NUR 336 PEDS EXAM 3 ARIZONA COLLEGE LATEST 2023-2024 ACTUAL EXAM STUDY GUIDE COMPLETE
QUESTIONS AND CORRECT DETAILED ANSWERS
Acquired thrombocytopenia - (answer) decreased platelets - at risk for bleeding, bruising. Know how to
document - purpura, petechiae
Thalassemia - (answer) congenital genetic lack of hemoglobin/ lack of oxygen in cells (body can't
renew enough cells). Weak, yellow, fatigue, dark urine, slow growth, abdominal swelling
Immune thrombocytopenia purpura - (answer) often confused with leukemia. Genetic condition that
causes spleen to destroy platelets, autoimmune disorder. May need spleen removed
Sickle cell disease - (answer) abnormal shaped red blood cells, genetic, African American (mutated to
protect against malaria). Cool hands/ feet, fatigue, headache, jaundice, chronic pain, pallor, SOB,
dizziness. Stop the pain, admin IV fluids, fever needs immediate culture and IV antibiotics, execute
guidelines (to prevent organ damage/ stroke), reduce morbidity (SAFER).
High risk with sickle cell - (answer) Cerebral vascular accident or stroke due to vaso occlusive crisis high
risk! Access vascular in arms AND legs! Oxygenate, hydration, pain, support
A child is being discharged for sickle cell anemia crisis, what should the nurse include? - (answer) Make
sure they stay hydrated, plenty of water
Sickle cell treatments - (answer) splenectomy - no MMR, chickenpox or live vaccines!, blood
transfusion, get informed consent first! oxygen
Hemophilia - (answer) genetic, no factor 8 clotting. Bleeding gums, nosebleeds, swelling joints,
bruises, coughing/ vomiting blood, heavy menses, blood in stool/ urine. Hemarthrosis - swelling in the
knee joints. Admin factor replacement.
Lead poisoning - (answer) chronic ingestion or inhalation of materials containing lead
HIV - (answer) via maternal utero transmission, needles, sexual contact
, NUR 336 PEDS EXAM 3 ARIZONA COLLEGE LATEST 2023-2024 ACTUAL EXAM STUDY GUIDE COMPLETE
QUESTIONS AND CORRECT DETAILED ANSWERS
What is a priority for peds HIV/ AIDS patient? - (answer) new cough, fever, suicidal thoughts, change in
mental status. Common infections - TB, candidiasis, herpes. Needs flu shot yearly, take their HIV meds.
Cancer/ oncology - neoplasm - (answer) uncontrolled abnormal cell growth, monitor for fever -
emergency! automatic spinal tap for ped under 6 months. Radiation therapy (not chemo), expect
fatigue, red skin, diarrhea, headaches, N/V.
Leukemia - (answer) most common in kids - acute lymphoblastic leukemia. Malignant disease of blood
and lymphs. Blood cancer affecting WBC. Non-stop fever, never healing bruises, bones break easily.
Weight loss, fatigued, swelling lymphs, lack of appetite.
Leukemia/ neoplasm Diagnostics - (answer) bone marrow aspiration, position the patient laterally with
the iliac crest facing upward. neutrophil count - less than 500 high risk for infection, neutropenic
precautions! Patient MUST wear mask to leave room!
If the goal is to maintain skin integrity, how can a nurse prevent skin breakdown? - (answer) Rotate site
of BP cuff and pulse ox every 2-5 hours, Reposition every 2 hours with HOB < 30, Change diapers and
linens every day, Use barrier creams with zin oxide with GENTLE patting
Contact dermatitis is an external skin condition caused from an irritant or allergy. What are
interventions? - (answer) Wash with soap and water within 15 min of exposure, Apply calamine lotion
for itching, Apply a cool wet compress of Burow's solution, All of the above
With burns, there is a high risk of airway obstruction that can occur 24 hours later. What should a nurse
prioritize? - (answer) Oxygen and possible endotracheal intubation
To prevent a burn from becoming systemic (s/s of fever, malaise, decreased response to pain), what
should a nurse do? - (answer) Apply cool normal saline compress, Apply topical Bacitracin ointment,
Admin ibuprofen or opioids for pain, NEVER PUT ICE ON BURNS
Atopic Dermatitis is seen with dry pruritic/scaling lesions on the skin. What should a nurse educate? -
(answer) Keep pt in humidified environment to prevent dryness, Use topical steroids or to reduce
inflammation, Use oral antihistamines to avoid scratching at night, Use moisturizing cream/soap
QUESTIONS AND CORRECT DETAILED ANSWERS
Acquired thrombocytopenia - (answer) decreased platelets - at risk for bleeding, bruising. Know how to
document - purpura, petechiae
Thalassemia - (answer) congenital genetic lack of hemoglobin/ lack of oxygen in cells (body can't
renew enough cells). Weak, yellow, fatigue, dark urine, slow growth, abdominal swelling
Immune thrombocytopenia purpura - (answer) often confused with leukemia. Genetic condition that
causes spleen to destroy platelets, autoimmune disorder. May need spleen removed
Sickle cell disease - (answer) abnormal shaped red blood cells, genetic, African American (mutated to
protect against malaria). Cool hands/ feet, fatigue, headache, jaundice, chronic pain, pallor, SOB,
dizziness. Stop the pain, admin IV fluids, fever needs immediate culture and IV antibiotics, execute
guidelines (to prevent organ damage/ stroke), reduce morbidity (SAFER).
High risk with sickle cell - (answer) Cerebral vascular accident or stroke due to vaso occlusive crisis high
risk! Access vascular in arms AND legs! Oxygenate, hydration, pain, support
A child is being discharged for sickle cell anemia crisis, what should the nurse include? - (answer) Make
sure they stay hydrated, plenty of water
Sickle cell treatments - (answer) splenectomy - no MMR, chickenpox or live vaccines!, blood
transfusion, get informed consent first! oxygen
Hemophilia - (answer) genetic, no factor 8 clotting. Bleeding gums, nosebleeds, swelling joints,
bruises, coughing/ vomiting blood, heavy menses, blood in stool/ urine. Hemarthrosis - swelling in the
knee joints. Admin factor replacement.
Lead poisoning - (answer) chronic ingestion or inhalation of materials containing lead
HIV - (answer) via maternal utero transmission, needles, sexual contact
, NUR 336 PEDS EXAM 3 ARIZONA COLLEGE LATEST 2023-2024 ACTUAL EXAM STUDY GUIDE COMPLETE
QUESTIONS AND CORRECT DETAILED ANSWERS
What is a priority for peds HIV/ AIDS patient? - (answer) new cough, fever, suicidal thoughts, change in
mental status. Common infections - TB, candidiasis, herpes. Needs flu shot yearly, take their HIV meds.
Cancer/ oncology - neoplasm - (answer) uncontrolled abnormal cell growth, monitor for fever -
emergency! automatic spinal tap for ped under 6 months. Radiation therapy (not chemo), expect
fatigue, red skin, diarrhea, headaches, N/V.
Leukemia - (answer) most common in kids - acute lymphoblastic leukemia. Malignant disease of blood
and lymphs. Blood cancer affecting WBC. Non-stop fever, never healing bruises, bones break easily.
Weight loss, fatigued, swelling lymphs, lack of appetite.
Leukemia/ neoplasm Diagnostics - (answer) bone marrow aspiration, position the patient laterally with
the iliac crest facing upward. neutrophil count - less than 500 high risk for infection, neutropenic
precautions! Patient MUST wear mask to leave room!
If the goal is to maintain skin integrity, how can a nurse prevent skin breakdown? - (answer) Rotate site
of BP cuff and pulse ox every 2-5 hours, Reposition every 2 hours with HOB < 30, Change diapers and
linens every day, Use barrier creams with zin oxide with GENTLE patting
Contact dermatitis is an external skin condition caused from an irritant or allergy. What are
interventions? - (answer) Wash with soap and water within 15 min of exposure, Apply calamine lotion
for itching, Apply a cool wet compress of Burow's solution, All of the above
With burns, there is a high risk of airway obstruction that can occur 24 hours later. What should a nurse
prioritize? - (answer) Oxygen and possible endotracheal intubation
To prevent a burn from becoming systemic (s/s of fever, malaise, decreased response to pain), what
should a nurse do? - (answer) Apply cool normal saline compress, Apply topical Bacitracin ointment,
Admin ibuprofen or opioids for pain, NEVER PUT ICE ON BURNS
Atopic Dermatitis is seen with dry pruritic/scaling lesions on the skin. What should a nurse educate? -
(answer) Keep pt in humidified environment to prevent dryness, Use topical steroids or to reduce
inflammation, Use oral antihistamines to avoid scratching at night, Use moisturizing cream/soap
