NR 328 CORRECT SCRIPT 2027 ANSWERS AND
QUESTIONS SET A+
✔✔Lead Poisoning: Late CNS Signs - ✔✔- mental retardation
- paralysis
- blindness
- convulsions
- coma
- death
✔✔Lead Poisoning: Other Complications - ✔✔- kidney damage
- anemia
- decreased bone and muscle growth
✔✔Lead Poisoning: Assessment - ✔✔- airway
- breathing
- circulation
- vitals
- respiratory or cardiac support
- call poison control
- no induced vomiting
- no syrup of ipecac (activated charcoal 1g per kg and gastric lavage)
✔✔Lead Poisoning: Treatment - ✔✔- eliminate lead in environment
- prescribe cleaning enemas for acute lead ingestion
- lead screening and follow up for 1 month (level 5-24 mcg/dL) and then again every 3-4
months
✔✔Lead Poisoning: Meds - ✔✔- chelating agents to reduce high blood lead levels
- calcium disodium edetate - CaNa: EDTA or Calcium EDTA IV or IM
✔✔Burn Phases: Acute/Emergent Phase - ✔✔- 24-72 hours after initial burn or until
adequate resuscitation
- run cool/room temp water over burn
- establish airway and breathing
,- IV access and fluid resuscitation
- insert foley
- ng for gastric compression
- pain medications after oxygen and fluids started
✔✔Burn Phases: Output Goals - ✔✔- 1ml = 1 g
- 0.5 - 1ml/kg/hr <30kg
- 30-50ml/hr >30kg
✔✔Burn Phases: Management Phase - ✔✔- occurs after adequate resuscitation (72
hours)
- pain relief
- prevent infection
- hydrotherapy
- open or closed dressings or graft
- fluid therapy
- iv antibiotics
- topical silvadene or sulfamylon
- wound care
- limit free water intake
✔✔Burn Grafts - ✔✔- auto: from yourself
- ollo: from cadaver
✔✔Burn Phases: Rehabilitation Phase - ✔✔- absence of infection
- wounds are closed
- good nutrition and vitamins for healing
- promot mobility
- prevent hypertrophic scaring
- may last months or years
- jobst dressings to prevent hypertrophic scring
- splinting to prevent contractures
✔✔First Degree Burn - ✔✔superficial burn
✔✔Second Degree Burn - ✔✔partial thickness
✔✔Third Degree Burn - ✔✔full thickness
✔✔Burn: Pathophysiology - ✔✔- vasodilation
- increased hydrostatic pressure
- increased capillary permeability
- fluid loss
- threat to airway potential for shock
, ✔✔Complications of Burns - ✔✔- wound infections
- generalized sepsis
- pneumonia
- contracture
- hypertrophic scarring
- psychologic pain
✔✔Nutrition for Burn Patients - ✔✔- oral feedings are common unless intubated or
paralytic ileus persists
- painful procedures should not be scheduled at mealtime
- enteral supplementation (monitor for intolerance and tube malposition)
✔✔UTI: Most Common Causes - ✔✔- structural anomalies
- e coli (80% of infections)
- urinary stasis
- bubble baths (change pH)
- indwelling catheter
- constipation
- alteration in pH
✔✔UTI: Labs - ✔✔- UA C&S
- CBC
✔✔UTI: Teaching - ✔✔- avoid constipation
- change baby frequently
- clean front to back
- encourage fluids
- no bubble bath
- increase acidic fluids
✔✔Vesicoureteral Reflux - ✔✔- diagnosed in infancy
- defect in the valve between ureters and bladder
- short ureters
- can be outgrown
- common in siblings and caucasian infant girls
- can cause high BP, renal scarring and kidney failure
✔✔Vesicoureteral Reflux: Symptoms - ✔✔- recurrent UTI's
- urgency
- dribbling
- incontinence
✔✔Vesicoureteral Reflux: Diagnosis - ✔✔- ultrasound
- voiding cystourethrogram
QUESTIONS SET A+
✔✔Lead Poisoning: Late CNS Signs - ✔✔- mental retardation
- paralysis
- blindness
- convulsions
- coma
- death
✔✔Lead Poisoning: Other Complications - ✔✔- kidney damage
- anemia
- decreased bone and muscle growth
✔✔Lead Poisoning: Assessment - ✔✔- airway
- breathing
- circulation
- vitals
- respiratory or cardiac support
- call poison control
- no induced vomiting
- no syrup of ipecac (activated charcoal 1g per kg and gastric lavage)
✔✔Lead Poisoning: Treatment - ✔✔- eliminate lead in environment
- prescribe cleaning enemas for acute lead ingestion
- lead screening and follow up for 1 month (level 5-24 mcg/dL) and then again every 3-4
months
✔✔Lead Poisoning: Meds - ✔✔- chelating agents to reduce high blood lead levels
- calcium disodium edetate - CaNa: EDTA or Calcium EDTA IV or IM
✔✔Burn Phases: Acute/Emergent Phase - ✔✔- 24-72 hours after initial burn or until
adequate resuscitation
- run cool/room temp water over burn
- establish airway and breathing
,- IV access and fluid resuscitation
- insert foley
- ng for gastric compression
- pain medications after oxygen and fluids started
✔✔Burn Phases: Output Goals - ✔✔- 1ml = 1 g
- 0.5 - 1ml/kg/hr <30kg
- 30-50ml/hr >30kg
✔✔Burn Phases: Management Phase - ✔✔- occurs after adequate resuscitation (72
hours)
- pain relief
- prevent infection
- hydrotherapy
- open or closed dressings or graft
- fluid therapy
- iv antibiotics
- topical silvadene or sulfamylon
- wound care
- limit free water intake
✔✔Burn Grafts - ✔✔- auto: from yourself
- ollo: from cadaver
✔✔Burn Phases: Rehabilitation Phase - ✔✔- absence of infection
- wounds are closed
- good nutrition and vitamins for healing
- promot mobility
- prevent hypertrophic scaring
- may last months or years
- jobst dressings to prevent hypertrophic scring
- splinting to prevent contractures
✔✔First Degree Burn - ✔✔superficial burn
✔✔Second Degree Burn - ✔✔partial thickness
✔✔Third Degree Burn - ✔✔full thickness
✔✔Burn: Pathophysiology - ✔✔- vasodilation
- increased hydrostatic pressure
- increased capillary permeability
- fluid loss
- threat to airway potential for shock
, ✔✔Complications of Burns - ✔✔- wound infections
- generalized sepsis
- pneumonia
- contracture
- hypertrophic scarring
- psychologic pain
✔✔Nutrition for Burn Patients - ✔✔- oral feedings are common unless intubated or
paralytic ileus persists
- painful procedures should not be scheduled at mealtime
- enteral supplementation (monitor for intolerance and tube malposition)
✔✔UTI: Most Common Causes - ✔✔- structural anomalies
- e coli (80% of infections)
- urinary stasis
- bubble baths (change pH)
- indwelling catheter
- constipation
- alteration in pH
✔✔UTI: Labs - ✔✔- UA C&S
- CBC
✔✔UTI: Teaching - ✔✔- avoid constipation
- change baby frequently
- clean front to back
- encourage fluids
- no bubble bath
- increase acidic fluids
✔✔Vesicoureteral Reflux - ✔✔- diagnosed in infancy
- defect in the valve between ureters and bladder
- short ureters
- can be outgrown
- common in siblings and caucasian infant girls
- can cause high BP, renal scarring and kidney failure
✔✔Vesicoureteral Reflux: Symptoms - ✔✔- recurrent UTI's
- urgency
- dribbling
- incontinence
✔✔Vesicoureteral Reflux: Diagnosis - ✔✔- ultrasound
- voiding cystourethrogram
