NURS 3550 Peds Final Exam Study Guide - AI Test

**Exam Four Study Guide** **Test Breakdown** - 73 points total - 47 questions - 2 Fill in the blank (dosage calc) - 1 traditional dosage calc - 1 maintenance fluid calc, fluid calculation table provided - 4 NextGen NCLEX Matrix-style questions - A table of answer ch...

**Exam Four Study Guide** **Test Breakdown** - 73 points total - 47 questions - 2 Fill in the blank (dosage calc) - 1 traditional dosage calc - 1 maintenance fluid calc, fluid calculation table provided - 4 NextGen NCLEX Matrix-style questions - A table of answer choices are given, and you use those answer choices to fill out blanks in a table. Each correct response earns one point. Which of the following letters are vowels? -------------------------------------------- ------- ------------- Vowel Not a vowel A ○ ○ B ○ ○ C ○ ○ - 40 Multiple Choice - 36 Traditional multiple choice - 4 Next Gen NCLEX Multiple Response. Each of these questions will have a prompt: "Select All that Apply". These are scored using +/- scoring. Each correct response adds 1 point to your score on that question. Each incorrect response subtracts 1 point from your score on that question. You cannot score less than a 0 on a question. - By topic - 2 Cancer - 2 Cardiac - 1 Chronic illness/End of Life - 8 Endocrine - 1 Fluid and Electrolyte - 1 Developmental - 1 Multisystem - 2 Gastrointestinal - 14 Mental Health - 2 Musculoskeletal - 12 Neurological/Neuromuscular - 1 Dosage calculation using mg/kg dosing and mg/mL solution **Cancer** - Common pediatric cancer symptoms - Tumor lysis syndrome diagnostics/labs **Cardiac** - **Blaylock-Taussig-Thomas shunt: What is the rationale for this procedure?** - **Tetralogy of Fallot: Tet spells** **Chronic illness/End of life** - Encouraging normal development with chronic illness **Fluid and Electrolyte** - Calculate a daily or hourly maintenance fluid amount (table provided) **Endocrine** - Congenital hypothyroidism: Presentation, management, complications - Diabetes Insipidus/SIADH: Differentiation between two diagnoses - Diabetes Insipidus: Management, pharmacology - Diabetic Ketoacidosis: Presentation, signs, symptoms - Thyroid hormone production pathway - Pituitary: Hypo/hyper presentation - Puberty: Normal developmental milestones - Type 1 Diabetes: Education, pathophysiology **Developmental** - Erikson stages, what does it mean when you have "A vs B" in the developmental stages, and how do we reinforce behavior to help patients progress to the positive aspect of each stage? **Multisystem** - What are all of the food-related disease descriptors (i.e. honey crusted lesions) we have had over the semester? **Gastrointestinal** - GERD: Reflux precautions - Diarrhea: Rehydration teaching **Mental Health** - ADHD - Screening forms - Stimulant medication education, side effects - α2-adrenergic agonist medication education, side effects - Treatment options based on age (preschool vs. school age) - Depression - Signs/symptoms - Depression screening - Gender Identity - Holistic considerations of care for the patient/family - LGBT - What mental health disorders are they at increased risk of developing? - Anxiety - Management - Common stressors - School phobia management - Substance Abuse - What substances are each gender more prone to abusing? **Musculoskeletal** - Developmental Dysplasia of the Hip: Assessment - Cast assessments/Neurovascular checks **Neurological/Neuromuscular** - Hydrocephalus: Signs/Symptoms - Head injuries: Warning signs of significant complications, standard monitoring of an unconscious patient with a head injury - Glasgow Coma Scale: Scoring (scorecard provided) - Guillain-Barre: Complications, life-threatening warning signs - Increased intracranial pressure: Management - Myelomeningocele: Different presentations of neural tube defects, common complications - Reye's syndrome: Cause/prevention - VP shunts: Post op education (focusing on infection risk and proper shunt functioning), shunt malfunction symptoms - Bacterial meningitis: Precautions, treatment **Dosage Calculation** - Converting lbs to kg - Calculation using mg/kg/dose and mg/mL vial