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A 4 month old with suspected pyloric stenosis presents with persistent vomiting. Which finding
most strongly supports the diagnosis? - CORRECTANSWER Projectile nonbilious emesis,
palpable " olive" RUQ
The priority intervention for a 6 month old with intussusception is to prepare for? -
CORRECTANSWER Air/contrast enema reduction
A toddler with hirschsprung disease pre-op has abdominal distention and constipation. The
nurse anticipates which plan? - CORRECTANSWER Bowel decompression and rectal irrigations
A child with celiac disease needs more teaching if the parent states: - CORRECTANSWER " oats
are always safe regardless of processing"
A 7 year old with appendicitis suddenly reports relief of severe RLQ pain, now has fever and
guarding. Priority action? - CORRECTANSWER Notify provider, possible perforation
Moderate dehydration in an infant is best indicated by: - CORRECTANSWER Sunken eyes,
tachycardia, delayed cap refill
, Which order is contraindicated for a 5 week old with suspected GERD and poor weight gain? -
CORRECTANSWER Prone sleeping position
Necrotizing Enterocolitis (NEC) risk reduction in preterm infant includes: - CORRECTANSWER
Human milk feeding and cautious feed advancement
Findings most consistent with acute post-streptococcal glomerulonephritis (APSGN): -
CORRECTANSWER Hypertension, recent strep infection, hematuria
Nephrotic syndrome home teaching is correct when the parent says: - CORRECTANSWER " we'll
give high-dose steroids as prescribed and weigh daily"
First action for a febrile 2 year old with suspected UTI? - CORRECTANSWER Obtain urine
specimen by catheterization
vesicoureteral reflux (VUR) teaching: - CORRECTANSWER Daily prophylactic antibiotics may be
ordered to prevent pyelonephritis
Post-op care after hypospadias repair( stent in place) includes: - CORRECTANSWER Double
diapering and preventing pressure on the stent
A child with HUS (hemolytic uremic syndrome) most likely has which lab pattern? -
CORRECTANSWER Anemia, thrombocytopenia , elevated BUN
Best instruction for a nocturnal enuresis in a 7 year old? - CORRECTANSWER Bladder training,
limit evening fluids, enuresis alarm