NURS 232 PEDS EXAM 2 LATEST ACTUAL EXAM 200
QUESTIONS AND CORRECT ANSWERS 2024/2025 (VERIFIED
ANSWERS)
What are the roles of the peds nurse? - answer-patient advocate, research, role model, educator,
babysitter, family centered care, counselor, cultural sensitivity, collaboration, anything dealing with
parents
What are nursing interventions that promote family centered care? - answer-care routines- work
with parents, collab. with other units, age appropriate activites, communication with parents, child,
etc, education- answer questions, timeframe, care given comfort positioning
Physical assessment changes for NEWBORNS AND INFANTS? - answer-<6 mos- easiest, keep parent
present, comfort, oral, pacifier, be flexible with sequence; infants >6 mos- stranger anxiety; examine
on parents lap, observe activity, mood, etc. smile, talk softly, distract, begin with feet/hands and
move to trunk
Physical assessment changes for TODDLERS? - answer-active, curious, shy- stranger anxiety,
examine on parents lap, comfort holding, give choices when possible, start at feet and move to head
physical assessment changes for PRESCHOOLER? - answer-on parents lap if needed, allow to
touch/play with equipment- simple explainations, distraction, positive feedback
physical assessment changes for SCHOOL-AGE? - answer-cooperative, helpful, modesty, privacy,
explain procedures, offer choices, education
physical assessment changes for ADOLESCENT? - answer-privacy, modesty, head to toe just like
adult, perform exam without parents/siblings unless wanted in room
,what are the first pusescent changes in boys? at what age? - answer-testes enlargement, thinning,
reddening, inc. looseness of scrotum- age 9-10 yrs then penis enlargement, pube growth, facial hair,
voice changes temporary gynecomastia (boobs) in 1/3 of boys. disappears in 2 yrs
what should be assessed in children for developmental assessment?
what is the most common developmental assess tool? what age is it given? - answer-personal and
social (ADLs) gross motor fine motor language
*are they meeting milestones?
DDST-II- most common test- used birth-6 yrs- screening test; takes 30 mins; special training to
administer
what are the two fall risk assessments for kids? - answer-I'm Safe Fall Risk too (impairment, meds,
sedation, anastesia, neuro/ortho dg, fall hx, environment of care)
Humpty Dumpty Fall Risk tool (age, gender, dg, cog impair, environ factors, sedation/ anestesia,
surgery, meds)
list some components of child health hx. - answer-client info (age, sex, ethinicty, bday, race,
religion, address, emergency contact) psychologic data (health prob, dz) chief concern
(primary prob, reason for hospitalization) present illness (current health prob)
past hx (prior health prob/illness, injuries, surgeries, past hospital stays, birthing hx, preggo
complications) current health status (meds, vaccines, safety, activity, nutrition, sleep,
allergies) family hx, review of systems, psychosocial, developmental status
4 y.o. with severe abdominal pain- what assess. findings would you expect? what pain scale would
you use? pain interventions? - answer-inc. vitals, guarding, grimicing, crying, groan, tense
FACES scale or OUCHER scale child will display FACE
scale 1-2 an hour after pain meds assess pain every 1
hr, distraction, meds, positioing
,What are some differences between adults and peds hydration? - answer-kids are more vulnerable
to fluid imbalances, infants have more ECF; little volume reserve
kids have more insensible loss due to high RR (loss through skin and resp. tract), higher metabolism
leads to inc. need of fluid and o2, GI tract length is greater for height in kids, kidneys are immature
still (where fluid compensatory mechanisms take place) children under 2 yrs: unable to
conserve/excrete water effectively, difficulty regulating Na and Ca
How do we calculate fluid requirements in a child?
what is it based on?
Use up to _____kg body weight - answer-Holiday-Segar Method
body weight in Kg ( ROUND to tenths place during equation for fluid req and urinary output- DO NOT
round until the end for other med math)
up to 70 kg body weight
First step- Holiday-Segar formula? - answer-Chunk weights into max. of 3 groups:
first group- 0-10 kg second
group- 10.1-20 kg third group-
>20 kg (up to 70 kg)
Second step- Holiday- Seger formula? - answer-first chunk of weight needs 100ml/kg/day
second chunk of weight needs 50 ml/kg/day third chunk of weight needs 20 ml/kg/day
Third step- Holiday-Seger Formula? - answer-add three numbers together for 24 hour need
requirement
Adult formula for fluid req? (anyone over 70 kg- USE THIS) - answer-1.5 L/m2 per day
peds hourly urine output equation?
how do you get the range?
what is the output calculation for an adult (over 70 kg)? - answer-1-2 mL/kg/hour
, kg*1= minimum daily output kg
*2= max daily output
adult= 1500 mL/day
is sensible water loss higher or lower in kids?
how much per day do they lose? lost through what? - answer-higher
300 mL/m2 per day
what would be included in childs general appraisal? - answer-first meeting- general appearance,
behavior, nourishment, development, speech- encouraged to speak? reassured by parent? weight,
length, head circumference, height rather than length after 2 years.Plot on growth chart- BMI over 3
years, vitals
normal RR for:
toddlers? preschool? school aged?
adolescent? - answer-toddler=25-40
preschool=20-30
SA= 16-22
A= 12-20
normal pulse for:
toddlers?
preschool? school
aged?
adolescent? - answer-toddler= 80-130 preschool=
70-120
SA= 70-100
A= 60-100
QUESTIONS AND CORRECT ANSWERS 2024/2025 (VERIFIED
ANSWERS)
What are the roles of the peds nurse? - answer-patient advocate, research, role model, educator,
babysitter, family centered care, counselor, cultural sensitivity, collaboration, anything dealing with
parents
What are nursing interventions that promote family centered care? - answer-care routines- work
with parents, collab. with other units, age appropriate activites, communication with parents, child,
etc, education- answer questions, timeframe, care given comfort positioning
Physical assessment changes for NEWBORNS AND INFANTS? - answer-<6 mos- easiest, keep parent
present, comfort, oral, pacifier, be flexible with sequence; infants >6 mos- stranger anxiety; examine
on parents lap, observe activity, mood, etc. smile, talk softly, distract, begin with feet/hands and
move to trunk
Physical assessment changes for TODDLERS? - answer-active, curious, shy- stranger anxiety,
examine on parents lap, comfort holding, give choices when possible, start at feet and move to head
physical assessment changes for PRESCHOOLER? - answer-on parents lap if needed, allow to
touch/play with equipment- simple explainations, distraction, positive feedback
physical assessment changes for SCHOOL-AGE? - answer-cooperative, helpful, modesty, privacy,
explain procedures, offer choices, education
physical assessment changes for ADOLESCENT? - answer-privacy, modesty, head to toe just like
adult, perform exam without parents/siblings unless wanted in room
,what are the first pusescent changes in boys? at what age? - answer-testes enlargement, thinning,
reddening, inc. looseness of scrotum- age 9-10 yrs then penis enlargement, pube growth, facial hair,
voice changes temporary gynecomastia (boobs) in 1/3 of boys. disappears in 2 yrs
what should be assessed in children for developmental assessment?
what is the most common developmental assess tool? what age is it given? - answer-personal and
social (ADLs) gross motor fine motor language
*are they meeting milestones?
DDST-II- most common test- used birth-6 yrs- screening test; takes 30 mins; special training to
administer
what are the two fall risk assessments for kids? - answer-I'm Safe Fall Risk too (impairment, meds,
sedation, anastesia, neuro/ortho dg, fall hx, environment of care)
Humpty Dumpty Fall Risk tool (age, gender, dg, cog impair, environ factors, sedation/ anestesia,
surgery, meds)
list some components of child health hx. - answer-client info (age, sex, ethinicty, bday, race,
religion, address, emergency contact) psychologic data (health prob, dz) chief concern
(primary prob, reason for hospitalization) present illness (current health prob)
past hx (prior health prob/illness, injuries, surgeries, past hospital stays, birthing hx, preggo
complications) current health status (meds, vaccines, safety, activity, nutrition, sleep,
allergies) family hx, review of systems, psychosocial, developmental status
4 y.o. with severe abdominal pain- what assess. findings would you expect? what pain scale would
you use? pain interventions? - answer-inc. vitals, guarding, grimicing, crying, groan, tense
FACES scale or OUCHER scale child will display FACE
scale 1-2 an hour after pain meds assess pain every 1
hr, distraction, meds, positioing
,What are some differences between adults and peds hydration? - answer-kids are more vulnerable
to fluid imbalances, infants have more ECF; little volume reserve
kids have more insensible loss due to high RR (loss through skin and resp. tract), higher metabolism
leads to inc. need of fluid and o2, GI tract length is greater for height in kids, kidneys are immature
still (where fluid compensatory mechanisms take place) children under 2 yrs: unable to
conserve/excrete water effectively, difficulty regulating Na and Ca
How do we calculate fluid requirements in a child?
what is it based on?
Use up to _____kg body weight - answer-Holiday-Segar Method
body weight in Kg ( ROUND to tenths place during equation for fluid req and urinary output- DO NOT
round until the end for other med math)
up to 70 kg body weight
First step- Holiday-Segar formula? - answer-Chunk weights into max. of 3 groups:
first group- 0-10 kg second
group- 10.1-20 kg third group-
>20 kg (up to 70 kg)
Second step- Holiday- Seger formula? - answer-first chunk of weight needs 100ml/kg/day
second chunk of weight needs 50 ml/kg/day third chunk of weight needs 20 ml/kg/day
Third step- Holiday-Seger Formula? - answer-add three numbers together for 24 hour need
requirement
Adult formula for fluid req? (anyone over 70 kg- USE THIS) - answer-1.5 L/m2 per day
peds hourly urine output equation?
how do you get the range?
what is the output calculation for an adult (over 70 kg)? - answer-1-2 mL/kg/hour
, kg*1= minimum daily output kg
*2= max daily output
adult= 1500 mL/day
is sensible water loss higher or lower in kids?
how much per day do they lose? lost through what? - answer-higher
300 mL/m2 per day
what would be included in childs general appraisal? - answer-first meeting- general appearance,
behavior, nourishment, development, speech- encouraged to speak? reassured by parent? weight,
length, head circumference, height rather than length after 2 years.Plot on growth chart- BMI over 3
years, vitals
normal RR for:
toddlers? preschool? school aged?
adolescent? - answer-toddler=25-40
preschool=20-30
SA= 16-22
A= 12-20
normal pulse for:
toddlers?
preschool? school
aged?
adolescent? - answer-toddler= 80-130 preschool=
70-120
SA= 70-100
A= 60-100
