Exam Questions and Answers |
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A 4 month old with suspected pyloric stenosis presents with persistent
vomiting. Which finding most strongly supports the diagnosis? -
ANSWER ✔✔Projectile nonbilious emesis, palpable " olive" RUQ
The priority intervention for a 6 month old with intussusception is to
prepare for? - ANSWER ✔✔Air/contrast enema reduction
A toddler with hirschsprung disease pre-op has abdominal distention and
constipation. The nurse anticipates which plan? - ANSWER
✔✔Bowel decompression and rectal irrigations
,A child with celiac disease needs more teaching if the parent states: -
ANSWER ✔✔" oats are always safe regardless of processing"
A 7 year old with appendicitis suddenly reports relief of severe RLQ pain,
now has fever and guarding. Priority action? - ANSWER ✔✔Notify
provider, possible perforation
Moderate dehydration in an infant is best indicated by: - ANSWER
✔✔Sunken eyes, tachycardia, delayed cap refill
Which order is contraindicated for a 5 week old with suspected GERD
and poor weight gain? - ANSWER ✔✔Prone sleeping position
Necrotizing Enterocolitis (NEC) risk reduction in preterm infant includes:
- ANSWER ✔✔Human milk feeding and cautious feed advancement
Findings most consistent with acute post-streptococcal
glomerulonephritis (APSGN): - ANSWER ✔✔Hypertension, recent
strep infection, hematuria
Nephrotic syndrome home teaching is correct when the parent says: -
ANSWER ✔✔" we'll give high-dose steroids as prescribed and weigh
daily"
, First action for a febrile 2 year old with suspected UTI? - ANSWER
✔✔Obtain urine specimen by catheterization
vesicoureteral reflux (VUR) teaching: - ANSWER ✔✔Daily
prophylactic antibiotics may be ordered to prevent pyelonephritis
Post-op care after hypospadias repair( stent in place) includes: -
ANSWER ✔✔Double diapering and preventing pressure on the stent
A child with HUS (hemolytic uremic syndrome) most likely has which lab
pattern? - ANSWER ✔✔Anemia, thrombocytopenia , elevated BUN
Best instruction for a nocturnal enuresis in a 7 year old? - ANSWER
✔✔Bladder training, limit evening fluids, enuresis alarm
Suspected developmental dysplasia of the hip (DDH) in a 4 month old: -
ANSWER ✔✔Limited hip abduction and positive ortolani/barlow
Clubfoot (Talipes Equinovarus) standard early management: -
ANSWER ✔✔Serial casting (ponseti) with frequent changes
Scoliosis post-spinal fusion nursing care priority: - ANSWER ✔✔Log
rolling and pulmonary hygiene
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