MVU NURS 629 EXAM 3 Questions And
Answers With Latest Test
Risk factors related to elevated cholesterol? Correct Answers: · Obesity
· Diabetes
· Hypertension
· Family history:
O Coronary heart disease prior to age 55
O Hyperlipidemia
O Diabetes
Most common cyanotic cardiac lesion (disorder) Correct Answers: Tetralogy of Fallot
What is Tetralogy of Fallot? Correct Answers: a congenital heart condition involving four
abnormalities occurring together:
1) Pulmonary valve stenosis
2) RT vent hypertrophy
3)Vent septum Defect
4)Aorta overrides Vent Septum
What would be seen on X-ray with TOF Correct Answers: Boot shaped heart and Rt vent hypertrophy
What are the common s/s of tetralogy of Fallot? Correct Answers: *Cyanosis (hypoxia)
*SOB w/exercise
*clubbing fingers and toes
*delayed growth
*systolic and holosystolic murmurs
What criteria would you have to consider inpatient admission in a patient with pneumonia Correct
Answers: Comorbidities: lung dz, congenital Heart dz, DM, grunting child, O2 <92%
What to expect of a 2-mo old visual acuity? Correct Answers: *Vision of 20/400
*Can fix and follow objects
S/S of viral conjunctivitis Correct Answers: *Starts bilaterally
*usually occurs with upper resp tract infection (adenovirus)
*serous(watery) drainage
*injected conjunctiva
*Enlarged or tender preauricular nodes
Clinical findings of of viral conjunctivitis Correct Answers: *Normal visual acuity
*injected conjunctiva
*Preauricular lymphadenopathy
Treatment of viral conjunctivitis Correct Answers: * Symptomatic only
* Warm or Cool compresses
* Strict eye/hand hygiene
* avoid contacts for a while
, What do you do for a patient with an elevated B/P on initial visit? Correct Answers: *Repeat in 1-2
weeks and average over 3 visits
*Pt to keep log for review
*Encourage healthy lifestyle choices
Asthma is disruptive several times during the night/interrupting sleep at least 3 times a week, what's
the next step? Correct Answers: Moderate persistant; prescribe inhaled steroid (flovent)
Causative organism of bronchiolitis Correct Answers: (RSV) Respiratory syncytial virus most likely
cause
What type of murmur is caused by normal blood flow thru normal cardiac structures in up to 80%
children; Midsystolic; can come and go; Gets louder with fever, exercise, and anxiety Correct
Answers: functional or innocent murmur
When do innocent murmurs develop? Correct Answers: (book p 763) age 3-4; (module 10 lect) age
2-6
Type of murmur caused by turbulent blood flow caused by a defect or abnormal cardiac structures;
Dystolic; Grade ≥ IV; increases with sitting or standing Correct Answers: pathological murmur
Symptoms of croup Correct Answers: · Barking cough
· Fever
· URI symptoms
S/s of bronchiolitis Correct Answers: · inspiratory and expiratory wheezing accompanied by:
*fever
*URI symptoms including profuse clear nasal discharge
When to use inhaler to treat exercise induced asthma Correct Answers: Use rescue inhaler 15-30
minute prior to activity
Condition caused by a defect or hole in the atrial septum Correct Answers: Atrial Septum Defect
(ASD)
When should children be screened for hyperlipidemia? Correct Answers: between 9-11 years then
17-21 years
Idiopathic multisystem disease characterized by vasculitis of small and medium blood vessels
including coronary arteries Correct Answers: Kawasaki
What can develop in 15% - 25% of untreated children with Kawasaki disease? Correct Answers:
Coronary artery aneurysms
Clinical findings of Kawasaki disease (requires 4/5 to diagnose) Correct Answers: *Change in
extremities (edema, erythema, PEELING HANDS)
*Polymorphous exanthem (truncal)
*Conjunctival injection
*Erythema or fissuring of lips and oral cavity
Answers With Latest Test
Risk factors related to elevated cholesterol? Correct Answers: · Obesity
· Diabetes
· Hypertension
· Family history:
O Coronary heart disease prior to age 55
O Hyperlipidemia
O Diabetes
Most common cyanotic cardiac lesion (disorder) Correct Answers: Tetralogy of Fallot
What is Tetralogy of Fallot? Correct Answers: a congenital heart condition involving four
abnormalities occurring together:
1) Pulmonary valve stenosis
2) RT vent hypertrophy
3)Vent septum Defect
4)Aorta overrides Vent Septum
What would be seen on X-ray with TOF Correct Answers: Boot shaped heart and Rt vent hypertrophy
What are the common s/s of tetralogy of Fallot? Correct Answers: *Cyanosis (hypoxia)
*SOB w/exercise
*clubbing fingers and toes
*delayed growth
*systolic and holosystolic murmurs
What criteria would you have to consider inpatient admission in a patient with pneumonia Correct
Answers: Comorbidities: lung dz, congenital Heart dz, DM, grunting child, O2 <92%
What to expect of a 2-mo old visual acuity? Correct Answers: *Vision of 20/400
*Can fix and follow objects
S/S of viral conjunctivitis Correct Answers: *Starts bilaterally
*usually occurs with upper resp tract infection (adenovirus)
*serous(watery) drainage
*injected conjunctiva
*Enlarged or tender preauricular nodes
Clinical findings of of viral conjunctivitis Correct Answers: *Normal visual acuity
*injected conjunctiva
*Preauricular lymphadenopathy
Treatment of viral conjunctivitis Correct Answers: * Symptomatic only
* Warm or Cool compresses
* Strict eye/hand hygiene
* avoid contacts for a while
, What do you do for a patient with an elevated B/P on initial visit? Correct Answers: *Repeat in 1-2
weeks and average over 3 visits
*Pt to keep log for review
*Encourage healthy lifestyle choices
Asthma is disruptive several times during the night/interrupting sleep at least 3 times a week, what's
the next step? Correct Answers: Moderate persistant; prescribe inhaled steroid (flovent)
Causative organism of bronchiolitis Correct Answers: (RSV) Respiratory syncytial virus most likely
cause
What type of murmur is caused by normal blood flow thru normal cardiac structures in up to 80%
children; Midsystolic; can come and go; Gets louder with fever, exercise, and anxiety Correct
Answers: functional or innocent murmur
When do innocent murmurs develop? Correct Answers: (book p 763) age 3-4; (module 10 lect) age
2-6
Type of murmur caused by turbulent blood flow caused by a defect or abnormal cardiac structures;
Dystolic; Grade ≥ IV; increases with sitting or standing Correct Answers: pathological murmur
Symptoms of croup Correct Answers: · Barking cough
· Fever
· URI symptoms
S/s of bronchiolitis Correct Answers: · inspiratory and expiratory wheezing accompanied by:
*fever
*URI symptoms including profuse clear nasal discharge
When to use inhaler to treat exercise induced asthma Correct Answers: Use rescue inhaler 15-30
minute prior to activity
Condition caused by a defect or hole in the atrial septum Correct Answers: Atrial Septum Defect
(ASD)
When should children be screened for hyperlipidemia? Correct Answers: between 9-11 years then
17-21 years
Idiopathic multisystem disease characterized by vasculitis of small and medium blood vessels
including coronary arteries Correct Answers: Kawasaki
What can develop in 15% - 25% of untreated children with Kawasaki disease? Correct Answers:
Coronary artery aneurysms
Clinical findings of Kawasaki disease (requires 4/5 to diagnose) Correct Answers: *Change in
extremities (edema, erythema, PEELING HANDS)
*Polymorphous exanthem (truncal)
*Conjunctival injection
*Erythema or fissuring of lips and oral cavity
