NR328 / NR 328 Exam 1: (Latest Update 2025
/ 2026) Pediatric Nursing | Questions &
Answers | 100% Correct | Grade A.
Chamberlain
1. Cystic fibrosis ANS Inherited autosomal recessive disease of the exocrine
glands. Most common genetic disease in the US in the Caucasian population.
All mucus glands secrete increased thick mucus. This affects the respiratory,
GI, integumentary, endocrine, and reproductive systems the most. Going to
have problems getting pregnant/infertility, with digestion. S/S include
wheezing, SOB, difficulty gaining weight, frequent lung infections, abnormal
bowel movements. Diagnosis: sweat chloride test.
2. Asthma medications ANS Long acting beta1 agonists-LABA, inhaled
corticosteroids, mast cell inhibitors, leukotriene receptor antagonist.
3. Communicating with a preschooler ANS At this age, children love to talk
and are inquisitive. Allow them to express their feelings. Preschoolers
1
,perceive illness as punishment (magical punishment). Give simple
instructions, avoid medical jargon. Encourage parents to participate with the
child's care. Provide explanations and communicate openly.
4. Kawasaki disease (acute stage) ANS Lasts 1-2 weeks including irritability,
high fever for more than 5 days, conjunctival hyperemia, red throat, swollen
hands and feet, maculo-papular rash on trunk and perineal area, unilateral
enlargement of lymph nodes, diarrhea and hepatic dysfunction.
5. Sickle cell anemia ANS Recessive trait hereditary disease most prevalent in
African ancestry. Causes partial or complete replacement of normal
hemoglobin with abnormal hemoglobin S in RBCs. Genetic condition:
Problem is the shape of your RBCs, they may have CLOTS, risk for
STROKE, have headaches, ischemia, joint pain. Sickle cell crisis= have to go
to hospital, in a lot of pain. Complications, altered gain, skin ulceration,
osteomyelitis, acute anemia, acute chest pain and acute chest syndrome.
Clinical therapy= hydration, oxygenation, pain management (prevention and
treatment of infection), blood transfusion may be needed or exchange
2
, transfusion. Family/patient education= prophylactic antibiotics, importance of
immunizations.
6. Health promotion adolescents ANS Sleep: adolescents tend to stay up late.
Sleep deprivation is common, discuss importance of rest. Safety: motor
vehicle accidents, discuss substance use disorders. Sexuality: provide accurate
information and opportunity to discuss. Promote atmosphere where
adolescents can ask questions. Teach testicular self exam and breast self
exam.
7. Hirschsprung's disease ANS Manifestations in newborns: distended
abdomen, feeding intolerance with bilious vomit, refusal to feed, delay in
passage of meconium. Manifestations in infants= failure to thrive,
constipation and abdominal distention, episodes of diarrhea and vomiting,
signs of enterocolitis. Children= ribbonlike, foul-smelling stools with
constipation, abdominal distention, visible peristalsis and easily palpable fecal
mass, undernourished, anemic appearance. Patients who have not passed
meconium will be tested, portion of bowel does not have nerve cells, child
3
/ 2026) Pediatric Nursing | Questions &
Answers | 100% Correct | Grade A.
Chamberlain
1. Cystic fibrosis ANS Inherited autosomal recessive disease of the exocrine
glands. Most common genetic disease in the US in the Caucasian population.
All mucus glands secrete increased thick mucus. This affects the respiratory,
GI, integumentary, endocrine, and reproductive systems the most. Going to
have problems getting pregnant/infertility, with digestion. S/S include
wheezing, SOB, difficulty gaining weight, frequent lung infections, abnormal
bowel movements. Diagnosis: sweat chloride test.
2. Asthma medications ANS Long acting beta1 agonists-LABA, inhaled
corticosteroids, mast cell inhibitors, leukotriene receptor antagonist.
3. Communicating with a preschooler ANS At this age, children love to talk
and are inquisitive. Allow them to express their feelings. Preschoolers
1
,perceive illness as punishment (magical punishment). Give simple
instructions, avoid medical jargon. Encourage parents to participate with the
child's care. Provide explanations and communicate openly.
4. Kawasaki disease (acute stage) ANS Lasts 1-2 weeks including irritability,
high fever for more than 5 days, conjunctival hyperemia, red throat, swollen
hands and feet, maculo-papular rash on trunk and perineal area, unilateral
enlargement of lymph nodes, diarrhea and hepatic dysfunction.
5. Sickle cell anemia ANS Recessive trait hereditary disease most prevalent in
African ancestry. Causes partial or complete replacement of normal
hemoglobin with abnormal hemoglobin S in RBCs. Genetic condition:
Problem is the shape of your RBCs, they may have CLOTS, risk for
STROKE, have headaches, ischemia, joint pain. Sickle cell crisis= have to go
to hospital, in a lot of pain. Complications, altered gain, skin ulceration,
osteomyelitis, acute anemia, acute chest pain and acute chest syndrome.
Clinical therapy= hydration, oxygenation, pain management (prevention and
treatment of infection), blood transfusion may be needed or exchange
2
, transfusion. Family/patient education= prophylactic antibiotics, importance of
immunizations.
6. Health promotion adolescents ANS Sleep: adolescents tend to stay up late.
Sleep deprivation is common, discuss importance of rest. Safety: motor
vehicle accidents, discuss substance use disorders. Sexuality: provide accurate
information and opportunity to discuss. Promote atmosphere where
adolescents can ask questions. Teach testicular self exam and breast self
exam.
7. Hirschsprung's disease ANS Manifestations in newborns: distended
abdomen, feeding intolerance with bilious vomit, refusal to feed, delay in
passage of meconium. Manifestations in infants= failure to thrive,
constipation and abdominal distention, episodes of diarrhea and vomiting,
signs of enterocolitis. Children= ribbonlike, foul-smelling stools with
constipation, abdominal distention, visible peristalsis and easily palpable fecal
mass, undernourished, anemic appearance. Patients who have not passed
meconium will be tested, portion of bowel does not have nerve cells, child
3
