@PROFDOCDIGITALLIBRARIES
NR 328/ NR328 EXAM 1: (NEW 2025/ 2026 UPDATE)
PEDIATRIC NURSING GUIDE | QUESTIONS & ANSWERS| GRADE A+|
100% CORRECT (VERIFIED SOLUTIONS)- CHAMBERLAIN
1. Epstein-Barr virus (EBV) - ANS ✓-mononucleosis
-saliva for 30-50 days
-biggest concern: splenomegaly which can cause splenic rupture
PR
-avoid contact sports, rest, fluids, nutrition
2. Measles - ANS ✓-airborne
O
-sx: koplik spots, fever, photophobia
-tx: dim lights, cool mist, antipyretics
FD
3. Pertussis - ANS ✓-droplet
O
-URI, whooping cough x 100 days, fever
-increased WBC, leukocytosis, poor prognosis
C
-violent coughing that can cause rectal prolapse
-high risk to young infants from apnea
-tx: NG to avoid aspiration, assess for apnea, erythromycin, azithromycin
4. Rubella - ANS ✓-droplet
-sx: pruritic rash, fever
-tx: ABX, isolate from pregnant women
,@PROFDOCDIGITALLIBRARIES
5. Mumps - ANS ✓-droplet
-sx: parotid gland swells, ear/jaw pain, may have trouble eating
-can cause sterility
-tx: soft foods, antipyretics
6. Varicella - ANS ✓-airborne/contact
-contagious 1-2 days before onset of rash and until crusted over
-tx: calamine, trim fingernails
PR
7. Fifth Disease - ANS ✓-from human parvovirus B19
-droplet
O
-sx: slapped face appearance, myalgia, high fever
-tx: antipyretics
FD
8. Strep Throat - ANS ✓-droplet
O
-sx: sore throat, enlarged tonsils, no cough, halitosis
-risk: glomerulonephritis, rheumatic fever
C
-tx: ABX, antipyretics, discard toothbrush after starting ABX, salt water gargle, soft foods
9. HPV vaccine starts when? - ANS ✓11-12Y
10. HIV - ANS ✓-encourage prenatal care
-antivirals on time every day
-immunocompromised precautions
, @PROFDOCDIGITALLIBRARIES
-screen TB annually
11. What does breathing depend on? - ANS ✓compliance/resistance
12. What does smoking do to the cilia? - ANS ✓freezes it
13. Pediatric airway - ANS ✓-trachea smaller, epiglottis floppier, cone shaped trachea
PR
14. Important step to avoid blocking trachea in children - ANS ✓-put a pillow/blanket
underneath shoulders
O
15. Retractions - ANS ✓-the higher up they go the worse
FD
16. Respiratory Issues Interventions - ANS ✓-lower fever since fever will increase RR
-lower HR
O
-increase O2 exchange by positioning
C
-suction
-do not eat if RR above 55
17. Tonsilitis - ANS ✓-causes by strep
-sx: halitosis, difficulty swallowing, some drooling
-tx: ABX or surgery (if several bouts in a year)
-prevention: throw toothbrush out 24 hours after starting ABX
NR 328/ NR328 EXAM 1: (NEW 2025/ 2026 UPDATE)
PEDIATRIC NURSING GUIDE | QUESTIONS & ANSWERS| GRADE A+|
100% CORRECT (VERIFIED SOLUTIONS)- CHAMBERLAIN
1. Epstein-Barr virus (EBV) - ANS ✓-mononucleosis
-saliva for 30-50 days
-biggest concern: splenomegaly which can cause splenic rupture
PR
-avoid contact sports, rest, fluids, nutrition
2. Measles - ANS ✓-airborne
O
-sx: koplik spots, fever, photophobia
-tx: dim lights, cool mist, antipyretics
FD
3. Pertussis - ANS ✓-droplet
O
-URI, whooping cough x 100 days, fever
-increased WBC, leukocytosis, poor prognosis
C
-violent coughing that can cause rectal prolapse
-high risk to young infants from apnea
-tx: NG to avoid aspiration, assess for apnea, erythromycin, azithromycin
4. Rubella - ANS ✓-droplet
-sx: pruritic rash, fever
-tx: ABX, isolate from pregnant women
,@PROFDOCDIGITALLIBRARIES
5. Mumps - ANS ✓-droplet
-sx: parotid gland swells, ear/jaw pain, may have trouble eating
-can cause sterility
-tx: soft foods, antipyretics
6. Varicella - ANS ✓-airborne/contact
-contagious 1-2 days before onset of rash and until crusted over
-tx: calamine, trim fingernails
PR
7. Fifth Disease - ANS ✓-from human parvovirus B19
-droplet
O
-sx: slapped face appearance, myalgia, high fever
-tx: antipyretics
FD
8. Strep Throat - ANS ✓-droplet
O
-sx: sore throat, enlarged tonsils, no cough, halitosis
-risk: glomerulonephritis, rheumatic fever
C
-tx: ABX, antipyretics, discard toothbrush after starting ABX, salt water gargle, soft foods
9. HPV vaccine starts when? - ANS ✓11-12Y
10. HIV - ANS ✓-encourage prenatal care
-antivirals on time every day
-immunocompromised precautions
, @PROFDOCDIGITALLIBRARIES
-screen TB annually
11. What does breathing depend on? - ANS ✓compliance/resistance
12. What does smoking do to the cilia? - ANS ✓freezes it
13. Pediatric airway - ANS ✓-trachea smaller, epiglottis floppier, cone shaped trachea
PR
14. Important step to avoid blocking trachea in children - ANS ✓-put a pillow/blanket
underneath shoulders
O
15. Retractions - ANS ✓-the higher up they go the worse
FD
16. Respiratory Issues Interventions - ANS ✓-lower fever since fever will increase RR
-lower HR
O
-increase O2 exchange by positioning
C
-suction
-do not eat if RR above 55
17. Tonsilitis - ANS ✓-causes by strep
-sx: halitosis, difficulty swallowing, some drooling
-tx: ABX or surgery (if several bouts in a year)
-prevention: throw toothbrush out 24 hours after starting ABX
