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NR 328/ NR328 Exam 2: Pediatric Nursing Review (Latest 2026/ 2027 Update) | Qs & As| Grade A| 100% Correct (Verified Answers)- Chamberlain

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NR 328/ NR328 Exam 2: Pediatric Nursing Review (Latest 2026/ 2027 Update) | Qs & As| Grade A| 100% Correct (Verified Answers)- Chamberlain

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NRl 328/l NR328l Examl 2:l Pediatricl
Nursingl Reviewl (Latestl 2026/l 2027l
Update)l |l Qsl &l As|l Gradel A|l 100%l
Correctl (Verifiedl Answers)-l Chamberlain

QUESTION
neonatall graves'l disease

Answer:
-l neonatall forml ofl hyperthyroidism
-l happensl whenl moml hasl gravesl diseasel andl herl antibodiesl passl thel placental andl
stimulatel thel baby'sl thyroidl gland
-l babyl willl havel tremors
-l willl bel inl hospitall forl longerl untill thel antibodiesl workl itselfl out



QUESTION
typel 1l diabetes

Answer:
-l autoimmunel disorderl inl whichl thel bodyl cannotl producel enoughl insulin;l usuallyl
happensl afterl al virall infectionl
-l peakl diagnosisl froml 4-6l yearsl oldl andl thenl againl aroundl 10-12

Manifestations:
-l polyurial (kidneysl arel tryingl tol getl ridl ofl excessl sugar
-l polydipsial (thirstyl duel tol urinatingl al lot)
-l polyphagial (sugarl isn'tl goingl intol cellsl sol they'rel notl gettingl thel caloriesl theyl need)
-l hyperglycemia
-l glycosuria
-l fatigue
-l dehydrated
-l vaginitisl (yeastl likel sugar)
-l stomachachel (gutl slowsl downl -->l diabeticl gastroparesis

,-l weightl loss



QUESTION
typel 2l diabetes

Answer:
-l insulinl resistancel orl decreasedl insulinl receptorsl
-l seel inl childrenl asl youngl asl 8
-l riskl factors:l sedentaryl lifestyle,l highl fatl diet,l race,l familyl history
-l slowl tol develop



QUESTION
Howl dol youl diagnosel diabetes?

Answer:
-l fastingl bloodl glucosel greaterl thanl 126
-l mostl kidsl arel diagnosedl firstl whenl theyl startl tol gol intol DKAl
-l 6.5%l orl higherl hemoglobinl A1C



QUESTION
managementl ofl carel forl diabeticl patients

Answer:
Injection:
-l subcutaneousl
-l rotatel sites

Insulinl pump:
-l easierl becausel needlel staysl inl bodyl forl longerl insteadl ofl gettingl pokedl multiplel timesl
al dayl
-l syncedl tol appsl sol parentsl canl monitorl

Nutrition:
-l carbl countl

Hemoglobinl A1C

,-l needsl tol bel lessl thanl 7.5%l forl diabeticl childrenl whol arel lessl thanl 19l yearsl oldl

Exercise:
-l checkl bloodl sugarl before,l during,l andl afterl exercise
-l snackl beforel physicall activity



QUESTION
hypoglycemial

**l cooll andl clammy,l getl somel candy

Answer:
Manifestations:
-l sweating
-l pallor
-l irritability
-l hunger
-l sleepiness
-l lackl ofl coordinationl

Nursingl interventions:
-l givel 4ozl OJ,l sugarl cube,l orl hardl candyl ifl conscious
-l ifl unconscious,l givel glucagonl
-l recheckl 15l minutesl after



QUESTION
hyperglycemial

**l hotl andl dry,l youl arel tool high

Answer:
Manifestations:
-l dryl mouth
-l increasedl thirstl
-l weakness
-l headache
-l blurredl vision

, -l frequentl urinationl

Nursingl interventions:
-l givel insulin



QUESTION
diabeticl ketoacidosis

Answer:
-l lifel threateningl complicationl ofl diabetes
-l increasedl glucosel changesl thel osmolarityl ofl thel brainl cellsl whichl causesl al seizurel --
>l comal -->l deathl

Cause:
-l patientl doesn'tl knowl theyl arel diabetic
-l noncompliancel becausel thel kidl doesn'tl wantl tol bel differentl

Manifestations:
-l polyuria
-l ketonurial (duel tol fatl breakingl downl forl energy)
-l fruityl breathl (duel tol ketones)l
-l skyl highl bloodl sugarl readingl

Nursingl interventions:
-l NPOl
-l regularl insulinl IV
-l fluids
-l monitorl BGl
-l monitorl forl cardiacl dysrhythmiasl (hypokalemial duel tol excessl urinationl thenl
hyperkalemial froml insulin)l
-l whenl bloodl sugarl isl 240-250,l addl dextrosel tol IVl fluidsl becausel wel don'tl wantl thel
bloodl sugarl tol dropl tool fast



QUESTION
syndromel ofl inappropriatel ADHl (SIADH)

**l soakedl inside

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