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NR 602 Final Review Practice Questions and Answers 100% Pass The parent of an infant experiencing colic asks about using a probiotic medication. What will the primary care pediatric NP tell this parent? A. Probiotic medications have demonstrated efficacy in treating colic. B. Probiotics are no...

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  • November 25, 2024
  • 54
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

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  • nr 602 final review practice questions and answers

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NR 602 Final Review Practice
Questions and Answers 100% Pass


The parent of an infant experiencing colic asks about using a probiotic

medication. What will the primary care pediatric NP 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 probiotic 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 NP consider the next to manage this

child's nutritional needs?


A. consultation with dietician

Copyright ©EMILLYCHARLOTE 2025 ACADEMIC YEAR, ALL RIGHTS RESERVED. Page 1/54

,B. Fiberoptic endoscopy evaluation.


C. MRI


D. 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?


A. anti-diarrheal medication & clear fluids for 24H


B. Bolus of IV NS in the clinic until improvement


C. Hospital admission for IV rehydration & oral fluids


D. 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



Copyright ©EMILLYCHARLOTE 2025 ACADEMIC YEAR, ALL RIGHTS RESERVED. Page 2/54

,prolonged episodes accompanied by headaches. An exam reveals abnormal

eye movement and mild ataxia. What is the correct action?


A. begin using anti-migraine meds to prevent HA


B. Prescribe ondansetron and lorazepam to help manage sx


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.


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?


A. Begin a trial of extensively hydrolyzed protein formula for 2-4 wks.


B. Institute an emperic trial of acid suppression with a PPI


C. Perform esophageal pH monitoring to determine the degree of reflux.




Copyright ©EMILLYCHARLOTE 2025 ACADEMIC YEAR, ALL RIGHTS RESERVED. Page 3/54

, D. 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.


A. Administration of H RA or PPI meds


B. Empiric therapy for H. pylori


C. Ordering an upper GI series


D. 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. A complete work-up, including lab and radiologic tests.


B. Eliminating certain foods from the mother's diet.
Copyright ©EMILLYCHARLOTE 2025 ACADEMIC YEAR, ALL RIGHTS RESERVED. Page 4/54

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