NUR 4410 Exam 1 Final Test Questions
and Correct Answers.
Infants gain an average weight of ___ by 6 months old. - Answer 7.26 kg (16lbs)
Transmission Based precautions - Answer is indicated for patients suspected of infection of
colonization of transmissible organisms (Airborne Precautions, Droplet, and Contact)
Standard precautions include - Answer gloves, gown, mask, goggles, to prevent
contamination from blood or body fluids
A child needs increased fluids when? - Answer 1. Fever
2. Vomiting/diarrhea
3. high output kidney failure
4. Shock
5. Tachypnea
6. Phototherapy
7. Post Op bowel therapy
A child has a required decrease of fluids when? - Answer 1. Heart failure
2. syndrome of inappropriate antidiuretic hormone
3. after surgery
4. oliguric renal failure
5. *** ICP***
Consequently, _____ and _____ persons who tend to have more body fat than males tend to
have less water in relation to weight. - Answer women and obese
Depletion of ECF in infants can most commonly be attributed to? - Answer gastroenteritis
What should be monitored with a patient who has depleted water? - Answer vitals, urine
specific gravity, body weight, replacements. and maintenance fluids/electrolytes
With water excess the nurse should monitor/manage? - Answer limit fluid intake, administer
diuretics, vitals, implement seizure precautions, monitor neurologic signs
, Sodium depletion (Hyponatremia) can be seen with which diseases/conditions? - Answer
excess sweating, cystic fibrosis, renal disease, tachypnea, fever, vomiting, burns, increase water
intake without electrolytes
The ___ and _____ will be sunken in when an infant or toddler is experiencing dehydration. -
Answer eyeballs and fontanels
Hyper-natremia - Answer increases sodium, decreased fluids, increased HCT
Hypo-natremia - Answer decreases sodium, increased fluids, decreased HCT
What is the most common gastric obstruction in infants and is 3-4x more common in males? -
Answer Pyloric Stenosis
The patient should remain _____ if they have pyloric stenosis and correct fluids and
electrolytes. - Answer NPO
Pyloromyotomy is used in what case and is what? - Answer pyloric stenosis and is cutting the
stomach muscle
The nurse should be checking the patient's _____ levels before surgery for pyloric stenosis? -
Answer chloride levels
Post Op the nurse should monitor what when a patient comes back from treatments of pyloric
stenosis? - Answer start slow feedings (glucose water 15mL Q2hrs, increase to 30mL, then
15mL 1/2 strength formula), burp in the beginning and throughout feeding and at end, I/O,
weights, incision check
Teaching for a patient with pyloric stenosis treatments would be? - Answer incision care,
signs of infection, NO antibiotics, only Tylenol (educate of doses and etc)
What is Pyloric Stenosis? - Answer hypertrophy and hyperplasia of the pylorus, the opening
thickens and narrows, lengthens and obstruction occurs
At 18 months old what has happened developmentally and growth wise for a child? - Answer
-ANTERIOR fontanels closed
-controls sphincter
-runs and falls
-walks up stairs with 1 hand held
and Correct Answers.
Infants gain an average weight of ___ by 6 months old. - Answer 7.26 kg (16lbs)
Transmission Based precautions - Answer is indicated for patients suspected of infection of
colonization of transmissible organisms (Airborne Precautions, Droplet, and Contact)
Standard precautions include - Answer gloves, gown, mask, goggles, to prevent
contamination from blood or body fluids
A child needs increased fluids when? - Answer 1. Fever
2. Vomiting/diarrhea
3. high output kidney failure
4. Shock
5. Tachypnea
6. Phototherapy
7. Post Op bowel therapy
A child has a required decrease of fluids when? - Answer 1. Heart failure
2. syndrome of inappropriate antidiuretic hormone
3. after surgery
4. oliguric renal failure
5. *** ICP***
Consequently, _____ and _____ persons who tend to have more body fat than males tend to
have less water in relation to weight. - Answer women and obese
Depletion of ECF in infants can most commonly be attributed to? - Answer gastroenteritis
What should be monitored with a patient who has depleted water? - Answer vitals, urine
specific gravity, body weight, replacements. and maintenance fluids/electrolytes
With water excess the nurse should monitor/manage? - Answer limit fluid intake, administer
diuretics, vitals, implement seizure precautions, monitor neurologic signs
, Sodium depletion (Hyponatremia) can be seen with which diseases/conditions? - Answer
excess sweating, cystic fibrosis, renal disease, tachypnea, fever, vomiting, burns, increase water
intake without electrolytes
The ___ and _____ will be sunken in when an infant or toddler is experiencing dehydration. -
Answer eyeballs and fontanels
Hyper-natremia - Answer increases sodium, decreased fluids, increased HCT
Hypo-natremia - Answer decreases sodium, increased fluids, decreased HCT
What is the most common gastric obstruction in infants and is 3-4x more common in males? -
Answer Pyloric Stenosis
The patient should remain _____ if they have pyloric stenosis and correct fluids and
electrolytes. - Answer NPO
Pyloromyotomy is used in what case and is what? - Answer pyloric stenosis and is cutting the
stomach muscle
The nurse should be checking the patient's _____ levels before surgery for pyloric stenosis? -
Answer chloride levels
Post Op the nurse should monitor what when a patient comes back from treatments of pyloric
stenosis? - Answer start slow feedings (glucose water 15mL Q2hrs, increase to 30mL, then
15mL 1/2 strength formula), burp in the beginning and throughout feeding and at end, I/O,
weights, incision check
Teaching for a patient with pyloric stenosis treatments would be? - Answer incision care,
signs of infection, NO antibiotics, only Tylenol (educate of doses and etc)
What is Pyloric Stenosis? - Answer hypertrophy and hyperplasia of the pylorus, the opening
thickens and narrows, lengthens and obstruction occurs
At 18 months old what has happened developmentally and growth wise for a child? - Answer
-ANTERIOR fontanels closed
-controls sphincter
-runs and falls
-walks up stairs with 1 hand held
