Final Exam Questions with
Complete/Correct Answers.
What are pediatric differences that affect the function of their GI? - Answer 1. Poor
swallowing control
2. Increased peristalsis
3. Smaller stomach
4. Enzyme deficiencies
5. Immature liver function
a. limit in bilirubin conjugation
b. gluconeogenesis
c. deamination
d. plasma proteins
e. ketone formationterm-0
You are teaching an adolescent client who has type 1 DM about managing hypoglycemia. What
should you teach them about food and managing hypoglycemia? - Answer You should drink 4
oz or OJ if you experience hypoglycemia following the 15-15 rule and OJ is good as its a fast-
acting carbohydrate.
A pt with DM 1 comes to the ER complain of ab pain and lethargy. DKA is dx. What preparation
should the nurse plan to give IV infusion? - Answer Start with Normal saline for rehydration
A school age child with DM 1 has soccer practice and the school nurse provides instructions
regarding how to prevent hypoglycemia. What should the school nurse tell the child do? -
Answer Eat a small box of raisin or drink a cup of orange juice before soccer practice
The nurse would impekentnt what interventions for a child YOUNGER THAN 2 with DM 1 who
has a blood glucose level of 60 mg/dL? SATA
a. administer regular insulin
b. encourage child to ambulate
c. provide a teaspoon of honey
d. provide electrolyte replacement therapy IV
e. wait 30 minutes and confirm BG reading
f. prepare to administer glucagon SQ if unconsciousness occurs - Answer C and F
, provide a teaspoon of honey
prepare rot administer glucagon SQ if unconsciousness occurs
True or False?
Breastfeeding is discouraged for HBV positive mothers after infant immunization. - Answer
False
Which intervention is the most effective in preventing hepatitis transmission in pediatric
populations? - Answer Administering recommended hepatis vaccine
Which if the following is NOT a common source of transmission for Hep? SATA
a. water
b. food
c. semen
d. blood - Answer c. semen
d. blood
By what age is the digestive tract completed? - Answer 2 years old
What are the three ways pediatric patients lose water? - Answer 1. Insensible loss though
skin and respiratory tract
2. Evaporation
3. Thru urine and stool
What conditions require a higher water intake in pediatric patients? - Answer 1. fever
2. vomiting
3. diarrhea
4. diabetes insipidus
5. diabetic ketoacidosis
What conditions require a lower water intake in pediatric patients? - Answer 1. heart failure
2. syndrome of inappropriate antidiuretic hormone (SIADH)
3. Renal failure