NR302 FINAL EXAM EXAM QUESTIONS WITH CORRECT VERIFIED ANSWERS | 100% PASS (A+ CERTIFIED)

NR302 FINAL EXAM EXAM QUESTIONS WITH CORRECT VERIFIED ANSWERS | 100% PASS (A+ CERTIFIED) 1. COLIC 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 Probiotics may be offered; Consideration of hydrolyzed protein formula 3. DEHYDRATION Management 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 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 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 retract R thigh while on left side; illicit pain consistent with appendicitis 7. Positive Rovsing Sign Pain RLQ w/ pressure and release of LLQ; R/O appendicitis 8. Positive Obturator Sign Supine; bend R leg and rotate inward; illicit pain in RLQ 9. Intusscuception Anterograde intestine into proximal bowel; Most common cause of for Pediatric GI obstruction 10. S/S of intussusception S/S of intussuception intermitt ent abdomin al pain currant jelly stools Dance Sign (sausage like mass) 11. Management of Intussusception Therapeutic Air Contrast Enema under fluoroscopy 12. Failure to Thrive (FTT) The most common cause is nutritional deficiency without an underlying medical condition (greater than 80%). 13. Asymptomatic bacteriuria bacteria in the urine without other symptoms, is benign, and does not cause renal injury. 14. Cystitis an infection of the bladder that produces lower tract symptoms but does not cause fever or renal injury. 15. Pyelonephritis 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)?" 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. 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 A child has gross hematuria, abdominal pain, and arthralgia as well as a rash. What diagnosis is most likely?