NR 602 FINAL EXAM CHAMBERLAIN EXAM QUESTIONS WITH CORRECT VERIFIED ANSWERS | 100% PASS (A+ CERTIFIED)

NR 602 FINAL EXAM CHAMBERLAIN EXAM QUESTIONS WITH CORRECT VERIFIED ANSWERS | 100% PASS (A+ CERTIFIED) 1. COLIC Correct Answer Unknown abdominal discomfort; "cries for more than 3 hours a day, for more than 3 days a week, and more than 3 weeks" 2. Colic Management Correct Answer Probiotics may be offered; Consideration of hydrolyzed protein formula 3. DEHYDRATION Management Correct Answer 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 4. Appendicitis S/S Correct Answer 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 Rovsing sign or rebound tenderness strongly suggests peritoneal irritation. Tenderness and possibly a mass (abscess) on the right side on rectal examination. 5. McBurney point/sign Correct Answer 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 6. positive psoas sign Correct Answer retract R thigh while on left side; illicit pain consistent with appendicitis 7. Positive Rovsing Sign Correct Answer Pain RLQ w/ pressure and release of LLQ; R/O appendicitis 8. Positive Obturator Sign Correct Answer Supine; bend R leg and rotate inward; illicit pain in RLQ 9. Intusscuception Correct Answer Anterograde intestine into proximal bowel; Most common cause of for Pediatric GI obstruction 10. S/S of intussusception Correct Answer S/S of intussuception intermittent abdominal pain currant jelly stools Dance Sign (sausage like mass) 11. Management of Intussusception Correct Answer Therapeutic Air Contrast Enema under fluoroscopy 12. Failure to Thrive (FTT) Correct Answer The most common cause is nutritional deficiency without an underlying medical condition (greater than 80%). 13. Asymptomatic bacteriuria Correct Answer bacteria in the urine without other symptoms, is benign, and does not cause renal injury. 14. Cystitis Correct Answer an infection of the bladder that produces lower tract symptoms but does not cause fever or renal injury. 15. Pyelonephritis Correct Answer most severe type of UTI involving the renal parenchyma or kidneys and must be readily identified and treated because of the potential irreversible renal damage. 16. "When was your last menstrual period (LMP)?" Correct Answer A healthy 14-year-old female has a dipstick urinalysis that is positive for 56RBCs per hpf but otherwise normal. What is the first question the primary care pediatric nursepractitioner will ask this patient? 17. Monitor for proteinuria at each annual well child examination Correct Answer An adolescent has 2+ proteinuria in a random dipstick urinalysis. A subsequent first morning voided specimen is negative. What will the primary care pediatric nurse practitioner do to manage this condition? 18. Henoch Schon̈ lein purpura Correct Answer A child has gross hematuria, abdominal pain, and arthralgia as well as a rash. What diagnosis is most likely? 19. Phenazopyridine (Pyridium) Correct Answer may be given at 12 mg/kg/day for 6- to 12-year-olds and 200 mg for those older than 12 years old, three times a day for dysuria 20. Refer the infant to a pediatric urologist or surgeon for possible orchiopexy Correct Answer A 6-month-old infant has a retractile testis that was noted at the 2 month well baby exam. What will the primary care pediatric nurse practitioner do to manage this condition? 21. Nitrites Correct Answer indirect measure of bacteria in the urine and the most specific marker for infection. 22. Proteinuria Correct Answer Possible indicative d/t renal disease or orthostactic