@PROFDOCDIGITALLIBRARIES
NR 328/ NR328 (NEW 2025/ 2026 UPDATE) EXAM 2:
PEDIATRIC NURSING GUIDE | QUESTIONS & ANSWERS|
GRADE A| 100% CORRECT (VERIFIED SOLUTIONS)-
CHAMBERLAIN
1. Hypertrophic Pyloric Stenosis - ANS ✓-sx: projectile vomiting, undigested, weight,
PR
loss
-palpable olive-shaped mass
-labs: CMP, albumin
O
-tx: pyloromyotomy
FD
2. intussusception - ANS ✓-intestinal obstruction during infancy
-telescoping
-sx: stools with blood and mucous (currant jelly), sausage like lumps on abd.
O
-tx: air enema, if doesnt work, surgical reduction
C
3. Meckel's diverticulum - ANS ✓-congenital defect that causes a pouch
-sx: anemia, bloody/mucous stools, electrolyte imbalance
-get CBC, IV fluids, ABX
-tx: surgical removal
4. gastroschesis - ANS ✓-intestines outside body
-higher risk
, @PROFDOCDIGITALLIBRARIES
-put intestines in silicone sac
5. Oomphalocele - ANS ✓-membrane over intestines outside of body
-usually have other defects
-poor prognosis
6. celiac disease - ANS ✓avoid wheat, rye, oats, barley
PR
7. enuresis - ANS ✓-bed wetting
-use positive reinforcement, regular underwear (no diapers), hydrate in the daytime/restrict
fluids after dinner, have child change wet sheets
O
-avoid caffeine, carbonated beverages, avoid constipation
-dx: child is over 5 years, incontinence 2x/week for at least 3 months
FD
-meds: desmopressin - antidiuretic (DDVAP PO or nasal)
-DDVAP: store in fridge, admin at bedtime, monitor I & O
O
-imipramine hydrochloride (tricyclic antidepressant) - monitor for SI, give with food
-oxybutynin chloride (bladder antispasmodic) - dry eyes/mouth, sleep problems, constipation
C
8. UTI - ANS ✓-very common in childhood
-e.coli is most common
-RF: urinary stasis, constipation
-education: no bubble baths, avoid diaper rash, cotton underwear, wipe from front to back,
avoid constipation, ABX for infection, increase acidic fluids
-sx: strong foul smelling urine, fever, irritability, painful urination, enuresis, hematuria
-dx: ua, uc, pH (7 - 7.5, positive leukocyte esterase)
NR 328/ NR328 (NEW 2025/ 2026 UPDATE) EXAM 2:
PEDIATRIC NURSING GUIDE | QUESTIONS & ANSWERS|
GRADE A| 100% CORRECT (VERIFIED SOLUTIONS)-
CHAMBERLAIN
1. Hypertrophic Pyloric Stenosis - ANS ✓-sx: projectile vomiting, undigested, weight,
PR
loss
-palpable olive-shaped mass
-labs: CMP, albumin
O
-tx: pyloromyotomy
FD
2. intussusception - ANS ✓-intestinal obstruction during infancy
-telescoping
-sx: stools with blood and mucous (currant jelly), sausage like lumps on abd.
O
-tx: air enema, if doesnt work, surgical reduction
C
3. Meckel's diverticulum - ANS ✓-congenital defect that causes a pouch
-sx: anemia, bloody/mucous stools, electrolyte imbalance
-get CBC, IV fluids, ABX
-tx: surgical removal
4. gastroschesis - ANS ✓-intestines outside body
-higher risk
, @PROFDOCDIGITALLIBRARIES
-put intestines in silicone sac
5. Oomphalocele - ANS ✓-membrane over intestines outside of body
-usually have other defects
-poor prognosis
6. celiac disease - ANS ✓avoid wheat, rye, oats, barley
PR
7. enuresis - ANS ✓-bed wetting
-use positive reinforcement, regular underwear (no diapers), hydrate in the daytime/restrict
fluids after dinner, have child change wet sheets
O
-avoid caffeine, carbonated beverages, avoid constipation
-dx: child is over 5 years, incontinence 2x/week for at least 3 months
FD
-meds: desmopressin - antidiuretic (DDVAP PO or nasal)
-DDVAP: store in fridge, admin at bedtime, monitor I & O
O
-imipramine hydrochloride (tricyclic antidepressant) - monitor for SI, give with food
-oxybutynin chloride (bladder antispasmodic) - dry eyes/mouth, sleep problems, constipation
C
8. UTI - ANS ✓-very common in childhood
-e.coli is most common
-RF: urinary stasis, constipation
-education: no bubble baths, avoid diaper rash, cotton underwear, wipe from front to back,
avoid constipation, ABX for infection, increase acidic fluids
-sx: strong foul smelling urine, fever, irritability, painful urination, enuresis, hematuria
-dx: ua, uc, pH (7 - 7.5, positive leukocyte esterase)
