NU 403 FINAL EXAM WITH 120+ QUESTIONS &
CORRECT ANSWERS
What are ways to confirm placement of a feeding tube after the X-Ray has been
obtained?
Gastric secretions with a pH of 5 or 5 cc of formula aspirated from the tube.
What type of dermatoglyphic characteristic do children with down syndrome have?
Palmar crease (Simian) (Transverse)
What are clinical manifestations of moderate or severe dehydration?
Electrolyte imbalances, sunken eyeballs, and absence of tearing.
Stranger anxiety is common with toddlers. What are some things you could do
before entering the child's body space?
1. Brief eye contact
2. Smile at child
3. Speak in a soft voice
4. Get on child's level
5. Let child reach for you.
What is the primary goal of preschool?
Ages 3-5. Erikson Stages of Initiative VS Guilt.
Characterized by children trying to assert their independence and control over the
world.
In this stage, children develop a sense of initiative by: Making creative attempts,
Taking risks, Reaching out to peers, and Directing play and other social
interactions.
What are signs and symptoms of right sided heart failure?
Hepatosplenomegaly, ascites, JVD, and weight gain.
,What is a clinical manifestation of Chickenpox (Varicella)?
Macules, papules, vesicles, and crusts are all visible.
How to deal with a temper tantrum?
Remain close by but do not make eye contact. Do not restrain the child, do not
continue to yell or engage during this type of behavior.
What are some characteristics of a school aged child?
Understands reversibility of matter, identifies objects with common attributes, and
performs skills such as adding and subtracting.
What are some characteristics of a 6 or 7 month old child?
Sits erect momentarily, bounces actively when held, and transfers objects from one
hand to the other. There should be no delays.
What are common asthma triggers?
URI (Upper respiratory infection), smoke, fumes, strong odors, pet dander,
exercise, hormones, seasonal allergies.
What is a myelomeningocele?
Neural tube defect herniation of the spinal cord; vertebrae, meninges, myelin
sheath, nerves, and CSF in the sac (usually the lumbar region).
How many lbs is 40 kg?
40 x 2.2 = 88 lbs.
What are the top 2 signs and symptoms of increased ICP in infants prior to fontanel
closure?
Increased head circumference and bulging fontanelles.
What are classic symptoms of intussusception?
Pain, currant jelly stools, and sausage shaped mass in the intestine.
Occurs when a portion of the intestine folds like a telescope, with one segment
slipping inside another segment. This causes an obstruction, preventing the passage
of food that is being digested through the intestine.
Calculate the minimum UOP per day for a 22 kg child.
, Formula: 1-3 ml/kg/hr
22 kg x 1 mL = 22ml/hr x 24 hr = 528ml/day
What are signs a child should be screened for hearing loss?
Recurrent ear infections, infant that fails hearing test at birth, ototoxic medications.
What are clinical manifestations of roseola?
Temperature of 103 for 3 days, followed by pinkish flat rash on the stomach and
neck after fever has disappeared.
What population of pediatric patients are most affected by muscle dystrophy and
duchenne muscular dystrophy?
Male pediatric patients. This is an X-linked recessive disorder.
What conditions could arise from not completing your antibiotics for Strep throat?
Rheumatic fever, glomerulonephritis, untreated strep results in cardiac
involvement or kidney damage.
What are characteristics of cerebral palsy?
Hypertonicity (spastic), poor control of posture, balance, and coordinated motion.
What are some common characteristics of school phobia?
Separation anxiety, problems with teacher, social isolation.
A patient with low hemoglobin, low hematocrit, low Fe, and low ferritin likely has
what disease?
(FE) Iron deficiency Anemia
What is the treatment for head lice?
Treat with permethrin, pyrethrin (NIX or RID).
What is the number one symptom of head lice and risk factors?
The number one symptom is itching and some risk factors include poor hygiene,
friends, daycare.
A post-op scoliosis repair with harrington rods requires what special care to
maintain stabilization?
CORRECT ANSWERS
What are ways to confirm placement of a feeding tube after the X-Ray has been
obtained?
Gastric secretions with a pH of 5 or 5 cc of formula aspirated from the tube.
What type of dermatoglyphic characteristic do children with down syndrome have?
Palmar crease (Simian) (Transverse)
What are clinical manifestations of moderate or severe dehydration?
Electrolyte imbalances, sunken eyeballs, and absence of tearing.
Stranger anxiety is common with toddlers. What are some things you could do
before entering the child's body space?
1. Brief eye contact
2. Smile at child
3. Speak in a soft voice
4. Get on child's level
5. Let child reach for you.
What is the primary goal of preschool?
Ages 3-5. Erikson Stages of Initiative VS Guilt.
Characterized by children trying to assert their independence and control over the
world.
In this stage, children develop a sense of initiative by: Making creative attempts,
Taking risks, Reaching out to peers, and Directing play and other social
interactions.
What are signs and symptoms of right sided heart failure?
Hepatosplenomegaly, ascites, JVD, and weight gain.
,What is a clinical manifestation of Chickenpox (Varicella)?
Macules, papules, vesicles, and crusts are all visible.
How to deal with a temper tantrum?
Remain close by but do not make eye contact. Do not restrain the child, do not
continue to yell or engage during this type of behavior.
What are some characteristics of a school aged child?
Understands reversibility of matter, identifies objects with common attributes, and
performs skills such as adding and subtracting.
What are some characteristics of a 6 or 7 month old child?
Sits erect momentarily, bounces actively when held, and transfers objects from one
hand to the other. There should be no delays.
What are common asthma triggers?
URI (Upper respiratory infection), smoke, fumes, strong odors, pet dander,
exercise, hormones, seasonal allergies.
What is a myelomeningocele?
Neural tube defect herniation of the spinal cord; vertebrae, meninges, myelin
sheath, nerves, and CSF in the sac (usually the lumbar region).
How many lbs is 40 kg?
40 x 2.2 = 88 lbs.
What are the top 2 signs and symptoms of increased ICP in infants prior to fontanel
closure?
Increased head circumference and bulging fontanelles.
What are classic symptoms of intussusception?
Pain, currant jelly stools, and sausage shaped mass in the intestine.
Occurs when a portion of the intestine folds like a telescope, with one segment
slipping inside another segment. This causes an obstruction, preventing the passage
of food that is being digested through the intestine.
Calculate the minimum UOP per day for a 22 kg child.
, Formula: 1-3 ml/kg/hr
22 kg x 1 mL = 22ml/hr x 24 hr = 528ml/day
What are signs a child should be screened for hearing loss?
Recurrent ear infections, infant that fails hearing test at birth, ototoxic medications.
What are clinical manifestations of roseola?
Temperature of 103 for 3 days, followed by pinkish flat rash on the stomach and
neck after fever has disappeared.
What population of pediatric patients are most affected by muscle dystrophy and
duchenne muscular dystrophy?
Male pediatric patients. This is an X-linked recessive disorder.
What conditions could arise from not completing your antibiotics for Strep throat?
Rheumatic fever, glomerulonephritis, untreated strep results in cardiac
involvement or kidney damage.
What are characteristics of cerebral palsy?
Hypertonicity (spastic), poor control of posture, balance, and coordinated motion.
What are some common characteristics of school phobia?
Separation anxiety, problems with teacher, social isolation.
A patient with low hemoglobin, low hematocrit, low Fe, and low ferritin likely has
what disease?
(FE) Iron deficiency Anemia
What is the treatment for head lice?
Treat with permethrin, pyrethrin (NIX or RID).
What is the number one symptom of head lice and risk factors?
The number one symptom is itching and some risk factors include poor hygiene,
friends, daycare.
A post-op scoliosis repair with harrington rods requires what special care to
maintain stabilization?
