NR 328 Exam 2 Study Guide Questions
and Answers 2025
This disorder is associated with cloudy, tea-colored urine, hematuria (blood in urine),
proteinuria(protein in urine), and facial edema that is worse in the morning and happens
post-streptococcal infection? -Correct Answer ✔Acute glomerulonephritis
The greatest predictor of dehydration in infants? -Correct Answer ✔Weight is the
greatest and also sunken fontanels and irritability may be present.
This type of dehydration would require 50 ml/kg of rehydration fluid within 4 hours. -
Correct Answer ✔Mild dehydration
This electrolyte if high or too low can cause heart arrhythmias, and can be dangerously
imbalanced when a child has vomiting or diarrhea. -Correct Answer ✔Potassium
This medication is given for Nephrotic Syndrome and will need to be tapered after 2-5
months. -Correct Answer ✔Prednisone or corticosteroids
These diet restrictions should be followed in patients that have peripheral edema with
acute glomerulonephritis. -Correct Answer ✔Low sodium and fluid restrictions
This procedure is the preferred means of renal replacement therapy in the pediatric age
group -Correct Answer ✔Kidney transplant
This disorder's urinalysis will show proteinuria (up to 15 grams of protein in a 24-hour
specimen), hyaline casts, few RBCs, oval fat bodies, and increased specific gravity, it is
not contagious. -Correct Answer ✔Nephrotic syndrome
This condition which causes urine to flow back into the kidneys can result in kidney
infection which can lead to sepsis. -Correct Answer ✔Vesicoureteral reflex
This condition is when the bladder develops outside of the body. -Correct Answer
✔Exstrophy of the bladder
This lab test involves the blood glucose levels being drawn every 30 minutes for 2
hours. -Correct Answer ✔Oral glucose tolerance test
(dont eat, make you chug this nasty sugar water and check
blood sugar how that goes down as diagnosing children with diabetes)
The expected HBA1C range for a child less than 6 years old with diabetes mellitus -
Correct Answer ✔7.5-8.5%
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For what reasons would you need to call the provider during a period of illness with
diabetes mellitus? -Correct Answer ✔Blood gluocse greater than 240. Positive ketones
in urine, disorientation or confusion,
rapid breathing, vomiting occurring more than once, liquids cant be tolerated.
This type of insulin has an onset of 30 minutes to 1 hour and has a peak of 1 hour to 5
hours. -Correct Answer ✔Short acting, regular rapid insulin
This term is associated with blood glucose greater than 250, thirst, polyuria early on, dry
mucous membranes, rapid deep respirations, and a weak pulse. -Correct Answer
✔Hypoglycemia
This yearly vaccine should be given to diabetic children for this reason -Correct Answer
✔Flu vaccine
Signs of hypoglycemia in a pediatric patient. -Correct Answer ✔Confused, shakiness,
irritable, pallor, sweating, confusion, dizziness, hangry
Sick day rules for patients with type 1 diabetes. -Correct Answer ✔Check blood sugar
every 3 hours
your provider, take your insulin still, check urine for ketones. consume 15 g of carb
snacks every 1-2 hours, contact
When giving injections we often do this to avoid injecting into a vessel. This is not
necessary when giving subQ insulin. -Correct Answer ✔Aspirate
This is the order in which you draw up different insulins -Correct Answer ✔Clear fast-
acting to long-acting cloudy
Clear b4 cloudy days
Surgical repair is done between 2 to 3 months of age for this facial disorder. -Correct
Answer ✔Cleft lip
For a cleft palate repair postoperatively name three nursing actions you will do -Correct
Answer ✔Remain upwrite for feeding, place infants side-lying not on their abdomen,
avoiding
ibuprofen, maintaining IV fluids until able to drink and eat, avoiding pacifiers, straws,
hard tipping sippy cups, keeping infant NPO for 4 hours and then allowing liquids for
the
first 3-4 days than progress to soft diet, elbow restrains, monitor airway obstruction,
encourage breastfeeding.
This type of diet is given to a patient with Hirschsprung's disease. -Correct Answer
✔High protein, high calorie, low fiber
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