NR 602 Final Questions with Correct Answers 100%NR 602 Final Questions with Correct Answers 100%NR 602 Final Questions with Correct Answers 100%NR 602 Final Questions with Correct Answers 100%
The parent of an infant asks about using a probiotic medication. What will the primary care pediatric n...
The parent of an infant asks about using a probiotic medication. What will the primary
care pediatric nurse practitioner 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 probiotics 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 nurse practitioner consider next to manage this child's nutritional needs?
A. Consultation with a dietician B. Fiberoptic endoscopy evaluation
C. Magnetic resonance imaging
D. Video fluoroscopy swallowing study - ANSWER-D. Video fluoroscopy swallowing
study
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?
A. A complete workup, including laboratory and radiologic tests B. Eliminating certain
foods from the mother's diet C. Empiric treatment with a proton pump inhibitor
medication D. Stopping breastfeeding and beginning a hydrolyzed formula - ANSWER-
B. 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?
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. - ANSWER-B. Have the parents
watch for the object in the child's stool.
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?
A. Antidiarrheal medication and clear fluids for 24 hours B. Bolus of IV normal saline in
the clinic until improvement C. Hospital admission for IV rehydration and oral fluids D.
Oral rehydration solution with follow-up in 24 hours - ANSWER-D. 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 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?
A. Begin using an antimigraine medication to prevent headaches. B. Prescribe
ondansetron and lorazepam to help manage symptoms.
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
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