NU170 exam 2 Galen
1. A 4 month old with suspected pyloric stenosis presents with persistent vom-iting.
Which finding most strongly supports the diagnosis?: Projectile nonbilious emesis, palpable " olive"
RUQ
2. The priority intervention for a 6 month old with intussusception is to prepare for?:
Air/contrast enema reduction
3. A toddler with hirschsprung disease pre-op has abdominal distention and
constipation. The nurse anticipates which plan?: Bowel decompression and rectal irrigations
4. A child with celiac disease needs more teaching if the parent states:: " oats are always
safe regardless of processing"
5. A 7 year old with appendicitis suddenly reports relief of severe RLQ pain, now has
fever and guarding. Priority action?: Notify provider, possible perforation
6. Moderate dehydration in an infant is best indicated by:: Sunken eyes, tachycardia,
delayed cap refill
7. Which order is contraindicated for a 5 week old with suspected GERD and
poor weight gain?: Prone sleeping position
8. Necrotizing Enterocolitis (NEC) risk reduction in preterm infant includes:: Hu-
man milk feeding and cautious feed advancement
9. Findings most consistent with acute post-streptococcal glomerulonephritis
(APSGN):: Hypertension, recent strep infection, hematuria
1/
18
,10. Nephrotic syndrome home teaching is correct when the parent says:: " we'll give high-
dose steroids as prescribed and weigh daily"
11. First action for a febrile 2 year old with suspected UTI?: Obtain urine specimen by
catheterization
12. vesicoureteral reflux (VUR) teaching:: Daily prophylactic antibiotics may be ordered to prevent
pyelonephritis
13. Post-op care after hypospadias repair( stent in place) includes:: Double diapering and
preventing pressure on the stent
14. A child with HUS (hemolytic uremic syndrome) most likely has which lab
pattern?: Anemia, thrombocytopenia , elevated BUN
15. Best instruction for a nocturnal enuresis in a 7 year old?: Bladder training, limit evening fluids,
enuresis alarm
2/
18
, 16. Suspected developmental dysplasia of the hip (DDH) in a 4 month old:: Limited hip
abduction and positive ortolani/barlow
17. Clubfoot (Talipes Equinovarus) standardearly management:: Serialcasting(ponseti) with
frequent changes
18. Scoliosis post-spinal fusion nursing care priority:: Log rolling and pulmonary hygiene
19. Osteogenesis imperfecta teaching needs reinforcement if the parent says:: " we'll use
intramuscular injections for meds when possible"
20. Osteomyelitis expected therapy:: Prolonged IV antibiotics and limb immobilization
21. Slipped Capital Femoral Epiphysis (SCFE) acute plan:: Strict non-weight bearing, surgical
pinning
22. Juvenile Idiopathic Arthritis (JIA) home priority:: Scheduled NSAIDs, heat, and ROM exer-
cises
23. Priority teaching for a school age child starting methylphenidate for ADHD:-
: Monitor appetitive an weight, give after breakfast, monitor BP & HR
24. Autism spectrum disorder inpatient care priority:: Minimize environmental changes, use
routines and visual supports
25. Adolescent with major depression and vague statements like "I wont be a
problem soon" best response:: Ask directly about suicidal thoughts/plan and ensure safety
26. anorexia nervosa refeeding risk include:: Hypophosphatemia and cardiac arrhythmias
27. Tourette syndrome with function impairing tics, likely medication class?: Al-pha-
2 agonists and antipsychotics per severity
28. Conduct disorder immediate inpatient priority:: Safety or patient, set clear & consistent limits
3/
18
1. A 4 month old with suspected pyloric stenosis presents with persistent vom-iting.
Which finding most strongly supports the diagnosis?: Projectile nonbilious emesis, palpable " olive"
RUQ
2. The priority intervention for a 6 month old with intussusception is to prepare for?:
Air/contrast enema reduction
3. A toddler with hirschsprung disease pre-op has abdominal distention and
constipation. The nurse anticipates which plan?: Bowel decompression and rectal irrigations
4. A child with celiac disease needs more teaching if the parent states:: " oats are always
safe regardless of processing"
5. A 7 year old with appendicitis suddenly reports relief of severe RLQ pain, now has
fever and guarding. Priority action?: Notify provider, possible perforation
6. Moderate dehydration in an infant is best indicated by:: Sunken eyes, tachycardia,
delayed cap refill
7. Which order is contraindicated for a 5 week old with suspected GERD and
poor weight gain?: Prone sleeping position
8. Necrotizing Enterocolitis (NEC) risk reduction in preterm infant includes:: Hu-
man milk feeding and cautious feed advancement
9. Findings most consistent with acute post-streptococcal glomerulonephritis
(APSGN):: Hypertension, recent strep infection, hematuria
1/
18
,10. Nephrotic syndrome home teaching is correct when the parent says:: " we'll give high-
dose steroids as prescribed and weigh daily"
11. First action for a febrile 2 year old with suspected UTI?: Obtain urine specimen by
catheterization
12. vesicoureteral reflux (VUR) teaching:: Daily prophylactic antibiotics may be ordered to prevent
pyelonephritis
13. Post-op care after hypospadias repair( stent in place) includes:: Double diapering and
preventing pressure on the stent
14. A child with HUS (hemolytic uremic syndrome) most likely has which lab
pattern?: Anemia, thrombocytopenia , elevated BUN
15. Best instruction for a nocturnal enuresis in a 7 year old?: Bladder training, limit evening fluids,
enuresis alarm
2/
18
, 16. Suspected developmental dysplasia of the hip (DDH) in a 4 month old:: Limited hip
abduction and positive ortolani/barlow
17. Clubfoot (Talipes Equinovarus) standardearly management:: Serialcasting(ponseti) with
frequent changes
18. Scoliosis post-spinal fusion nursing care priority:: Log rolling and pulmonary hygiene
19. Osteogenesis imperfecta teaching needs reinforcement if the parent says:: " we'll use
intramuscular injections for meds when possible"
20. Osteomyelitis expected therapy:: Prolonged IV antibiotics and limb immobilization
21. Slipped Capital Femoral Epiphysis (SCFE) acute plan:: Strict non-weight bearing, surgical
pinning
22. Juvenile Idiopathic Arthritis (JIA) home priority:: Scheduled NSAIDs, heat, and ROM exer-
cises
23. Priority teaching for a school age child starting methylphenidate for ADHD:-
: Monitor appetitive an weight, give after breakfast, monitor BP & HR
24. Autism spectrum disorder inpatient care priority:: Minimize environmental changes, use
routines and visual supports
25. Adolescent with major depression and vague statements like "I wont be a
problem soon" best response:: Ask directly about suicidal thoughts/plan and ensure safety
26. anorexia nervosa refeeding risk include:: Hypophosphatemia and cardiac arrhythmias
27. Tourette syndrome with function impairing tics, likely medication class?: Al-pha-
2 agonists and antipsychotics per severity
28. Conduct disorder immediate inpatient priority:: Safety or patient, set clear & consistent limits
3/
18
