NUR 3600 Final Questions and Answers Already Graded
What would be 3 characteristics of duchenne muscular dystrophy?
Ans: -Lordosis
-waddling gait
-hypertrophy on calves
Tet of fallot child. Having blue spell, what is happening in their heart when they have this?
Ans: They squat to help with increasing perfusion to heart and brain. When having a blue spell,
shunting desat blood from right to left. Have a problem with their pulmonary vessels, pulmonary
system has pulmonary stenosis, stiffening of it and smaller than. Spasm occurs that decreases
pulmonary blood flow. Multiple defects such as overriding aorta. Malfunction of aorta. Decreases
pulmonary blood flow causing shunting from right to left of desat blood and overriding aorta. Blue
spells mean they get cyanotic caused by spasming of heart that sits next to pulmonary valves causing
backup to aorta
What do you expect a 6 month old to be able to do at well child visit?
Ans: closed posterior fontanel
6 month old postop post laryngotomy tube to help drain, what pain scale would you use?
Ans: FLACC scale
Child who has a systemic disorder, been on antibiotics immunosuppressants and steroids, parents
have smoking history and soreness in mouth and refusing to eat, white plaque in mouth and wont go
away, what is it called?
Ans: candidiasis
Somebody with pinworms, what is principal symptom of this?
Ans: Itchy bottom/perianal itchiness; to detect, put tape on bottom/anus
Have someone with vasocclusive sickle cell crisis, what would you take care of for this child?
© Get it right 2025 Getaway - Stuvia US All rights reserved
, Ans: pain management and IV fluids (hydration)
Pyloric stenosis, what would you see?
Ans: projectile vomiting
Putting cast on, what action do you want to do for this child to help them tolerate it more?
Ans: Use a toy or stuffed animal to demonstrate procedure
In Kawasaki disease, you have long term therapy you use for them that puts them at risk for what?
Ans: ASA puts them at risk for Reyes syndrome
What do you find if you have bedbugs?
Ans: rash
Why would you do a surgical closure to repair a PDA?
Ans: Preventing return of oxygenated blood back to the lungs, pushing oxygenated blood forward
What defect causes increase in pulmonary blood flow?
Ans: ASD (atrial septal defect)
What intervention would help minimize separation anxiety for a hospitalized toddler?
Ans: Allow parents to room in
Giving steroids to someone that has ITP (idiopathic thrombocytopenic purpura) what do you need
to monitor when you give them steroids?
Ans: Signs of infection
5 year old in acute care setting who has sickle cell anemia and having vasoocclusive crisis, parents
experiencing joint pain for 3 days and giving tylenol but does not help, noticed rrecent upper resp
infection prior to joint pain. At 1, admitted with temp 100, HR 120, RR 24, sats 98 RA, both knees
and elbows are hurting, has pain level of 10 on FACES scale, trying not to move legs and arms,
mucous membranes are dry and cap refill less than 2 sec, has not been eating or drinking, breath
sounds shallow, 2L NC, abdomen flat and soft, peripheral IV started, IV infusing, morphine
administered for pain, remains in bed at 4 but now uncooperative and no getting fluids, 4 pain on
FACES scale, bilat moderate resp inspiratory wheezes, clear yellow urine. What in assessment
require another action?
© Get it right 2025 Getaway - Stuvia US All rights reserved
What would be 3 characteristics of duchenne muscular dystrophy?
Ans: -Lordosis
-waddling gait
-hypertrophy on calves
Tet of fallot child. Having blue spell, what is happening in their heart when they have this?
Ans: They squat to help with increasing perfusion to heart and brain. When having a blue spell,
shunting desat blood from right to left. Have a problem with their pulmonary vessels, pulmonary
system has pulmonary stenosis, stiffening of it and smaller than. Spasm occurs that decreases
pulmonary blood flow. Multiple defects such as overriding aorta. Malfunction of aorta. Decreases
pulmonary blood flow causing shunting from right to left of desat blood and overriding aorta. Blue
spells mean they get cyanotic caused by spasming of heart that sits next to pulmonary valves causing
backup to aorta
What do you expect a 6 month old to be able to do at well child visit?
Ans: closed posterior fontanel
6 month old postop post laryngotomy tube to help drain, what pain scale would you use?
Ans: FLACC scale
Child who has a systemic disorder, been on antibiotics immunosuppressants and steroids, parents
have smoking history and soreness in mouth and refusing to eat, white plaque in mouth and wont go
away, what is it called?
Ans: candidiasis
Somebody with pinworms, what is principal symptom of this?
Ans: Itchy bottom/perianal itchiness; to detect, put tape on bottom/anus
Have someone with vasocclusive sickle cell crisis, what would you take care of for this child?
© Get it right 2025 Getaway - Stuvia US All rights reserved
, Ans: pain management and IV fluids (hydration)
Pyloric stenosis, what would you see?
Ans: projectile vomiting
Putting cast on, what action do you want to do for this child to help them tolerate it more?
Ans: Use a toy or stuffed animal to demonstrate procedure
In Kawasaki disease, you have long term therapy you use for them that puts them at risk for what?
Ans: ASA puts them at risk for Reyes syndrome
What do you find if you have bedbugs?
Ans: rash
Why would you do a surgical closure to repair a PDA?
Ans: Preventing return of oxygenated blood back to the lungs, pushing oxygenated blood forward
What defect causes increase in pulmonary blood flow?
Ans: ASD (atrial septal defect)
What intervention would help minimize separation anxiety for a hospitalized toddler?
Ans: Allow parents to room in
Giving steroids to someone that has ITP (idiopathic thrombocytopenic purpura) what do you need
to monitor when you give them steroids?
Ans: Signs of infection
5 year old in acute care setting who has sickle cell anemia and having vasoocclusive crisis, parents
experiencing joint pain for 3 days and giving tylenol but does not help, noticed rrecent upper resp
infection prior to joint pain. At 1, admitted with temp 100, HR 120, RR 24, sats 98 RA, both knees
and elbows are hurting, has pain level of 10 on FACES scale, trying not to move legs and arms,
mucous membranes are dry and cap refill less than 2 sec, has not been eating or drinking, breath
sounds shallow, 2L NC, abdomen flat and soft, peripheral IV started, IV infusing, morphine
administered for pain, remains in bed at 4 but now uncooperative and no getting fluids, 4 pain on
FACES scale, bilat moderate resp inspiratory wheezes, clear yellow urine. What in assessment
require another action?
© Get it right 2025 Getaway - Stuvia US All rights reserved
