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NU170 exam 2 Galen Questions and Answers
A 4 month old with suspected pyloric stenosis presents with
persistent vomiting. Which finding most strongly supports the
diagnosis?
Ans: Projectile nonbilious emesis, palpable " olive" RUQ
The priority intervention for a 6 month old with intussusception
is to prepare for?
Ans: Air/contrast enema reduction
A toddler with hirschsprung disease pre-op has abdominal
distention and constipation. The nurse anticipates which plan?
Ans: Bowel decompression and rectal irrigations
A child with celiac disease needs more teaching if the parent
states:
Ans: " 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?
Ans: Notify provider, possible perforation
Moderate dehydration in an infant is best indicated by:
Ans: Sunken eyes, tachycardia, delayed cap refill
Which order is contraindicated for a 5 week old with suspected
GERD and poor weight gain?
Ans: Prone sleeping position
Necrotizing Enterocolitis (NEC) risk reduction in preterm infant
includes:
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Ans: Human milk feeding and cautious feed advancement
Findings most consistent with acute post-streptococcal
glomerulonephritis (APSGN):
Ans: Hypertension, recent strep infection, hematuria
Nephrotic syndrome home teaching is correct when the parent
says:
Ans: " we'll give high-dose steroids as prescribed and weigh daily"
First action for a febrile 2 year old with suspected UTI?
Ans: Obtain urine specimen by catheterization
vesicoureteral reflux (VUR) teaching:
Ans: Daily prophylactic antibiotics may be ordered to prevent
pyelonephritis
Post-op care after hypospadias repair( stent in place) includes:
Ans: Double diapering and preventing pressure on the stent
A child with HUS (hemolytic uremic syndrome) most likely has
which lab pattern?
Ans: Anemia, thrombocytopenia , elevated BUN
Best instruction for a nocturnal enuresis in a 7 year old?
Ans: Bladder training, limit evening fluids, enuresis alarm
Suspected developmental dysplasia of the hip (DDH) in a 4 month
old:
Ans: Limited hip abduction and positive ortolani/barlow
Clubfoot (Talipes Equinovarus) standard early management:
Ans: Serial casting (ponseti) with frequent changes
© 2025 All rights reserved
NU170 exam 2 Galen Questions and Answers
A 4 month old with suspected pyloric stenosis presents with
persistent vomiting. Which finding most strongly supports the
diagnosis?
Ans: Projectile nonbilious emesis, palpable " olive" RUQ
The priority intervention for a 6 month old with intussusception
is to prepare for?
Ans: Air/contrast enema reduction
A toddler with hirschsprung disease pre-op has abdominal
distention and constipation. The nurse anticipates which plan?
Ans: Bowel decompression and rectal irrigations
A child with celiac disease needs more teaching if the parent
states:
Ans: " 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?
Ans: Notify provider, possible perforation
Moderate dehydration in an infant is best indicated by:
Ans: Sunken eyes, tachycardia, delayed cap refill
Which order is contraindicated for a 5 week old with suspected
GERD and poor weight gain?
Ans: Prone sleeping position
Necrotizing Enterocolitis (NEC) risk reduction in preterm infant
includes:
© 2025 All rights reserved
, 2 | Page
Ans: Human milk feeding and cautious feed advancement
Findings most consistent with acute post-streptococcal
glomerulonephritis (APSGN):
Ans: Hypertension, recent strep infection, hematuria
Nephrotic syndrome home teaching is correct when the parent
says:
Ans: " we'll give high-dose steroids as prescribed and weigh daily"
First action for a febrile 2 year old with suspected UTI?
Ans: Obtain urine specimen by catheterization
vesicoureteral reflux (VUR) teaching:
Ans: Daily prophylactic antibiotics may be ordered to prevent
pyelonephritis
Post-op care after hypospadias repair( stent in place) includes:
Ans: Double diapering and preventing pressure on the stent
A child with HUS (hemolytic uremic syndrome) most likely has
which lab pattern?
Ans: Anemia, thrombocytopenia , elevated BUN
Best instruction for a nocturnal enuresis in a 7 year old?
Ans: Bladder training, limit evening fluids, enuresis alarm
Suspected developmental dysplasia of the hip (DDH) in a 4 month
old:
Ans: Limited hip abduction and positive ortolani/barlow
Clubfoot (Talipes Equinovarus) standard early management:
Ans: Serial casting (ponseti) with frequent changes
© 2025 All rights reserved
