Pediatrics Exam PDF Grid 3 UWORLD Outline
Study
Which of the following is standard therapy used in the care of children with Osteogenesis Imperfecta?
Bisphosphonate Therapy and
physical therapy
2. An infant was assessed in peds clinic with the following symptoms: visible peristalsis, failure to
thrive, an infant who is 'always hungry' dehydration. What is the likely diagnosis?
Pyloric Stenosis
A 4 y.o male seen in the peds specialty renal clinic has symptoms of end stage renal disease and visual
disturbances. Which of the following is likely
his diagnosis?
Alport Syndrome
The parent of a child with growth hormone (GH) deficiency is learning to administer GH therapy.
When is the best time for the parent to administer the GH to the child?
At bedtime using subQ needle
5. A 10 y.o female seen in specialty peds clinic has a diagnosis of Spina Bifida. On examination the
peds nurse observes dark tufts of hair at the lumbar sacral region. Which of the following is the child's
diagnosis?
Spina Bifida Oculta
The nurse reviews the record of a newborn infant and notes that a diagnosis of esophageal atresia
with tracheoesophageal fistula is suspected. The nurse expects to note which MOST LIKELY sign of this
condition documented in the record?
Choking with
feedings
While educating a new 7 y.o diabetic patient and the parents, the pediatric nurse includes which of
the following times during the day when the child's blood sugar level needs to be monitored?
Check
blood glucose levels ac and hs
A nurse evaluates discharge teaching as successful when the parents of an infant with a
Ventriculoperitoneal shunt insertion identify which
sign as signaling a blocked shunt?
Tense fontanel
and increased head circumference
,A nurse is caring for an infant with
myelomeningocele scheduled for a surgical closure in the morning. Which interventions should the
nurse plan for the care of the myelomeningocele sac?
Cover with a sterile, moist, nonadherent
dressing
10. What is a common clinical manifestation of juvenile hypothyroidism?
Dry skin
A common side effect of corticosteroid (prednisone) therapy for a 11 y.o with a cancer
diagnosis is which of the following?
Large abdomen with striae
13. Which of the following describes the pathophysiology of leukemia?
Unrestricted
proliferation of immature white blood cells
(WBCs)
A 10 y.0 patient is undergoing hemodialysis with an internal AV fistula in place. What do you
do to prevent anxiety and pain associated with the shunt?
Apply EMLA cream over fistula
16. An 18 month old male is scheduled for surgery to reposition his undescended testes. What is this
child's diagnosis?
Cryptorchidism
Tx: surgery to prevent undescended testes
A 2 y.o child is on prednisone for minimal change nephrotic syndrome (MCNS). Which of the
following indicates the effectiveness of prednisone
therapy?
Diuresis occurs as urinary protein
excretion diminishes less protein in the urine
An 11 yo child was just admitted to the hospital for observation after a head injury. What clinical
manifestation is most essential for the nurse to assess to detect early signs of a neurological
condition?
Level of consciousness
A toddler with symptoms of sudden inconsolable screaming or crying, drawing up of the knees to the
chest, vomiting, and a tender distended abdomen will probably be diagnosed with which of the
following diseases?
Intussusception
, 20. Of the following which are possible signs of Cerebral Palsy (CP) ? Select All.
-Poor head control after age 3 months
-Persistent primitive reflexes
-Feeding difficulties- drooling caused by neonatal encephalopathy
sx: motor abnormalities (delayed), hypertonicity, poor coordination, wide gait
The nurse is preparing to administer a unit of
packed red blood cells to a hospitalized child. What are appropriate actions that applies to
administering blood? Select All.
-Administer the first 50 ml of blood slowly and
stay with the child
-Administer blood through an appropriate filter
-Infuse blood within 4 hours
The nurse is caring for an infant with suspected pyloric stenosis. Which clinical manifestations
would indicate pyloric stenosis? Select All.
-Non-bilious vomiting and weight loss
-Projectile vomiting
-Olive-shaped mass above umbilicus
The nurse is assessing a 4 y.o boy in the pediatric clinic. Which behaviors by the client would concern
the nurse for possible Duchenne muscular dystrophy? Select all.
-Frequent trips and falls at home
-Places hands on thighs to push up to stand
- Walks on tiptoes and has disproportionately
large calves/weak calves
dns: shortened life span ; x-linked recessive trait
sx: muscle weakness
A newborn seen in endocrinology specialty clinic is diagnosed with hypothyroidism. Which of
the following are common symptoms of hypothyroidism as seen in newborns? Select all.
Weight gain, dry skin, hair loss
25. The nurse is caring for an 18 month old with rotavirus. Which of the following clinical
manifestations would the nurse expect to observe?
Mild fever and vomiting followed by onset of watery Stools
27. A 12 y.o child is admitted to the PICU in acute renal failure (ARF). The nurse prepares to administer
which of the following medication to rapidly provoke a flow of urine?
Study
Which of the following is standard therapy used in the care of children with Osteogenesis Imperfecta?
Bisphosphonate Therapy and
physical therapy
2. An infant was assessed in peds clinic with the following symptoms: visible peristalsis, failure to
thrive, an infant who is 'always hungry' dehydration. What is the likely diagnosis?
Pyloric Stenosis
A 4 y.o male seen in the peds specialty renal clinic has symptoms of end stage renal disease and visual
disturbances. Which of the following is likely
his diagnosis?
Alport Syndrome
The parent of a child with growth hormone (GH) deficiency is learning to administer GH therapy.
When is the best time for the parent to administer the GH to the child?
At bedtime using subQ needle
5. A 10 y.o female seen in specialty peds clinic has a diagnosis of Spina Bifida. On examination the
peds nurse observes dark tufts of hair at the lumbar sacral region. Which of the following is the child's
diagnosis?
Spina Bifida Oculta
The nurse reviews the record of a newborn infant and notes that a diagnosis of esophageal atresia
with tracheoesophageal fistula is suspected. The nurse expects to note which MOST LIKELY sign of this
condition documented in the record?
Choking with
feedings
While educating a new 7 y.o diabetic patient and the parents, the pediatric nurse includes which of
the following times during the day when the child's blood sugar level needs to be monitored?
Check
blood glucose levels ac and hs
A nurse evaluates discharge teaching as successful when the parents of an infant with a
Ventriculoperitoneal shunt insertion identify which
sign as signaling a blocked shunt?
Tense fontanel
and increased head circumference
,A nurse is caring for an infant with
myelomeningocele scheduled for a surgical closure in the morning. Which interventions should the
nurse plan for the care of the myelomeningocele sac?
Cover with a sterile, moist, nonadherent
dressing
10. What is a common clinical manifestation of juvenile hypothyroidism?
Dry skin
A common side effect of corticosteroid (prednisone) therapy for a 11 y.o with a cancer
diagnosis is which of the following?
Large abdomen with striae
13. Which of the following describes the pathophysiology of leukemia?
Unrestricted
proliferation of immature white blood cells
(WBCs)
A 10 y.0 patient is undergoing hemodialysis with an internal AV fistula in place. What do you
do to prevent anxiety and pain associated with the shunt?
Apply EMLA cream over fistula
16. An 18 month old male is scheduled for surgery to reposition his undescended testes. What is this
child's diagnosis?
Cryptorchidism
Tx: surgery to prevent undescended testes
A 2 y.o child is on prednisone for minimal change nephrotic syndrome (MCNS). Which of the
following indicates the effectiveness of prednisone
therapy?
Diuresis occurs as urinary protein
excretion diminishes less protein in the urine
An 11 yo child was just admitted to the hospital for observation after a head injury. What clinical
manifestation is most essential for the nurse to assess to detect early signs of a neurological
condition?
Level of consciousness
A toddler with symptoms of sudden inconsolable screaming or crying, drawing up of the knees to the
chest, vomiting, and a tender distended abdomen will probably be diagnosed with which of the
following diseases?
Intussusception
, 20. Of the following which are possible signs of Cerebral Palsy (CP) ? Select All.
-Poor head control after age 3 months
-Persistent primitive reflexes
-Feeding difficulties- drooling caused by neonatal encephalopathy
sx: motor abnormalities (delayed), hypertonicity, poor coordination, wide gait
The nurse is preparing to administer a unit of
packed red blood cells to a hospitalized child. What are appropriate actions that applies to
administering blood? Select All.
-Administer the first 50 ml of blood slowly and
stay with the child
-Administer blood through an appropriate filter
-Infuse blood within 4 hours
The nurse is caring for an infant with suspected pyloric stenosis. Which clinical manifestations
would indicate pyloric stenosis? Select All.
-Non-bilious vomiting and weight loss
-Projectile vomiting
-Olive-shaped mass above umbilicus
The nurse is assessing a 4 y.o boy in the pediatric clinic. Which behaviors by the client would concern
the nurse for possible Duchenne muscular dystrophy? Select all.
-Frequent trips and falls at home
-Places hands on thighs to push up to stand
- Walks on tiptoes and has disproportionately
large calves/weak calves
dns: shortened life span ; x-linked recessive trait
sx: muscle weakness
A newborn seen in endocrinology specialty clinic is diagnosed with hypothyroidism. Which of
the following are common symptoms of hypothyroidism as seen in newborns? Select all.
Weight gain, dry skin, hair loss
25. The nurse is caring for an 18 month old with rotavirus. Which of the following clinical
manifestations would the nurse expect to observe?
Mild fever and vomiting followed by onset of watery Stools
27. A 12 y.o child is admitted to the PICU in acute renal failure (ARF). The nurse prepares to administer
which of the following medication to rapidly provoke a flow of urine?
