NURS307 PEDIATRIC PROCTORED EXAM REVIEW QUESTIONS WITH CORRECT ANSWERS

NURS307 PEDIATRIC PROCTORED EXAM REVIEW QUESTIONS WITH
CORRECT ANSWERS



Normal Heart Rate/Temperature/ Blood Pressure/ Urinary Output for a 10-year old - ans-
xz xz xz xz xz xz xz xz xz xz xz xz




60-100 beats per minute xz xz xz xz




37-37.5 degrees C (98.6- 99.5 F) xz xz xz xz xz




97-128 (Sytolic)/ 55 to 88 (Diastolic) xz xz xz xz xz xz




33-58 mL/hr xz




Expected findings after an appendix repair + findings to report - ans-
xz xz xz xz xz xz xz xz xz xz xz




absence of peristalsis (expected)* xz xz xz




brown to green tinged drainage for NG tube (expected)
xz xz xz xz xz xz xz xz




ruptured appendix --> WBC >20,000/mm3 (expected) xz xz xz xz xz xz




passage of dark red stools with mucus (unexpected) xz xz xz xz xz xz xz




--> Meckel Diverticulum
xz xz xz




Age range for each population? (infant, toddler, pre-school, school-
xz xz xz xz xz xz xz xz




age, adolescent, teenager) - ans-birth to 1
xz xz xz xz xz xz




1-3 years xz




3-6 years xz




6-12 years old xz xz xz




13-18 years old xz xz




Nursing Actions for a child receiving chemotherapy and is severely immunocompromised?
xz xz xz xz xz xz xz xz xz xz xz




Lab Values to expect/report?
xz xz xz




WBC, Prealbumin, Hgb/Hct Normal and Abnormal Values? - ans-
xz xz xz xz xz xz xz xz




screen visitors for indications of infection xz xz xz xz xz xz




Expect:
- WBC 5,000-9,500/mm3
xz xz xz




Note: Infection -- xz xz




> body temperature, redness, edema, warmth, or drainage of wound or IV sites
xz xz xz xz xz xz xz xz xz xz xz xz xz




- Prealbumin 15-33/mm3
xz xz xz




Note: xz




prealbulbumin, albumin, and transferrin levels= nutrition status xz xz xz xz xz xz xz




- Platelets 150,000-400,000/mm3
xz xz




Note: to test for hemorrhage and thrombocytopenia
xz xz xz xz xz xz




Report:
- Hgb 8.5g/dL --> WNL= 10-15.5 g/dL
xz xz xz xz xz xz xz




Note: anemia can be diagnosed through Hgb and Hct
xz xz xz xz xz xz xz xz




Hemoglobin WNL (32-44%) xz xz xz




Manifestations

, What should you give to a client experiencing an allergic/anaphylactic reaction?
xz xz xz xz xz xz xz xz xz xz




(angioedema, diffuse flushing of skin) - ans-Epinephrine
xz xz xz xz xz xz xz




What breathing pattern is consistent with the following:
xz xz xz xz xz xz xz




anxiety, fever, metabolic acidosis, or severe anemia - ans-tachycardia
xz xz xz xz xz xz xz xz




Manifestations of Streptococcal Pharyngitis? - ans-Inflamed throat with exudate xz xz xz xz xz xz xz xz




Manifestations of Bacterial Conjuctivitis - ans-Purulent eyedrainage xz xz xz xz xz xz




Manifestations of pertussis/ upper respiratory tract infection - ans- xz xz xz xz xz xz xz xz




dry, hacking cough (more severe at night)
xz xz xz xz xz xz




Manifestations of rubeola or measles - ans-Koplik spots on the buccal mucosa xz xz xz xz xz xz xz xz xz xz xz




Expected findings for spastic (pyramidal) cerebral palsy - ans-- ankle clonus
xz xz xz xz xz xz xz xz xz xz




- exaggerated stretch reflex
xz xz xz




- contractures
xz




- positive babinski reflex
xz xz xz xz




Note: uncontrollable movements of the face and extremities are expected with nonspastic (
xz xz xz xz xz xz xz xz xz xz xz xz




dyskinetic) cerebral palsy xz xz




Physical assessment findings to report (ABCs) - ans-Substernal retractions
xz xz xz xz xz xz xz xz




Indication of adolescent rejecting kidney? - ans-Elevated Serum Creatinine Levels (0.4-
xz xz xz xz xz xz xz xz xz xz




1.0 mg/dL)xz




- Can be an indication that the kidney is not properly functioning
xz xz xz xz xz xz xz xz xz xz xz




Patient education for Pavlik Harness (DDH) - ans--
xz xz xz xz xz xz xz




Harness worn continuously until hip is stable (6-12 weeks)
xz xz xz xz xz xz xz xz xz




- Do not adjust the harness
xz xz xz xz xz




- Avoid powders and lotions --> reduce skin irritation and breakdown
xz xz xz xz xz xz xz xz xz xz




- Place a diaper underneath the harness straps
xz xz xz xz xz xz xz




What isolation precaution should you place a client with pertussis (whooping cough)? - ans-
xz xz xz xz xz xz xz xz xz xz xz xz xz




Droplet Isolation xz




When would you place a client in a negative-pressure isolation room? - ans-
xz xz xz xz xz xz xz xz xz xz xz xz




Airborne Infections like: xz xz




- varicella or measles
xz xz xz




When would you place a client in contact precaution isolation? - ans-
xz xz xz xz xz xz xz xz xz xz xz




Illnesses that can be contracted through direct contact or contact with child's items:
xz xz xz xz xz xz xz xz xz xz xz xz




- hepatitis A or rotavirus
xz xz xz xz xz