NURS 629 EXAM 4 COMPREHENSIVE
EXAMINATION TEST SOLVED QUESTIONS
AND CORRECT ANSWERS FULL SOLUTION
⩥ How do you treat a patient with elevated BP (stage 1) during initial
visit?.
Answer: Repeat in 1-2 weeks and average the BP over 3 visits
⩥ How do you treat a child with asthma when it is disruptive several
times during the night/interrupting sleep at least 3 times a week. What
do you prescribe?.
Answer: Inhaled steroid (Flovent, Asmanex, etc.)
⩥ Risk factors related to elevated cholesterol.
Answer: Obesity, Diabetes, HTN, Fm Hx: CAD prior to age 55, HLD,
Diabetes
⩥ What are the clinical findings of tetralogy of Fallot?.
Answer: Cyanosis caused by blood low in oxygen/SOB and rapid
breathing, especially during feeding or exercise/LOC/Clubbing of
fingers and toes/Poor weight gain, delayed growth/Polycythemia,
metabolic acidosis/Systolic murmur at 2nd left ICS & holosystolic
murmur at LLSB
,⩥ How to treat a patient with elevated BP (stage 1) during initial visit.
Answer: Repeat in 1-2 weeks and average the BP over 3 visits
⩥ How to treat a patient with asthma that is disruptive several times
during the night, interrupting sleep at least 3 times a week.
Answer: Prescribe an inhaled steroid (Flovent, Asmanex, etc.)
⩥ Causative organism of bronchiolitis.
Answer: Respiratory syncytial virus (RSV) most likely cause
⩥ Treatment for prehypertension seen in a patient on initial visit.
Answer: Monitor BP over the next 3 visits, Encourage healthy lifestyle
choices
⩥ What is a murmur with a decrease in intensity when patient moves
from supine to standing position?.
Answer: Innocent (benign) murmur
⩥ Characteristics of innocent (benign) murmur.
Answer: Heard in up to 50% of children/No radiation/Systolic/Grade
<III/Does not interfere with S1 & S2/Decreases with sitting and
standing/Equal femoral and radial pulses/Normal PMI
, ⩥ Symptoms of Croup.
Answer: Barking cough/Fever/URI sx
⩥ Symptoms of Bronchiolitis.
Answer: Inspiratory and expiratory wheezing accompanied by: Fever,
URI symptoms including profuse clear nasal discharge
⩥ When do you use inhaler to treat exercise induced asthma?.
Answer: Use resume inhaler 15-30 min prior to activity
⩥ What is Kawasaki Disease?.
Answer: Idipathic multi system disease characterized by vasculitis of
small and medium blood vessels including coronary arteries
⩥ Who typically gets Kawasaki Disease?.
Answer: 75% of diagnose are <5 years old. More common in boys.
More common in winter and early spring.
⩥ What is the etiology of Kawasaki Disease?.
Answer: Viral
⩥ Is Kawasaki Disease contagious?.
Answer: Nope
EXAMINATION TEST SOLVED QUESTIONS
AND CORRECT ANSWERS FULL SOLUTION
⩥ How do you treat a patient with elevated BP (stage 1) during initial
visit?.
Answer: Repeat in 1-2 weeks and average the BP over 3 visits
⩥ How do you treat a child with asthma when it is disruptive several
times during the night/interrupting sleep at least 3 times a week. What
do you prescribe?.
Answer: Inhaled steroid (Flovent, Asmanex, etc.)
⩥ Risk factors related to elevated cholesterol.
Answer: Obesity, Diabetes, HTN, Fm Hx: CAD prior to age 55, HLD,
Diabetes
⩥ What are the clinical findings of tetralogy of Fallot?.
Answer: Cyanosis caused by blood low in oxygen/SOB and rapid
breathing, especially during feeding or exercise/LOC/Clubbing of
fingers and toes/Poor weight gain, delayed growth/Polycythemia,
metabolic acidosis/Systolic murmur at 2nd left ICS & holosystolic
murmur at LLSB
,⩥ How to treat a patient with elevated BP (stage 1) during initial visit.
Answer: Repeat in 1-2 weeks and average the BP over 3 visits
⩥ How to treat a patient with asthma that is disruptive several times
during the night, interrupting sleep at least 3 times a week.
Answer: Prescribe an inhaled steroid (Flovent, Asmanex, etc.)
⩥ Causative organism of bronchiolitis.
Answer: Respiratory syncytial virus (RSV) most likely cause
⩥ Treatment for prehypertension seen in a patient on initial visit.
Answer: Monitor BP over the next 3 visits, Encourage healthy lifestyle
choices
⩥ What is a murmur with a decrease in intensity when patient moves
from supine to standing position?.
Answer: Innocent (benign) murmur
⩥ Characteristics of innocent (benign) murmur.
Answer: Heard in up to 50% of children/No radiation/Systolic/Grade
<III/Does not interfere with S1 & S2/Decreases with sitting and
standing/Equal femoral and radial pulses/Normal PMI
, ⩥ Symptoms of Croup.
Answer: Barking cough/Fever/URI sx
⩥ Symptoms of Bronchiolitis.
Answer: Inspiratory and expiratory wheezing accompanied by: Fever,
URI symptoms including profuse clear nasal discharge
⩥ When do you use inhaler to treat exercise induced asthma?.
Answer: Use resume inhaler 15-30 min prior to activity
⩥ What is Kawasaki Disease?.
Answer: Idipathic multi system disease characterized by vasculitis of
small and medium blood vessels including coronary arteries
⩥ Who typically gets Kawasaki Disease?.
Answer: 75% of diagnose are <5 years old. More common in boys.
More common in winter and early spring.
⩥ What is the etiology of Kawasaki Disease?.
Answer: Viral
⩥ Is Kawasaki Disease contagious?.
Answer: Nope
