NR602 Final Exam Peds COMPLETE QUESTIONS & ANSWERS(RATED A)
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Course
NR602
Institution
NR602
What will the NP tell the parents about the use of probiotics? - ANSWER There is no conclusive evidence about using probiotics to treat colic
Premature infant with poor feeding has a barium study with a normal esophagus what should the NP consider next to manage the child's nutritional needs? - ...
NR602 Final Exam Peds COMPLETE
QUESTIONS & ANSWERS(RATED A)
What will the NP tell the parents about the use of probiotics? - ANSWER There is no conclusive evidence
about using probiotics to treat colic
Premature infant with poor feeding has a barium study with a normal esophagus what should the NP
consider next to manage the child's nutritional needs? - ANSWER Video fluoroscopy swallowing study
A toddler is seen in the clinic for 2 days of vomiting & diarrhea. Assessment reveals an irritable child,
with dry mucous membranes, 3 second cap refill, 2 second recoil of skin, mild tachycardia and
tachypnea. Cool hands and feet. The child has had two wet diapers in 24 hours. What will the NP
recommend? - ANSWER Oral rehydration solution with follow up in 24 hours
A 9 year old girl has a history of frequent vomiting and her mother has frequent migraines. The child has
begun having more frequent and prolonged episodes accompanied by headaches. An exam reveals
abnormal eye movement and mild ataxia. What is the correct action? - ANSWER Refer to 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 infants weight gain has dropped to 5th percentile from 12th
percentile. What is the best course of treatment for this infant? - ANSWER Begin a trial of extensively
hydrolyzed protein formula for 2 to 4 weeks
A school aged child has a 3 month history of dull, aching, epigastric pain that worsens with eating and
awakens the child from sleep. A CBC shows a hemoglobin of 8mg/dL. What is the next step in
management? - ANSWER 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 exclusively and
is often fussy during feedings. Physical exam is normal with infant gaining weight normally. What would
the NP recommend? - ANSWER Eliminating certain food from the mothers diet
, A child is in the clinic after swallowing a metal bead. A xray of the GI tract shows a 6mm 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? - ANSWER Have the parents watch for the object in the child's stool
A 30 month old girl who has been toilet trained for 6 months has daytime enuresis and dysuria with a
low grade fever. Dipstick urinalysis is negative for leukocyte esterase and nitrites. What is the next step? -
ANSWER 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? - ANSWER Treat with antibiotics for
UTI
A dipstick urinalysis is positive for leukocyte esterase and nitrites in a school aged child with dysuria and
foul smelling urine but no fever who has not previously had a UTI. Culture is pending. What will the NP
do to treat this child? - ANSWER Prescribe trimethoprimsulfamethoxazole (TMP) BID for 3-5 days
A preschool 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. Culture is pending. Which is the
correct course of treatment for this child? - ANSWER Order amoxicillin clavulanate
A 3 year old child has just completed a 7 day course of amoxicillin for a second febrile UTI and currently
has a negative urine culture. What is the next course of action? - ANSWER Obtain a renal and bladder
ultrasound
A 9 month old infant with a history of three UTI's is diagnosed with grade II vesicoureteral reflux. Which
medication will be prescribed? - ANSWER TMPSMX; TMP 2mg/kg as a single daily dose
The parent of a toddler diagnosed with grade V vescicoureteral reflux asks the primary care pediatric NP
how the disease will be treated. What with the NP tell the parent? - ANSWER That surgery to correct the
condition is possible
A healthy 14 year old female has a dipstick urinalysis that is positive for 56 RBCs per hpf but otherwise
normal. What is the first question the NP should ask? - ANSWER When was your LMP
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