NURS 232 PEDS EXAM 2 2025/2026 COMPLETE QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES || 100% GUARANTEED PASS!! LATEST VERSION

NURS 232 PEDS EXAM 2 2025/2026 COMPLETE QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES || 100% GUARANTEED PASS!! LATEST VERSION 1. Type 1 Diabetes - ANSWER Insulin Dependent Diabetes of a form that usually develops during childhood or adolescence and is characterized by a severe deficiency of insulin, leading to high blood glucose levels. 2. Type 2 Diabetes - ANSWER Insulin Resistant Diabetes of a form that develops especially in adults and most often obese individuals and that is characterized by high blood glucose resulting from impaired insulin utilization coupled with the body's inability to compensate with increased insulin production. 3. Hypoglycemia signs and symptoms - ANSWER -Low blood sugar - Confusion, irritability, diaphoresis, tremors, weakness, visual disturbances, can mimic alcohol intoxication - If left untreated: loss of consciousness, seizures, and death can occur 4. Hyperglycemia signs and symptoms - ANSWER 3 P's -Polyuria, Polyphagia, Polydipsia 5. Kussmaul respirations- Rapid, deep breathing Dry mouth Intense thirst Vomiting Excess urination Acetone breath 6. Humalog (insulin lispro) - ANSWER Rapid Acting Onset 15 min 7. Humulin R, Novolin R - ANSWER Regular insulin (Onset: 30 min Peak: 2-3 hr Duration: 6.5 hr) 8. Lantus - ANSWER Long-Acting Insulin -Onset: 1-5 hrs -Peak: none -Duration: 24 hrs 9. Insulin injection strategies - ANSWER Inject subcutaneously Rotate sites Use insulin needle 10. Care of the diabetic sick child - ANSWER Give more insulin due to glucose levels increasing during sickness, check blood sugar more frequently, encourage fluids, check urine for ketones every 3 hours, call doctor if blood sugar is over 240 11. Which behaviors are NOT commonly found in autistic children? a) savant or unusual aptitude b) communication impairments c) abnormal social skill development d) preference for sameness - ANSWER a) savant or unusual aptitude **this can happen, but it is rare/not common; shown a lot on tv as "super intelligence" ex: good dr 12. Which of the following is NOT an early sign of increased intracranial pressure? a) visual disturbance, like diplopia b) headache c) seizures d) sunsetting eyes - ANSWER c) seizures *this is a late sign; refer to Table 27-4 "Signs of ICP" 13. A child is being admitted to the hospital w/ symptoms suspicious of meningitis. Which of the following should be completed 1st? a) start IV antibiotics immediately b) administer bolus of isotonic IV fluids c) obtain samples of CSF to send for analysis d) place foley cath to monitor stric output - ANSWER c) obtain samples of CSF to send for analysis *important to get spinal fluid culture to determine if bacterial vs virus, then start broad spectrum antibiotics until labs come back 14. Which position should an infant be placed who just retuned from having ventriculoperitoneal (VP) shunt placed? a) semi-fowlers in infant seat b) flat in crib c) trendelenburg d) in crib in high fowelers position - ANSWER b) flat in crib *this surgery is for hydrocephalus (excessive CSF) to drain fluid *have pt in flat position on unoperated side so doesn't drain too quickly and cause subdural hematoma 15. A child w/ a seizure disorder has been having episode in which they appear to be staring off into space. What type of seizure is suspected? a) febrile b) absence c) partial d) focal - ANSWER b) absence *suddenly stop motor activity or speech, blank face, short duration, multiple episodes/day, eye blinking, verbal/touch does not stop seizure 16. A child diagnosed w/ meningitis is having a generalized seizure. What is the nurse's priority action? a) assess child's VS b) administer O2 and call for help c) administer oral diazepam d) have parents leave room to allow extra hospital personnel - ANSWER b) administer O2 and call for help *generalized seizures diffuse electrical activity in both sides of brain; will have tonic-clonic and postical phase *will be difficult to check VS; never but anything in mouth during seizure 17. Potential clinical manifestations of cerebral palsy may include (select all apply): a) spasticity b) seizures c) hydrocephalus d) feeding difficulties e) accelerated developmental milestones - ANSWER a) spasticity (most common) b) seizures d) feeding difficulties 18. *also abnormal muscle tone, lack of coordination, motor impairment, delayed dev milestones, maybe intellectual disabilities, vision/hearing impairments, speech/language impairments *ataxia, athetosis, dystonia less common 19. A child presents to ER following febrile seizure. Appropriate treatment would include all of the following except: a) administer antiepileptic drug b) adminster antipyretic drug c) careful assessment of neuro status d) obtaining diagnositc labs, such as CBC and cultures - ANSWER a) administer antiepileptic drug *occurs 1 time during illness and last usually short duration so dont treat w/ AED; may occur in next illness *can give tylenol or motrin (if 6 mos) to lower temp 20. A child receiving albuterol, 2 puffs every 3 hrs, for asthma exacerbation is a risk for developing which adverse effects? a) tachycardia, insomnia, and restlessness b) constipation, rash, and blurred vision c) bradypnea, leathargy, and tinnitus d) increased appetite, increased risk for super infection, and gum hyperplasia - ANSWER a) tachycardia, insomnia, and restlessness