Pediatrics Proctored Exam Solutions
What happens to the voice during epiglottitis? - ANS-it becomes hoarse
sodium normal range - ANS-135-145
manifestations of pneumonia in infants - ANS-nasal flaring
increased WBCs
diarrhea
abdominal distention
What is an expected finding of endocarditis? - ANS-headache
What is an expected finding in a school-age child with glomerulonephritis? - ANS-brown
colored urine
McBurney's point - ANS--lower right abdomen
-pain in appendicitis
Celiac disease expected findings - ANS--steatorrhea
-distended abdomen
-weight loss
What type of vomiting is common with pyloric stenosis? - ANS-projectile vomiting
What is used to treat scabies lesions? - ANS-permethrin 5% cream manifestation
of pertussis - ANS-dry hacking cough
manifestation of acute streptococcal pharyngitis - ANS-inflamed throat with exudate
manifestation of bacterial conjunctivitis - ANS-purulent eye drainage Koplik spots -
ANS-rubeola (measles
Diabetes insipidus lab values - ANS--dilute urine/low specific gravity
, -high sodium
-normal blood glucose
-polyuria (excessive urine output)
minimal change nephrotic syndrome management - ANS--dietary fluid restriction
-low sodium diet
-corticosteroids
How often should a child with asthma get pulmonary function tests? - ANS-every 12-24
months
lumbar puncture nursing care - ANS--apply topical analgesic to the lumbar site 60 min
prior to procedure
-place in prone position or flat in bed for up to 12 hours to prevent post procedural
spinal headache
-encourage to drink extra fluids to replace CSF
CF diet - ANS--well-balanced
-high in protein & calories
-unrestricted fat
-ensure adequate fluid intake
Can a child with celiac disease eat malt? - ANS-no, it has gluten in it
What should be done after administering PO suspension digoxin? - ANS-brush the
child's teeth
manifestations of digoxin toxicity - ANS-nausea, vomiting, decreased appetite
indications of brainstem herniation - ANS-Cushing's triad: htn, bradycardia, decreased
respirations
interventions for lead toxicity - ANS--diet rich in calcium, vitamin C, and iron
-chelation therapy for lead levels 45 mcg/dL or greater
expected findings following an appendectomy - ANS--absence of peristalsis
-WBC >10,000/mm3
indications of early septic shock - ANS-fever & chills
What happens to the voice during epiglottitis? - ANS-it becomes hoarse
sodium normal range - ANS-135-145
manifestations of pneumonia in infants - ANS-nasal flaring
increased WBCs
diarrhea
abdominal distention
What is an expected finding of endocarditis? - ANS-headache
What is an expected finding in a school-age child with glomerulonephritis? - ANS-brown
colored urine
McBurney's point - ANS--lower right abdomen
-pain in appendicitis
Celiac disease expected findings - ANS--steatorrhea
-distended abdomen
-weight loss
What type of vomiting is common with pyloric stenosis? - ANS-projectile vomiting
What is used to treat scabies lesions? - ANS-permethrin 5% cream manifestation
of pertussis - ANS-dry hacking cough
manifestation of acute streptococcal pharyngitis - ANS-inflamed throat with exudate
manifestation of bacterial conjunctivitis - ANS-purulent eye drainage Koplik spots -
ANS-rubeola (measles
Diabetes insipidus lab values - ANS--dilute urine/low specific gravity
, -high sodium
-normal blood glucose
-polyuria (excessive urine output)
minimal change nephrotic syndrome management - ANS--dietary fluid restriction
-low sodium diet
-corticosteroids
How often should a child with asthma get pulmonary function tests? - ANS-every 12-24
months
lumbar puncture nursing care - ANS--apply topical analgesic to the lumbar site 60 min
prior to procedure
-place in prone position or flat in bed for up to 12 hours to prevent post procedural
spinal headache
-encourage to drink extra fluids to replace CSF
CF diet - ANS--well-balanced
-high in protein & calories
-unrestricted fat
-ensure adequate fluid intake
Can a child with celiac disease eat malt? - ANS-no, it has gluten in it
What should be done after administering PO suspension digoxin? - ANS-brush the
child's teeth
manifestations of digoxin toxicity - ANS-nausea, vomiting, decreased appetite
indications of brainstem herniation - ANS-Cushing's triad: htn, bradycardia, decreased
respirations
interventions for lead toxicity - ANS--diet rich in calcium, vitamin C, and iron
-chelation therapy for lead levels 45 mcg/dL or greater
expected findings following an appendectomy - ANS--absence of peristalsis
-WBC >10,000/mm3
indications of early septic shock - ANS-fever & chills
