NUR 3490 EXAM 2 SET 3 | COMPREHENSIVE STUDY GUIDE, NCLEX-STYLE
PRACTICE QUESTIONS & ANSWERS 2026/2027
Pertussis - ANS ✔✔Also known as whooping cough, is a highly contagious respiratory disease. It
is caused by the bacterium Bordetella pertussis
This repository disease is known for uncontrollable, violent coughing which often makes it hard
to breathe
Pertussis Assessment - ANS ✔✔Airway patency. Maintaining patent airway is always the first
priority.
Auscultation. Auscultate lungs for presence of normal or adventitious breath sounds.
Respirations. Assess respirations, note quality, rate, pattern, depth, flaring of nostrils, dyspnea
on exertion, evidence of splinting, use of accessory muscles, and position for breathing.
Pertussis Vaccine - ANS ✔✔Vaccine given at 2 months!
First dose: 2 months
Second dose: 4 months
Third dose: 6 months
Fourth dose: 15 months
Sickle cell - ANS ✔✔Features in having an abnormal shape causing decreased O2 carrying ability
Increased blood viscosity
Obstructing blood flow that results in hypoxia
Nurse Katriz is planning a client education program for sickle cell disease (SCD); what topics
should be included in the plan of care? - ANS ✔✔Proper hand washing and infection avoidance
, Sickle cell disease (SCD) primarily affects: - ANS ✔✔Both African descent and Hispanics of
Caribbean ancestry and Middle-Eastern and Indian descent
Sickle Cell Disease (SCD) genetics - ANS ✔✔Sickle cell anemia (SCD) is an inherited disorder of
the hemoglobin in blood.
Sickle cell anemia requires the inheritance of two sickle cell genes.
Sickle cell trait, which is the inheritance of one sickle gene, almost never causes problems
Virtually all of the major symptoms of sickle cell anemia are the direct result of .............. - ANS
✔✔the abnormally shaped sickled red blood cells obstructing the flow of blood.
The contemporary treatment of sickle cell anemia is focused primarily toward ............. - ANS
✔✔managing the individual features of the illness as they occur.
In children diagnosed with sickle cell disease (SCD), tissue damage results from which of the
following? - ANS ✔✔Local tissue damage with ischemia and necrosis due to obstructed
circulation
A 6 year-old is admitted with sickle cell crisis. The patient has a FACE scale rating of 10 and the
following vital signs: HR 115, BP 120/82, RR 18, oxygen saturation 91%, temperature 101.4'F.
Select all the appropriate nursing interventions for this patient at this time? - ANS
✔✔Administer IV Morphine per MD order
Administer oxygen per MD order
Start intravenous fluids per MD order
Keep patient on bed rest
Remove restrictive clothing or objects from the patient
Sickle Cell Crisis Interventions - ANS ✔✔To help alleviate the RBCs from clumping together and
sickling, oxygen and hydration are priority.
PRACTICE QUESTIONS & ANSWERS 2026/2027
Pertussis - ANS ✔✔Also known as whooping cough, is a highly contagious respiratory disease. It
is caused by the bacterium Bordetella pertussis
This repository disease is known for uncontrollable, violent coughing which often makes it hard
to breathe
Pertussis Assessment - ANS ✔✔Airway patency. Maintaining patent airway is always the first
priority.
Auscultation. Auscultate lungs for presence of normal or adventitious breath sounds.
Respirations. Assess respirations, note quality, rate, pattern, depth, flaring of nostrils, dyspnea
on exertion, evidence of splinting, use of accessory muscles, and position for breathing.
Pertussis Vaccine - ANS ✔✔Vaccine given at 2 months!
First dose: 2 months
Second dose: 4 months
Third dose: 6 months
Fourth dose: 15 months
Sickle cell - ANS ✔✔Features in having an abnormal shape causing decreased O2 carrying ability
Increased blood viscosity
Obstructing blood flow that results in hypoxia
Nurse Katriz is planning a client education program for sickle cell disease (SCD); what topics
should be included in the plan of care? - ANS ✔✔Proper hand washing and infection avoidance
, Sickle cell disease (SCD) primarily affects: - ANS ✔✔Both African descent and Hispanics of
Caribbean ancestry and Middle-Eastern and Indian descent
Sickle Cell Disease (SCD) genetics - ANS ✔✔Sickle cell anemia (SCD) is an inherited disorder of
the hemoglobin in blood.
Sickle cell anemia requires the inheritance of two sickle cell genes.
Sickle cell trait, which is the inheritance of one sickle gene, almost never causes problems
Virtually all of the major symptoms of sickle cell anemia are the direct result of .............. - ANS
✔✔the abnormally shaped sickled red blood cells obstructing the flow of blood.
The contemporary treatment of sickle cell anemia is focused primarily toward ............. - ANS
✔✔managing the individual features of the illness as they occur.
In children diagnosed with sickle cell disease (SCD), tissue damage results from which of the
following? - ANS ✔✔Local tissue damage with ischemia and necrosis due to obstructed
circulation
A 6 year-old is admitted with sickle cell crisis. The patient has a FACE scale rating of 10 and the
following vital signs: HR 115, BP 120/82, RR 18, oxygen saturation 91%, temperature 101.4'F.
Select all the appropriate nursing interventions for this patient at this time? - ANS
✔✔Administer IV Morphine per MD order
Administer oxygen per MD order
Start intravenous fluids per MD order
Keep patient on bed rest
Remove restrictive clothing or objects from the patient
Sickle Cell Crisis Interventions - ANS ✔✔To help alleviate the RBCs from clumping together and
sickling, oxygen and hydration are priority.
