NURS 629 EXAM 4 2026 UPDATE
QUESTIONS AND CORRECT VERIFIED
ANSWERS ALREADY GRADED A+
(BRAND NEW VISION)
Education for febrile seizures - ANS-Not actual seizure; best prevention is tylenol/
ibuprofen alternate Q4hr; hydrate & rest; seek emergency care if seizure lasting
longer than 5 minutes
Mgmt & TX reflux - ANS-Keep breastfeeding; formula fed= 2 week trial of
extensively hydrolyzed formula or amino acid based to exclude CMA and thicken
formula.
screening with known risk factors for DM2 recommended at 10y/o onset of puberty and
repeat= - ANS-every other year
increased risk of DM - ANS-impaired fasting BG (>100 but <125); impaired glucose
tol (2hr post prandial 140-199)
rates of UTI among uncircumcised infant boys are much higher than circumcised by -
ANS-as much as 20%
most likely to be presentation of UTI in 20 month old? - ANS-Fever
ideal method for obtaining urine sample for culture in 18 month female with suspected
uti? - ANS-suprapubic aspiration
UA of 10 month old with UTI, NP knows - ANS-20% of UA can be normal
child 2 months- 2 years with UTI, antibiotic therapy for - ANS-7-14 days
12 month old with fever, suspected UTI, vomited 5x in last 7hours, last wet diaper ~6hrs
ago. Prepare to - ANS-arrange for child to be admitted to hospt
preferred urinary tract imaging for 22 month old with 1st time febrile UTI - ANS-Renal
bladder ultrasound (RBUS)
most compelling reason to get RBUS instead of voiding cystogram (VCUG)? - ANS-
noninvasive test
, VCUG indicated - ANS-if UTI recurrent
rehydrate child with moderate dehydration with - ANS-oral rehydration. as effective
as IV fluid and less costly
when considering antidiarrheals and antimotility in young children with gastroenteritis,
NP knows - ANS-these agents should be avoided.
most common cause of viral gastroenteritis - ANS-Norovirus
to obtain most accurate hydration status, ask about - ANS-time of last urination
signs of severe dehydration - ANS-anuria, tears absent, and cap refill approx ~3 sec
hydration status can be determined by - ANS-watch BP, HR, skin turgor, presence of
dry lips, oral mucosa
8 months with intermittent random episodes of vomiting, AB bloating, currant jelly stools,
irritability with poor appetite. growth/lethargic, sausage like mass on Right side - ANS-
intusseception
4 weeks, forceful vomiting, wt down, seems hungry, sucks on bottle no problem. poss
cause and findings= - ANS-round olive like mass in RUQ
most common type of cancer in kids - ANS-Acute Lymphoblastic leukemia
avoid this with celiac spruce - ANS-Avoid gluten (wheat, barley, rye)
14 y/o M with several months of recurrent bloating, stomach upset, occasional loose
stools. Difficulty gaining wt, short. Symptoms worse after crackers, cookies, and breads.
No blood in stools. - ANS-Celiac disease
10 y.o M with sudden scrotal pain upon awakening. severe N/V. Exam= tender, warm
swollen L scrotum. Cremasteric reflex negative and urine no findings. - ANS-Testicular
torsion. Refer to ED
+ obturator sign - ANS-acute appendicitis
7 y/o M tells NP that teacher says he daydreams a lot, mom says he doesnt hear
her/blanks out. - ANS-Absence seizures
14 y/o M plays bball, complains of swelling and pain on bilat knees. Exam= tenderness
over tibial tuberosity bilat knees - ANS-Osgood-schlatter
QUESTIONS AND CORRECT VERIFIED
ANSWERS ALREADY GRADED A+
(BRAND NEW VISION)
Education for febrile seizures - ANS-Not actual seizure; best prevention is tylenol/
ibuprofen alternate Q4hr; hydrate & rest; seek emergency care if seizure lasting
longer than 5 minutes
Mgmt & TX reflux - ANS-Keep breastfeeding; formula fed= 2 week trial of
extensively hydrolyzed formula or amino acid based to exclude CMA and thicken
formula.
screening with known risk factors for DM2 recommended at 10y/o onset of puberty and
repeat= - ANS-every other year
increased risk of DM - ANS-impaired fasting BG (>100 but <125); impaired glucose
tol (2hr post prandial 140-199)
rates of UTI among uncircumcised infant boys are much higher than circumcised by -
ANS-as much as 20%
most likely to be presentation of UTI in 20 month old? - ANS-Fever
ideal method for obtaining urine sample for culture in 18 month female with suspected
uti? - ANS-suprapubic aspiration
UA of 10 month old with UTI, NP knows - ANS-20% of UA can be normal
child 2 months- 2 years with UTI, antibiotic therapy for - ANS-7-14 days
12 month old with fever, suspected UTI, vomited 5x in last 7hours, last wet diaper ~6hrs
ago. Prepare to - ANS-arrange for child to be admitted to hospt
preferred urinary tract imaging for 22 month old with 1st time febrile UTI - ANS-Renal
bladder ultrasound (RBUS)
most compelling reason to get RBUS instead of voiding cystogram (VCUG)? - ANS-
noninvasive test
, VCUG indicated - ANS-if UTI recurrent
rehydrate child with moderate dehydration with - ANS-oral rehydration. as effective
as IV fluid and less costly
when considering antidiarrheals and antimotility in young children with gastroenteritis,
NP knows - ANS-these agents should be avoided.
most common cause of viral gastroenteritis - ANS-Norovirus
to obtain most accurate hydration status, ask about - ANS-time of last urination
signs of severe dehydration - ANS-anuria, tears absent, and cap refill approx ~3 sec
hydration status can be determined by - ANS-watch BP, HR, skin turgor, presence of
dry lips, oral mucosa
8 months with intermittent random episodes of vomiting, AB bloating, currant jelly stools,
irritability with poor appetite. growth/lethargic, sausage like mass on Right side - ANS-
intusseception
4 weeks, forceful vomiting, wt down, seems hungry, sucks on bottle no problem. poss
cause and findings= - ANS-round olive like mass in RUQ
most common type of cancer in kids - ANS-Acute Lymphoblastic leukemia
avoid this with celiac spruce - ANS-Avoid gluten (wheat, barley, rye)
14 y/o M with several months of recurrent bloating, stomach upset, occasional loose
stools. Difficulty gaining wt, short. Symptoms worse after crackers, cookies, and breads.
No blood in stools. - ANS-Celiac disease
10 y.o M with sudden scrotal pain upon awakening. severe N/V. Exam= tender, warm
swollen L scrotum. Cremasteric reflex negative and urine no findings. - ANS-Testicular
torsion. Refer to ED
+ obturator sign - ANS-acute appendicitis
7 y/o M tells NP that teacher says he daydreams a lot, mom says he doesnt hear
her/blanks out. - ANS-Absence seizures
14 y/o M plays bball, complains of swelling and pain on bilat knees. Exam= tenderness
over tibial tuberosity bilat knees - ANS-Osgood-schlatter
