CAPSTONE EXAM 2 ACTUAL EXAM 2023-2024
COMPLETE 200+ QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED
A+
A 6 yr old child goes to the ER due to abdominal pain, fever, and vomiting for the last
day. What assessment is a priority? – ….ANSWER….Description of abdominal pain
What would the nurse be looking for when a patient has a Meckel diverticulum? –
….ANSWER….Painless rectal bleeding
Which is the condition that occurs mainly in children when the intestines telescope into
themselves? – ….ANSWER….Intussusception
- What is Hirschsprung disease?
- What type of stools would an infant with Hirschsprung’s disease have? –
….ANSWER….1. Congenital absence of the parasympathetic ganglion cells - Ribbon shaped stools
What treatment can the nurse anticipate for a child unable to drink or eat anything with
profuse vomiting and diarrhea? – ….ANSWER….IV Fluids
Deficiency of Vitamin D causes? – ….ANSWER….Rickets
If an infant has not passed the meconium stool within the first 24-36 hours, what would
you assess for? – ….ANSWER….Hypothyroidism
Hirschsprung’s disease
Cystic Fibrosis
What acid-base imbalance may you see with a child that is having profuse diarrhea? –
….ANSWER….Metabolic Acidosis
what Vitamins that children with celiac disease are prone to lose are: –
….ANSWER….Vitamin A
Vitamin D
Vitamin K - What does Celiac disease affect?
- If you have celiac disease, what should you eliminate from your diet? –
….ANSWER….1. Small intestine - Wheat, Rye, and Barley
S/S of hypertrophic pyloric stenosis – ….ANSWER….projectile vomiting
olive-sized mass at the midline
A 5 year-old child is c/o epigastric pain and a persistent cough. What would you
suspect? – ….ANSWER….Gastroesophageal reflux
- what is Esophageal atresia
- What are the classic signs of esophageal atresia and tracheoesophageal fistula?
- Neonate with a suspected tracheoesophageal fistula. Nursing care should include: –
….ANSWER….1. – Lack of opening of the esophagus to stomach at birth - Cyanosis, choking, and coughing
- Elevating the head and NPO
What would the nurse expect to see in an infant with biliary atresia? –
….ANSWER….Clay-colored stools and abdominal distention - Cleft lip repair is typically done
- When does cleft palate repair typically occur? – ….ANSWER….1. between 2-3 months
- 8-12 months
Hyperfunction of the pituitary gland in preadolescence results in –
….ANSWER….Gigantism
A child has been diagnosed with bacterial meningitis. What is the nursing priority of
care? – ….ANSWER….Administer antibiotics
Symptoms of Diabetic Ketoacidosis (DKA) are…. – ….ANSWER….Fruity Breath
Excessive Hyperglycemia
Ketonuria
Which action should the nurse implement in the care of a pt with pheochromocytoma? –
….ANSWER….Monitor for elevated heart rate
Monitoring for hypertension
What does parathyroid hormone do? – ….ANSWER….regulates calcium levels in the
blood
Addison’s disease – ….ANSWER….occurs when the adrenal glands do not produce
enough of the hormone’s cortisol or aldosterone
autoimmune disease of the thyroid gland – ….ANSWER….Hashimoto disease
what would a child with Cushing’s syndrome look like? – ….ANSWER….moon face, thick
stocky figure, more hair than usual
What acid-base alteration would you see in diabetic child with Kussmaul’s respirations –
….ANSWER….Respiratory alkalosis
precocious puberty – ….ANSWER….reaching puberty early
Childhood hypopituitarism – ….ANSWER….causes pituitary dwarfism, due to deficient
GH
Reye’s syndrome – ….ANSWER….can be caused by aspirin and is a metabolic disorder
initial sign of diabetes insipidus – ….ANSWER….polydipsia
highest priority for a patient with SIADH – ….ANSWER….intake and output
- The nurse analyzes the laboratory results of a child with hemophilia. Does the
nurse understand that which result will most likely be abnormal in this child? - Platelet count
- Hematocrit level
- Hemoglobin level
- Partial thromboplastin time – ….ANSWER….4. Partial thromboplastin time
- The nurse is providing home care instructions to the parents of a 10-year-old child
with hemophilia. Which sport activity should the nurse suggest for this child? - Soccer
- Basketball
- Swimming
- Field hockey – ….ANSWER….3. Swimming
- The nursing student is presenting a clinical conference and discusses the cause of
-thalassemia. The nursing student informs the group that a child at greatest risk of
developing this disorder is which of these? - A child of Mexican descent
- A child of Mediterranean descent
- A child whose intake of iron is extremely poor
- A breast-fed child of a mother with chronic anemia – ….ANSWER….2. A child of
Mediterranean descent - A child with -thalassemia is receiving long-term blood transfusion therapy for the
treatment of the disorder. Chelation therapy is prescribed as a result of too much iron
from the transfusions. Which medication should the nurse anticipate being prescribed? - Fragmin
- Meropenem
- Metoprolol
- Deferoxamine – ….ANSWER….4. Deferoxamine
- The clinic nurse instructs parents of a child with sickle cell anemia about the
precipitating factors related to sickle cell crisis. Which, if identified by the parents as a
precipitating factor, indicates the need for further instruction? - Stress
- Trauma
- Infection
- Fluid overload – ….ANSWER….4. Fluid overload
- A 10-year-old child with hemophilia A has slipped on the ice and bumped his knee.
The nurse should pre- pare to administer which prescription? - Injection of factor X
- Intravenous infusion of iron
- Intravenous infusion of factor VIII
- Intramuscular injection of iron using the Z-track method – ….ANSWER….3.
Intravenous infusion of factor VIII - The nurse is instructing the parents of a child with iron deficiency anemia regarding
administering a liquid oral iron supplement. Which instruction should the nurse tell the
parents? - Administer the iron at mealtimes.
- Administer the iron through a straw.
- Mix the iron with cereal to administer.
- Add the iron to the formula for easy administration. – ….ANSWER….2. Administer the
iron through a straw. - Laboratory studies are performed for a child suspected to have iron deficiency
anemia. The nurse reviews the laboratory results, knowing which result indicates this
type of anemia. - Elevated hemoglobin level
- Decreased reticulocyte count
- Elevated red blood cell count
- Red blood cells that are microcytic and hypochromic – ….ANSWER….4. Red blood
cells that are microcytic and hypochromic - The nurse is conducting staff in-service training on Von Willebrand’s disease.
Which should the nurse indue as characteristics of von Willebrand’s disease? Select al
that apply. - Easy bruising Occurs.
- Gum bleeding Occurs.
- It is a hereditary bleeding disorder.
- Treatment and care are similar to that for hemophilia.
- It is characterized by extremely high creatinine levels.
- The disorder causes platelets to adhere to damaged endothelium. – ….ANSWER….1.
Easy bruising Occurs. - Gum bleeding Occurs.
- It is a hereditary bleeding disorder.