NURS 212 EXAM THREE 2026
Questions and Answers
dehydration - Correct answer--mild: 3-5% weight loss, normal VS, decreased urine
output = water
-moderate: 6-9% weight loss, slight increase in HR & RR, irritable, thirsty, dry
mm, decreased tears, oliguria = water & pedialyte
-severe: 10% or greater weight loss, very increased HR & RR, lethargic absent
tears, sunken fontanel, cool skin, delayed cap refill, oliguria and anuria = IV
fluids!!
celiac disease - Correct answer-gluten free diet for life
*no wheat, barley, rye speit
celiac disease definitive dx - Correct answer-colonoscopy
appendicitis - Correct answer-abruptly feel better = rupture, contact HCP!
-mcburneys point, rebound tenderness, thigh/hip movement, hopping on heels
(starts at periumbilical area and moves to RLQ)
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,hernias - Correct answer-emergency if it doesn't pop back in (cuts off blood
supply)
reflux teaching - Correct answer-feeding position, elevate after feeds, frequent
burping, thicken feeds (only with HCP order), avoid stress, spicy, caffeine
reflux meds - Correct answer-PPI's "zole"
-reduces acid in stomach
-omeprazole can be given <1 year
-give 30 min before breakfast
-do not want to be on long term
pyloric stenosis - Correct answer-usually presents between 2 weeks and 2 months,
forceful projectile non bilious vomiting and progressively gets worse (olive sign,
pale, skin tenting, failure to thrive)
obstruction - Correct answer-bilious vomiting is an ominous sign!!
*surgical emergency
gastroenteritis/diarrhea - Correct answer-hydration and regular diet as tolerated &
wash hands!
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, constipation interventions - Correct answer-meds (laxative, enema, disimpaction
with finger, increase fiber and fluids, eliminate cows milk, avoid constipating
foods such as bananas, excessive milk, pasta
Hirschsprung's disease - Correct answer-lack of peristalsis in descending colon on
the RIGHT side with distention, lack of ganglion cells that are needed for
movement
depression - Correct answer--skills before pills (therapy)
-start low and go slow
-#1 SE = suicide, need to be monitored
-must affect their daily life to be diagnosed
*do you have a plan??
ADHD - Correct answer--inattention, hyperactivity, impulsivity
-teach school based interventions
-must be reported at home and school to be diagnosed
-med SE: tachycardia, insomnia, decreased appetite
-make sure parents aren't stealing/selling meds
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Questions and Answers
dehydration - Correct answer--mild: 3-5% weight loss, normal VS, decreased urine
output = water
-moderate: 6-9% weight loss, slight increase in HR & RR, irritable, thirsty, dry
mm, decreased tears, oliguria = water & pedialyte
-severe: 10% or greater weight loss, very increased HR & RR, lethargic absent
tears, sunken fontanel, cool skin, delayed cap refill, oliguria and anuria = IV
fluids!!
celiac disease - Correct answer-gluten free diet for life
*no wheat, barley, rye speit
celiac disease definitive dx - Correct answer-colonoscopy
appendicitis - Correct answer-abruptly feel better = rupture, contact HCP!
-mcburneys point, rebound tenderness, thigh/hip movement, hopping on heels
(starts at periumbilical area and moves to RLQ)
©COPYRIGHT 2025, ALL RIGHTS RESERVED 1
,hernias - Correct answer-emergency if it doesn't pop back in (cuts off blood
supply)
reflux teaching - Correct answer-feeding position, elevate after feeds, frequent
burping, thicken feeds (only with HCP order), avoid stress, spicy, caffeine
reflux meds - Correct answer-PPI's "zole"
-reduces acid in stomach
-omeprazole can be given <1 year
-give 30 min before breakfast
-do not want to be on long term
pyloric stenosis - Correct answer-usually presents between 2 weeks and 2 months,
forceful projectile non bilious vomiting and progressively gets worse (olive sign,
pale, skin tenting, failure to thrive)
obstruction - Correct answer-bilious vomiting is an ominous sign!!
*surgical emergency
gastroenteritis/diarrhea - Correct answer-hydration and regular diet as tolerated &
wash hands!
©COPYRIGHT 2025, ALL RIGHTS RESERVED 2
, constipation interventions - Correct answer-meds (laxative, enema, disimpaction
with finger, increase fiber and fluids, eliminate cows milk, avoid constipating
foods such as bananas, excessive milk, pasta
Hirschsprung's disease - Correct answer-lack of peristalsis in descending colon on
the RIGHT side with distention, lack of ganglion cells that are needed for
movement
depression - Correct answer--skills before pills (therapy)
-start low and go slow
-#1 SE = suicide, need to be monitored
-must affect their daily life to be diagnosed
*do you have a plan??
ADHD - Correct answer--inattention, hyperactivity, impulsivity
-teach school based interventions
-must be reported at home and school to be diagnosed
-med SE: tachycardia, insomnia, decreased appetite
-make sure parents aren't stealing/selling meds
©COPYRIGHT 2025, ALL RIGHTS RESERVED 3
