NRl 328/l NR328l Examl 2:l Pediatricl
Nursingl Guidel (Latestl 2026/l 2027l
Update)l |l Qsl &l As|l Gradel A|l 100%l
Correctl (Verifiedl Answers)-l Chamberlain
QUESTION
Hashimoto's
Answer:
Autoimmunel causel ofl hypothyroidism,l occursl laterl inl life.
Bodyl attacksl thel thyroid,l itl canl notl makel thel hormones.
-l S/Sl hypothyroidisml
-l morel commonl inl boys
Levothyroxinel (morningl beforel BFAST)l nol soy
QUESTION
Typel 1l vsl 2l Diabetesl Review
Answer:
T1:l autoimmune,l pancreasl notl producingl insulin,l anyl pointl inl timel withinl childhood,l
abruptl (3l P's,l yeastl infections,l delayedl healing,l LOCl changes/headaches,l GIl slows)
T2:l insulinl resistance,l sedentary,l highl fatl diet,l familyl hx,l canl bel seenl asl youngl asl 8l
yrsl old
QUESTION
DKA
Answer:
diabeticl ketoacidosis,l sugarl sol highl bodyl usesl fatl forl energyl (ketosis),l usuallyl happensl
withl typel Il diabetesl andl isl howl childrenl getl diagnosed
,lethargic,l acetonel breath,l limitedl LOC,l kussmaul'sl (compensatel metabolicl acidosis,l blowl
outl CO2)
-l fluidl resuscitationl 0.9
-l insulinl IVl (regl drip)l 0.1l units/kg/hr
-l Bicarbl tol lowerl acidityl
-l Monitorl cardiacl (highl K+)
-l couldl causel seizures,l coma,l death
QUESTION
Diabetesl Labs
Answer:
seel image
PEDsl A1cl isl gonnal bel 7.5l orl higherl forl diagnosis
QUESTION
Typesl ofl Insulin
Answer:
1.)l Rapid:l 15l minutes,l 30-90l minutesl peakl (LAG)
2.)l Short:l 30l minutes,l 2-4l hrl peakl (Reg)
3.)l Intermediate:l 2-6l hrs,l 4-14l hrl peakl (NPH)
4.)l Long:l 1-2l hrs,l nol peakl timel (GD)
QUESTION
Sickl Dayl Rules
Answer:
Keepl takingl insulin,l monitorl glucose/ketonesl morel frequentlyl (3l hrs),l waterl forl signsl ofl
hyperglycemia
,QUESTION
Hypol vsl Hyperglycemial S/S
Answer:
Coldl andl Clammyl needl somel candy!!l LOWl Gluc
Hotl andl Dryl youl arel tool high!!
QUESTION
Rulel ofl 15
Answer:
givel 15gl ofl carbs,l checkl inl 15l minutes
repeatl ifl needed
QUESTION
Bonel Marrowl Aspiration
Answer:
removall ofl smalll samplel ofl bonel marrowl byl needlel andl examinedl forl diseasesl suchl asl
leukemial orl aplasticl anemia
tibial orl iliacl crest
QUESTION
Leukemia
Answer:
Cancerl ofl whitel bloodl cellsl inl bonel marrowl (mostl common)
Bonel marrowl makesl tool manyl immaturel WBCl 2-5l yrsl
1.)l Acutel Lymphoblasticl (80%l cases)
2.)l Acutel Myeloblastic
, -l Lowl CBCl (w/l thel exceptionl ofl WBC)
Anemia,l bleeding,l bruising,l fever,l abdominall painl (splenomegaly/hepatomegaly),l
headaches,l impairedl orall mucosal andl GI
QUESTION
Vasopressin
Answer:
antidiureticl hormonel (givenl forl DI)
QUESTION
Growthl Hormonel Deficit
Answer:
-l inl childhood:l dwarfisml (couldl bel congenital)l MOSTl COMMONl growsl finel inl yrl 1l
thenl dropsl off
-l inl adulthood:l pituitaryl tumorl (weightl loss,l osteoporosis,l depressedl nervousl systeml
function)
-l hypopituitarism:l includesl deficitsl inl otherl ant.l pitl hormonesl (morel thanl one)l bones,l
metabolism,l thyroid,l etc
QUESTION
Dwarfism
Answer:
hyposecretionl ofl growthl hormone;l hypopituitaryl dwarfism
obesity,l delayedl puberty,l hyperlipidemia,l delayedl bonel risk,l subl 3l percentilel height
CAREl PLAN:l
-l MRIl ofl pituitaryl tol seel ifl itl isl al tumor
-l Xrayl ofl wristl tol checkl growthl plates
-l Somatropinl (GH),l usuallyl injectionl SQl @l nightl daily
Nursingl Guidel (Latestl 2026/l 2027l
Update)l |l Qsl &l As|l Gradel A|l 100%l
Correctl (Verifiedl Answers)-l Chamberlain
QUESTION
Hashimoto's
Answer:
Autoimmunel causel ofl hypothyroidism,l occursl laterl inl life.
Bodyl attacksl thel thyroid,l itl canl notl makel thel hormones.
-l S/Sl hypothyroidisml
-l morel commonl inl boys
Levothyroxinel (morningl beforel BFAST)l nol soy
QUESTION
Typel 1l vsl 2l Diabetesl Review
Answer:
T1:l autoimmune,l pancreasl notl producingl insulin,l anyl pointl inl timel withinl childhood,l
abruptl (3l P's,l yeastl infections,l delayedl healing,l LOCl changes/headaches,l GIl slows)
T2:l insulinl resistance,l sedentary,l highl fatl diet,l familyl hx,l canl bel seenl asl youngl asl 8l
yrsl old
QUESTION
DKA
Answer:
diabeticl ketoacidosis,l sugarl sol highl bodyl usesl fatl forl energyl (ketosis),l usuallyl happensl
withl typel Il diabetesl andl isl howl childrenl getl diagnosed
,lethargic,l acetonel breath,l limitedl LOC,l kussmaul'sl (compensatel metabolicl acidosis,l blowl
outl CO2)
-l fluidl resuscitationl 0.9
-l insulinl IVl (regl drip)l 0.1l units/kg/hr
-l Bicarbl tol lowerl acidityl
-l Monitorl cardiacl (highl K+)
-l couldl causel seizures,l coma,l death
QUESTION
Diabetesl Labs
Answer:
seel image
PEDsl A1cl isl gonnal bel 7.5l orl higherl forl diagnosis
QUESTION
Typesl ofl Insulin
Answer:
1.)l Rapid:l 15l minutes,l 30-90l minutesl peakl (LAG)
2.)l Short:l 30l minutes,l 2-4l hrl peakl (Reg)
3.)l Intermediate:l 2-6l hrs,l 4-14l hrl peakl (NPH)
4.)l Long:l 1-2l hrs,l nol peakl timel (GD)
QUESTION
Sickl Dayl Rules
Answer:
Keepl takingl insulin,l monitorl glucose/ketonesl morel frequentlyl (3l hrs),l waterl forl signsl ofl
hyperglycemia
,QUESTION
Hypol vsl Hyperglycemial S/S
Answer:
Coldl andl Clammyl needl somel candy!!l LOWl Gluc
Hotl andl Dryl youl arel tool high!!
QUESTION
Rulel ofl 15
Answer:
givel 15gl ofl carbs,l checkl inl 15l minutes
repeatl ifl needed
QUESTION
Bonel Marrowl Aspiration
Answer:
removall ofl smalll samplel ofl bonel marrowl byl needlel andl examinedl forl diseasesl suchl asl
leukemial orl aplasticl anemia
tibial orl iliacl crest
QUESTION
Leukemia
Answer:
Cancerl ofl whitel bloodl cellsl inl bonel marrowl (mostl common)
Bonel marrowl makesl tool manyl immaturel WBCl 2-5l yrsl
1.)l Acutel Lymphoblasticl (80%l cases)
2.)l Acutel Myeloblastic
, -l Lowl CBCl (w/l thel exceptionl ofl WBC)
Anemia,l bleeding,l bruising,l fever,l abdominall painl (splenomegaly/hepatomegaly),l
headaches,l impairedl orall mucosal andl GI
QUESTION
Vasopressin
Answer:
antidiureticl hormonel (givenl forl DI)
QUESTION
Growthl Hormonel Deficit
Answer:
-l inl childhood:l dwarfisml (couldl bel congenital)l MOSTl COMMONl growsl finel inl yrl 1l
thenl dropsl off
-l inl adulthood:l pituitaryl tumorl (weightl loss,l osteoporosis,l depressedl nervousl systeml
function)
-l hypopituitarism:l includesl deficitsl inl otherl ant.l pitl hormonesl (morel thanl one)l bones,l
metabolism,l thyroid,l etc
QUESTION
Dwarfism
Answer:
hyposecretionl ofl growthl hormone;l hypopituitaryl dwarfism
obesity,l delayedl puberty,l hyperlipidemia,l delayedl bonel risk,l subl 3l percentilel height
CAREl PLAN:l
-l MRIl ofl pituitaryl tol seel ifl itl isl al tumor
-l Xrayl ofl wristl tol checkl growthl plates
-l Somatropinl (GH),l usuallyl injectionl SQl @l nightl daily
