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NR602-Final Questions with Correct Detailed Answers
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NR602-Final Questions with Correct Detailed Answers Chapter 40 - GI Disorders The parent of a colicky infant asks about using a probiotic medication. What will you tell them? - ANSWER-There is no conclusive evidence about using probiotics to treat colic. A toddler who was born prematurely ref...

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  • November 25, 2024
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  • 2024/2025
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NR602-Final Questions with Correct
Detailed Answers


Chapter 40 - GI Disorders


The parent of a colicky infant asks about using a probiotic medication.




What will you tell them? - ANSWER✔✔-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? - ANSWER✔✔-Video fluoroscopy

swallowing study




Copyright ©EMILLYCHARLOTE 2025 ACADEMIC YEAR, ALL RIGHTS RESERVED. Page 1/55

,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? -

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 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? - ANSWER✔✔-Refer to a pediatric

gastroenterologist for further workup.




Copyright ©EMILLYCHARLOTE 2025 ACADEMIC YEAR, ALL RIGHTS RESERVED. Page 2/55

,The parent of a 3-month-old 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 12 th percentile.




What is the best course of treatment for this infant? - ANSWER✔✔-Begin a

trial of extensively hydrolyzed protein formula for 2-4 weeks.


A school age child has a 3-month history of dull, aching epigastric pain that

worsens with eating and awakens the child from sleep. A complete blood

count shows a hemoglobin of 8 mg/dL.




What is the next step in management? - ANSWER✔✔-Refer for 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 frequently but is often fussy

during feedings. The physical exam is normal, and the infant is gaining

weight normally.




Copyright ©EMILLYCHARLOTE 2025 ACADEMIC YEAR, ALL RIGHTS RESERVED. Page 3/55

, What will the primary care pediatric nurse practitioner recommend? -

ANSWER✔✔-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? - ANSWER✔✔-Have the parents

watch for the object in the child's stool.


A 10-year-old child has had abdominal pain for 2 days, which began in the


periumbilical area and then localized to the right lower quadrant. The child

vomited once today and then experienced relief from pain followed by an

increased fever.




What is the likely diagnosis? - ANSWER✔✔-Appendicitis with perforation


An 18-month-old child has a 1 day history of intermittent, cramping

abdominal pain with nonbilious vomiting. The child is observed to scream

and draw up his legs during pain episodes and becomes lethargic in
Copyright ©EMILLYCHARLOTE 2025 ACADEMIC YEAR, ALL RIGHTS RESERVED. Page 4/55

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