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NR602 FINAL EXAM PEDS (2024/2025) ACTUAL QUESTIONS WITH CORRECT DETAILED ANSWRS || 100% GUARANTEED PASS!! <RECENT UPDATE>

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NR602 FINAL EXAM PEDS (2024/2025) ACTUAL QUESTIONS WITH CORRECT DETAILED ANSWERS || 100% GUARANTEED PASS!! &lt;RECENT UPDATE&gt; 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...

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  • November 16, 2024
  • 154
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • NR 602511
  • NR 602511
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ProfBenjamin
NR602 FINAL EXAM PEDS (2024/2025)
ACTUAL QUESTIONS WITH CORRECT
DETAILED ANSWERS || 100%
GUARANTEED PASS!! <RECENT
UPDATE>



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 doneto help shorten the course of this illness. What will the primary care
pediatric nurse
practitioner recommend? - ANSWER ✓✓ Lactobacillus


A 30 month old girl who has been toilet trained for 6 months has daytime enuresis
and dysuria and a low-grade fever. A 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 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? - ANSWER ✓✓ Prescribe Bactrim twice daily 3-
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? - ANSWER ✓✓ Order Augmentin.


5. A 3yearold 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? - ANSWER ✓✓ Obtain a renal and bladder ultrasound.


A 9monthold infant with a history of three urinary tract infections is diagnosed
with
grade II vesicoureteral reflux. Which medication will be prescribed? - ANSWER
✓✓ TMPSMX;
TMP (Bactrim) 2mg/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? - ANSWER ✓✓ 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? - ANSWER ✓✓ When was your last menstrual
period.


A child has gross hematuria, abdominal pain, and arthralgia as well as a rash.
What
diagnosis is most likely? - ANSWER ✓✓ Henoch Schonlein purpura.


An adolescent has 2+ proteinuria in a random dipstick urinalysis. A subsequent
first
morning voided specimen is negative. What will the primary care pediatric nurse
practitioner do to manage this condition? - ANSWER ✓✓ Monitor for proteinuria
at each annual
well child examination.


A child is diagnosed with nephrotic syndrome, and the pediatric nurse practitioner
provides primary care in consultation with a pediatric nephrologist. The child was
treated with steroids and responded well to this treatment. What will the nurse
practitioner tell the child's parents about this disease? - ANSWER ✓✓ Steroids
will be used when
relapses occur.


A child who has nephrotic syndrome is on a steroid and a salt restricted diet for a
relapse of symptoms. A dipstick urinalysis shows 1+ protein, down from 3+ at the

, beginning of the episode. In consultation with the child's nephrologist, what is the
correct course of treatment considering this finding? - ANSWER ✓✓ Continue
with steroids and salt
restrictions until the urine is negative for protein.


A child who had GABHS 2 weeks prior is in the clinic with periorbital edema,
dyspnea, and elevated blood pressure. A urinalysis reveals tea colored urine with
hematuria and mild proteinuria. What will the primary care pediatric nurse
practitioner do to manage this condition? - ANSWER ✓✓ Refer the child to a
pediatric nephrologist
for hospitalization.


An adolescent has right sided flank pain without fever. A dipstick urinalysis
reveals
gross hematuria without signs of infection or bacteriuria, and the primary care
pediatric nurse practitioner diagnoses possible nephrolithiasis. What is the initial
treatment for this condition? - ANSWER ✓✓ Increasing fluid intake up to 2L
daily.


During a well child examination of a 2yearold child, the primary care pediatric
nurse
practitioner palpates a unilateral, smooth, firm abdominal mass which does not
cross
the midline. What is the next course of action that? - ANSWER ✓✓ Refer the child
to an oncologist
immediately

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