NR328 FINAL EXAM QUESTIONS WITH
100% CORRECT ANSWERS
Who are carriers of DMD and who will inherit it? - Answer-females are carriers, and
pass the trait along to their son's; so disease is more common in males
What are the risk factors for childhood cancer? - Answer-caucasian males of younger
age (wimpy white boys). May also be due to genetics.
What is the condition associated with absence of ganglionic cells in intestines? -
Answer-Hirschsprung's Disease
Symptoms of Hirschsprung's Disease - Answer-constipation, liquid or ribbon like stools,
distended abdomen, FTT/weight loss
Nursing management for Hirschsprung's - Answer-administer enema for bowel
emptying, NPO, IV fluids
When will surgery be indicated in a child with Hirschsprung's? - Answer-When enema
fails to empty bowel
Nurses should prepare surgical consent and measure abdominal circumference
How many surgeries are included with Hirschsprung's and which is done first? -
Answer-2 surgeries are completed over 18-24 month time period with ostomy being
done first
Appendicitis - Answer-inflammation of the vermiform appendix
What has occurred if appendicitis pain suddenly stops? - Answer-Appendix has
ruptured
concerned with necrosis or bacterial growth
Symptoms of Appendicitis - Answer-periumbilical pain, nausea, RLQ pain/rebound
tenderness, vomiting, fever
When assessing appendicitis, where would you palpate? - Answer-Mcburney's point
What can cause appendix to rupture? - Answer-warm compresses, enemas, palpation
of LLQ
, Pre op management for an appendectomy - Answer-NPO, IV fluids, monitor Vitals,
Opioid analgesics, antibiotics
What should not be used in a child with an appendicitis that could cause perforation? -
Answer-Enemas
intussusception - Answer-telescoping of the bowel into itself caused by edema from
obstructed pressure within areas of intussuception increased causing blood flow to stop,
leading to ischemia
symptoms of intussusception - Answer-crampy abdominal pain, inconsolable crying,
draw knees to chest emesis containing fecal material, passage of red current jelly-like
stools
What is the most common site of intussusception? - Answer-ileocecal valve
Therapeutic Management for Intussusception - Answer-IV fluids, NG for
decompression, antibiotic therapy preoperatively to lessen risk of perforation. NPO pre
op.
Urine Specimen bag order - Answer-1. wash penis and scrotum
2. dry perianal area
3. apply urine bag to penis and scrotum.
4. remove the bag
5. label/send specimen to lab
acute glomerulonephritis - Answer-inflammation of the capillary loops of the renal
glomeruli
When does acute glomerulonephritis occur? - Answer-after recent strep infection
GERD - Answer-inappropriate relaxation of the lower esophageal sphincter causing
gastric contents from stomach to move up into esophagus. Mostly occurs after meals
and at night. Result of complications such as FTT, respiratory problems, or dysphagia.
What are manifestations of GERD? - Answer-regurgitation, recurrent vomiting,
excessive crying, irritability, ARCHING BACK, stiffening, poor weight gain, respiratory
problems (coughing wheezing, feeding refusal
How can Emesis be reduced in children with GERD? - Answer-Thicken feeds by adding
rice cereal
5 methods to relieve baby's GERD - Answer-1. smaller, frequent feedings
2.burp during and after feedings
3. hold upright during feedings
4. incorporate rice in diet
100% CORRECT ANSWERS
Who are carriers of DMD and who will inherit it? - Answer-females are carriers, and
pass the trait along to their son's; so disease is more common in males
What are the risk factors for childhood cancer? - Answer-caucasian males of younger
age (wimpy white boys). May also be due to genetics.
What is the condition associated with absence of ganglionic cells in intestines? -
Answer-Hirschsprung's Disease
Symptoms of Hirschsprung's Disease - Answer-constipation, liquid or ribbon like stools,
distended abdomen, FTT/weight loss
Nursing management for Hirschsprung's - Answer-administer enema for bowel
emptying, NPO, IV fluids
When will surgery be indicated in a child with Hirschsprung's? - Answer-When enema
fails to empty bowel
Nurses should prepare surgical consent and measure abdominal circumference
How many surgeries are included with Hirschsprung's and which is done first? -
Answer-2 surgeries are completed over 18-24 month time period with ostomy being
done first
Appendicitis - Answer-inflammation of the vermiform appendix
What has occurred if appendicitis pain suddenly stops? - Answer-Appendix has
ruptured
concerned with necrosis or bacterial growth
Symptoms of Appendicitis - Answer-periumbilical pain, nausea, RLQ pain/rebound
tenderness, vomiting, fever
When assessing appendicitis, where would you palpate? - Answer-Mcburney's point
What can cause appendix to rupture? - Answer-warm compresses, enemas, palpation
of LLQ
, Pre op management for an appendectomy - Answer-NPO, IV fluids, monitor Vitals,
Opioid analgesics, antibiotics
What should not be used in a child with an appendicitis that could cause perforation? -
Answer-Enemas
intussusception - Answer-telescoping of the bowel into itself caused by edema from
obstructed pressure within areas of intussuception increased causing blood flow to stop,
leading to ischemia
symptoms of intussusception - Answer-crampy abdominal pain, inconsolable crying,
draw knees to chest emesis containing fecal material, passage of red current jelly-like
stools
What is the most common site of intussusception? - Answer-ileocecal valve
Therapeutic Management for Intussusception - Answer-IV fluids, NG for
decompression, antibiotic therapy preoperatively to lessen risk of perforation. NPO pre
op.
Urine Specimen bag order - Answer-1. wash penis and scrotum
2. dry perianal area
3. apply urine bag to penis and scrotum.
4. remove the bag
5. label/send specimen to lab
acute glomerulonephritis - Answer-inflammation of the capillary loops of the renal
glomeruli
When does acute glomerulonephritis occur? - Answer-after recent strep infection
GERD - Answer-inappropriate relaxation of the lower esophageal sphincter causing
gastric contents from stomach to move up into esophagus. Mostly occurs after meals
and at night. Result of complications such as FTT, respiratory problems, or dysphagia.
What are manifestations of GERD? - Answer-regurgitation, recurrent vomiting,
excessive crying, irritability, ARCHING BACK, stiffening, poor weight gain, respiratory
problems (coughing wheezing, feeding refusal
How can Emesis be reduced in children with GERD? - Answer-Thicken feeds by adding
rice cereal
5 methods to relieve baby's GERD - Answer-1. smaller, frequent feedings
2.burp during and after feedings
3. hold upright during feedings
4. incorporate rice in diet
