Exam 2: NR 328/ NR328 (NEW 2026/ 2027 Update) Pediatric Nursing Guide| Questions & Answers | Grade A| 100% Correct (Verified Solutions)-Chamberlain

Examl 2:l NRl 328/l NR328l (NEWl 2026/l
2027l Update)l Pediatricl Nursingl Guide|l
Questionsl &l Answersl |l Gradel A|l 100%l
Correctl (Verifiedl Solutions)-Chamberlain
QUESTION
Vasopressin

Answer:
antidiureticl hormonel (givenl forl DI)



QUESTION
Growthl Hormonel Deficit

Answer:
-l inl childhood:l dwarfisml (couldl bel congenital)l MOSTl COMMONl growsl finel inl yrl 1l
thenl dropsl off

-l inl adulthood:l pituitaryl tumorl (weightl loss,l osteoporosis,l depressedl nervousl systeml
function)

-l hypopituitarism:l includesl deficitsl inl otherl ant.l pitl hormonesl (morel thanl one)l bones,l
metabolism,l thyroid,l etc



QUESTION
Dwarfism

Answer:
hyposecretionl ofl growthl hormone;l hypopituitaryl dwarfism

obesity,l delayedl puberty,l hyperlipidemia,l delayedl bonel risk,l subl 3l percentilel height

,CAREl PLAN:l
-l MRIl ofl pituitaryl tol seel ifl itl isl al tumor
-l Xrayl ofl wristl tol checkl growthl plates
-l Somatropinl (GH),l usuallyl injectionl SQl @l nightl daily
(SOMATROPINl GIVENl UPl TOl 14l (GIRLS),l 17l (BOYS)



QUESTION
Somatropin

Answer:
growthl hormone

REMEMBERl THISl ISl Al INSULINl ANTAGONIST/BLOCKER,l CANl CAUSEl TYPEl 2l
DIABETES/INSULINl RESISTANCE



QUESTION
Thyroidl Gland

Answer:
Producesl hormonesl thatl regulatel metabolism,l bodyl heat,l andl bonel growth-l INl PEDS,l
nervousl system

Pitl Gland:l secretesl TSH

Hyper:l LOWl TSH,l highl T3l T4
Hypo:l HIGHl TSH,l lowl T3l T4



QUESTION
Congenitall Hypothyroidism

Answer:
absencel orl atrophyl ofl thel thyroidl glandl presentl atl birthl

-l S/Sl hypothyroidism
-l enlargedl tonguel (difficultl feeding),l weightl loss

,-l puffyl eyes
-l constipationl ->l highl bilirubinl ->l jaundicel

Levothyroxinel (morningl beforel BFAST)l nol soy



QUESTION
Congenitall Hyperthyroidism

Answer:
Occursl inl infantsl ofl mothersl withl hyperthyroid/gravesl disease.

-l shakyl baby,l morel commonl inl girls

Carel Plan
-l PTUl (canl causel agranulocytosis/lowl WBC)
-l radioactivel iodinel
-l thyroidectomyl (monitorl forl tetany/trousseau's,l lowl calcium)



QUESTION
Hashimoto's

Answer:
Autoimmunel causel ofl hypothyroidism,l occursl laterl inl life.
Bodyl attacksl thel thyroid,l itl canl notl makel thel hormones.

-l S/Sl hypothyroidisml
-l morel commonl inl boys

Levothyroxinel (morningl beforel BFAST)l nol soy



QUESTION
Typel 1l vsl 2l Diabetesl Review

Answer:

, T1:l autoimmune,l pancreasl notl producingl insulin,l anyl pointl inl timel withinl childhood,l
abruptl (3l P's,l yeastl infections,l delayedl healing,l LOCl changes/headaches,l GIl slows)

T2:l insulinl resistance,l sedentary,l highl fatl diet,l familyl hx,l canl bel seenl asl youngl asl 8l
yrsl old



QUESTION
DKA

Answer:
diabeticl ketoacidosis,l sugarl sol highl bodyl usesl fatl forl energyl (ketosis),l usuallyl happensl
withl typel Il diabetesl andl isl howl childrenl getl diagnosed

lethargic,l acetonel breath,l limitedl LOC,l kussmaul'sl (compensatel metabolicl acidosis,l blowl
outl CO2)

-l fluidl resuscitationl 0.9
-l insulinl IVl (regl drip)l 0.1l units/kg/hr
-l Bicarbl tol lowerl acidityl
-l Monitorl cardiacl (highl K+)
-l couldl causel seizures,l coma,l death



QUESTION
Diabetesl Labs

Answer:
seel image

PEDsl A1cl isl gonnal bel 7.5l orl higherl forl diagnosis



QUESTION
Typesl ofl Insulin

Answer:
1.)l Rapid:l 15l minutes,l 30-90l minutesl peakl (LAG)