NURS 136 EXAM 3 NEWEST ACTUAL EXAM WITH
ALL QUESTIONS FROM THE PAST ACTUAL EXAMS
ANS 100% CORRECT DETAILED ANSWERS
|A+GRADE
scoliosis symptoms - CORRECT ANSWERS-sideways curvature of spine, uneven
shoulders/waist/hips, one shoulder blade more prominent, cardiopulmonary
compromise if severe
scoliosis management - CORRECT ANSWERS-<50 degrees: conservative, thermal,
PT/OT, exercise, pain management
>50 degrees: surgery, spinal fusion, orthotic brace (TLSO)
scoliosis diagnostics - CORRECT ANSWERS->50 degrees: spinal instability
>60 degrees: thoracic (cardiopulmonary compromise)
scoliosis treatment - CORRECT ANSWERS-monitor cardiopulmonary compromise, fall
prevention, education, maintain level of activity/exercise
Bone cancer - CORRECT ANSWERS-osteosarcoma is most prevalent
Bone cancer symptoms - CORRECT ANSWERS-pain increase with motion, unrelieved
with rest, limping, swelling, redness, decreased ROM, fractures
bone cancer management - CORRECT ANSWERS-respiratory status, neurovascular,
palpation of mass, chemo, protein, emotional support
bone cancer diagnostics - CORRECT ANSWERS-bone biopsy, CT/MRI/bone scan,
metastasis
bone cancer treatment - CORRECT ANSWERS-chemo, radiation, surgery, pain control
1. Limb salvation
2. improve quality of life
3. prevent metastasis
4. survival
MRSA - CORRECT ANSWERS-80% most common MDR
MRSA risk factors - CORRECT ANSWERS-soft tissue infection, hospital in ICU or past
year, LTC facility
MRSA symptoms - CORRECT ANSWERS-pneumonia, soft/skin tissue infection,
bloodstream infection
, MRSA complications - CORRECT ANSWERS-increased death, osteomyelitis, TSS,
multisystem organ failure
VRE (vancomycin-resistant enterococcus) - CORRECT ANSWERS-lower in western
states than eastern, high in hospital/lower with compliance
VRE risk factors - CORRECT ANSWERS-long hospital stay, immunocompromised, long
ABX exposure, invasive procedures/devices
VRE symptoms - CORRECT ANSWERS-peritonitis, bacteremia, wound infection, UTI
VRE complications - CORRECT ANSWERS-VRSA, long hospital cost/stay/ABX
exposure, high mortality, endocarditis
CRE (carbapenem-resistant enterobacteriaceae) - CORRECT ANSWERS-9,300 in
2018, 50% death rate, URGENT
CRE risk factors - CORRECT ANSWERS-older adults, LTC, diabetes, heart/renal
disease, hospitalization, indwelling device
CRE symptoms - CORRECT ANSWERS-sepsis (fever, tachycardia, hypotension)
CRE complications - CORRECT ANSWERS-death
C. Diff - CORRECT ANSWERS-most common cause of ABX associated diarrhea, 12%
HAI's, 50% of hospitalized patients are colonized
C. Diff risk factors - CORRECT ANSWERS-use of antimicrobials, immunocompromised,
age >64
C. Diff symptoms - CORRECT ANSWERS-positive stool sample, diarrhea
C. Diff complications - CORRECT ANSWERS-electrolyte imbalance, death, peritonitis,
hypoalbuminemia, paralytic ileus, sepsis, toxic megacolon, fulminant
pseudomembranous colitis
MRSA medications - CORRECT ANSWERS-vanco, linezolid, daptomycin, tigecycline,
clindamycin, sulfamethoxazole-trimethoprim (bactrim)
VRE medications - CORRECT ANSWERS-quinupristin-dalfopristin, linezolid,
daptomycin, tigecycline
CRE medications - CORRECT ANSWERS-ceftazidime-avibactam, meropenem-
vaborbactam, polymyxin based, plazomicin
C.Diff medications - CORRECT ANSWERS-vancomycin, fidaxomicin, metronidazole
ALL QUESTIONS FROM THE PAST ACTUAL EXAMS
ANS 100% CORRECT DETAILED ANSWERS
|A+GRADE
scoliosis symptoms - CORRECT ANSWERS-sideways curvature of spine, uneven
shoulders/waist/hips, one shoulder blade more prominent, cardiopulmonary
compromise if severe
scoliosis management - CORRECT ANSWERS-<50 degrees: conservative, thermal,
PT/OT, exercise, pain management
>50 degrees: surgery, spinal fusion, orthotic brace (TLSO)
scoliosis diagnostics - CORRECT ANSWERS->50 degrees: spinal instability
>60 degrees: thoracic (cardiopulmonary compromise)
scoliosis treatment - CORRECT ANSWERS-monitor cardiopulmonary compromise, fall
prevention, education, maintain level of activity/exercise
Bone cancer - CORRECT ANSWERS-osteosarcoma is most prevalent
Bone cancer symptoms - CORRECT ANSWERS-pain increase with motion, unrelieved
with rest, limping, swelling, redness, decreased ROM, fractures
bone cancer management - CORRECT ANSWERS-respiratory status, neurovascular,
palpation of mass, chemo, protein, emotional support
bone cancer diagnostics - CORRECT ANSWERS-bone biopsy, CT/MRI/bone scan,
metastasis
bone cancer treatment - CORRECT ANSWERS-chemo, radiation, surgery, pain control
1. Limb salvation
2. improve quality of life
3. prevent metastasis
4. survival
MRSA - CORRECT ANSWERS-80% most common MDR
MRSA risk factors - CORRECT ANSWERS-soft tissue infection, hospital in ICU or past
year, LTC facility
MRSA symptoms - CORRECT ANSWERS-pneumonia, soft/skin tissue infection,
bloodstream infection
, MRSA complications - CORRECT ANSWERS-increased death, osteomyelitis, TSS,
multisystem organ failure
VRE (vancomycin-resistant enterococcus) - CORRECT ANSWERS-lower in western
states than eastern, high in hospital/lower with compliance
VRE risk factors - CORRECT ANSWERS-long hospital stay, immunocompromised, long
ABX exposure, invasive procedures/devices
VRE symptoms - CORRECT ANSWERS-peritonitis, bacteremia, wound infection, UTI
VRE complications - CORRECT ANSWERS-VRSA, long hospital cost/stay/ABX
exposure, high mortality, endocarditis
CRE (carbapenem-resistant enterobacteriaceae) - CORRECT ANSWERS-9,300 in
2018, 50% death rate, URGENT
CRE risk factors - CORRECT ANSWERS-older adults, LTC, diabetes, heart/renal
disease, hospitalization, indwelling device
CRE symptoms - CORRECT ANSWERS-sepsis (fever, tachycardia, hypotension)
CRE complications - CORRECT ANSWERS-death
C. Diff - CORRECT ANSWERS-most common cause of ABX associated diarrhea, 12%
HAI's, 50% of hospitalized patients are colonized
C. Diff risk factors - CORRECT ANSWERS-use of antimicrobials, immunocompromised,
age >64
C. Diff symptoms - CORRECT ANSWERS-positive stool sample, diarrhea
C. Diff complications - CORRECT ANSWERS-electrolyte imbalance, death, peritonitis,
hypoalbuminemia, paralytic ileus, sepsis, toxic megacolon, fulminant
pseudomembranous colitis
MRSA medications - CORRECT ANSWERS-vanco, linezolid, daptomycin, tigecycline,
clindamycin, sulfamethoxazole-trimethoprim (bactrim)
VRE medications - CORRECT ANSWERS-quinupristin-dalfopristin, linezolid,
daptomycin, tigecycline
CRE medications - CORRECT ANSWERS-ceftazidime-avibactam, meropenem-
vaborbactam, polymyxin based, plazomicin
C.Diff medications - CORRECT ANSWERS-vancomycin, fidaxomicin, metronidazole
