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PEDS NR328 - PEDS FINAL EXAM 3 REVIEW.

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PEDS NR328 - PEDS FINAL EXAM 3 REVIEW. / PEDS NR328 - PEDS FINAL EXAM 3 REVIEW. Exam Three Review: Waiting for Exam Concept Map to add to this google doc. KAHOOT (these questions are most likely going to be on our exam- so make sure to memorize them 1. During sick days for a child with diabetes, th...

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  • April 19, 2022
  • 26
  • 2021/2022
  • Exam (elaborations)
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Exam Three Review:

Waiting for Exam Concept Map to add to this google doc.

KAHOOT (these questions are most likely going to be on our exam- so make sure to
memorize them
1. During sick days for a child with diabetes, the caregiver/child should be
instructed to do all of the following EXCEPT:
a. Continue Taking Insulin
b. Test Urine for Ketones
c. Notify provider if BG is above 240
mg/dL d. Limit fluid Intake
2. All of the following are manifestations of hyperglycemia in a child with type
one diabetes EXCEPT
a. Increase thirst
b. Increase Hunger
c. Weight Loss
d. Decreased Urine Output
3. A nurse notices a sac of fluid that contains nerves herniating through the
skin back of a newborn. She Suspects:
a. Spina Bifida Occulta
b. Menigocele
c. Myelomeningocele
d. Meningitis
4. When caring for a child with cerebral palsy, the nurse
should: a. Position child in high fowlers when
feeding
b. Place the child in the prone position when sleeping and for all naps
c. Keep the HOB less than 30 degrees
d. Placing the bed in the highest position so that the child can see the
visitors
5. Caregiver Education given to a parent of a child prescribed a Pavlik
Harness should include all of the following EXCEPT
a. The diaper should be under the harness
b. Apply lotions and Powders
c. Remove the harness and manipulate the straps several times a day
d. Return to the clinical every few weeks for adjustments
6. The Registered Nurse is educating a child and parent on cast care, She
tells them to report all of the following to the HCP EXCEPT
a. Odor coming from the cast
b. Loose fitting cast
c. Bluish colored toes on the extremity that has the cast
d. Itching coming from under the cast
7. An important goal for a child diagnosed with muscular
dystrophy is: a. To maintain an optimal level of
functioning
b. To meet all developmental milestones

, c. To consume 6 small, high calorie meals every day
d. To keep all scheduled appt. Until 18 yrs old
8. A priority action by the nurse after application of a cast to the lower
extremities is:
a. Assess LOC
b. Perform neurovascular checks
c. Admin ordered pain med
d. Transfer the client to the radiology dep for x-ray
9. All of the followings are s/ of Reye’s syndrome EXCEPT:
a. Lethargy
b. Confusion
c. Vomiting
d.
Dysphagia
10.When providing education to the parent of a child with hypopituitarism,
the RN should include:
a. A need to increase consumption of K+ foods
b. The medication will be taken for life
c. Medication will be needed to be administered SQ
d. BUN and creatinine labs will need to be drawn regularly
11.A school aged RN is caring for a child who complains of having a
headache, feeling unwell, and seeing “double”. The RN should:
a. Provide 3-5 pieces of hard candy
b. Provide 4 oz of milk
c. Check pts Blood Glucose
d. Give lunch time insulin early
12.A Child with a VP shunt has been admitted with ICP. The nurse is aware that
the most common reason for this to occur is:
a. Infected shunt
b. Shunt malfunction
c. Endocarditis
d. Peritonitis
13.The parents of a child who is experiencing status epilepticus should be
educated to provide Diazepam via which route?
a. IM
b. SubQ
c. PO
d. Rectal
14.The RN educated the parents of a child with Spina Bifida to:
a. Keep the child in the supine position at
all times b. Avoidance of Kiwi and Bananas
c. The need for breastmilk only during the first year of life
d. Avoidance of immunizations until 4 months old
15.The nurse is performing an assessment and notices the child has a positive
Brudzinski sign. This is indicated of:
a. Decorticate posturing

, b. Decerebrate
posturing c. Meningitis
d. Tennatus
16.According to Orem’s theory, a child with Type 1 diabetes should be expected
to:
a. Maintain a HgB A1C of 8.0
b. Eliminate all carbs from their diet
c. Manage their diabetes independently
d. Have yearly ophthalmology exam
17.The Nurse plans to keep a child with Bacterial meningitis in isolation for how
long?
a. Until all blood cultures are negative
b. 24-48 hrs after the initiation of IV antibiotics
c. 7-10 days from cultures
d. Until antibiotic regime is complete
18.Nursing interventions when a child is having a seizure includes all of
the following EXCEPT:
a. Turn the child on their side
b. Make sure padded side rails are all in place
c. Observe seizure
activities d. Assess V/S
19.All of the following are expected if a shunt malfunction EXCEPT:
a. High-pitched cry
b. Vomiting
c. Buldging fontanel
d. Weight gain of 2 kg/day




20.This position is necessary to check for:
a. Intracranial
pressure b. Scoliosis
c. Meningitis
d. Reyes’ Syndrome

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