@PROFDOCDIGITALLIBRARIES
NR 328/ NR328 FINAL EXAM : (NEW 2025/ 2026
UPDATE) PEDIATRIC NURSING GUIDE | QUESTIONS &
ANSWERS| GRADE A+ | 100% CORRECT (VERIFIED
SOLUTIONS)- CHAMBERLAIN
When assessing appendicitis, where would you palpate? - ANS ✓McBurney’s point
PR
What can cause appendix to rupture? - ANS ✓warm compresses, enemas, palpation of
LLQ
O
Pre op management for an appendectomy - ANS ✓NPO, IV fluids, monitor Vitals, Opioid
FD
analgesics, antibiotics
O
What should not be used in a child with an appendicitis that could cause perforation? -
ANS ✓Enemas
C
intussusception - ANS ✓telescoping of the bowel into itself caused by edema from
obstructed pressure within areas of intussuception increased causing blood flow to stop,
leading to ischemia
symptoms of intussusception - ANS ✓crampy abdominal pain, inconsolable crying, draw
knees to chest emesis containing fecal material, passage of red current jelly-like stools
,@PROFDOCDIGITALLIBRARIES
What is the most common site of intussusception? - ANS ✓ileocecal valve
Therapeutic Management for Intussusception - ANS ✓IV fluids, NG for decompression,
antibiotic therapy preoperatively to lessen risk of perforation. NPO pre op.
Urine Specimen bag order - ANS ✓1. wash penis and scrotum
2. dry perianal area
PR
3. apply urine bag to penis and scrotum.
4. remove the bag
5. label/send specimen to lab
O
acute glomerulonephritis - ANS ✓inflammation of the capillary loops of the renal glomeruli
FD
When does acute glomerulonephritis occur? - ANS ✓after recent strep infection
O
Symptoms of acute glomerulonephritis - ANS ✓periorbital, facial, genital, and lower
C
extremity edema; weight gain, dark urine, proteinuria, hematuria, headache, and hypertension
What type of diet is recommended for a child with glomerulonephritis and edema? -
ANS ✓Low sodium and fluid restriction
What additional urinary finding is indicative of AGN? - ANS ✓Proteinuria and hematuria
, @PROFDOCDIGITALLIBRARIES
greenstick fracture (incomplete fracture) - ANS ✓also due to twisting. most common
fracture seen in children
Clavicle Fracture - ANS ✓occurs during birth with larger baby where unable to come
through birth canal. Baby getting stuck against mother's pubic symphysis
Treatment for Clavicle fracture - ANS ✓administer pain medications Q4-6 hrs (tylenol),
perform neuro checks Q4hr, place baby in sling, educate parents on sling.
PR
Circulation assessment 5Ps - ANS ✓Pain
Pulse
O
Pallor
FD
Paresthesia
Paralysis
O
compartment syndrome - ANS ✓involves the compression of nerves and blood vessels due
to swelling within the enclosed space created by the fascia that separates groups of muscles
C
Causes of Compartment syndrome - ANS ✓tight dressings or casts, skin traction,
hemorrhage, trauma, burns, and surgery. Other causes include an increase in compartment
contents (e.g., hemorrhage, venous obstruction, infiltrated IV infusion, exudate) and
externally applied pressure, such as lying on the affected limb.
NR 328/ NR328 FINAL EXAM : (NEW 2025/ 2026
UPDATE) PEDIATRIC NURSING GUIDE | QUESTIONS &
ANSWERS| GRADE A+ | 100% CORRECT (VERIFIED
SOLUTIONS)- CHAMBERLAIN
When assessing appendicitis, where would you palpate? - ANS ✓McBurney’s point
PR
What can cause appendix to rupture? - ANS ✓warm compresses, enemas, palpation of
LLQ
O
Pre op management for an appendectomy - ANS ✓NPO, IV fluids, monitor Vitals, Opioid
FD
analgesics, antibiotics
O
What should not be used in a child with an appendicitis that could cause perforation? -
ANS ✓Enemas
C
intussusception - ANS ✓telescoping of the bowel into itself caused by edema from
obstructed pressure within areas of intussuception increased causing blood flow to stop,
leading to ischemia
symptoms of intussusception - ANS ✓crampy abdominal pain, inconsolable crying, draw
knees to chest emesis containing fecal material, passage of red current jelly-like stools
,@PROFDOCDIGITALLIBRARIES
What is the most common site of intussusception? - ANS ✓ileocecal valve
Therapeutic Management for Intussusception - ANS ✓IV fluids, NG for decompression,
antibiotic therapy preoperatively to lessen risk of perforation. NPO pre op.
Urine Specimen bag order - ANS ✓1. wash penis and scrotum
2. dry perianal area
PR
3. apply urine bag to penis and scrotum.
4. remove the bag
5. label/send specimen to lab
O
acute glomerulonephritis - ANS ✓inflammation of the capillary loops of the renal glomeruli
FD
When does acute glomerulonephritis occur? - ANS ✓after recent strep infection
O
Symptoms of acute glomerulonephritis - ANS ✓periorbital, facial, genital, and lower
C
extremity edema; weight gain, dark urine, proteinuria, hematuria, headache, and hypertension
What type of diet is recommended for a child with glomerulonephritis and edema? -
ANS ✓Low sodium and fluid restriction
What additional urinary finding is indicative of AGN? - ANS ✓Proteinuria and hematuria
, @PROFDOCDIGITALLIBRARIES
greenstick fracture (incomplete fracture) - ANS ✓also due to twisting. most common
fracture seen in children
Clavicle Fracture - ANS ✓occurs during birth with larger baby where unable to come
through birth canal. Baby getting stuck against mother's pubic symphysis
Treatment for Clavicle fracture - ANS ✓administer pain medications Q4-6 hrs (tylenol),
perform neuro checks Q4hr, place baby in sling, educate parents on sling.
PR
Circulation assessment 5Ps - ANS ✓Pain
Pulse
O
Pallor
FD
Paresthesia
Paralysis
O
compartment syndrome - ANS ✓involves the compression of nerves and blood vessels due
to swelling within the enclosed space created by the fascia that separates groups of muscles
C
Causes of Compartment syndrome - ANS ✓tight dressings or casts, skin traction,
hemorrhage, trauma, burns, and surgery. Other causes include an increase in compartment
contents (e.g., hemorrhage, venous obstruction, infiltrated IV infusion, exudate) and
externally applied pressure, such as lying on the affected limb.
