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NURS 500 EXAM ONE QUESTIONS AND CORRECT ANSWERS

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NURS 500 EXAM ONE QUESTIONS AND CORRECT ANSWERS

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What are the characteristics of a spider vein?


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Color and size: bluish, small to several inches

Shape: may resemble a spider, linear, irregular, cascading


Pulsatility and effect of pressure: absent (no blanching), but diffuse
pressure blanches the veins


Distribution: legs, anterior chest

Significance: accompanies increased pressure in the superficial veins (as in
varicose veins)




Growth and development: middle childhood (5-10 years)

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- Concrete operational: limited logic and more complex learning, clear
sense of wrong/right
- Remains rooted in the present with little ability to understand
consequences
- Self-efficacy, more independent




What is the pathogen, symptoms, and complications associated with tetanus?


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Pathogen: bacteria


Symptoms: trismus (lockjaw), neck stiffness, difficulty swallowing, rigidity of
abdominal muscles, fever, sweating, high BP, rapid HR, spasms for 3-4
weeks

Complications: laryngospasm, HTN, PE, fractures




If a live vaccine is given first, wait ____ weeks to give the antibody


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Two




Where would you assess an infant's skin for cyanosis? What would you consider on
the DDx for an infant with cyanosis?


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, Extremities, body, tongue and/or oral mucosa (for central cyanosis)

Acrocyanosis, central cyanosis (sign of CHD), harlequin dyschromia (one
half of body, temporary vascular instability)




What are some questions that you might ask when taking a mental health history?


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Ask open-ended questions initially ("Have you ever had any problem with
emotional or mental illnesses?") then move to more specific questions

Have you ever taken medication for a mental health condition? Have you
ever been hospitalized for an emotional or mental health problem? What
about members of your family?




What is the pathogen, symptoms, and complications associated with polio?


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Pathogen: viral

Symptoms: usually asymptomatic, non-paralytic aseptic meningitis (stiffness
of neck, back, legs), flaccid paralysis, no CNS invasion

Complications: paralytic polio




What types of skin findings might you expect in an individual with the following
systemic disorders: hypothyroidism?

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Dry, rough, pale skin, course brittle hair, myxedema, alopecia (lateral third
of eyebrows), skin cool to touch, thin and brittle nails




What is the difference between active and passive immunity?


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Passive: a person is given antibodies to a disease rather than producing
them through his or her own immune system (e.g. mother to baby,
immediate action but lasts for a couple weeks

Active: exposure to a disease organism triggers the immune system to
produce antibodies to that disease (e.g. infection with actual disease or
vaccine), takes time to develop but is long lasting




What is the routine recommended schedule for rotavirus?


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Rotarix: 2 dose series --> 2 and 4 months
RotaTeq: 3 dose series --> 2, 4, 6 months

Maximum age for first dose: 14 weeks 6 days




What are the various gross motor, fine motor, and communication milestones that are
important to identify in the infant patient?


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