NR 602 Final Review|| 110 QUESTIONS|| CORRECT ANSWERS|| VERIFIED
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Course
NR 602
Institution
NR 602
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...
NR 602 Final Review|| 110 QUESTIONS||
CORRECT ANSWERS|| VERIFIED
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. - ANSWER D. 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 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) - ANSWER D. Videofluroscopy swallowing study (VOSS)
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
primary care 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 - ANSWER D. Oral rehydration solution with f/u in 24H
A 9-year old girl has a hx of frequent vomiting and her mother has frequent migraine ha. The child has
recently begun having more frequent and prolonged episodes accompanied by headaches. An exam
reveals abnormal eye 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. - ANSWER D. Refer to a pediatric
gastroenterologist for further workup.
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. What is 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. - ANSWER A. Begin a trial of
extensively hydrolyzed protein formula for 2-4 wks.
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 - ANSWER D. Referral for EGD
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 and stiff. 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 - ANSWER B. Eliminating certain foods from
the mother's diet.
, An adolescent is dx with functional abdominal pain (FAP). The child's sx worsen during stressful events,
esp w/school anxiety. What will be an important part of tx for this child?
A. informing the parents that the pain is most likely not real
B. instituting a lactose-free diet along w/lactobacillus supplements
C. teaching about the brain-gut interaction causing sx
D. using histamine2-blockers to help alleviate sx - ANSWER C. teaching about the brain-gut interaction
causing sx
A school-age child has recurrent diarrhea w/foul-smelling stools, excessive flatus, abd distention, and
FTT. A 2-week lactose-free trial failed to reduce sx. What is the next step in diagnosing this condition?
A. lactose hydrogen breath test
B. serologic testing for celiac disease
C. stool for ova and parasites
D. Sweat chloride test for cystic fiborisis - ANSWER B. serologic testing for celiac disease
A child is diagnosed w/Chron disease. What are the likely complications for this child?
A. cancer of the colon and possible colectomy
B. intestinal obstruction w/scarring and strictures
C. intestinal perforation and hemorrhage
D. liver disease and sepsis - ANSWER B. intestinal obstruction w/scarring and strictures
A 12-month old infant exhibits poor wt. gain after previously normal growth patterns. There is no hx of
V/D, or irregular BM, and the PE is normal. What is the next step in evaluating these findings?
A. CBC and electrolytes
B. Feeding and stooling hx and 3-day diet hx
C. Stool cx for ova and parasites
D. swallow study with videofluoroscopy - ANSWER B. Feeding and stooling hx and 3-day diet hx
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 NP recommend?
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