NUR 283 CERTIFICATION SCRIPT 2026
QUESTIONS WITH SOLUTIONS GRADED A+
◍ Sickle Cell.
Answer: What we do about it: Preventative education, Hydroxyurea,
Penicillin, Folic Acid, Iron Chelation, blood transfusion or exchange, all
immunizations, avoid triggers
◍ Adolescence Growth.
Answer: -Growth spurt for girls: 10 years-Growth spurt for boys: 13
years*Tanner Scale
◍ electrolyte imbalance Na+.
Answer: What do we watch for during mannitol administration?
◍ They are considered a paraplegic.
Answer: If a spinal injury occurs below T6 what are they considered?
◍ Vesicoureteral Reflux (VUR).
Answer: What we do about it: Voiding Cystourethrogram (VCUG)
◍ Cautions in Iron supplementation.
Answer: Wipe teeth afterWill change stool color, green or maybe tarry in
color. Do not give with milk - milk absorbs the supplement.
◍ 1. is CO low?2. Did the HR change?3. Preload: What is CVP?
hypo/hypervolemic s/s?If normal move on...4. Afterload, what is their BP?
High or low?if normal must be contractility...5. (+) inotrope needed to
increase contractility.
Answer: What are the steps to determine the cause of low cardiac output?
◍ Step.
Answer: If infant is held so that sole of foot touches a hard surface, there is a
reciprocal flexion and extension of the leg, simulating walking (see Fig. 7-9,
, C); disappears after 3 to 4 weeks old to be replaced by deliberate movement.
◍ Moro - Disappears at ?.
Answer: 6 Months - this infant reflex disappear
◍ IVIG (intravenous immunoglobulin).
Answer: helps increase plateletsstimulate the production of RBCs
◍ Esophageal Atresia and TEF.
Answer: S/S: Usually a Newborn, Frothy drooling /saliva Coughing,
choking, and cyanosis with feeding Apnea Abdominal distention
◍ They are considered a quadriplegic or tetraplegic.
Answer: What is a patient considered if they have a spinal injury between
T6 and C5?
◍ - if hypovolemic give fluids, albumin, blood-if hypervolemic give a diuretic.
Answer: How are CO problems related to Preload/SV treated?
◍ Ischemic Stroke.
Answer: What type of stroke that occurs when the flow of blood to the brain
is blocked?
◍ When a pt has lost brain function the organs start to shut down and begin to
deteriorate.
Answer: What is unique about brain death and organ donation?
◍ 60 mins.
Answer: What is the door to needle (TPA) time for a ischemic stroke?
◍ 6-12 Years Freud Psychosexual.
Answer: Latency
◍ PVC or premature ventricular contractionTreat the underlying cause:1.
hypoxemia (o2)2. Ischemia (12 lead to confirm)3. electrolyte imbalance
(Mg+ or K+ replacement).
Answer: What is this rhythm? and how is it treated?
◍ Adolescence Puberty.
, Answer: Puberty is marked by the secondary sex characteristics- Voice
change, breast enlargement, fat deposits, hair growth- Play no direct role in
reproductionGirls: 9-11 years of age- Breast buds & pubic hair- Menarche:
approximately 2 years after first pubescent changes- average 12.8 years
(normal 9-15 years)Boys: 10-11 years of age- Testicular enlargement &
scrotum changes- Penile enlargement, pubic and facial hair growth, voice
changes
◍ Hydrochlorothiazide (thiazide diuretic) potassium depleting.
Answer: NOT for diabetics, hypotension, syncope, SLE, Gout, ANY of
THESE electrolyte imbalances: hypercalcemia, hypochloremia,
hypokalemia, hypomagnesemia, hyponatremia, or metabolic alkalosis.
WATCH if patient has muscle cramps may need to hold.
◍ Sitting up to increase laying down to decrease.
Answer: What position do you place a patient in to temporarily displace
fluid to decrease or increase volume to the heart?
◍ PVC or premature ventricular contractionTreat the underlying cause:1.
hypoxemia (o2)2. Ischemia (12 lead to confirm)3. electrolyte imbalance
(Mg+ or K+ replacement).
Answer: What is this rhythm? and how is it treated?
◍ Hypovolemic shockcardiogenic shockdistributive shock.
Answer: What are the 3 kinds of shock?
◍ 4-6.
Answer: CO
◍ Tetralogy of Fallot - TOF.
Answer: Nurse role: manage heart failure, medication, cluster care, high
calorie formula, small frequent meals. Manage hypercyanotic spells: knees
to chest, oxygen, calm, morphine
◍ 1. recognition of sudden cardiac arrest ck for pt responsiveness and
breathing2. Activate the emergency response system (call a code or rapid)3.
CPR if no pulse, and while waiting on the crash cart to arrive. (Remember
, 30 compressions to 2 breaths)4. Defibrillate- as soon as possible.
Answer: what are the steps to BLS CPR?
◍ Pulse Ox for Peds.
Answer: - Change site every 4 hours --> kid's skin is sensitive- Show kid the
pulse ox equipment prior- Alarm limits are appropriate
◍ PT/OTLimb retrain Keloid Compression.
Answer: What happens in the rehab phase of burn therapy?
◍ Myelomeningocele.
Answer: Defect in which the sac that contains CSF, spinal cord and nerves is
outside the spinal column. Has neuro deficit.
◍ Multi organ dysfuction syndrome.
Answer: what does MODS stand for?
◍ Primitive reflexes that all should disappear after 6 months..
Answer: SteppingTonic-NeckMoro/StartleSucking
◍ 1. Widening pulse pressure2. Cheyne Stokes Respirations3. Bradycardia.
Answer: What are the symptoms of Cushing's triad?
◍ 1. Eye opening 2. response to verbal 3. Motor response.
Answer: What is measured by the Glasgow coma scale?
◍ 15 or less.
Answer: Normal ICP
◍ Cystic Fibrosis - Evaluate/Educate.
Answer: - Re-assessment of interventions- How are they doing with their
pancreatic enzymes- Weight gain- Secretons thinned- Blood glucose
screening- Pulmonary function test- Cultures/*Infections*- Social distance-
immunizations
◍ 1. recognition of sudden cardiac arrest ck for pt responsiveness and
breathing2. Activate the emergency response system (call a code or rapid)3.
CPR if no pulse, and while waiting on the crash cart to arrive. (Remember
30 compressions to 2 breaths)4. Defibrillate- as soon as possible.
QUESTIONS WITH SOLUTIONS GRADED A+
◍ Sickle Cell.
Answer: What we do about it: Preventative education, Hydroxyurea,
Penicillin, Folic Acid, Iron Chelation, blood transfusion or exchange, all
immunizations, avoid triggers
◍ Adolescence Growth.
Answer: -Growth spurt for girls: 10 years-Growth spurt for boys: 13
years*Tanner Scale
◍ electrolyte imbalance Na+.
Answer: What do we watch for during mannitol administration?
◍ They are considered a paraplegic.
Answer: If a spinal injury occurs below T6 what are they considered?
◍ Vesicoureteral Reflux (VUR).
Answer: What we do about it: Voiding Cystourethrogram (VCUG)
◍ Cautions in Iron supplementation.
Answer: Wipe teeth afterWill change stool color, green or maybe tarry in
color. Do not give with milk - milk absorbs the supplement.
◍ 1. is CO low?2. Did the HR change?3. Preload: What is CVP?
hypo/hypervolemic s/s?If normal move on...4. Afterload, what is their BP?
High or low?if normal must be contractility...5. (+) inotrope needed to
increase contractility.
Answer: What are the steps to determine the cause of low cardiac output?
◍ Step.
Answer: If infant is held so that sole of foot touches a hard surface, there is a
reciprocal flexion and extension of the leg, simulating walking (see Fig. 7-9,
, C); disappears after 3 to 4 weeks old to be replaced by deliberate movement.
◍ Moro - Disappears at ?.
Answer: 6 Months - this infant reflex disappear
◍ IVIG (intravenous immunoglobulin).
Answer: helps increase plateletsstimulate the production of RBCs
◍ Esophageal Atresia and TEF.
Answer: S/S: Usually a Newborn, Frothy drooling /saliva Coughing,
choking, and cyanosis with feeding Apnea Abdominal distention
◍ They are considered a quadriplegic or tetraplegic.
Answer: What is a patient considered if they have a spinal injury between
T6 and C5?
◍ - if hypovolemic give fluids, albumin, blood-if hypervolemic give a diuretic.
Answer: How are CO problems related to Preload/SV treated?
◍ Ischemic Stroke.
Answer: What type of stroke that occurs when the flow of blood to the brain
is blocked?
◍ When a pt has lost brain function the organs start to shut down and begin to
deteriorate.
Answer: What is unique about brain death and organ donation?
◍ 60 mins.
Answer: What is the door to needle (TPA) time for a ischemic stroke?
◍ 6-12 Years Freud Psychosexual.
Answer: Latency
◍ PVC or premature ventricular contractionTreat the underlying cause:1.
hypoxemia (o2)2. Ischemia (12 lead to confirm)3. electrolyte imbalance
(Mg+ or K+ replacement).
Answer: What is this rhythm? and how is it treated?
◍ Adolescence Puberty.
, Answer: Puberty is marked by the secondary sex characteristics- Voice
change, breast enlargement, fat deposits, hair growth- Play no direct role in
reproductionGirls: 9-11 years of age- Breast buds & pubic hair- Menarche:
approximately 2 years after first pubescent changes- average 12.8 years
(normal 9-15 years)Boys: 10-11 years of age- Testicular enlargement &
scrotum changes- Penile enlargement, pubic and facial hair growth, voice
changes
◍ Hydrochlorothiazide (thiazide diuretic) potassium depleting.
Answer: NOT for diabetics, hypotension, syncope, SLE, Gout, ANY of
THESE electrolyte imbalances: hypercalcemia, hypochloremia,
hypokalemia, hypomagnesemia, hyponatremia, or metabolic alkalosis.
WATCH if patient has muscle cramps may need to hold.
◍ Sitting up to increase laying down to decrease.
Answer: What position do you place a patient in to temporarily displace
fluid to decrease or increase volume to the heart?
◍ PVC or premature ventricular contractionTreat the underlying cause:1.
hypoxemia (o2)2. Ischemia (12 lead to confirm)3. electrolyte imbalance
(Mg+ or K+ replacement).
Answer: What is this rhythm? and how is it treated?
◍ Hypovolemic shockcardiogenic shockdistributive shock.
Answer: What are the 3 kinds of shock?
◍ 4-6.
Answer: CO
◍ Tetralogy of Fallot - TOF.
Answer: Nurse role: manage heart failure, medication, cluster care, high
calorie formula, small frequent meals. Manage hypercyanotic spells: knees
to chest, oxygen, calm, morphine
◍ 1. recognition of sudden cardiac arrest ck for pt responsiveness and
breathing2. Activate the emergency response system (call a code or rapid)3.
CPR if no pulse, and while waiting on the crash cart to arrive. (Remember
, 30 compressions to 2 breaths)4. Defibrillate- as soon as possible.
Answer: what are the steps to BLS CPR?
◍ Pulse Ox for Peds.
Answer: - Change site every 4 hours --> kid's skin is sensitive- Show kid the
pulse ox equipment prior- Alarm limits are appropriate
◍ PT/OTLimb retrain Keloid Compression.
Answer: What happens in the rehab phase of burn therapy?
◍ Myelomeningocele.
Answer: Defect in which the sac that contains CSF, spinal cord and nerves is
outside the spinal column. Has neuro deficit.
◍ Multi organ dysfuction syndrome.
Answer: what does MODS stand for?
◍ Primitive reflexes that all should disappear after 6 months..
Answer: SteppingTonic-NeckMoro/StartleSucking
◍ 1. Widening pulse pressure2. Cheyne Stokes Respirations3. Bradycardia.
Answer: What are the symptoms of Cushing's triad?
◍ 1. Eye opening 2. response to verbal 3. Motor response.
Answer: What is measured by the Glasgow coma scale?
◍ 15 or less.
Answer: Normal ICP
◍ Cystic Fibrosis - Evaluate/Educate.
Answer: - Re-assessment of interventions- How are they doing with their
pancreatic enzymes- Weight gain- Secretons thinned- Blood glucose
screening- Pulmonary function test- Cultures/*Infections*- Social distance-
immunizations
◍ 1. recognition of sudden cardiac arrest ck for pt responsiveness and
breathing2. Activate the emergency response system (call a code or rapid)3.
CPR if no pulse, and while waiting on the crash cart to arrive. (Remember
30 compressions to 2 breaths)4. Defibrillate- as soon as possible.
