1
NR
NR 328/ NR328 EXAM 3: (NEW 2025/ 2026 UPDATE)
PEDIATRIC NURSING GUIDE | QUESTIONS & ANSWERS|
GRADE A| 100% CORRECT (VERIFIED SOLUTIONS)-
CHAMBERLAIN
1. Osteosarcoma Nursing Care and Treatment - ANS ✓- bone tumor
- chemo
- surgery w/ limb salvage
- body image concerns
- be honest
- pain management (phantom limb pain)
2. Hypopituitary: S/S - ANS ✓- loss of sexual maturation
- amenorrhea
- short stature
- bradycardia
- constipation
- weight loss
- polyuria/ dypsia
- dehydration
- hypotension
3. Hypopituitary: Electrolytes - ANS ✓- hyponatremia
- hyperkalemia
- hypoglycemia
4. Hypopituitary: Causes - ANS ✓- trauma
- anorexia
- genetic
5. Hypopituitary: Treatment - ANS ✓prepare children for daily subQ injections given
at bedtime
6. Hypothyroidism - ANS ✓- hypertrophy of thyroid gland-may cause compromised
airway
- usually results from maternal ingestion of antithyroid drugs
7. Hypothyroidism: S/S - ANS ✓- cold
- tired
NR 328
, 2
NR
- increase in weight
- hair loss
- hoarse voice
- depression
- bowel problems
- heart problems
8. Hyperthyroidism: At Risk - ANS ✓- most common grave's disease
- female
- smoking
- pregnancy
- stressed
9. Hyperthyroidism: S/S - ANS ✓- dry skin
- brittle hair
- excessive hunger
- weight loss
- protruding eyes
- hair loss
- rapid irregular heart beat
10. Hyperthyroidism: Treatment - ANS ✓- anti-thyroid drugs
- methimazole
- thyroidectomy
- ablation with radio iodine
11. Thyroid Storm (Thyrotoxicosis) - ANS ✓precipitated by infection, surgery, or
discontinuing anti-thyroid therapy
12. Thyroid Storm: Treatment - ANS ✓- anti-thyroid drugs
- propranolol - beta blockers
13. Precocious Puberty - ANS ✓- sexual development before age 9
- tream with lupron (slows growth, discontinue at normal age of puberty)
- treat child according to age
14. Hypoparathyroidism - ANS ✓positive chvostek's and trousseau sign
15. Cushing Syndrome: S/S - ANS ✓- moon face - red cheeks
- hair growth
- weight gain
- giant belly (stretch marks)
- poor wound healing
- petechiae
- excess cortisol
NR 328
NR
NR 328/ NR328 EXAM 3: (NEW 2025/ 2026 UPDATE)
PEDIATRIC NURSING GUIDE | QUESTIONS & ANSWERS|
GRADE A| 100% CORRECT (VERIFIED SOLUTIONS)-
CHAMBERLAIN
1. Osteosarcoma Nursing Care and Treatment - ANS ✓- bone tumor
- chemo
- surgery w/ limb salvage
- body image concerns
- be honest
- pain management (phantom limb pain)
2. Hypopituitary: S/S - ANS ✓- loss of sexual maturation
- amenorrhea
- short stature
- bradycardia
- constipation
- weight loss
- polyuria/ dypsia
- dehydration
- hypotension
3. Hypopituitary: Electrolytes - ANS ✓- hyponatremia
- hyperkalemia
- hypoglycemia
4. Hypopituitary: Causes - ANS ✓- trauma
- anorexia
- genetic
5. Hypopituitary: Treatment - ANS ✓prepare children for daily subQ injections given
at bedtime
6. Hypothyroidism - ANS ✓- hypertrophy of thyroid gland-may cause compromised
airway
- usually results from maternal ingestion of antithyroid drugs
7. Hypothyroidism: S/S - ANS ✓- cold
- tired
NR 328
, 2
NR
- increase in weight
- hair loss
- hoarse voice
- depression
- bowel problems
- heart problems
8. Hyperthyroidism: At Risk - ANS ✓- most common grave's disease
- female
- smoking
- pregnancy
- stressed
9. Hyperthyroidism: S/S - ANS ✓- dry skin
- brittle hair
- excessive hunger
- weight loss
- protruding eyes
- hair loss
- rapid irregular heart beat
10. Hyperthyroidism: Treatment - ANS ✓- anti-thyroid drugs
- methimazole
- thyroidectomy
- ablation with radio iodine
11. Thyroid Storm (Thyrotoxicosis) - ANS ✓precipitated by infection, surgery, or
discontinuing anti-thyroid therapy
12. Thyroid Storm: Treatment - ANS ✓- anti-thyroid drugs
- propranolol - beta blockers
13. Precocious Puberty - ANS ✓- sexual development before age 9
- tream with lupron (slows growth, discontinue at normal age of puberty)
- treat child according to age
14. Hypoparathyroidism - ANS ✓positive chvostek's and trousseau sign
15. Cushing Syndrome: S/S - ANS ✓- moon face - red cheeks
- hair growth
- weight gain
- giant belly (stretch marks)
- poor wound healing
- petechiae
- excess cortisol
NR 328
