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NRS 410 PEDS FINAL EXAM SAMPLE
QUESTIONS AND CORRECT DETAILED
ANSWERS (GRADED A+)
Terms in this set (156)
>> Hypoxia early signs
- correct answer- restlessness, sweating, tachypnea, tachycardia, dyspnea, nasal flaring,
retractions, grunting, wheezing
>> Hypoxia late signs
- correct answer- bradycardia, bradypnea, cyanosis, stupor, coma
>> Drowning
- correct answer- can occur in water only 1 inch deep
>> Acetaminophen poisoning 2-4 hours
- correct answer- n/v, sweating, pallor
>> acetaminophen poisoning 24-36 hrs
- correct answer- improvement
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>> Acetaminophen poisoning 36hrs- 7 days
- correct answer- hepatotoxic, RUQ pain, jaundice, coagulation disturbances, confusion, stupor
>> acetaminophen poisoning treatment
- correct answer- give N-acetyecysteine PO
>> lead poisoning low dose
- correct answer- distractibility, hyperactivity, impulsiveness, hearing impairment, mild intellectual
difficulty
>> lead poisoning high dose
- correct answer- cognitive delays, blindness, paralysis, coma, seizures, death
>> initial period of lead poisoning
- correct answer- 30 min to 6 hours after, vomiting, hyperemesis, diarrhea, gastric pain, bloody
stools
>> latency period of lead poisoning
- correct answer- 2-12 hours after, improvement of s/s
>> systemic toxicity period of lead poisoning
- correct answer- 4-24 hours after, metabolic acidosis, hyperglycemia, bleeding, fever, shock,
death
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>> hepatic injury period post lead poisoning
- correct answer- 48-96 hours after, seizures, coma
>> treatment for lead poisoning
- correct answer- calcium EDTA, emesis or lavage
>> routine lead screening
- correct answer- done at 1, 2, 3 years of age
>> Ingestion of hydrocarbon s/s
- correct answer- choking, gagging, coughing, n/v, lethargy, weakness, tachypnea, cyanosis,
grunting, and retractions
>> treatment of ingestion of hydrocarbons
- correct answer- do NOT induce vomiting, intubation with cuffed ET tube prior to gastric
decontamination, treat chemical pneumonia if present
>> ingestion of corrosives s/s
- correct answer- pain and burning in mouth/throat/stomach, edematous lips/tongue/pharynx
with white mucus membranes, violent vomiting with hyperemesis, drooling, anxiety, shock
>> Treatment of ingestion of corrosives
- correct answer- do NOT induce vomiting, airway maintenance is key, NPO, do NOT try to
neutralize acid, pain management
NRS 410 PEDS FINAL EXAM SAMPLE
QUESTIONS AND CORRECT DETAILED
ANSWERS (GRADED A+)
Terms in this set (156)
>> Hypoxia early signs
- correct answer- restlessness, sweating, tachypnea, tachycardia, dyspnea, nasal flaring,
retractions, grunting, wheezing
>> Hypoxia late signs
- correct answer- bradycardia, bradypnea, cyanosis, stupor, coma
>> Drowning
- correct answer- can occur in water only 1 inch deep
>> Acetaminophen poisoning 2-4 hours
- correct answer- n/v, sweating, pallor
>> acetaminophen poisoning 24-36 hrs
- correct answer- improvement
, Page 2 of 27
>> Acetaminophen poisoning 36hrs- 7 days
- correct answer- hepatotoxic, RUQ pain, jaundice, coagulation disturbances, confusion, stupor
>> acetaminophen poisoning treatment
- correct answer- give N-acetyecysteine PO
>> lead poisoning low dose
- correct answer- distractibility, hyperactivity, impulsiveness, hearing impairment, mild intellectual
difficulty
>> lead poisoning high dose
- correct answer- cognitive delays, blindness, paralysis, coma, seizures, death
>> initial period of lead poisoning
- correct answer- 30 min to 6 hours after, vomiting, hyperemesis, diarrhea, gastric pain, bloody
stools
>> latency period of lead poisoning
- correct answer- 2-12 hours after, improvement of s/s
>> systemic toxicity period of lead poisoning
- correct answer- 4-24 hours after, metabolic acidosis, hyperglycemia, bleeding, fever, shock,
death
, Page 3 of 27
>> hepatic injury period post lead poisoning
- correct answer- 48-96 hours after, seizures, coma
>> treatment for lead poisoning
- correct answer- calcium EDTA, emesis or lavage
>> routine lead screening
- correct answer- done at 1, 2, 3 years of age
>> Ingestion of hydrocarbon s/s
- correct answer- choking, gagging, coughing, n/v, lethargy, weakness, tachypnea, cyanosis,
grunting, and retractions
>> treatment of ingestion of hydrocarbons
- correct answer- do NOT induce vomiting, intubation with cuffed ET tube prior to gastric
decontamination, treat chemical pneumonia if present
>> ingestion of corrosives s/s
- correct answer- pain and burning in mouth/throat/stomach, edematous lips/tongue/pharynx
with white mucus membranes, violent vomiting with hyperemesis, drooling, anxiety, shock
>> Treatment of ingestion of corrosives
- correct answer- do NOT induce vomiting, airway maintenance is key, NPO, do NOT try to
neutralize acid, pain management