NURS 342 Final Exam Review Questions And Answers With Verified Solutions
2025
Expected infant weight gain? - ✔✔6 months: 2x birthweight
1 year: 3x birthweight
Preschoolers developmental skills? - ✔✔improvement in fine motor skills like copying
figures on paper and dressing independently.
Preschooler developmental levels (Erikson, Kohlberg) - ✔✔Initiative vs guilt
Moral development
Developmental tasks for a school age child? - ✔✔- Competitive/cooperative play
- Use of complex sentences
- Prepubescence/preadolescence
Expected types of play for each age group? - ✔✔Infant: solitary
Toddler: Parallel
Preschooler: associative
School-age: cooperative
Teaching for parental discipline? - ✔✔Pull parents aside and remind them they're
modeling behaviors for their child.
Defects for Tetralogy of Fallot? - ✔✔PROV all 4!
Pulmonary Stenosis
Right ventricular hypertrophy
Overriding aorta
Ventricular septal duct
*** NOT narrowed aorta.
What do we look for first with tetralogy of fallot? - ✔✔Cyanosis
Care for respiratory infections? - ✔✔- Emergency intubation equipment available
- Re-position for ventilation
- Cool air vaporizer for humidity
- Encourage fluids and rest
Intervention for hypoxic episodes? - ✔✔Knee-chest; oxygen!
Signs/Symptoms of respiratory distress? - ✔✔Increased HR, RR, retractions, nasal
flaring, restlessness, mucous membranes, change in skin/nail beds, head bobbing.
, Increased pulmonary flow heart defects? S/S and main complication? - ✔✔- VSD, ASD,
PDA
- S/S of heart failure (Fast breathing, heart murmur, tachycardia, frequent respiratory
infections, weight loss, feeding difficulties)
- Complication= Pulmonary HTN
Strategies to promote comfort with immunizations? - ✔✔- Distraction
- Topical anesthetic < admin
- Oral sucrose before, during, and after
- Pacifiers
Medications for fever? - ✔✔NSAIDs, acetaminophen
*** NOT aspirin
Medications for oral lesions (Thrush)? - ✔✔Nystatin with cotton-tipped applicator
Kawasaki disease (S/S and treatment) - ✔✔S/S: high fever, strawberry tongue with
white coating/red bumps, swelling of hand/feet with red palms/soles, rash
Tx: IVIG and high-dose aspirin
Unrepaired cleft lip/palette effects on growth? - ✔✔- Leads to feeding difficulties;
decreased growth rate
- Failure to thrive
- Underdeveloped teeth
- Speech issues
Pediatric patient presents with projectile vomiting followed by hunger, what disease is
suspected and what is the best response? - ✔✔Pyloric Stenosis; seek medical attention
ASAP (worried about dehydration/met alkalosis)
Complications of severe GERD? - ✔✔Recurrent pneumonia, weight loss, and failure to
thrive.
Teaching for UTI's in adolescent females? - ✔✔- Pee before/after sex, wipe front to
back, cotton underwear, no tight clothing, no bubble baths, avoid urinary retention and
constipation.
Major nursing consideration for enuresis? - ✔✔Remind the child that they are not alone
to avoid long-term emotional issues.
Care of edema in Nephrotic syndrome? - ✔✔- Measure abdominal girth daily
- Elevate legs/feet
- Decrease Na in diet
2025
Expected infant weight gain? - ✔✔6 months: 2x birthweight
1 year: 3x birthweight
Preschoolers developmental skills? - ✔✔improvement in fine motor skills like copying
figures on paper and dressing independently.
Preschooler developmental levels (Erikson, Kohlberg) - ✔✔Initiative vs guilt
Moral development
Developmental tasks for a school age child? - ✔✔- Competitive/cooperative play
- Use of complex sentences
- Prepubescence/preadolescence
Expected types of play for each age group? - ✔✔Infant: solitary
Toddler: Parallel
Preschooler: associative
School-age: cooperative
Teaching for parental discipline? - ✔✔Pull parents aside and remind them they're
modeling behaviors for their child.
Defects for Tetralogy of Fallot? - ✔✔PROV all 4!
Pulmonary Stenosis
Right ventricular hypertrophy
Overriding aorta
Ventricular septal duct
*** NOT narrowed aorta.
What do we look for first with tetralogy of fallot? - ✔✔Cyanosis
Care for respiratory infections? - ✔✔- Emergency intubation equipment available
- Re-position for ventilation
- Cool air vaporizer for humidity
- Encourage fluids and rest
Intervention for hypoxic episodes? - ✔✔Knee-chest; oxygen!
Signs/Symptoms of respiratory distress? - ✔✔Increased HR, RR, retractions, nasal
flaring, restlessness, mucous membranes, change in skin/nail beds, head bobbing.
, Increased pulmonary flow heart defects? S/S and main complication? - ✔✔- VSD, ASD,
PDA
- S/S of heart failure (Fast breathing, heart murmur, tachycardia, frequent respiratory
infections, weight loss, feeding difficulties)
- Complication= Pulmonary HTN
Strategies to promote comfort with immunizations? - ✔✔- Distraction
- Topical anesthetic < admin
- Oral sucrose before, during, and after
- Pacifiers
Medications for fever? - ✔✔NSAIDs, acetaminophen
*** NOT aspirin
Medications for oral lesions (Thrush)? - ✔✔Nystatin with cotton-tipped applicator
Kawasaki disease (S/S and treatment) - ✔✔S/S: high fever, strawberry tongue with
white coating/red bumps, swelling of hand/feet with red palms/soles, rash
Tx: IVIG and high-dose aspirin
Unrepaired cleft lip/palette effects on growth? - ✔✔- Leads to feeding difficulties;
decreased growth rate
- Failure to thrive
- Underdeveloped teeth
- Speech issues
Pediatric patient presents with projectile vomiting followed by hunger, what disease is
suspected and what is the best response? - ✔✔Pyloric Stenosis; seek medical attention
ASAP (worried about dehydration/met alkalosis)
Complications of severe GERD? - ✔✔Recurrent pneumonia, weight loss, and failure to
thrive.
Teaching for UTI's in adolescent females? - ✔✔- Pee before/after sex, wipe front to
back, cotton underwear, no tight clothing, no bubble baths, avoid urinary retention and
constipation.
Major nursing consideration for enuresis? - ✔✔Remind the child that they are not alone
to avoid long-term emotional issues.
Care of edema in Nephrotic syndrome? - ✔✔- Measure abdominal girth daily
- Elevate legs/feet
- Decrease Na in diet
