NURS 535 CARSON NEWMAN UNIVERSITY
PEDIATRICS TEST 2 ACTUAL EXAM SCRIPT
2026 VERIFIED ANSWERS GRADED A+
⩥ Encopresis.
Answer: A childhood disorder characterized by repeated defecating in
inappropriate places, such as one's clothing
⩥ Red flags of bowel problems.
Answer: Failure to thrive
Lack of lumbosacral curve
Pilonidal dimple with tuft of hair
Flat buttocks
Displaced anus
Occult blood
Absent cremasteric reflex
Low tone
⩥ Management of functional constipation.
Answer: Diet
Meds
Behavior modification
,Long-term follow up
⩥ Constipation - Medication management options.
Answer: Osmotic agents: Sorbitol, lactulose, mag hydroxide, Haley's
MO
Lubricants: Mineral oil
Stimulants: Save for rescue therapy and those children who have poor
response to lubricants and osmotic agnts
Senna
⩥ Hirschsprung disease.
Answer: Absent ganglion cells in submucosal/myenteric plexus
rectosigmoid
⩥ Hirschsprung disease - Clinical manifestations.
Answer: Newborn
- Failure to pass meconium
- Anorexia, vomiting, abdominal distention
Older Infant/child
,- Failure to gain weight - Abdominal distention - Constipation, fecal
masses
- Ribbon stools, foul smelling
⩥ Appendicitis.
Answer: inflammation of the appendix
Cause: Obstruction of the appendiceal lumen caused by fecalith,
parasite, stenosis, hyperplasia of lymphoid tissue, or tumor
⩥ Appendicitis S/S.
Answer: abdominal pain, rebound tenderness, low grade fever, increased
WBCs
McBurney's point (RLQ tenderness on palpation)
⩥ Psoas sign.
Answer: RLQ pain with extension of right thigh indicative of
appendicitis
⩥ Obturators sign.
Answer: RLQ on internal rotation of right thigh indicative of
appendicitis
, ⩥ Rovsing's sign.
Answer: Pain in RLQ with palpation of LLQ indicative of appendicitis
⩥ Dunphy's sign.
Answer: increased pain with coughing
⩥ Appendicitis - Diagnosis.
Answer: CT A/P with PO contrast
Ultrasound, barium enema, CBC, CRP
⩥ Appendicitis - Treatment.
Answer: Hydration, surgery, 7 - 10 days of abx
⩥ Hernia.
Answer: Protrusion of an organ through the wall of the cavity that
normally contains it
⩥ Types of hernia.
Answer: *Ventral/Incisional hernia
*Umbilical
*Spieghelian
PEDIATRICS TEST 2 ACTUAL EXAM SCRIPT
2026 VERIFIED ANSWERS GRADED A+
⩥ Encopresis.
Answer: A childhood disorder characterized by repeated defecating in
inappropriate places, such as one's clothing
⩥ Red flags of bowel problems.
Answer: Failure to thrive
Lack of lumbosacral curve
Pilonidal dimple with tuft of hair
Flat buttocks
Displaced anus
Occult blood
Absent cremasteric reflex
Low tone
⩥ Management of functional constipation.
Answer: Diet
Meds
Behavior modification
,Long-term follow up
⩥ Constipation - Medication management options.
Answer: Osmotic agents: Sorbitol, lactulose, mag hydroxide, Haley's
MO
Lubricants: Mineral oil
Stimulants: Save for rescue therapy and those children who have poor
response to lubricants and osmotic agnts
Senna
⩥ Hirschsprung disease.
Answer: Absent ganglion cells in submucosal/myenteric plexus
rectosigmoid
⩥ Hirschsprung disease - Clinical manifestations.
Answer: Newborn
- Failure to pass meconium
- Anorexia, vomiting, abdominal distention
Older Infant/child
,- Failure to gain weight - Abdominal distention - Constipation, fecal
masses
- Ribbon stools, foul smelling
⩥ Appendicitis.
Answer: inflammation of the appendix
Cause: Obstruction of the appendiceal lumen caused by fecalith,
parasite, stenosis, hyperplasia of lymphoid tissue, or tumor
⩥ Appendicitis S/S.
Answer: abdominal pain, rebound tenderness, low grade fever, increased
WBCs
McBurney's point (RLQ tenderness on palpation)
⩥ Psoas sign.
Answer: RLQ pain with extension of right thigh indicative of
appendicitis
⩥ Obturators sign.
Answer: RLQ on internal rotation of right thigh indicative of
appendicitis
, ⩥ Rovsing's sign.
Answer: Pain in RLQ with palpation of LLQ indicative of appendicitis
⩥ Dunphy's sign.
Answer: increased pain with coughing
⩥ Appendicitis - Diagnosis.
Answer: CT A/P with PO contrast
Ultrasound, barium enema, CBC, CRP
⩥ Appendicitis - Treatment.
Answer: Hydration, surgery, 7 - 10 days of abx
⩥ Hernia.
Answer: Protrusion of an organ through the wall of the cavity that
normally contains it
⩥ Types of hernia.
Answer: *Ventral/Incisional hernia
*Umbilical
*Spieghelian
