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NR 602 / NR602 Chamberlain College Of Nursing -NR602-Final Questions With Complete Solutions

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nr602 final questions with complete solutions

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NR602-Final Questions With Complete Solutions

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? Correct Answers Appendicitis
with perforation

A 12 month old infant exhibits poor weight gain after previously
normal growth patterns. There is no history of vomiting,
diarrhea, or irregular bowel movements, and the physical exam
is normal.

What is the next step in evaluating these findings? Correct
Answers Feeding hx
Stooling history
and a 3-day diet history

A 12 year old child has a recent history of increased thirst and
frequent urination. The child's weight has been in the 95th
percentile for several years. A dipstick UA is positive for
glucose, and random plasma glucose is 350 mg/dL.

Which test will the primary care pediatric nurse practitioner
order to determine the type of diabetes in this child? Correct
Answers Pancreatic antibodies

,A 13 year old Native American female has a BMI at the 90th
percentile for age. The primary care pediatric nurse practitioner
notes the presence of a hyperpigmented velvetlike rash in skin
folds (Acanthosis Nigricans). The child denies polydipsia,
polyphagia, and polyuria.

The nurse practitioner will - Correct Answers Order a fasting
blood sample for a metabolic screen for type 2 diabetes.

A 13-year-old child has exhibited symptoms of mild depression
for several weeks. The parent reports feeling relieved that the
symptoms have passed but concerned that the child now seems
to have boundless energy and an inability to sit still.

What will the primary care pediatric nurse practitioner do?
Correct Answers Refer the child to a child psychiatrist for
evaluation of bipolar disorder.

A 14-year-old female comes to the clinic with amenorrhea for 3
months. A pregnancy test is negative. The adolescent's body
weight is at 82% of expected for height and age. The mother
reports her daughter often throws up and refuses to eat most
foods.

Which condition does the NP suspect? Correct Answers
Anorexia nervosa.

A 16yearold adolescent female whose BMI is at the 90th
percentile reports irregular periods. The primary care pediatric
nurse practitioner notes widespread acne on her face and back
and an abnormal distribution of facial hair.

,The nurse practitioner will evaluate her further based on a
suspicion of which diagnosis? Correct Answers Polycystic
ovarian syndrome (PCOS)

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? Correct Answers Eliminating certain foods from
the mother's diet.

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 done to help shorten the
course of this illness. What will the primary care pediatric nurse
practitioner recommend? Correct Answers Lactobacillus

A 3 year old 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? Correct Answers Obtain a
renal and bladder ultrasound.

, 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? Correct Answers Send the urine to the
lab for culture.

A 6 month old infant has a retractile testis that was noted at the
2month well baby exam.

What will the primary care pediatric nurse practitioner do to
manage this condition? Correct Answers Refer the infant to a
pediatric urologist or surgeon for possible orchiopexy.

A 6 year old female has had a recent growth spurt and an exam
reveals breast and pubic hair development. Her bone age is
determined to be 8 years.

What will the primary care pediatric nurse practitioner do next?
Correct Answers Refer to a pediatric endocrinologist for
management.

A 7 year old female has recently developed pubic and axillary
hair without breast development. Her bone age is consistent with
her chronological age, and a pediatric endocrinologist has
diagnosed idiopathic premature adrenarche.

The primary care pediatric nurse practitioner will monitor this
child for which condition? Correct Answers Polycystic ovarian
syndrome (PCOS)

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