NURS 4434- Theory & Nursing Practice for Child Health
(Final Exam) Questions With Complete Solutions
1st line of antibiotics given Correct Answers Broad spectrum,
until labs come back
2 causes linked to Vaso-occlusive crisis Correct Answers
dehydration and fever
3 Ps of Diabetes Correct Answers Polydipsia- excessive thirst
Polyuria- excessive urine output
Polyphasia- excess hunger
A-B-C-D-E of Diaper Rash and Candidiasis treatment Correct
Answers A- air out the skin
B- use a barrier past
C- clean the skin
D- disposable diapers
E- educate
Antidote for Tylenol/ Acetaminophen overdose Correct Answers
N-acetylcysteine (Mucomyst)
At what age would you see: seperation anxiety, fear of
doctors/providers, parallel play, play w/ blocks, kick balls,
pincher grasp, begin to understand limits Correct Answers
Toddler
Attributes of CSF for Bacterial Meningitis Correct Answers low
glucose in CSF, turbid/ cloudy appearance, elevated protein,
decreased glucose, +gram stain
,Attributes of CSF for Viral Meningitis? Correct Answers Clear,
mild elevated WBC, normal or slight elevated protein, normal
glucose, negative gram stain, elevated C-RP
Biggest risk of CHF to assess for Correct Answers Risk for
fluid overload to lungs, crackles in lung sounds
Can an infant grow out of BPD? Correct Answers Yes
Cardiac complication of Kawasaki's Correct Answers coronary
artery aneurysms
Caused of diaper rash Correct Answers irritation caused by
urine and feces, can also be caused by detergent
*THE FOLDS ARE UNAFFECTED*
Causes of DKA Correct Answers undiagnosed DM, non
adherence to diabetic regimen, stress, illness, infection, puberty,
worsening of disease
child care + care giver + ______________= increased risk of
child abuse Correct Answers stress
Common Lab findings for Nephrotic Syndrome Correct
Answers BUN and Creatinine normal unless renal damage has
occured, low albumin, and high protein in UA
Common Labs of DKA patient Correct Answers ketones in the
blood stream/ urine, high K initially- as pH corrects K will drop,
BUN and creatinine often elevated, low Na
, Contraindication of immunizations? Correct Answers There are
not many, but if someone is immunocompromised or has a sever
allergic reaction
Does hypospadias require surgery? Correct Answers Yes
Dressing and caring for a Myelomeningocele sac Correct
Answers -protect from injury and infection
-sterile moist dressing on sac until surgery
-prone sleeping
During a pediatric respiratory assessment you look for "GFR",
what is "GFR"? Correct Answers Grunting, nasal flaring,
restractions
Educational points when teaching about Insulin Therapy Correct
Answers -rotate injection sites
-use the belly, thigh, or back of the arm
-45 degree angle
-DO NOT rub the injection site
-Sick day plans
Example of what you could say to a parent who has just lost
their child? Correct Answers -Use the child's name
-I am sorry for your loss
-We are sorry we could not save your child
-You are feeling pain
-My favorite memory of your loved one is...
-Say nothing, just be present
(Final Exam) Questions With Complete Solutions
1st line of antibiotics given Correct Answers Broad spectrum,
until labs come back
2 causes linked to Vaso-occlusive crisis Correct Answers
dehydration and fever
3 Ps of Diabetes Correct Answers Polydipsia- excessive thirst
Polyuria- excessive urine output
Polyphasia- excess hunger
A-B-C-D-E of Diaper Rash and Candidiasis treatment Correct
Answers A- air out the skin
B- use a barrier past
C- clean the skin
D- disposable diapers
E- educate
Antidote for Tylenol/ Acetaminophen overdose Correct Answers
N-acetylcysteine (Mucomyst)
At what age would you see: seperation anxiety, fear of
doctors/providers, parallel play, play w/ blocks, kick balls,
pincher grasp, begin to understand limits Correct Answers
Toddler
Attributes of CSF for Bacterial Meningitis Correct Answers low
glucose in CSF, turbid/ cloudy appearance, elevated protein,
decreased glucose, +gram stain
,Attributes of CSF for Viral Meningitis? Correct Answers Clear,
mild elevated WBC, normal or slight elevated protein, normal
glucose, negative gram stain, elevated C-RP
Biggest risk of CHF to assess for Correct Answers Risk for
fluid overload to lungs, crackles in lung sounds
Can an infant grow out of BPD? Correct Answers Yes
Cardiac complication of Kawasaki's Correct Answers coronary
artery aneurysms
Caused of diaper rash Correct Answers irritation caused by
urine and feces, can also be caused by detergent
*THE FOLDS ARE UNAFFECTED*
Causes of DKA Correct Answers undiagnosed DM, non
adherence to diabetic regimen, stress, illness, infection, puberty,
worsening of disease
child care + care giver + ______________= increased risk of
child abuse Correct Answers stress
Common Lab findings for Nephrotic Syndrome Correct
Answers BUN and Creatinine normal unless renal damage has
occured, low albumin, and high protein in UA
Common Labs of DKA patient Correct Answers ketones in the
blood stream/ urine, high K initially- as pH corrects K will drop,
BUN and creatinine often elevated, low Na
, Contraindication of immunizations? Correct Answers There are
not many, but if someone is immunocompromised or has a sever
allergic reaction
Does hypospadias require surgery? Correct Answers Yes
Dressing and caring for a Myelomeningocele sac Correct
Answers -protect from injury and infection
-sterile moist dressing on sac until surgery
-prone sleeping
During a pediatric respiratory assessment you look for "GFR",
what is "GFR"? Correct Answers Grunting, nasal flaring,
restractions
Educational points when teaching about Insulin Therapy Correct
Answers -rotate injection sites
-use the belly, thigh, or back of the arm
-45 degree angle
-DO NOT rub the injection site
-Sick day plans
Example of what you could say to a parent who has just lost
their child? Correct Answers -Use the child's name
-I am sorry for your loss
-We are sorry we could not save your child
-You are feeling pain
-My favorite memory of your loved one is...
-Say nothing, just be present
