NSG 3600 EXAM 4 2026 ADVANCED NURSING PRACTICE
REVIEW || COMPREHENSIVE TEST BANK || ACTUAL EXAM-
STYLE QUESTIONS || VERIFIED & ACCURATE ANSWERS ||
HIGH-YIELD STUDY GUIDE || COMPLETE EXAM REVIEW ||
GUARANTEED PASS || GRADED A+
(the answer appears before the question)
ADHD
Cause in unknown
Dopamine and norepinephrine
Inattention, hyperactivity, impulsivity
ADHA management
Psychostimulants
Side effects -----> appetite suppression
Behavioral therapy
Environmental manipulation
Trisomy 21
Changes in the development of the body and brain
Poor muscle tone
Slanting eyes
Hyper flexibility of the joints
Flat bridge of the nose
Short neck with extra folds
Low set ears
Simian crease
,protruding tongue
Trisomy 21 diagnosis
Chromosomal blood test
Trisomy 21 management
Self esteem
Independence
Autism Spectrum Disorder
Continuum of disorder involving limitation is social relatedness, verbal and
nonverbal communication and range of interest and behaviors
ASD manifestations
Impairment of social reciprocity
Inabiliity to maintain eye contact
Impaired communication
Restrictive or repetitive behaviors, interests or activities
child maltreatment
intentional harm to or avoidable endangerment of anyone under 18 years of age
Nursing care for maltreatment of children
Identify abuse
Teach parents and caregivers appropriate ways to discipline children
Educate children and adolescents about the body and personal boundaries
Report suspected child abuse to local enforcement agency and/or follow clinical
agency guidelines for reporting
Type 1 diabetes
autoimmune disease that destroys the pancreatic cells that produce insulin
Polyuria, polydipsia, polyphagia, weight loss
Blood glucose and A1C
,Hemoglobin A1c for kids
below 4-6%
Hypoglycemic manifestations
Irritable
Nervous
Shaky
Hunger
pallor
shallow resp
Tachycardia
Hyperglycemia symptoms
Lethargic
Confused
Double vision
Thirst
weakness
flush, dry, crusty skin
Kussmaul respirations
Fruity acetone breath
Paresthesia
type 1 diabetes treatment
insulin injections
blood glucose monitoring
Nutritional choices
Ketone monitoring
Types of Insulin
rapid acting (Humalog/novalog)
short acting (regular)
intermediate acting (NPH)
long acting (Lantus)
Even on sick days, children will still need their
insulin
, DKA
Acidosis resulting from severely deficient insulin
DKA manifestations
Fruity breath
Kussmaul respiration
Fatigue
Malaise
N/V
3 Ps
Weight loss and fever
DKA diagnosis
•Hyperglycemia - blood glucose of >250 mg/dL (11 mmol/L) AND
•Metabolic acidosis - defined as a venous pH <7.3 or plasma bicarbonate <18
mEq/L AND
•Ketosis - determined by the presence of ketones in the blood or urine.
•Anion gap > 10
•Pco2 20-30 (N. 35-45)
DKA prevention
"sick day rules"; assess for underlying causes;
diagnosis and proper management of diabetes
DKA management
Give K supplement to prevent hypokalemia whtn giving continuous insulin (K
is bet 3.5 to 5)
Give D5Q to IV fluid when blood gluc 250 to prevent hypoglycemia rxn
When gluc<200, switch insulin drip to subQ injection
Type 2 diabetes
Bodys resistance to recognize and use insulin rather than a deficient production
of insulin-like type 1
Obesity
Fatigue
Frequent infections
REVIEW || COMPREHENSIVE TEST BANK || ACTUAL EXAM-
STYLE QUESTIONS || VERIFIED & ACCURATE ANSWERS ||
HIGH-YIELD STUDY GUIDE || COMPLETE EXAM REVIEW ||
GUARANTEED PASS || GRADED A+
(the answer appears before the question)
ADHD
Cause in unknown
Dopamine and norepinephrine
Inattention, hyperactivity, impulsivity
ADHA management
Psychostimulants
Side effects -----> appetite suppression
Behavioral therapy
Environmental manipulation
Trisomy 21
Changes in the development of the body and brain
Poor muscle tone
Slanting eyes
Hyper flexibility of the joints
Flat bridge of the nose
Short neck with extra folds
Low set ears
Simian crease
,protruding tongue
Trisomy 21 diagnosis
Chromosomal blood test
Trisomy 21 management
Self esteem
Independence
Autism Spectrum Disorder
Continuum of disorder involving limitation is social relatedness, verbal and
nonverbal communication and range of interest and behaviors
ASD manifestations
Impairment of social reciprocity
Inabiliity to maintain eye contact
Impaired communication
Restrictive or repetitive behaviors, interests or activities
child maltreatment
intentional harm to or avoidable endangerment of anyone under 18 years of age
Nursing care for maltreatment of children
Identify abuse
Teach parents and caregivers appropriate ways to discipline children
Educate children and adolescents about the body and personal boundaries
Report suspected child abuse to local enforcement agency and/or follow clinical
agency guidelines for reporting
Type 1 diabetes
autoimmune disease that destroys the pancreatic cells that produce insulin
Polyuria, polydipsia, polyphagia, weight loss
Blood glucose and A1C
,Hemoglobin A1c for kids
below 4-6%
Hypoglycemic manifestations
Irritable
Nervous
Shaky
Hunger
pallor
shallow resp
Tachycardia
Hyperglycemia symptoms
Lethargic
Confused
Double vision
Thirst
weakness
flush, dry, crusty skin
Kussmaul respirations
Fruity acetone breath
Paresthesia
type 1 diabetes treatment
insulin injections
blood glucose monitoring
Nutritional choices
Ketone monitoring
Types of Insulin
rapid acting (Humalog/novalog)
short acting (regular)
intermediate acting (NPH)
long acting (Lantus)
Even on sick days, children will still need their
insulin
, DKA
Acidosis resulting from severely deficient insulin
DKA manifestations
Fruity breath
Kussmaul respiration
Fatigue
Malaise
N/V
3 Ps
Weight loss and fever
DKA diagnosis
•Hyperglycemia - blood glucose of >250 mg/dL (11 mmol/L) AND
•Metabolic acidosis - defined as a venous pH <7.3 or plasma bicarbonate <18
mEq/L AND
•Ketosis - determined by the presence of ketones in the blood or urine.
•Anion gap > 10
•Pco2 20-30 (N. 35-45)
DKA prevention
"sick day rules"; assess for underlying causes;
diagnosis and proper management of diabetes
DKA management
Give K supplement to prevent hypokalemia whtn giving continuous insulin (K
is bet 3.5 to 5)
Give D5Q to IV fluid when blood gluc 250 to prevent hypoglycemia rxn
When gluc<200, switch insulin drip to subQ injection
Type 2 diabetes
Bodys resistance to recognize and use insulin rather than a deficient production
of insulin-like type 1
Obesity
Fatigue
Frequent infections
