migraine meds to prevent HA
B. Prescribe ondansetron and lorazepam to help manage sx
C. Reassure the parent that this is expected with cyclic vomiting syndrome
D. Refer to a pediatric gastroenterologist for further workup.: D. Refer to apediatric gastroenterologist for
further workup.
5. The parent of a 3-month-old reports that the infant 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.
Whatis the best course of tx for this infant?
,A. Begin a trial of extensively hydrolyzed protein formula for 2-4 wks.
B. Institute an emperic trial of acid suppression with a PPI
C. Perform esophageal pH monitoring to determine the degree of reflux.
D. Reassure the parent that these sx will likely resolved by 12-24 mo.: A. Begina trial of extensively hydrolyzed
protein formula for 2-4 wks.
6. A school-age child has a 3-month hx of dull, aching epigastric pain that worsens with eating and awakens from
sleep. A CBC shows a Hgb of 8mg/dL.What is the next step in management.
A. Administration of H RA or PPI meds
B. Empiric therapy for H. pylori
C. Ordering an upper GI series
D. Referral for EGD: D. Referral for EGD
7. A 2-mo old infant cries up to 4 hours each day and according to the parents,is inconsolable during crying episodes
with fits and legs notes to be tense andstiff. The infant is breastfeeding frequently but is often fussy during feedings.
The PE is normal and the infant is gaining weight normally. What will the primary care pediatric NP
recommend?
A. A complete work-up, including lab and radiologic tests.
B. Eliminating certain foods from the mother's diet.
C. Empiric tx w/PPI
D. Stopping breastfeeding & beginning a hydrolyzed formula: B. Eliminating certain foods from the mother's
, diet.
8. 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 correctcourse of treatment?
a. Administer ipecac to induce vomiting.
b. Have the parents watch for the object in the child's stool.
c. Insert a nasogastric tube to flush out the object.
d. Refer the child for endoscopic removal of the object.: b. Have the parentswatch for the object in the child's
stool
9. A 10-year-old child has had abdominal pain for 2 days, which began in theperiumbilical area and then localized
to the RLQ.The child vomited once todayand then experienced relief from pain followed by an increased fever.
What isthe likely diagnosis?
A. Appendicitis w/perf
B. Gastroenteritis
C. Pelvic inflammatory disease (PID)
D. UTI: A. Appendicitis w/perf
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