NSG 3600 Exam 3 (2025) Actual
Exam Questions and Answers A+
Graded
Meningitis .Therapeutic .Management .- .CORRECT .ANSWER-Give .immunizations,
.assess .neuro .status .& .response .to .therapy .with .every .2 .hours .if .stable .and
.every .hour .if .not .stable. .Make .sure .we .have .a .stable .a .calm .environment. .If
.bacterial .give .antibiotics .and .make .sure .they .take .all .of .them. .Make .sure .the
.child .is .in .seizure .precautions, .give .NSAIDs .for .pain. .Need .to .teach .parents
.about .early .detection .of .complications .and .how .to .prevent .it .along .with
.medical .follow-up .if .on .sz .meds.
Steps .that .should .always .be .used .when .assessing .a .child .GI .system .-
.CORRECT .ANSWER-First .step .should .be .to .inspect .the .child.
Second .we .are .going .to .auscultation. .
Third .is .percuss.
Fourth .is .palpate .the .area .through .the .clothing .due .to .the .child .being .ticklish.
What .do .we .need .to .worry .about .then .it .comes .to .children .and .medication? .-
.CORRECT .ANSWER-Liver .and .pancreas .do .not .mature .until .about .6 .months .of
.age .so .we .need .to .be .concern .about .toxicity.
Why .should .we .not .give .children .under .1 .cows .milk? .- .CORRECT .ANSWER-The
.pancreatic .lipase .dose .not .get .adequately .secreted .until .age .1, .which .means
.the .body .can't .absorb .fats .such .as .those .present .in .cow's .milk.
What .kind .of .stool .does .an .infant .have .who .is .breast .feeding? .- .CORRECT
.ANSWER-The .infant .will .have .watery .stool.
What .kind .of .stool .does .an .infant .have .who .is .formula .feeding? .- .CORRECT
.ANSWER-The .infant .will .have .soft .or .seedy .stools.
What .do .pre-schoolers .go .through .when .eating? .- .CORRECT .ANSWER-The .pre-
schoolers .woll .fluctuations .where .they .have .periods .of .overeating .or .refusal .to
.eat. .Very .normal .but .the .parents .can .get .upset.
Dehydration .- .CORRECT .ANSWER-Occurs .whenever .total .output .of .fluid
.exceeds .intake.
,Dehydration .Clinical .Manifestations .and .Therapeutic .Management .- .CORRECT
.ANSWER-Tachycardia, .hypotension, .decreased .tears .specific .in .children,
.weight .loss .(monitor .daily), .thirst, .irritability, .sunken .eyes .and .fontanels. .
Fluid .replacement, .electrolyte .monitoring .& .replacement, .and .safety
.considerations.
What .will .be .elevated .in .a .child .who .is .dehydrated? .- .CORRECT .ANSWER-The
.sodium, .potassium, .and .creatinine
Blood .Urea .Nitrogen .(BUN) .range .for .child .- .CORRECT .ANSWER-5-18 .mg/dL
Sodium .(Na) .range .for .child .- .CORRECT .ANSWER-135-145 .mEq/L
Potassium .(K) .range .for .child .- .CORRECT .ANSWER-3.4-4.7 .mEq/L
Creatinine .range .for .child .- .CORRECT .ANSWER-0.3-0.7 .mg/dL
What .do .we .need .to .look .out .for .with .kids .with .dehydration? .- .CORRECT
.ANSWER-Diarrhea, .skin .break .down, .falls .risk, .dizziness, .failure .to .thrive .and
.grow.
Cyclic .Vomiting .Syndrome .- .CORRECT .ANSWER-Intense .nausea .and .vomiting .4
.times .an .hour. .5 .attacks .total .or .3 .attacks .in .over .6 .months. .Could .be .caused
.by .infection, .psychological .stress, .dietary .changes, .menstruation, .migraines.
.These .individuals .will .vomit .then .be .okay .for .the .rest .of .the .day .then .vomit
.again .during .later .in .day.
Cyclic .Vomiting .Syndrome: .Clinical .Manifestations .- .CORRECT .ANSWER-
Vomiting .for .24-48 .hr, .occurs .at .night .or .early .morning .hours, .severe
.abdominal .pain, .retching .throwing .up .where .there .is .nothing .put .clear .fluid
.coming .up, .nausea, .diarrhea, .headache, .vertigo
Cyclic .Vomiting .Syndrome- .Diagnosis .- .CORRECT .ANSWER-Rule .out .other
.condition .and .lab .studies. .Need .to .get .a .good .history .and .ask .if .they .are
.asymptomatic .and .is .eat .episode .the .same .and .do .you .have .at .least .3 .of .them.
Cyclic .Vomiting .Syndrome- .Prevention .- .CORRECT .ANSWER-Balanced .nutrition
.(no .cheese, .cured .meat, .and .chocolate), .get .a .lot .of .sleep .and .rest, .and .void
.triggers, .and .do .stress .management.
Cyclic .Vomiting .Syndrome- .Therapeutic .Management .- .CORRECT .ANSWER-
Supportive .management .(meeting .with .a .therapist), .fluid .replacement .(IV .fluids),
.rest, .pharmacotherapy .(Zofran)
Cyclic .Vomiting .Syndrome- .Patient/Family .Education .- .CORRECT .ANSWER-
Increase .exercise, .balanced .diet, .good .hydration, .sleep .routines, .avoid .triggers
.(need .to .keep .a .health .food .diary .along .with .sleep .and .food .cycles).
, Acute .Diarrhea .- .CORRECT .ANSWER-Increased .frequency .of .bowel .along .with
.vomiting, .fever, .pain. .Occurs .from .diet, .toxic .substances, .infections(viral
.infection, .eye .infection), .and .medications .that .may .be .used.
Acute .Diarrhea .Diagnosis .- .CORRECT .ANSWER-Need .to .get .a .history .on .the
.patient .and .see .if .they .have .traveled .anytime .in .the .past, .do .a .physical .exam
.on .the .abdomen .and .look .for .skin .breakdown .around .the .perineum.
Acute .Diarrhea .Prevention .- .CORRECT .ANSWER-Good .hand .hygiene, .good .and
.clean .food .handing, .making .sure .the .diapers .are .changed .right .away .and
.clothes .are .clean .properly. .Give .Metronidazole .(Flagyl) .if .it .caused .by .bacteria,
.give .Lactobacillus .probiotics, .monitor .strict .I .& .O, .monitor .electrolytes .can .give
.PEDOLIGHT, .give .IV .and .PO .fluids .risk .for .dehydration, .daily .weight .needs .to
.be .taken .naked .or .with .the .least .amount .of .clothes .on .with .the .same .scale .and
.first .thing .in .the .morning.
How .can .we .tell .that .child .is .improving .from .acute .diarrhea? .- .CORRECT
.ANSWER-When .they .withhold .a .stable .weight .and .have .stable .fluid .intake.
Chronic .Diarrhea .- .CORRECT .ANSWER-3 .or .more .stools .passed .per .day .for .14
.days .or .longer. .Will .have .abdominal .distention, .hyperactive .bowel .sounds,
.dehydration, .perineal .irritation, .and .blood .in .the .stool .(dark .blood)
Chronic .Diarrhea .Diarrhea .- .CORRECT .ANSWER-Collect .stool .for .a .culture .and
.study, .do .an .occult .blood .test .which .test .for .blood .in .the .stool .not .seen .by .the
.naked .eye. .Clinitest .for .reducing .substance .(its .a .test .where .we .see .of .the
.body .is .absorbing .the .right .nutrients .in .the .stool .and .can .see .if .there .are
.dietary .issues).
Chronic .Diarrhea .Prevention .- .CORRECT .ANSWER-Good .hand .hygiene, .proper
.food .handling, .washing .clothes .and .changing .diapers, .limit .exposure .to .others,
.educate .on .primary .prevention, .hydrate, .identify .underlying .cause, .reduce .fruit
.juice, .daily .weight, .strict .I .and .O.
Cleft .Lip/Cleft .Palate .- .CORRECT .ANSWER-Facial .malformations .that .occur
.during .embryonic .development. .Failure .of .the .maxillary .and .premaxillary
.processes .to .come .together. .Occurs .most .in .males .and .in .Native .Americans.
.Unilaterally .or .bilaterally .cleft .lip, .with .or .without .hard/soft .palate, .uvula .can
.contain .cleft.
Cleft .Lip/Cleft .Palate .Therapeutic .Management .- .CORRECT .ANSWER-Maintain
.nutrition, .child .will .be .at .risk .for .aspiration .so .they .will .use .a .special .nipple
.(Haberman .feeder), .make .sure .mom .is .still .bonding .with .the .baby. .The .mom
.cannot .breast .feed.
When .can .cleft .lip .be .fixed? .- .CORRECT .ANSWER-The .child .can .have .surgery
.at .3 .months.
Exam Questions and Answers A+
Graded
Meningitis .Therapeutic .Management .- .CORRECT .ANSWER-Give .immunizations,
.assess .neuro .status .& .response .to .therapy .with .every .2 .hours .if .stable .and
.every .hour .if .not .stable. .Make .sure .we .have .a .stable .a .calm .environment. .If
.bacterial .give .antibiotics .and .make .sure .they .take .all .of .them. .Make .sure .the
.child .is .in .seizure .precautions, .give .NSAIDs .for .pain. .Need .to .teach .parents
.about .early .detection .of .complications .and .how .to .prevent .it .along .with
.medical .follow-up .if .on .sz .meds.
Steps .that .should .always .be .used .when .assessing .a .child .GI .system .-
.CORRECT .ANSWER-First .step .should .be .to .inspect .the .child.
Second .we .are .going .to .auscultation. .
Third .is .percuss.
Fourth .is .palpate .the .area .through .the .clothing .due .to .the .child .being .ticklish.
What .do .we .need .to .worry .about .then .it .comes .to .children .and .medication? .-
.CORRECT .ANSWER-Liver .and .pancreas .do .not .mature .until .about .6 .months .of
.age .so .we .need .to .be .concern .about .toxicity.
Why .should .we .not .give .children .under .1 .cows .milk? .- .CORRECT .ANSWER-The
.pancreatic .lipase .dose .not .get .adequately .secreted .until .age .1, .which .means
.the .body .can't .absorb .fats .such .as .those .present .in .cow's .milk.
What .kind .of .stool .does .an .infant .have .who .is .breast .feeding? .- .CORRECT
.ANSWER-The .infant .will .have .watery .stool.
What .kind .of .stool .does .an .infant .have .who .is .formula .feeding? .- .CORRECT
.ANSWER-The .infant .will .have .soft .or .seedy .stools.
What .do .pre-schoolers .go .through .when .eating? .- .CORRECT .ANSWER-The .pre-
schoolers .woll .fluctuations .where .they .have .periods .of .overeating .or .refusal .to
.eat. .Very .normal .but .the .parents .can .get .upset.
Dehydration .- .CORRECT .ANSWER-Occurs .whenever .total .output .of .fluid
.exceeds .intake.
,Dehydration .Clinical .Manifestations .and .Therapeutic .Management .- .CORRECT
.ANSWER-Tachycardia, .hypotension, .decreased .tears .specific .in .children,
.weight .loss .(monitor .daily), .thirst, .irritability, .sunken .eyes .and .fontanels. .
Fluid .replacement, .electrolyte .monitoring .& .replacement, .and .safety
.considerations.
What .will .be .elevated .in .a .child .who .is .dehydrated? .- .CORRECT .ANSWER-The
.sodium, .potassium, .and .creatinine
Blood .Urea .Nitrogen .(BUN) .range .for .child .- .CORRECT .ANSWER-5-18 .mg/dL
Sodium .(Na) .range .for .child .- .CORRECT .ANSWER-135-145 .mEq/L
Potassium .(K) .range .for .child .- .CORRECT .ANSWER-3.4-4.7 .mEq/L
Creatinine .range .for .child .- .CORRECT .ANSWER-0.3-0.7 .mg/dL
What .do .we .need .to .look .out .for .with .kids .with .dehydration? .- .CORRECT
.ANSWER-Diarrhea, .skin .break .down, .falls .risk, .dizziness, .failure .to .thrive .and
.grow.
Cyclic .Vomiting .Syndrome .- .CORRECT .ANSWER-Intense .nausea .and .vomiting .4
.times .an .hour. .5 .attacks .total .or .3 .attacks .in .over .6 .months. .Could .be .caused
.by .infection, .psychological .stress, .dietary .changes, .menstruation, .migraines.
.These .individuals .will .vomit .then .be .okay .for .the .rest .of .the .day .then .vomit
.again .during .later .in .day.
Cyclic .Vomiting .Syndrome: .Clinical .Manifestations .- .CORRECT .ANSWER-
Vomiting .for .24-48 .hr, .occurs .at .night .or .early .morning .hours, .severe
.abdominal .pain, .retching .throwing .up .where .there .is .nothing .put .clear .fluid
.coming .up, .nausea, .diarrhea, .headache, .vertigo
Cyclic .Vomiting .Syndrome- .Diagnosis .- .CORRECT .ANSWER-Rule .out .other
.condition .and .lab .studies. .Need .to .get .a .good .history .and .ask .if .they .are
.asymptomatic .and .is .eat .episode .the .same .and .do .you .have .at .least .3 .of .them.
Cyclic .Vomiting .Syndrome- .Prevention .- .CORRECT .ANSWER-Balanced .nutrition
.(no .cheese, .cured .meat, .and .chocolate), .get .a .lot .of .sleep .and .rest, .and .void
.triggers, .and .do .stress .management.
Cyclic .Vomiting .Syndrome- .Therapeutic .Management .- .CORRECT .ANSWER-
Supportive .management .(meeting .with .a .therapist), .fluid .replacement .(IV .fluids),
.rest, .pharmacotherapy .(Zofran)
Cyclic .Vomiting .Syndrome- .Patient/Family .Education .- .CORRECT .ANSWER-
Increase .exercise, .balanced .diet, .good .hydration, .sleep .routines, .avoid .triggers
.(need .to .keep .a .health .food .diary .along .with .sleep .and .food .cycles).
, Acute .Diarrhea .- .CORRECT .ANSWER-Increased .frequency .of .bowel .along .with
.vomiting, .fever, .pain. .Occurs .from .diet, .toxic .substances, .infections(viral
.infection, .eye .infection), .and .medications .that .may .be .used.
Acute .Diarrhea .Diagnosis .- .CORRECT .ANSWER-Need .to .get .a .history .on .the
.patient .and .see .if .they .have .traveled .anytime .in .the .past, .do .a .physical .exam
.on .the .abdomen .and .look .for .skin .breakdown .around .the .perineum.
Acute .Diarrhea .Prevention .- .CORRECT .ANSWER-Good .hand .hygiene, .good .and
.clean .food .handing, .making .sure .the .diapers .are .changed .right .away .and
.clothes .are .clean .properly. .Give .Metronidazole .(Flagyl) .if .it .caused .by .bacteria,
.give .Lactobacillus .probiotics, .monitor .strict .I .& .O, .monitor .electrolytes .can .give
.PEDOLIGHT, .give .IV .and .PO .fluids .risk .for .dehydration, .daily .weight .needs .to
.be .taken .naked .or .with .the .least .amount .of .clothes .on .with .the .same .scale .and
.first .thing .in .the .morning.
How .can .we .tell .that .child .is .improving .from .acute .diarrhea? .- .CORRECT
.ANSWER-When .they .withhold .a .stable .weight .and .have .stable .fluid .intake.
Chronic .Diarrhea .- .CORRECT .ANSWER-3 .or .more .stools .passed .per .day .for .14
.days .or .longer. .Will .have .abdominal .distention, .hyperactive .bowel .sounds,
.dehydration, .perineal .irritation, .and .blood .in .the .stool .(dark .blood)
Chronic .Diarrhea .Diarrhea .- .CORRECT .ANSWER-Collect .stool .for .a .culture .and
.study, .do .an .occult .blood .test .which .test .for .blood .in .the .stool .not .seen .by .the
.naked .eye. .Clinitest .for .reducing .substance .(its .a .test .where .we .see .of .the
.body .is .absorbing .the .right .nutrients .in .the .stool .and .can .see .if .there .are
.dietary .issues).
Chronic .Diarrhea .Prevention .- .CORRECT .ANSWER-Good .hand .hygiene, .proper
.food .handling, .washing .clothes .and .changing .diapers, .limit .exposure .to .others,
.educate .on .primary .prevention, .hydrate, .identify .underlying .cause, .reduce .fruit
.juice, .daily .weight, .strict .I .and .O.
Cleft .Lip/Cleft .Palate .- .CORRECT .ANSWER-Facial .malformations .that .occur
.during .embryonic .development. .Failure .of .the .maxillary .and .premaxillary
.processes .to .come .together. .Occurs .most .in .males .and .in .Native .Americans.
.Unilaterally .or .bilaterally .cleft .lip, .with .or .without .hard/soft .palate, .uvula .can
.contain .cleft.
Cleft .Lip/Cleft .Palate .Therapeutic .Management .- .CORRECT .ANSWER-Maintain
.nutrition, .child .will .be .at .risk .for .aspiration .so .they .will .use .a .special .nipple
.(Haberman .feeder), .make .sure .mom .is .still .bonding .with .the .baby. .The .mom
.cannot .breast .feed.
When .can .cleft .lip .be .fixed? .- .CORRECT .ANSWER-The .child .can .have .surgery
.at .3 .months.
