Actual Exam Version 1 and 2 (V1 & V2) Exam
2025–2026 Accurate Real Exam Questions and
Verified Correct Answers JUST RELEASED
Describe the signs and symptoms of a child with meningitis - answer>>>fever, irritability,
vomiting, neck stiffness, opisthotonos, positive Kernig sign, positive Brudzinski sign; infant
may not show all classic signs even though very ill.
What antibiotics are usually prescribed for bacterial meningitis: - answer>>>ampicillin,
ceftriaxone, or chloramphenicol
How is a child usually positioned after brain tumor surgery - answer>>>flat or on either
side
Describe the function of an osmotic diuretic - answer>>>osmotic diuretics remove water
from the CNS to reduce cerebral edema
What nursing interventions increase intracranial pressure - answer>>>suctioning and
positioning, turning
Describe the mechanism of inheritance of Duchenne muscular dystrophy -
answer>>>Duchenne muscular dystrophy is inherited as an X-linked recessive trait.
What is the Gowers sign - answer>>>Gowers sign is an indicator of muscular dystrophy; to
stand, the child has to "walk" hands up legs
Compare the signs and symptoms of acute glomerulonephritis with those of nephrosis -
answer>>>AGN: gross hematuria, recent strep infection, hypertension, and mild edema;
nephrosis: severe edema, massive proteinuria, frothy-appearing urine, anorexia
, What antecedent event occurs with acute glomerulonephritis - answer>>>beta-hemolytic
streptococcal infection
Compare the dietary interventions form acute glomerulonephritis and nephrosis -
answer>>>AGN: low-sodium diet with no added salt; nephrosis: high-protein, low salt
diet.
What is the physiologic reason for the lab finding of hypoproteinemia in nephrosis -
answer>>>hypoproteinemia occurs because the glomeruli are permeable to serum
proteins
Describe safe monitoring of prednisone administration and withdrawal - answer>>>long-
term prednisone should be given every other day. Signs of edema, mood changes, and GI
distress should be noted and reported. The drug should be tapered, not discontinued
suddenly.
What interventions can be taught to prevent urinary tract infections in children -
answer>>>avoid bubble baths; void frequently; drink adequate fluids, especially acidic
fluids such as apple or cranberry juice; and clean genital area from front to back.
Describe the pathophysiology of vesicoureteral reflux - answer>>>a malfunction of the
valves at the end of the ureters, allowing urine to reflux out of the bladder into the
ureters and possibly into the kidneys
What are the priorities for a client with a Wilms tumor - answer>>>protect the child from
injury to the encapsulated tumor. Prepare the family and child for surgery.
Explain why hypospadias correction is performed before the child reaches preschool age.
- answer>>>preschoolers fear castration, achieving sexual identity, and acquiring
independent toileting skills
Describe feeding techniques for a child with cleft lip or palate - answer>>>use lamb's
nipple or prosthesis. Feed the child upright, with frequent bubbling.