NURS 611 PEDIATRICS EXAM WITH VERIFIED
QUESTIONS AND ANSWERS|| ALREADY
GRADED A+ || GUARANTEED PASS || LATEST
UPDATE!!!
When should a hydrocele resolve by - ANSWER-4-12 months if it hasn’t refer
to uro; if it is reducing by 12 months but not completely gone re-evaluate in one
month to see if it resolved if not refer
On a well-child exam, a 1-year-old is found to have one testicle that is larger
than the others at times with variable size. What should you assess for -
ANSWER-inguinal hernia
Exanthem verse Enathem - ANSWER-EXanthem is rash on skin and ENathem
is rash on mucous membrane
What is erythema infectiosum (fifth disease) - ANSWER-caused parvovirus
B19; rash on face and extremities; once exposed then in 5-10 days develops flu
like symptoms (or asymptomatic) then in 5 days lacy macular rash appears
What is hand, foot, and mouth disease - ANSWER-Affects children <5 years
caused by coxsackie A16 virus
• appears Spring and early summer
• Fever
• Vesicles on oral mucous membranes, palms of hands and soles of feet
(sometimes coalesce into bullous ulcer)
• Cutaneous vesicles ulcerate and crust
,• Resolves in 2-3 days
A NP has diagnosed a child with roseola. How old is this child likely to be? -
ANSWER-7-13 months
What is roseola - ANSWER-Viral illness caused by herpes virus
• Presentation $ Exposure 1-2 weeks • symptoms appear $ Fever × 3-7 days $
Rash on trunk and neck • Resolves in 1-3 day
What is rubella (german measles) - ANSWER-• Viral syndrome $ Low-grade
fever $ Pharyngitis $ Rash • Rash begins on face and spreads to neck and body
Can cause birth defects and miscarriage if contracted during pregnancy
What is encopresis - ANSWER-Child ≥4
$ Repeated passing of stool into inappropriate places, such as clothing or on the
floor
$ At least once a month for 3 months or more.
$ Involuntary (or voluntary)
• Underlying problem is constipation (80% of the time)
• Screen and assess for psychological components
What age to give influenza vaccine - ANSWER-yearly if greater than 6 months
- if they are getting their initial dose ad they are less than 8 yo, you give two
doses a month apart
What is bronchiolitis - ANSWER--self limited lower RTI common in children
younger than 2; starts as URI for 1-3 days then paroxysmal wheezing peaks on
day 3-5 and resolves in 2-4 weeks
,Clinical presentationof bronchiolitis - ANSWER-Fever (lower temps with RSV,
higher temps with adenovirus)
• Cough: may be hoarse before becoming very productive • Thick, purulent
nasal secretions
• Respiratory distress if severe bronchiolitis
A 12-month-old child has been diagnosed with bronchiolitis. The child has
nasal flaring, retractions, and poor appetite. How should this patient be
managed? - ANSWER-As an inpatient because of their symptoms
Bronchiolitis management - ANSWER-Management is usually supportive
• Education and anticipatory guidance
• Suction nose
• Monitor for dehydration
• No bronchodilators (BD)
• No steroids (Modest short-term clinical improvement; does not affect overall
outcome)
- Inpatient management for hydration and respiratory support (e.g., fluids, nasal
suctioning, supplemental oxygen)
What is croup - ANSWER-Also called laryngotracheitis
• Viral croup most common in ages 6 months to 3 years
• Fever, inspiratory stridor, barking cough, hoarseness (spasmodic at night)
• Self-limited: 3 days
• Steeple sign = tapering of the upper trachea on AP radiograph
A 3-year-old child is diagnosed with mild croup. In addition to supportive
therapies, which medication should they receive - ANSWER-a single dose of
oral dexamethasone
, What is the most common chronic illness in children - ANSWER-asthma
What is cystic fibrosis - ANSWER-Autosomal recessive genetic disorder
• Excessive loss of sodium through sweat
• CFTR channels do not effectively export chloride ➔ thickening of mucus
-affects GI tracts, lungs, sweat glands and reproductive tract
encopresis managment - ANSWER-• Bowel training to establish normal BMs
$ Goal: one soft stool daily
$ Laxatives for initial cleansing, then daily until normal stools
$ Sit on the toilet for 5-10 minutes 2-3 times daily after meals
$ Dietary changes: fiber, fluids
$ Reward system
• Polyethylene glycol [PEG] (MiraLAX), etc.
$ Taper gradually after goal reached for several months
A 6-year-old male presents with diarrhea five times per day and nausea for the
past 3 days. Which of the following is the likely diagnosis? - ANSWER-viral
gastroenteritis
Presentation of viral gastroenteritis - ANSWER-One of the most common
infectious diseases in humans
• Presentation
$ >3 watery/loose stools in 24 hours
$ Vomiting, fever, abdominal pain
$ Symptoms last <1-2 weeks
caused by rotavirus and norovirus and spread fecal oral route
Best way to measure dehydration - ANSWER--weight checks
QUESTIONS AND ANSWERS|| ALREADY
GRADED A+ || GUARANTEED PASS || LATEST
UPDATE!!!
When should a hydrocele resolve by - ANSWER-4-12 months if it hasn’t refer
to uro; if it is reducing by 12 months but not completely gone re-evaluate in one
month to see if it resolved if not refer
On a well-child exam, a 1-year-old is found to have one testicle that is larger
than the others at times with variable size. What should you assess for -
ANSWER-inguinal hernia
Exanthem verse Enathem - ANSWER-EXanthem is rash on skin and ENathem
is rash on mucous membrane
What is erythema infectiosum (fifth disease) - ANSWER-caused parvovirus
B19; rash on face and extremities; once exposed then in 5-10 days develops flu
like symptoms (or asymptomatic) then in 5 days lacy macular rash appears
What is hand, foot, and mouth disease - ANSWER-Affects children <5 years
caused by coxsackie A16 virus
• appears Spring and early summer
• Fever
• Vesicles on oral mucous membranes, palms of hands and soles of feet
(sometimes coalesce into bullous ulcer)
• Cutaneous vesicles ulcerate and crust
,• Resolves in 2-3 days
A NP has diagnosed a child with roseola. How old is this child likely to be? -
ANSWER-7-13 months
What is roseola - ANSWER-Viral illness caused by herpes virus
• Presentation $ Exposure 1-2 weeks • symptoms appear $ Fever × 3-7 days $
Rash on trunk and neck • Resolves in 1-3 day
What is rubella (german measles) - ANSWER-• Viral syndrome $ Low-grade
fever $ Pharyngitis $ Rash • Rash begins on face and spreads to neck and body
Can cause birth defects and miscarriage if contracted during pregnancy
What is encopresis - ANSWER-Child ≥4
$ Repeated passing of stool into inappropriate places, such as clothing or on the
floor
$ At least once a month for 3 months or more.
$ Involuntary (or voluntary)
• Underlying problem is constipation (80% of the time)
• Screen and assess for psychological components
What age to give influenza vaccine - ANSWER-yearly if greater than 6 months
- if they are getting their initial dose ad they are less than 8 yo, you give two
doses a month apart
What is bronchiolitis - ANSWER--self limited lower RTI common in children
younger than 2; starts as URI for 1-3 days then paroxysmal wheezing peaks on
day 3-5 and resolves in 2-4 weeks
,Clinical presentationof bronchiolitis - ANSWER-Fever (lower temps with RSV,
higher temps with adenovirus)
• Cough: may be hoarse before becoming very productive • Thick, purulent
nasal secretions
• Respiratory distress if severe bronchiolitis
A 12-month-old child has been diagnosed with bronchiolitis. The child has
nasal flaring, retractions, and poor appetite. How should this patient be
managed? - ANSWER-As an inpatient because of their symptoms
Bronchiolitis management - ANSWER-Management is usually supportive
• Education and anticipatory guidance
• Suction nose
• Monitor for dehydration
• No bronchodilators (BD)
• No steroids (Modest short-term clinical improvement; does not affect overall
outcome)
- Inpatient management for hydration and respiratory support (e.g., fluids, nasal
suctioning, supplemental oxygen)
What is croup - ANSWER-Also called laryngotracheitis
• Viral croup most common in ages 6 months to 3 years
• Fever, inspiratory stridor, barking cough, hoarseness (spasmodic at night)
• Self-limited: 3 days
• Steeple sign = tapering of the upper trachea on AP radiograph
A 3-year-old child is diagnosed with mild croup. In addition to supportive
therapies, which medication should they receive - ANSWER-a single dose of
oral dexamethasone
, What is the most common chronic illness in children - ANSWER-asthma
What is cystic fibrosis - ANSWER-Autosomal recessive genetic disorder
• Excessive loss of sodium through sweat
• CFTR channels do not effectively export chloride ➔ thickening of mucus
-affects GI tracts, lungs, sweat glands and reproductive tract
encopresis managment - ANSWER-• Bowel training to establish normal BMs
$ Goal: one soft stool daily
$ Laxatives for initial cleansing, then daily until normal stools
$ Sit on the toilet for 5-10 minutes 2-3 times daily after meals
$ Dietary changes: fiber, fluids
$ Reward system
• Polyethylene glycol [PEG] (MiraLAX), etc.
$ Taper gradually after goal reached for several months
A 6-year-old male presents with diarrhea five times per day and nausea for the
past 3 days. Which of the following is the likely diagnosis? - ANSWER-viral
gastroenteritis
Presentation of viral gastroenteritis - ANSWER-One of the most common
infectious diseases in humans
• Presentation
$ >3 watery/loose stools in 24 hours
$ Vomiting, fever, abdominal pain
$ Symptoms last <1-2 weeks
caused by rotavirus and norovirus and spread fecal oral route
Best way to measure dehydration - ANSWER--weight checks
