NR 602 FINAL EXAM STUDY GUIDE CHAMBERLAIN 2025
1. Unknown abdominal discomfort; "cries for more than 3 hours a day, for more than 3
days a week, and more than 3 weeks"
Answer COLIC
2. Probiotics may be offered; Consideration of hydrolyzed protein formula
Answer Colic Management
3. Commercially available oral hydration solutions (ORS) Continue breastfeeding with
ORS supplementation
Offer young children 20 ml/kg per hour
Offer older children 100 mL of ORS every 5 minutes
Combine with IV therapy as needed
Reassess after 4 hours; repeat if needed
Avoid juice, soft drinks, and sports drinks
Answer DEHYDRATION Management
4. Presence of involuntary guarding,
RLQ rebound tenderness, maximal pain over McBurney point
Heel-drop jarring test
inability to stand straight or climb stairs; winces when getting off examination table or
riding in a car over bumps; child most comfortable with bent knees.
Positive psoas sign or obturator sign
Roving sign or rebound tenderness strongly suggests peritoneal irritation.
Tenderness and possibly a mass (abscess) on the right side on rectal examination.
Answer Appendicitis S/S
, NR 602 FINAL EXAM STUDY GUIDE CHAMBERLAIN 2025
5. Pain w/ palpation and release; Rebound tenderness is most reliable. 1.5 to 2 inches
in from the right anterior superior iliac crest (on a line toward the umbilicus) on
abdominal examination (most reliable finding)
Answer McBurney point/sign
6. Retract R thigh while on left side; illicit pain consistent with appendicitis
Answer positive psoas sign
7. Pain RLQ w/ pressure and release of LLQ; R/O appendicitis
Answer Positive Rovsing Sign
8. Supine; bend R leg and rotate inward; illicit pain in RLQ
Answer Positive Obturator Sign
, NR 602 FINAL EXAM STUDY GUIDE CHAMBERLAIN 2025
9. Anterograde intestine into proximal bowel; Most common cause of for Pediatric GI
obstruction
Answer Intussusception
10. S/S of intussusception intermittent abdominal pain currant jelly stools
Dance Sign (sausage like mass)
Answer S/S of intussusception
11. Therapeutic Air Contrast Enema under fluoroscopy
Answer Management of Intussusception
12. The most common cause is nutritional deficiency without an underlying medical
condition (greater than 80%).
Answer Failure to Thrive (FTT)
13. Bacteria in the urine without other symptoms, is benign, and does not cause renal
injury.
Answer Asymptomatic bacteriuria
1. Unknown abdominal discomfort; "cries for more than 3 hours a day, for more than 3
days a week, and more than 3 weeks"
Answer COLIC
2. Probiotics may be offered; Consideration of hydrolyzed protein formula
Answer Colic Management
3. Commercially available oral hydration solutions (ORS) Continue breastfeeding with
ORS supplementation
Offer young children 20 ml/kg per hour
Offer older children 100 mL of ORS every 5 minutes
Combine with IV therapy as needed
Reassess after 4 hours; repeat if needed
Avoid juice, soft drinks, and sports drinks
Answer DEHYDRATION Management
4. Presence of involuntary guarding,
RLQ rebound tenderness, maximal pain over McBurney point
Heel-drop jarring test
inability to stand straight or climb stairs; winces when getting off examination table or
riding in a car over bumps; child most comfortable with bent knees.
Positive psoas sign or obturator sign
Roving sign or rebound tenderness strongly suggests peritoneal irritation.
Tenderness and possibly a mass (abscess) on the right side on rectal examination.
Answer Appendicitis S/S
, NR 602 FINAL EXAM STUDY GUIDE CHAMBERLAIN 2025
5. Pain w/ palpation and release; Rebound tenderness is most reliable. 1.5 to 2 inches
in from the right anterior superior iliac crest (on a line toward the umbilicus) on
abdominal examination (most reliable finding)
Answer McBurney point/sign
6. Retract R thigh while on left side; illicit pain consistent with appendicitis
Answer positive psoas sign
7. Pain RLQ w/ pressure and release of LLQ; R/O appendicitis
Answer Positive Rovsing Sign
8. Supine; bend R leg and rotate inward; illicit pain in RLQ
Answer Positive Obturator Sign
, NR 602 FINAL EXAM STUDY GUIDE CHAMBERLAIN 2025
9. Anterograde intestine into proximal bowel; Most common cause of for Pediatric GI
obstruction
Answer Intussusception
10. S/S of intussusception intermittent abdominal pain currant jelly stools
Dance Sign (sausage like mass)
Answer S/S of intussusception
11. Therapeutic Air Contrast Enema under fluoroscopy
Answer Management of Intussusception
12. The most common cause is nutritional deficiency without an underlying medical
condition (greater than 80%).
Answer Failure to Thrive (FTT)
13. Bacteria in the urine without other symptoms, is benign, and does not cause renal
injury.
Answer Asymptomatic bacteriuria
