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NUR 236 PEDS EXAM 3
1. Patient has dimples, discoloration and hair in lower back, follow up with the doctor. We
can’t tell the patient the diagnosis.
2. Buck traction SATA question.
3. Reye syndrome – monitor for increased ICP.
4. Priority risk factor for suicide – Previous suicide attempt.
5. MCNS – Elevated protein, low albumin, edema.
6. Seizure precaution SATA.
7. Pyloric stenosis – Projectile vomiting.
8. Gastroenteritis indication of improvement – Urine specific gravity.
9. Autism S/S – Hypersensitive to touch.
10. Scoliosis screening when – preadolescent.
11. Myelomeningocele patient teaching is effective – take an axillary temperature.
12. Myelomeningocele preoperative care – Prone position, apply moist non adhesive
dressing, avoid ROM.
13. Enuresis meds SATA – Desmopressin, Imipramine, Oxybutynin.
14. Appendicitis indication of perforation- Sudden, decrease of pain.
15. Medication tx of JIA that causes immunosuppressant, not sure of the answer,
Infliximab.
16. Food allowed for Celiac disease: Fruit juice, chicken with rice, corn on the cob.
17. Test that will indicate bacterial meningitis, elevated protein, cloudy fluid, elevated
WBC.
18. Patient education for post epispadias repair – Irrigate mucous plugs gently.
, 2
19. Hearing impairment pick which patient is a concern – 8 month old infant not making
babbling sound.
20. Cerebral palsy S/S -Sit without support or hypertonia? Not sure of the answer. Make
sure to pay attention to the age.
21. VURP test is for what? Urine reflux.
22. Cleft lip/palate repair management SATA.
23. Down syndrome expected findings SATA.
24. Administration of albumin, what to monitor – Fluid overload.
25. Prevention of meningitis – HIB and PCV vaccine.
26. Know mild dehydration expected findings.
27. Scoliosis after surgery intervention – Provide PCA pump.
28. ASPGN primary intervention – Encourage ambulation or administer ABT?? I chose
administer ABT.
29. Hirschsprung disease effective Patient education – Ostomy is temporary.
30. Ostomy care – Put paste/barrier?? Not sure.
31. Intusseption (Sausage mass) priority question to the parent – Does your child have
different color stool.
32. Cast, warmth indication is – Infection.
33. Severe dehydration – Initiate 0.9 NS.
34. GERD interventions SATA.
35. Autism – Provide structured environment.
36. VP shunt malfunction- Tell parents to go to emergency room immediately.
37. Know Brudzinski’s sign – Flexion of legs when neck is flexed.
38. ASPGN diet – Fluid restriction, low sodium.
, 3
39. Pick which patient need to report to the provider – 4 year old child who walks on
tiptoes, indication of muscle dystrophy.
40. UTI prevention of recurrence SATA.
41. Fracture of the epiphyseal plate -Normal bone growth can be affected.
42. Pavlik harness.
43. Lumbar puncture- Place in side-lying knee chest position.
44. Acute gastroenteritis, what types of fluid to administer – Oral rehydration solution.
1. If we are providing teaching for the parent of a child who has Celiac disease, what food
choices would we include?
• Rice (It is gluten free).
• NO Barley, NO Wheat, NO Rye (They all have gluten).
2. A child with fractured femur has a Bryant traction assembled, what should we observe
as correct?
• Buttocks slightly elevated off the bed (Because child’s hips are flexed at 90-degree-
angle with the legs suspended by the pullies and weights, which must hang freely
from the bed to maintain alignment).
• NO-Skin straps maintain leg in the extended position.
• NO-Weights attached to the pin inserted into the femur.
• NO-Padded sling under knee of the effected leg.
3. What is a priority risk factor for suicide completion?
• Previous attempts (Is found as many as half of adolescents who have attempted
suicide.)
• Not-Active psychiatric disorder, loss of parent, history of substance abuse (All risk
factors, but NOT priority.)
4. What medication puts a patient at risk for Rye Syndrome? (Metabolic Encephalopathy)
• Aspirin (If grandma brought child in with flu and says, “he has the flu and I will give
him/her aspirin for the fever”, then grandma would need to be reeducated.)
NUR 236 PEDS EXAM 3
1. Patient has dimples, discoloration and hair in lower back, follow up with the doctor. We
can’t tell the patient the diagnosis.
2. Buck traction SATA question.
3. Reye syndrome – monitor for increased ICP.
4. Priority risk factor for suicide – Previous suicide attempt.
5. MCNS – Elevated protein, low albumin, edema.
6. Seizure precaution SATA.
7. Pyloric stenosis – Projectile vomiting.
8. Gastroenteritis indication of improvement – Urine specific gravity.
9. Autism S/S – Hypersensitive to touch.
10. Scoliosis screening when – preadolescent.
11. Myelomeningocele patient teaching is effective – take an axillary temperature.
12. Myelomeningocele preoperative care – Prone position, apply moist non adhesive
dressing, avoid ROM.
13. Enuresis meds SATA – Desmopressin, Imipramine, Oxybutynin.
14. Appendicitis indication of perforation- Sudden, decrease of pain.
15. Medication tx of JIA that causes immunosuppressant, not sure of the answer,
Infliximab.
16. Food allowed for Celiac disease: Fruit juice, chicken with rice, corn on the cob.
17. Test that will indicate bacterial meningitis, elevated protein, cloudy fluid, elevated
WBC.
18. Patient education for post epispadias repair – Irrigate mucous plugs gently.
, 2
19. Hearing impairment pick which patient is a concern – 8 month old infant not making
babbling sound.
20. Cerebral palsy S/S -Sit without support or hypertonia? Not sure of the answer. Make
sure to pay attention to the age.
21. VURP test is for what? Urine reflux.
22. Cleft lip/palate repair management SATA.
23. Down syndrome expected findings SATA.
24. Administration of albumin, what to monitor – Fluid overload.
25. Prevention of meningitis – HIB and PCV vaccine.
26. Know mild dehydration expected findings.
27. Scoliosis after surgery intervention – Provide PCA pump.
28. ASPGN primary intervention – Encourage ambulation or administer ABT?? I chose
administer ABT.
29. Hirschsprung disease effective Patient education – Ostomy is temporary.
30. Ostomy care – Put paste/barrier?? Not sure.
31. Intusseption (Sausage mass) priority question to the parent – Does your child have
different color stool.
32. Cast, warmth indication is – Infection.
33. Severe dehydration – Initiate 0.9 NS.
34. GERD interventions SATA.
35. Autism – Provide structured environment.
36. VP shunt malfunction- Tell parents to go to emergency room immediately.
37. Know Brudzinski’s sign – Flexion of legs when neck is flexed.
38. ASPGN diet – Fluid restriction, low sodium.
, 3
39. Pick which patient need to report to the provider – 4 year old child who walks on
tiptoes, indication of muscle dystrophy.
40. UTI prevention of recurrence SATA.
41. Fracture of the epiphyseal plate -Normal bone growth can be affected.
42. Pavlik harness.
43. Lumbar puncture- Place in side-lying knee chest position.
44. Acute gastroenteritis, what types of fluid to administer – Oral rehydration solution.
1. If we are providing teaching for the parent of a child who has Celiac disease, what food
choices would we include?
• Rice (It is gluten free).
• NO Barley, NO Wheat, NO Rye (They all have gluten).
2. A child with fractured femur has a Bryant traction assembled, what should we observe
as correct?
• Buttocks slightly elevated off the bed (Because child’s hips are flexed at 90-degree-
angle with the legs suspended by the pullies and weights, which must hang freely
from the bed to maintain alignment).
• NO-Skin straps maintain leg in the extended position.
• NO-Weights attached to the pin inserted into the femur.
• NO-Padded sling under knee of the effected leg.
3. What is a priority risk factor for suicide completion?
• Previous attempts (Is found as many as half of adolescents who have attempted
suicide.)
• Not-Active psychiatric disorder, loss of parent, history of substance abuse (All risk
factors, but NOT priority.)
4. What medication puts a patient at risk for Rye Syndrome? (Metabolic Encephalopathy)
• Aspirin (If grandma brought child in with flu and says, “he has the flu and I will give
him/her aspirin for the fever”, then grandma would need to be reeducated.)
