NUR 810 FINAL EXAM LATEST 2025 ACTUAL EXAM
TEST BANK| COMPLETE 350 QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED ANSWERS)
ALREADY GRADED A+
What type of coverage do you need for aspiration pneumonia
in the medically complex child? .....ANSWER..... coverage for
anaerobes and gram - bacteria
What type of abx do you treat aspiration pneumonia with?
.....ANSWER..... IV - Ampicillin-sulbactam (Unasyn)
PO - Augmentin
What is tracheitis? .....ANSWER..... Rare bacterial infection
involving the trachea that you have to worry about in medically
complex children
Presentation of tracheitis .....ANSWER..... Increased thickened or
purulent secretions
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Fever
Increased WBCs
S/S of systemic infection
Diagnostics/TX for tracheitis .....ANSWER..... CBC
Culture of secretions (prone to colonization with morexella and
staph)
CXR: No consolidation
IV ABX for 10-14 days
What is automonic storming? .....ANSWER..... paroxysmal
autonomic instability with dystonia and sympathetic hyperactivity
that is uncontrolled and comes and goes
Presentation of autonomic storming .....ANSWER..... Fevers
Irritability
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Tachypnea
Dystonic posturing
Diaphoresis
HTN
Tachycardia
Vomiting
Retching
WOP with autonomic storming .....ANSWER..... CBC, ESR, CrP,
cultures
Procalcitonin
Management of autonomic storming .....ANSWER..... -Identify the
trigger (pain is common)
-Daily controller med like gabapentin for pain
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-Clonidine or propranolol for S/S of overactive sympathetic
system
-Baclofen for muscle rigidity
-PRN tx with benzos and or narcotics
What are the most common organisms that lead to shunt
infections? .....ANSWER..... Staph epidermis (coag negative staph
= most common)
Staph aureus
Can be from gram - organisms such as E. coli or klebsiella
(common with VP shunts where the bacteria was in the gut and
progressed its way up)
Presentation of a shunt malfunction .....ANSWER..... HA
Change in vision
N/V