ACE YOUR NSG NUR 3600 EXAM: COMPLETE STUDY GUIDE WITH
COMPREHENSIVE QUESTIONS AND ANSWERS LATEST
2026/2027
◉ Steps that should always be used when assessing a child GI
system. Answer: First step should be to inspect the child.
Second we are going to auscultation.
Third is percuss.
Fourth is palpate the area through the clothing due to the child
being ticklish.
◉ What do we need to worry about then it comes to children and
medication?. Answer: Liver and pancreas do not mature until about
6 months of age so we need to be concern about toxicity.
◉ Why should we not give children under 1 cows milk?. Answer:
The pancreatic lipase dose not get adequately secreted until age 1,
which means the body can't absorb fats such as those present in
cow's milk.
◉ What kind of stool does an infant have who is breast feeding?.
Answer: The infant will have watery stool.
◉ What kind of stool does an infant have who is formula feeding?.
Answer: The infant will have soft or seedy stools.
,◉ What do pre-schoolers go through when eating?. Answer: The
pre-schoolers woll fluctuations where they have periods of
overeating or refusal to eat. Very normal but the parents can get
upset.
◉ Dehydration. Answer: Occurs whenever total output of fluid
exceeds intake.
◉ Dehydration Clinical Manifestations and Therapeutic
Management. Answer: Tachycardia, hypotension, decreased tears
specific in children, weight loss (monitor daily), thirst, irritability,
sunken eyes and fontanels.
Fluid replacement, electrolyte monitoring & replacement, and safety
considerations.
◉ What will be elevated in a child who is dehydrated?. Answer: The
sodium, potassium, and creatinine
◉ Blood Urea Nitrogen (BUN) range for child. Answer: 5-18 mg/dL
◉ Sodium (Na) range for child. Answer: 135-145 mEq/L
◉ Potassium (K) range for child. Answer: 3.4-4.7 mEq/L
,◉ Creatinine range for child. Answer: 0.3-0.7 mg/dL
◉ What do we need to look out for with kids with dehydration?.
Answer: Diarrhea, skin break down, falls risk, dizziness, failure to
thrive and grow.
◉ Cyclic Vomiting Syndrome. Answer: Intense nausea and vomiting
4 times an hour. 5 attacks total or 3 attacks in over 6 months. Could
be caused by infection, psychological stress, dietary changes,
menstruation, migraines. These individuals will vomit then be okay
for the rest of the day then vomit again during later in day.
◉ Cyclic Vomiting Syndrome: Clinical Manifestations. Answer:
Vomiting for 24-48 hr, occurs at night or early morning hours,
severe abdominal pain, retching throwing up where there is nothing
put clear fluid coming up, nausea, diarrhea, headache, vertigo
◉ Cyclic Vomiting Syndrome- Diagnosis. Answer: Rule out other
condition and lab studies. Need to get a good history and ask if they
are asymptomatic and is eat episode the same and do you have at
least 3 of them.
, ◉
Cyclic Vomiting Syndrome- Prevention. Answer: Balanced
nutrition (no cheese, cured meat, and chocolate), get a lot of sleep
and rest, and void triggers, and do stress management.
◉ Cyclic Vomiting Syndrome- Therapeutic Management. Answer:
Supportive management (meeting with a therapist), fluid
replacement (IV fluids), rest, pharmacotherapy (Zofran)
◉ Cyclic Vomiting Syndrome- Patient/Family Education. Answer:
Increase exercise, balanced diet, good hydration, sleep routines,
avoid triggers (need to keep a health food diary along with sleep and
food cycles).
◉ Acute Diarrhea. Answer: Increased frequency of bowel along with
vomiting, fever, pain. Occurs from diet, toxic substances,
infections(viral infection, eye infection), and medications that may
be used.
◉ Acute Diarrhea Diagnosis. Answer: Need to get a history on the
patient and see if they have traveled anytime in the past, do a
physical exam on the abdomen and look for skin breakdown around
the perineum.
◉ Acute Diarrhea Prevention. Answer: Good hand hygiene, good and
clean food handing, making sure the diapers are changed right away
and clothes are clean properly. Give Metronidazole (Flagyl) if it
COMPREHENSIVE QUESTIONS AND ANSWERS LATEST
2026/2027
◉ Steps that should always be used when assessing a child GI
system. Answer: First step should be to inspect the child.
Second we are going to auscultation.
Third is percuss.
Fourth is palpate the area through the clothing due to the child
being ticklish.
◉ What do we need to worry about then it comes to children and
medication?. Answer: Liver and pancreas do not mature until about
6 months of age so we need to be concern about toxicity.
◉ Why should we not give children under 1 cows milk?. Answer:
The pancreatic lipase dose not get adequately secreted until age 1,
which means the body can't absorb fats such as those present in
cow's milk.
◉ What kind of stool does an infant have who is breast feeding?.
Answer: The infant will have watery stool.
◉ What kind of stool does an infant have who is formula feeding?.
Answer: The infant will have soft or seedy stools.
,◉ What do pre-schoolers go through when eating?. Answer: The
pre-schoolers woll fluctuations where they have periods of
overeating or refusal to eat. Very normal but the parents can get
upset.
◉ Dehydration. Answer: Occurs whenever total output of fluid
exceeds intake.
◉ Dehydration Clinical Manifestations and Therapeutic
Management. Answer: Tachycardia, hypotension, decreased tears
specific in children, weight loss (monitor daily), thirst, irritability,
sunken eyes and fontanels.
Fluid replacement, electrolyte monitoring & replacement, and safety
considerations.
◉ What will be elevated in a child who is dehydrated?. Answer: The
sodium, potassium, and creatinine
◉ Blood Urea Nitrogen (BUN) range for child. Answer: 5-18 mg/dL
◉ Sodium (Na) range for child. Answer: 135-145 mEq/L
◉ Potassium (K) range for child. Answer: 3.4-4.7 mEq/L
,◉ Creatinine range for child. Answer: 0.3-0.7 mg/dL
◉ What do we need to look out for with kids with dehydration?.
Answer: Diarrhea, skin break down, falls risk, dizziness, failure to
thrive and grow.
◉ Cyclic Vomiting Syndrome. Answer: Intense nausea and vomiting
4 times an hour. 5 attacks total or 3 attacks in over 6 months. Could
be caused by infection, psychological stress, dietary changes,
menstruation, migraines. These individuals will vomit then be okay
for the rest of the day then vomit again during later in day.
◉ Cyclic Vomiting Syndrome: Clinical Manifestations. Answer:
Vomiting for 24-48 hr, occurs at night or early morning hours,
severe abdominal pain, retching throwing up where there is nothing
put clear fluid coming up, nausea, diarrhea, headache, vertigo
◉ Cyclic Vomiting Syndrome- Diagnosis. Answer: Rule out other
condition and lab studies. Need to get a good history and ask if they
are asymptomatic and is eat episode the same and do you have at
least 3 of them.
, ◉
Cyclic Vomiting Syndrome- Prevention. Answer: Balanced
nutrition (no cheese, cured meat, and chocolate), get a lot of sleep
and rest, and void triggers, and do stress management.
◉ Cyclic Vomiting Syndrome- Therapeutic Management. Answer:
Supportive management (meeting with a therapist), fluid
replacement (IV fluids), rest, pharmacotherapy (Zofran)
◉ Cyclic Vomiting Syndrome- Patient/Family Education. Answer:
Increase exercise, balanced diet, good hydration, sleep routines,
avoid triggers (need to keep a health food diary along with sleep and
food cycles).
◉ Acute Diarrhea. Answer: Increased frequency of bowel along with
vomiting, fever, pain. Occurs from diet, toxic substances,
infections(viral infection, eye infection), and medications that may
be used.
◉ Acute Diarrhea Diagnosis. Answer: Need to get a history on the
patient and see if they have traveled anytime in the past, do a
physical exam on the abdomen and look for skin breakdown around
the perineum.
◉ Acute Diarrhea Prevention. Answer: Good hand hygiene, good and
clean food handing, making sure the diapers are changed right away
and clothes are clean properly. Give Metronidazole (Flagyl) if it
