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NR-328/ NR 328 Exam 1: Pediatric Nursing Exam 1 Review (Latest 2022/2023) Chamberlain
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Study Guide for NR-328 Exam 1 - Pediatric Nursing
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Study Guide for NR-328 ExamPediatric Nursing
Contents
The Field' of Pediatric (1-10)…….………………………………………………… 2
Growth, Development, and Behavior (11-22) ……………………………………. 8
Behavior and Psychiatric Disorders (23-32) …. ……….………………………... 14
Learning Disorders (33-38) …………………………..……………………….…. 20
Children with Special Needs (39-44) ……………………………………………. 23
Nutrition (45-70)…………………………………………………………………. 26
Fluid and Electrolyte Disorders (71-80)……………………………………….... 37
Pediatric Drug Therapy (81-95) ………………………………………………... 43
, 2
The Field' of Pediatric
Select the single best answer.
1. The well-child care (anticipatory guidance) intends to promote the physical and emotional
well-being of children. The tasks of each well-child visit (which usually takes 18 min time)
include all the following EXCEPT
A. disease detection
B. disease prevention
C. treatment plans
D. health promotion
E. accident prevention
Answer: C. treatment plans
This is a well child visit; treatment plans are not included here.
2. After the first year of life, the MOST common cause of death in children is mainly
A. none-accidental injuries
B. burn
C. drowning
D. accidents
E. War
Answer: D. accidents
The most common cause of death in children beyond the first few months of life is
injuries which includes road traffic accidents and other none-intentional injuries, with
up to 50-60% of total causes of death.
3. The MOST common cause of under-5 mortality in developing world is?
, 3
A. diarrheal disease
B. pneumonia
C. malaria
D. measles
E. neonatal disease
Answer: E. neonatal disease
Causes of under-5 mortality differ markedly between developed and developing
nations. In developing countries, 66% of all deaths resulted from infectious and
parasitic diseases. Among the 42 countries haying 90% of childhood deaths, diarrheal
disease accounted for 22% of deaths, pneumonia 21%, malaria 9%, AIDS 3%, and
measles 1%. Neonatal causes contributed to 33% of the total death but 24% of deaths
are caused by severe infections and 7% by tetanus.
4. An 8-month-oldinfant with confirmed diagnosis of spinal muscular atrophy type 1 referred
back from tertiary care center with "DNAR" status. This means during acute illness or an
emergency the child should
A. receive standard care and adrenaline injection
B. receive supportive care
C. receive active resuscitation but not mechanical ventilation
D. O2 is not part of treatment options
E. none of the above
Answer: B. receive supportive care
DNAR status is a statement issued by medical ethical group (which is a group of
consultants) regarding certain untreatable medical illnesses, it means do not attempt
active resuscitation, so all supportive care, medications, and O2 are allowed, adrenaline
is a medication used in active resuscitation.
, 4
5. A full term neonate with Down syndrome and esophageal atresia admitted in Pediatric
intensive care unit (PICU). The parents want “no interference" approach. Of the following,
the BEST response is to
A. Act according to parents well
B. Arrange the operation with the surgeon
C. Work for the patient best interest
D. give supportive care only (DANR)
E. wait for a clear legislation
Answer: C. Work for the patient best interest
Pediatrician is a child advocate; he must take decision always to the "best interest" of
the child that what is called beneficent paternalism in pediatrics which is the obligation
to act in a younger child’s best interest that takes moral precedence over the Wishes of
the child’s parent(s), so in such a scenario arrangement with the surgeon to do the
operation and calling the local hospital committee to protect the child is the best choice
but this action is still need legislation in the third world. In a such Situation the
Pediatrician must explain the benefit of treatment to the parents (baby best interest)
trying best efforts to save the baby keeping in mind Down syndrome babies are not
DNAR status.
6. You are resident in Pediatrics, called at midnight to attend delivery of expected baby with
multiple malformations and oligohydromnias as had been reported in antenatal scan,
mother in stage I labor so far. Of the following, your BEST plan of action is to
A. counsel the parents that you will go for (DNAR) status
B. start your usual resuscitation waiting for your senior
C. explain that the result of antenatal scan is final
D. call your consultant or senior resident
E. apply palliative care for the coming neonate
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