NR602 CHAMBERLAIN COLLEGE OF NURSING
FINAL ASSESSMENT SCRIPT 2026 VERIFIED
ANSWERS COMPREHENSIVE REVIEW
◉ What will likely been seen on the CMP of a dehydrated child?
Answer: high BUN/Cr ratio, acidosis (~14 BICARB), alkalosis with
excessive vomiting (ex: pyloric stenosis)
◉ If meningitis is suspected in a child with vomiting, a lumbar
should be done except in what cases?
Answer: acutely raised ICP unless you know what is going on
◉ LFTs and amylase/lipase, however amylase is nonspecific for
pancreatitis
Answer:
◉ What test should be done to rule out malrotation of the intestine?
Answer: upper GI; gives view down to ligament of Treitz
◉ The mainstay of diagnostic imaging in a child with vomiting is?
Answer: ultrasound (shows pyloric stenosis, intussusception,
malrotation)
,◉ What is the concern with abdominal CT in children?
Answer: radiation increasing risk for cancer
◉ Massage, herbal remedies, and pre-probiotics are not
recommended in the treatment of GERD in infants. (T/F).
Answer: T
◉ What is the most common cause of intestinal obstruction in
infants and small children?
Answer: intussusception
◉ Which part of the intestine is the most common site of
intussusception?
Answer: ileocecal (ileum telescopes into the cecum) most common
lead points is lymphoid hyperplasia, Meckel's diverticulum. Most
commonly idiopathic.
◉ What is the characteristic stool of intussusception?
Answer: red currant jelly stool
◉ What sign would be seen on imaging of a child with
intussusception?
, Answer: bulls-eye sign
◉ What bilirubin level would constitute hyperbilirubinemia in an
infant in the first week of life?
Answer: >6mg/dL (>25 mg/dL increase risk of neurologic
dysfunction and kernicterus)
◉ What are the causes of hyperbilirubinemia in children?
Answer: excretion issues such as obstruction, ileus, polycythemia, or
inadequate breastfeeding
◉ First line treatment for hyperbilirubinemia?
Answer: phototherapy (not sunlight due to harmful uv waves),
clothed only in diaper and cover eyes during treatment since
phototherapy can damage the retina)
◉ What type of therapy is used for infants with severe
hyperbilirubinemia not responsive to photo therapy?
Answer: exchange therapy (switching blood with donor blood)
◉ How are pin worms found?
Answer: tape placed on the anus x3 consecutive nights
FINAL ASSESSMENT SCRIPT 2026 VERIFIED
ANSWERS COMPREHENSIVE REVIEW
◉ What will likely been seen on the CMP of a dehydrated child?
Answer: high BUN/Cr ratio, acidosis (~14 BICARB), alkalosis with
excessive vomiting (ex: pyloric stenosis)
◉ If meningitis is suspected in a child with vomiting, a lumbar
should be done except in what cases?
Answer: acutely raised ICP unless you know what is going on
◉ LFTs and amylase/lipase, however amylase is nonspecific for
pancreatitis
Answer:
◉ What test should be done to rule out malrotation of the intestine?
Answer: upper GI; gives view down to ligament of Treitz
◉ The mainstay of diagnostic imaging in a child with vomiting is?
Answer: ultrasound (shows pyloric stenosis, intussusception,
malrotation)
,◉ What is the concern with abdominal CT in children?
Answer: radiation increasing risk for cancer
◉ Massage, herbal remedies, and pre-probiotics are not
recommended in the treatment of GERD in infants. (T/F).
Answer: T
◉ What is the most common cause of intestinal obstruction in
infants and small children?
Answer: intussusception
◉ Which part of the intestine is the most common site of
intussusception?
Answer: ileocecal (ileum telescopes into the cecum) most common
lead points is lymphoid hyperplasia, Meckel's diverticulum. Most
commonly idiopathic.
◉ What is the characteristic stool of intussusception?
Answer: red currant jelly stool
◉ What sign would be seen on imaging of a child with
intussusception?
, Answer: bulls-eye sign
◉ What bilirubin level would constitute hyperbilirubinemia in an
infant in the first week of life?
Answer: >6mg/dL (>25 mg/dL increase risk of neurologic
dysfunction and kernicterus)
◉ What are the causes of hyperbilirubinemia in children?
Answer: excretion issues such as obstruction, ileus, polycythemia, or
inadequate breastfeeding
◉ First line treatment for hyperbilirubinemia?
Answer: phototherapy (not sunlight due to harmful uv waves),
clothed only in diaper and cover eyes during treatment since
phototherapy can damage the retina)
◉ What type of therapy is used for infants with severe
hyperbilirubinemia not responsive to photo therapy?
Answer: exchange therapy (switching blood with donor blood)
◉ How are pin worms found?
Answer: tape placed on the anus x3 consecutive nights
