NR602 FINAL EXAM 2 VERSIONS LATEST

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NR602 FINAL EXAM (2 VERSIONS) LATEST 2025 / 2026

ACTUAL EXAM WITH COMPLETE QUESTIONS AND

CORRECT DETAILED ANSWERS (100% VERIFIED

ANSWERS) |ALREADY GRADED A+| ||PROFESSOR

VERIFIED|| ||LATEST EXAM!!!||

The parent of an infant experiencing colic asks about using a probiotic medication. What will the primary care pediatric NP tell this parent?

• Probiotic medications have demonstrated efficacy in

treating colic.

• Probiotics are not safe to use to treat infants who have

colic.

• There are no studies showing usefulness of probiotic to

manage colic.

• 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? 1 / 4

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• consultation with dietician
• Fiberoptic endoscopy evaluation.

C. MRI

• 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?

• anti-diarrheal medication & clear fluids for 24H
• Bolus of IV NS in the clinic until improvement
• Hospital admission for IV rehydration & oral fluids
• 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 2 / 4

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accompanied by headaches. An exam reveals abnormal eye movement and mild ataxia. What is the correct action?

• begin using anti-migraine meds to prevent HA
• Prescribe ondansetron and lorazepam to help manage

sx

• Reassure the parent that this is expected with cyclic

vomiting syndrome

• 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?

• Begin a trial of extensively hydrolyzed protein formula

for 2-4 wks.

• Institute an emperic trial of acid suppression with a PPI
• Perform esophageal pH monitoring to determine the

degree of reflux. 3 / 4

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• 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.

• Administration of H RA or PPI meds
• Empiric therapy for H. pylori
• Ordering an upper GI series
• 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 complete work-up, including lab and radiologic tests.
• Eliminating certain foods from the mother's diet.
• Empiric tx w/PPI
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