NR602 MIDTERM- MY STUDY SET WITH
CORRECT ANSWERS
What is Tertiary Care of nursing - Correct Answers -tertiary care requires both
specialized expertise and equipment; and quaternary care requires highly specialized
expertise and highly unusual or specialized equipment
A child gets an animal bite how should you treat the wound - Correct Answers -1. Leave
animal and human bites open for healing by granulation
2. Administer tetanus booster and rabies prophylaxis if indicated
3. Using normal saline, irrigate the wounds using high pressure
4. Prescribe a 3- to 5-day course of prophylactic antibiotics
Prescribe a broad-spectrum antibiotic, such as amoxicillin clavulanate (first choice)
Treat penicillin-allergic individuals with an extended-spectrum cephalosporin or
trimethoprim-sulfamethoxazole plus clindamycin
What is the Rotavirus - Correct Answers -Rotavirus disease is common among infants
and young children. Rotavirus can cause severe watery diarrhea, vomiting, fever, and
abdominal pain. Some children with rotavirus disease lose a lot of fluids and become
very dehydrated.
What is enterovirus? - Correct Answers -The red sores known as hand-foot-and-mouth
disease usually go away in 7 to 10 days
Symptoms on Enterovirus - Correct Answers -Muscle aches
Fever
Sore throat
Red sores known as hand-foot-and-mouth disease
What is a sprain? - Correct Answers -stretching or tearing of ligaments
What is patellofemoral pain syndrome? - Correct Answers -"Anterior knee pain" or
"runner's knee". 3 categories; overuse, biomechanical, muscle dysfunction.
What is Osgood-Schlatter disease? - Correct Answers -common cause of knee pain in
adolescent male athletes
- periods of rapid growth in which the quadriceps tendon puts traction on the apophysis
of the tibial tubercle where the patellar tendon inserts
- traction apophysitis is worsened by sports that involve repetitive running, jumping, or
kneeling and improves with rest
,DX: radiographic finding: anterior soft tissue swelling, lifting of tubercle from the shaft,
irregularity or fragmentation of the tubercle.
PE: edema and tenderness over the tibial tubercle. may feel a mass because of
heterotopic bone formation. Pain reproduced by extending the knee against resistance
TX: activity restriction, stretching exercises, NSAIDs
What is hydrocephalus? - Correct Answers -a condition in which fluid accumulates in
the brain, typically in young children, enlarging the head and sometimes causing brain
damage.
What is cerebral palsy? - Correct Answers -A permanent impairment affecting automatic
postural control and movement as a result of a non-progressive brain disorder
symptoms of migraine headache - Correct Answers -dull to throbbing head pain
sensitivity to light, sound
nausea, vomiting
visual aura
Treatment for Migraine - Correct Answers -1. Avoid Triggers (stress, foods, alcohol etc)
2. Take NSAIDs
3.*Triptans* if more severe
4. *Topiramate*
5. Follow-up 4-6 weeks if treating
6. AVOID Opiods
Secondary headaches - Correct Answers -Headaches caused by other illnesses as a
symptom of another problem.
Pathologic headache - Correct Answers --Another disease is causing a headache
-Ex: HTN, hypothyroidism, and tumors
sickle cell disease - Correct Answers -Individuals who are homozygous for the gene
controlling hemoglobin S.
The disease is characterized by the destruction of red blood cells and by episodic
blocking of blood vessels by the adherence of sickle cells to the vascular endothelium.
sickle cell disease treatment - Correct Answers -•Symptom specific
•Prevention of infection
•Avoidance of temperature extremes
•Reduction in emotional and physical stress
•Drugs:
-Promote production of red blood cells with hemoglobin F
-Treatment of pain and infection
,atrial septal defect - Correct Answers -ASD; a hole in the atrial septum that causes
blood in the RA and LA to mix
atrial septal defect treatment - Correct Answers -May have spontaneous closure
If not closed by school age → repaired
Device closure - septal ocluder by catheter
Surgery - patch or stitches; Infection control for endocarditis after surgery
Medical management - symptomatic child;
Digoxin and diuretics
ventricular septal defect (VSD) - Correct Answers -a hole in the ventricular septum that
causes blood to mix between the RV and LV
treatment of ventricular septal defect - Correct Answers -1. digoxin
2. diuretics
3. high calorie formula
4. surgical repair (open heart surgery) or pulmonary artery banding to decrease
pulmonary blood flow
*fluid restriction is rare
**watch for postop arrhythmia
Which region globally has the highest infant mortality rate? - Correct Answers -Sub
Saharan Africa Correct
The primary care pediatric nurse practitioner understands that, to achieve the greatest
worldwide reduction in child mortality from pneumonia and diarrhea, which intervention
is most effective? - Correct Answers -C. Vaccinations
Which is true about the health status of children in the United States? - Correct Answers
-Obesity rates among 2to5yearolds have shown a recent significant decrease.
The primary care pediatric nurse practitioner understands that a major child health
outcome associated with worldwide climate change is - Correct Answers -nutrition.
When providing well child care for an infant in the first year of life, the primary care
pediatric nurse practitioner is adhering to the most recent American Academy of
PediatricsRecommendations for Preventive Pediatric Health Care guidelines by -
Correct Answers -scheduling wellbaby visits to coincide with key developmental
milestones. Correct
A mother brings her 9 month infant in for a routine visit. What milestone would be
appropriate for the doctor to ask if - Correct Answers -Rolls back to stomach and
stomach to back
A 5 day old infant comes in for a newborn checkup. On assessment of the newborn, you
note that the skin is jaundice in color. The anterior fontanel is slightly sunken. Per mom,
, the infant has only had 2 diapers today. The infant is strictly breastfed and this is moms
first child. She states baby is having trouble latching on. A bilirubin level is sent and
comes back at 18. You identify this newborn to be dehydrated and is most likely to have
breast milk jaundice. Which nursing intervention(s) will be required for this baby? -
Correct Answers -1. Phototherapy
2. Providing support and education for the lactating mother
3. Strict monitoring of intake and output
4. All of the above
3. Apgar scores measure heart rate, respiratory rate, reflex irritability, color and : -
Correct Answers -2. Muscle tone
A mother on the postpartum unit asked to have her infant back from the nursery so that
she can breastfeed. The nurse brings the newborn to the room and hands the baby to
the mother. She asks the mother to let her know how long the baby feeds. What vital
step did the nurse forget to take before giving the baby to the mother? - Correct
Answers -2. The nurse should have identified the babys ID band with the mothers
Excessive heat loss results in which of these? - Correct Answers -Depletion of glucose
levels
A mother has just delivered her new baby a few hours ago. She asks the nurse if she
can bathe the baby - Correct Answers -Its important that we not bathe the baby too
soon after birth. Lets wait till later in the day.
A 4 week old infant is brought to the ED. Mom states that the baby hasnt been eating
well and has had decreased diapers for 2 days. The baby has been sleeping more and
has been hard to wake up. On assessment, you find that the baby is difficult to arouse,
is hypotonic and temperature is 35.4 rectally. What is an important lab value to check? -
Correct Answers -Blood glucose
A pregnant woman with a history of a clotting disorder is required to selfadminister
heparin during her pregnancy. After delivery, the infant will be at greater risk for -
Correct Answers -Decrease Vitamin K
A part of injury prevention is making and keeping infant appointments. The required
checkups and vaccinations are at: - Correct Answers -2 months, 4 months, 6 month, 9
months and 1 year
You are taking care of an infant who was admitted with dehydration. His weight is 6kg.
You have been watching his I & Os. What would you expect the infants urinary output to
be in order to maintain adequate hydration? - Correct Answers -13 ml/kg/hr
CORRECT ANSWERS
What is Tertiary Care of nursing - Correct Answers -tertiary care requires both
specialized expertise and equipment; and quaternary care requires highly specialized
expertise and highly unusual or specialized equipment
A child gets an animal bite how should you treat the wound - Correct Answers -1. Leave
animal and human bites open for healing by granulation
2. Administer tetanus booster and rabies prophylaxis if indicated
3. Using normal saline, irrigate the wounds using high pressure
4. Prescribe a 3- to 5-day course of prophylactic antibiotics
Prescribe a broad-spectrum antibiotic, such as amoxicillin clavulanate (first choice)
Treat penicillin-allergic individuals with an extended-spectrum cephalosporin or
trimethoprim-sulfamethoxazole plus clindamycin
What is the Rotavirus - Correct Answers -Rotavirus disease is common among infants
and young children. Rotavirus can cause severe watery diarrhea, vomiting, fever, and
abdominal pain. Some children with rotavirus disease lose a lot of fluids and become
very dehydrated.
What is enterovirus? - Correct Answers -The red sores known as hand-foot-and-mouth
disease usually go away in 7 to 10 days
Symptoms on Enterovirus - Correct Answers -Muscle aches
Fever
Sore throat
Red sores known as hand-foot-and-mouth disease
What is a sprain? - Correct Answers -stretching or tearing of ligaments
What is patellofemoral pain syndrome? - Correct Answers -"Anterior knee pain" or
"runner's knee". 3 categories; overuse, biomechanical, muscle dysfunction.
What is Osgood-Schlatter disease? - Correct Answers -common cause of knee pain in
adolescent male athletes
- periods of rapid growth in which the quadriceps tendon puts traction on the apophysis
of the tibial tubercle where the patellar tendon inserts
- traction apophysitis is worsened by sports that involve repetitive running, jumping, or
kneeling and improves with rest
,DX: radiographic finding: anterior soft tissue swelling, lifting of tubercle from the shaft,
irregularity or fragmentation of the tubercle.
PE: edema and tenderness over the tibial tubercle. may feel a mass because of
heterotopic bone formation. Pain reproduced by extending the knee against resistance
TX: activity restriction, stretching exercises, NSAIDs
What is hydrocephalus? - Correct Answers -a condition in which fluid accumulates in
the brain, typically in young children, enlarging the head and sometimes causing brain
damage.
What is cerebral palsy? - Correct Answers -A permanent impairment affecting automatic
postural control and movement as a result of a non-progressive brain disorder
symptoms of migraine headache - Correct Answers -dull to throbbing head pain
sensitivity to light, sound
nausea, vomiting
visual aura
Treatment for Migraine - Correct Answers -1. Avoid Triggers (stress, foods, alcohol etc)
2. Take NSAIDs
3.*Triptans* if more severe
4. *Topiramate*
5. Follow-up 4-6 weeks if treating
6. AVOID Opiods
Secondary headaches - Correct Answers -Headaches caused by other illnesses as a
symptom of another problem.
Pathologic headache - Correct Answers --Another disease is causing a headache
-Ex: HTN, hypothyroidism, and tumors
sickle cell disease - Correct Answers -Individuals who are homozygous for the gene
controlling hemoglobin S.
The disease is characterized by the destruction of red blood cells and by episodic
blocking of blood vessels by the adherence of sickle cells to the vascular endothelium.
sickle cell disease treatment - Correct Answers -•Symptom specific
•Prevention of infection
•Avoidance of temperature extremes
•Reduction in emotional and physical stress
•Drugs:
-Promote production of red blood cells with hemoglobin F
-Treatment of pain and infection
,atrial septal defect - Correct Answers -ASD; a hole in the atrial septum that causes
blood in the RA and LA to mix
atrial septal defect treatment - Correct Answers -May have spontaneous closure
If not closed by school age → repaired
Device closure - septal ocluder by catheter
Surgery - patch or stitches; Infection control for endocarditis after surgery
Medical management - symptomatic child;
Digoxin and diuretics
ventricular septal defect (VSD) - Correct Answers -a hole in the ventricular septum that
causes blood to mix between the RV and LV
treatment of ventricular septal defect - Correct Answers -1. digoxin
2. diuretics
3. high calorie formula
4. surgical repair (open heart surgery) or pulmonary artery banding to decrease
pulmonary blood flow
*fluid restriction is rare
**watch for postop arrhythmia
Which region globally has the highest infant mortality rate? - Correct Answers -Sub
Saharan Africa Correct
The primary care pediatric nurse practitioner understands that, to achieve the greatest
worldwide reduction in child mortality from pneumonia and diarrhea, which intervention
is most effective? - Correct Answers -C. Vaccinations
Which is true about the health status of children in the United States? - Correct Answers
-Obesity rates among 2to5yearolds have shown a recent significant decrease.
The primary care pediatric nurse practitioner understands that a major child health
outcome associated with worldwide climate change is - Correct Answers -nutrition.
When providing well child care for an infant in the first year of life, the primary care
pediatric nurse practitioner is adhering to the most recent American Academy of
PediatricsRecommendations for Preventive Pediatric Health Care guidelines by -
Correct Answers -scheduling wellbaby visits to coincide with key developmental
milestones. Correct
A mother brings her 9 month infant in for a routine visit. What milestone would be
appropriate for the doctor to ask if - Correct Answers -Rolls back to stomach and
stomach to back
A 5 day old infant comes in for a newborn checkup. On assessment of the newborn, you
note that the skin is jaundice in color. The anterior fontanel is slightly sunken. Per mom,
, the infant has only had 2 diapers today. The infant is strictly breastfed and this is moms
first child. She states baby is having trouble latching on. A bilirubin level is sent and
comes back at 18. You identify this newborn to be dehydrated and is most likely to have
breast milk jaundice. Which nursing intervention(s) will be required for this baby? -
Correct Answers -1. Phototherapy
2. Providing support and education for the lactating mother
3. Strict monitoring of intake and output
4. All of the above
3. Apgar scores measure heart rate, respiratory rate, reflex irritability, color and : -
Correct Answers -2. Muscle tone
A mother on the postpartum unit asked to have her infant back from the nursery so that
she can breastfeed. The nurse brings the newborn to the room and hands the baby to
the mother. She asks the mother to let her know how long the baby feeds. What vital
step did the nurse forget to take before giving the baby to the mother? - Correct
Answers -2. The nurse should have identified the babys ID band with the mothers
Excessive heat loss results in which of these? - Correct Answers -Depletion of glucose
levels
A mother has just delivered her new baby a few hours ago. She asks the nurse if she
can bathe the baby - Correct Answers -Its important that we not bathe the baby too
soon after birth. Lets wait till later in the day.
A 4 week old infant is brought to the ED. Mom states that the baby hasnt been eating
well and has had decreased diapers for 2 days. The baby has been sleeping more and
has been hard to wake up. On assessment, you find that the baby is difficult to arouse,
is hypotonic and temperature is 35.4 rectally. What is an important lab value to check? -
Correct Answers -Blood glucose
A pregnant woman with a history of a clotting disorder is required to selfadminister
heparin during her pregnancy. After delivery, the infant will be at greater risk for -
Correct Answers -Decrease Vitamin K
A part of injury prevention is making and keeping infant appointments. The required
checkups and vaccinations are at: - Correct Answers -2 months, 4 months, 6 month, 9
months and 1 year
You are taking care of an infant who was admitted with dehydration. His weight is 6kg.
You have been watching his I & Os. What would you expect the infants urinary output to
be in order to maintain adequate hydration? - Correct Answers -13 ml/kg/hr
