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PEDIATRIC NURSING GUIDE ALL EXAM REVISION QUESTIONS AND CORRECT ANSWERS (ALREADY GRADED A+) (2024 UPDATE) 100% $12.99
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PEDIATRIC NURSING GUIDE ALL EXAM REVISION QUESTIONS AND CORRECT ANSWERS (ALREADY GRADED A+) (2024 UPDATE) 100%
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Normal BUN levels in pediatrics - ANSWER- children under 2: 4-15 mg/dL Older Individuals: 5-20 mg/dL. Good indication of renal function. Elevated in kidney disease, dehydration, hemorrhage, steroid therapy, and high protein intake. Normal Creatinine Levels in Pediatrics - ANSWER- 0.2-1.0. Eleva...

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  • October 17, 2024
  • 27
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

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  • Nursing Pediatrics
  • Nursing Pediatrics

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PEDIATRIC NURSING GUIDE ALL EXAM REVISION
QUESTIONS AND CORRECT ANSWERS (ALREADY
GRADED A+) (2024 UPDATE) 100%
Normal BUN levels in pediatrics - ANSWER- children under 2: 4-15 mg/dL
Older Individuals: 5-20 mg/dL.
Good indication of renal function. Elevated in kidney disease, dehydration, hemorrhage, steroid
therapy, and high protein intake.

Normal Creatinine Levels in Pediatrics - ANSWER- 0.2-1.0. Elevated in severe kidney disease

Uric Acid - ANSWER- Approximately 2-5.5 Also elevated in severe kidney disease

Normal Specific Gravity - ANSWER- of the urine in a child is <1.015 and infants <1.010. A
specific gravity >1.025 in any child is suggestive of dehydration and >1.015 in infants as the
infantile kidney can only maximally concentrate urine to

Diagnostics for AGN - ANSWER- - Positive ASO titer (anti-streptolysin titer, indicating they
recently had strep)
- mild proteinuria
- Chest X-Ray: possible cardiomegaly & pulmonary congestion

Management of Acute Glomerulonephritis - ANSWER- - Moderate Na & H2O restrictions
- AVOID HIGH K+ FOODS (bananas)
- Monitor V/S frequently
- may need seizure precautions
- check for ICP, Encephalopathy, CVA
- daily weights
- May be a standing order for an Antihypertensive if BP is highL (ACE inhibitors)
- Bedrest
- modified activity at home until no blood in urine (may take up to 6 months)

prognosis of acute glomerulonephritis - ANSWER- generally good. normal kidney function is
restored after time, rest, and salt restrictions.

Prognosis of nephrotic syndrome - ANSWER- - in children due to minimal glomerular change
& responds to corticosteroids = complete recovery

,- in adults usually a manifestation of severe progressive renal disease

Estimating Bladder Capacity in children - ANSWER- By adding the #2 to their age. For
example a 3-year old has a bladder capacity of approximately 5 fl. oz.
Which statement by a parent is most consistent with Minimal Change Nephrotic Syndrome
(MCNS)?
1. My child missed 2 days of school last week because of a really bad cold.
2. After camping last week, my child's legs were covered in bug bites.
3. My child came home from school a week ago because of vomiting and stomach cramps.
4. We have a pet turtle, but no one washes their hands after playing with the turtle. - ANSWER-
1. Nephrotic Syndrome usually follows an upper respiratory infection. (around 1-3 days).
A 13-month-old is discharged following a repair of his epispadias. Which statement made by the
parents indicates they understand the discharge teaching.
1. If a mucous plug forms in the urinary drainage tube, we will irrigate it gently to prevent a
blockage.
2. if a mucous plug forms in the urinary drainage tube, we will allow it to pass on its own because
this is a sign of healing.
3. We will make sure the dressing is loosely applied to increase the toddler's comfort.

4. If we notice any yellow drainage, we will know that everything is healing well. - ANSWER-
1. mucous plugs should be irrigated to prevent blockage.


This dressing is usually a compression type that help prevents edema.
Which medication is mostly likely prescribed after a bladder exstrophy repair
1. Furosemide (lasix)
2. Mannitol
3. Meperidine (Demerol)

4. Oxybutynine (Ditropan) - ANSWER- 4. Oxybutynine (Ditropan) is used to help control
bladder spasms.

Which two disaeases are at risk for Latex Allergy - ANSWER- - Cystic Fibrosis
- Bladder Exstrophy infants
Should stay away from playgrounds with rubber surfaces (turf), because they often contain latex.

, - myelomeningocele patients
An 18-Month-Old is discharged from the hospital after having a febrile seizure secondary to
exanthem subitum (Roseola). On discharge, the mother asks the nurse if her 6-year-old twins will
get sick. Which teaching about the transmission of roseola would be most accurate?
1. The child should be isolated at home until the vesicles have dried.
2. The child does not need to be isolated from the older siblings.
3. Administer acetaminophen to the older siblings to prevent seizures.

4. Monitor older children for seizure development. - ANSWER- . 2. The route of roseola
transmission is unknown, and the disease is more commonly seen in children 6 months to 3 years
of age, so siblings do not need to be isolated.


Which would be the priority intervention for a child suspected of having varicella (chickenpox)?
1. Contact Precautions
2. Contact and Droplet Respiratory Precautions?
3. Droplet respiratory precautions?

4. Universal Precautions and standard precautions. - ANSWER- 2. Varicella (Chickenpox) is
highly contagious. Contact & Droplet respiratory precautions should be started immediately
because the primary source of transmission is secretions of the respiratory tract (droplet) and also
by contaminated objects.

Caladryl - ANSWER- A lotion containing diphenhydramine. Should not be applied if child has
already been given Benadryl (diphenhydramine) because it can cause toxicity.
Which signs & symptoms would the nurse expect with rheumatic fever?


1. Ankle and Knee Joint Pain.
2. Negative group A beta strep culture.
3. Large, red "bulls’ eye" - appearing rash.

4. stiff neck with photophobia. - ANSWER- Ankle and knee joint pain.
The parents of a 12-month-old with HIV are concerned about him receiving routine
immunizations. What will the nurse tell them about immunizations? - ANSWER- "You are
concerned about your child receiving immunizations. Let me explain why your child will NOT
receive routine immunizations today"

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