NR 328 Peds- Exam 2 Questions and Verified
Answers | Latest Update 2026/2027 | 100%
Correct | Chamberlain.
1. Hirschsprung disease: motility disorder; inadequate motility of part of the intestine
Manifestations: distended abdomen, feeding intolerance, vomiting, failure to thrive, constipation
Diagnosis: contrast enema, rectal biopsy
2. management of Hirchsprung disease: surgical removal of of aganglionic portion of bowel,
temporary colostomy;
nurse interventions: prepare pt and parents for surgery, IV fluids, NPO status, care for colostomy
3. Gastroesophageal Reflux: motility disorder; inappropriate relaxation of lower esophageal sphincter
Manifestations: spit up, regurgitation, vomiting, pain, poor weight gain, feeding intolerance, dysphagia
4. Management of gastroesophogeal reflux: avoid food that exacerbate, small frequent meals,
H2-receptor antagonists (ranitidine- Zantac), proton-pump inhibitors (omeprazole- Prilosec), Nissen fundoplication
nursing care: identify symptoms, educate parents, NG tube if needed
5. Appendicitis: inflammatory condition; inflamed appendix; ruptures appendix is a medical emergency
manifestations: RLQ pain & McBurney's point, nausea, vomiting, fever, lethargy, anorexia, irritability,
sign of rupture= sudden relief from pain
6. Management of Appendicitis: IV fluids, antibiotics,
appendectomy if ruptured: fluids, antibiotics, NG suction, peritoneal cavity
irrigation
Nursing Care: prep for surgery, NPO status, IV fluids, antibiotics, pain management
7. Pyloric Stenosis: Obstructive disorder; pyloric sphincter muscle becomes thickened outlet obstruction
Manifestations: projectile vomiting, dehydration, weight loss, failure to thrive, olive-like mass in upper abdomen
Diagnosis: ultrasound
8. Management for pyloric stenosis: pyloromyotomy
surgery nursing care: IV fluids, nasogastric tube suctioning, prep for
, surgery,
9. intussusception: obstructive disorder; proximal segment of the bowel telescopes into a more distal segment,
pulling mesentery with it.
Manifestations: abd pain, inconsolable, knees to chest, vomiting, lethargy, red jelly-like stool, distended abdomen, mass
in URQ, Dance sign, fever, bowel necrosis
Diagnosis: ultrasound findings include heterogenous mass and a "bull's-eye"
10. Management of Intussusception: reduction og gas by enema,
surgery nurse management: prep for surgery or reduction, NPO status, IV fluids,
antibiotics,
**passage of normal brown stool typically means intussusception has resolved and should be immediately reported to
provider
11. Gastroenteritis: inflammation of the stomach and intestines usually caused by virus or bacteria (ex: Ro-
tavirus); acute or chronic diarrhea; may result in dehydration, electrolyte imbalance, and metabolic acidosis
12. Management of gastroenteritis: Oral rehydration therapy, oral electrolyte solutions, IV Fluids
if severe dehydration or inability to drink and hold fluids,
*infants more prone to dehydration due to higher body surface-to-volume ratio and smaller fluid reserves
13. urinary tract infection (UTI): infection of one or more organs of the urinary tract; usually cause by
E. coli;
manifestations: fever, jaundice, irritability, lethargy, poor feeding, enuresis, foul-smelling urine, urinary frequency,
dysuria, flank pain
**high fever and chills w/ flank pain, sever abd pain and leukocytosis suggest pyelonephritis
14. Management of UTI: antibiotics
nursing care: collect urine specimens, educate parents and child about treatment and prevention (increase fluids, front to
back, cotton underwear, avoid "holding", showers instead of baths.
15. Enuresis: bet wetting; assess for UTI, structural disorders, psychiatric eval, functional bladder capacity
*punishment should not be used to correct
16. Acute Poststreptococcal Glomerulonephritis (APSGN): noninfectious renal disease;
oc- curs after infection of streptococcus
Answers | Latest Update 2026/2027 | 100%
Correct | Chamberlain.
1. Hirschsprung disease: motility disorder; inadequate motility of part of the intestine
Manifestations: distended abdomen, feeding intolerance, vomiting, failure to thrive, constipation
Diagnosis: contrast enema, rectal biopsy
2. management of Hirchsprung disease: surgical removal of of aganglionic portion of bowel,
temporary colostomy;
nurse interventions: prepare pt and parents for surgery, IV fluids, NPO status, care for colostomy
3. Gastroesophageal Reflux: motility disorder; inappropriate relaxation of lower esophageal sphincter
Manifestations: spit up, regurgitation, vomiting, pain, poor weight gain, feeding intolerance, dysphagia
4. Management of gastroesophogeal reflux: avoid food that exacerbate, small frequent meals,
H2-receptor antagonists (ranitidine- Zantac), proton-pump inhibitors (omeprazole- Prilosec), Nissen fundoplication
nursing care: identify symptoms, educate parents, NG tube if needed
5. Appendicitis: inflammatory condition; inflamed appendix; ruptures appendix is a medical emergency
manifestations: RLQ pain & McBurney's point, nausea, vomiting, fever, lethargy, anorexia, irritability,
sign of rupture= sudden relief from pain
6. Management of Appendicitis: IV fluids, antibiotics,
appendectomy if ruptured: fluids, antibiotics, NG suction, peritoneal cavity
irrigation
Nursing Care: prep for surgery, NPO status, IV fluids, antibiotics, pain management
7. Pyloric Stenosis: Obstructive disorder; pyloric sphincter muscle becomes thickened outlet obstruction
Manifestations: projectile vomiting, dehydration, weight loss, failure to thrive, olive-like mass in upper abdomen
Diagnosis: ultrasound
8. Management for pyloric stenosis: pyloromyotomy
surgery nursing care: IV fluids, nasogastric tube suctioning, prep for
, surgery,
9. intussusception: obstructive disorder; proximal segment of the bowel telescopes into a more distal segment,
pulling mesentery with it.
Manifestations: abd pain, inconsolable, knees to chest, vomiting, lethargy, red jelly-like stool, distended abdomen, mass
in URQ, Dance sign, fever, bowel necrosis
Diagnosis: ultrasound findings include heterogenous mass and a "bull's-eye"
10. Management of Intussusception: reduction og gas by enema,
surgery nurse management: prep for surgery or reduction, NPO status, IV fluids,
antibiotics,
**passage of normal brown stool typically means intussusception has resolved and should be immediately reported to
provider
11. Gastroenteritis: inflammation of the stomach and intestines usually caused by virus or bacteria (ex: Ro-
tavirus); acute or chronic diarrhea; may result in dehydration, electrolyte imbalance, and metabolic acidosis
12. Management of gastroenteritis: Oral rehydration therapy, oral electrolyte solutions, IV Fluids
if severe dehydration or inability to drink and hold fluids,
*infants more prone to dehydration due to higher body surface-to-volume ratio and smaller fluid reserves
13. urinary tract infection (UTI): infection of one or more organs of the urinary tract; usually cause by
E. coli;
manifestations: fever, jaundice, irritability, lethargy, poor feeding, enuresis, foul-smelling urine, urinary frequency,
dysuria, flank pain
**high fever and chills w/ flank pain, sever abd pain and leukocytosis suggest pyelonephritis
14. Management of UTI: antibiotics
nursing care: collect urine specimens, educate parents and child about treatment and prevention (increase fluids, front to
back, cotton underwear, avoid "holding", showers instead of baths.
15. Enuresis: bet wetting; assess for UTI, structural disorders, psychiatric eval, functional bladder capacity
*punishment should not be used to correct
16. Acute Poststreptococcal Glomerulonephritis (APSGN): noninfectious renal disease;
oc- curs after infection of streptococcus
