NSG PN 223 & PEDS EXAM 2 QUESTION PAPER
Peds exam 2
1.An infant with pyloric stenosis experiences excessive vomiting that can result in:
Metabolic alkalosis
2. Enemas are ordered to empty the bowel preoperatively for a child with Hirschsprung disease. The
enema solution should be:
Normal saline
3. The nurse is caring for an infant whose cleft lip was repaired. Important aspects of this infant's
postoperative care include:
Cleansing the suture line, supine and side-lying positions, arm restraints.
4, A histamine-receptor antagonist such as cimetidine (Tagamet) or ranitidine (Zantac) is ordered for an
infant with GER. The purpose of this is to:
Reduce gastric acid production.
5, The Physician ordered an IV fluid bolus to be followed by IV rehydration maintenance. The directions
in the policy for rehydration maintenance are as follows: Give 100ml/kg/day for the first 10 kg, then give
50ml/kg/day for the next 10 kg and then give 20ml/kg/day for each of the remaining kg. The child
weighs 36 kg. What will the nurse set the IV pump at (mL/hr)? (the pump functions at the tenth space)
Enter a numeric value only.
75.8
6, The nurse is caring for a child with Wilm's tumor. What is the most important nursing intervention
preoperatively?
Avoid abdominal palpation
, 7, A child is admitted with acute glomerulonephritis. The nurse should expect the urinalysis during this
acute phase to show:
hematuria, proteinuria.
8, The nurse is teaching parents of a child with chronic renal failure (CRF) about the use of recombinant
human erythropoietin (rHuEPO) subcutaneous injections. Which statement indicates the parents have
understood the teaching?
"The red blood cell count should begin to improve with these injections."
9, A school-age child has been admitted to the hospital with an exacerbation of nephrotic syndrome.
Which clinical manifestations should the nurse expect to assess? (Select all that apply.)
Facial edema
Fatigue
10. The nurse is caring for a child with acute renal failure. Which clinical manifestation should the nurse
recognize as a sign of hyperkalemia?
Cardiac arrhythmia
11. Which is an advantage of peritoneal dialysis?
Parents and older children can perform treatments.
12. The nurse is caring for a preschool child with suspected diabetes insipidus. Which clinical
manifestation should the nurse expect to observe?
Polyuria and polydipsia
Peds exam 2
1.An infant with pyloric stenosis experiences excessive vomiting that can result in:
Metabolic alkalosis
2. Enemas are ordered to empty the bowel preoperatively for a child with Hirschsprung disease. The
enema solution should be:
Normal saline
3. The nurse is caring for an infant whose cleft lip was repaired. Important aspects of this infant's
postoperative care include:
Cleansing the suture line, supine and side-lying positions, arm restraints.
4, A histamine-receptor antagonist such as cimetidine (Tagamet) or ranitidine (Zantac) is ordered for an
infant with GER. The purpose of this is to:
Reduce gastric acid production.
5, The Physician ordered an IV fluid bolus to be followed by IV rehydration maintenance. The directions
in the policy for rehydration maintenance are as follows: Give 100ml/kg/day for the first 10 kg, then give
50ml/kg/day for the next 10 kg and then give 20ml/kg/day for each of the remaining kg. The child
weighs 36 kg. What will the nurse set the IV pump at (mL/hr)? (the pump functions at the tenth space)
Enter a numeric value only.
75.8
6, The nurse is caring for a child with Wilm's tumor. What is the most important nursing intervention
preoperatively?
Avoid abdominal palpation
, 7, A child is admitted with acute glomerulonephritis. The nurse should expect the urinalysis during this
acute phase to show:
hematuria, proteinuria.
8, The nurse is teaching parents of a child with chronic renal failure (CRF) about the use of recombinant
human erythropoietin (rHuEPO) subcutaneous injections. Which statement indicates the parents have
understood the teaching?
"The red blood cell count should begin to improve with these injections."
9, A school-age child has been admitted to the hospital with an exacerbation of nephrotic syndrome.
Which clinical manifestations should the nurse expect to assess? (Select all that apply.)
Facial edema
Fatigue
10. The nurse is caring for a child with acute renal failure. Which clinical manifestation should the nurse
recognize as a sign of hyperkalemia?
Cardiac arrhythmia
11. Which is an advantage of peritoneal dialysis?
Parents and older children can perform treatments.
12. The nurse is caring for a preschool child with suspected diabetes insipidus. Which clinical
manifestation should the nurse expect to observe?
Polyuria and polydipsia
