MIDTERM NUR 3600 UPDATED ACTUAL QUESTIONS AND
CORRECT ANSWERS
Question:
1. A nurse is getting a history from a pt that has suspected acute rheumatic fever. What question would you
want to be sure and ask?
Answer:
Has your son/daughter had a sore throat recently?
Question:
2. What are hyper cyanotic spells (tet spell)?
Answer:
spasm that decreases pulmonary blood flow causing hypoxia
Question:
3. What diagnosis would you see hypercapnic spells most with?
Answer:
tetralogy of fallot
Question:
4. How do you treat hypercapnic spells (tet spells)? What if they are not old enough?
Answer:
squat down, knee to chest to bring volume of blood to upper body if they are not old enough, morphine to
try to relax spasms (IV morphine) relax muscle area below pulmonary valves
Question:
5. How would you treat CHF?
Answer:
diuretic (furosemide) and digoxin
Question:
6. Digoxin Q24 hrs and furosemide Q6 hrs for CHF pt, what might you see in your pt? What do you want
to monitor for?
Answer:
digoxin toxicity and decrease in potassium (hypokalemia), monitor digoxin level and potassium level
Question:
7. What things would you not expect to see in a CHF pt?
Answer:
hypercapnic spells, murmur, fever, carditis, hypertension
Question:
8. When performing newborn assessment, what order should you do your vital signs in?
Answer:
respirations, then pulse, then temperature
, Question:
9. Family centered care is defined as what?
Answer:
partnership with relationship between nurses, physicians, healthcare workers with the parents and the
child/association of everybody coming together
Question:
10. What is your primary critical observation when doing an APGAR score?
Answer:
heart rate
Question:
11. You have a 12 month old toddler who is hospitalized and in contact precautions. What toy would you
use for this child?
Answer:
plastic large building blocks
Question:
12. When you do an abdominal assessment, what should the order of assessment be?
Answer:
inspect, auscultate, superficial palpitation, deep palpitation
Question:
13. What would you keep in plan of care for a three year old who has a fear of painful procedures?
Answer:
have parents in room, keep location of procedure separate from location of comfort, allow them to take a
toy, allow them to take part in procedure as much as possible, perform procedure as quick as possible
Question:
14. What would you expect to find in a 6 month olds well child visit?
Answer:
posterior fontanel closed
Question:
15. Giving discharge instructions to the parent of a 10 year old after doing a cardiac Cath, what would you
include in the instructions?
Answer:
can attend school and perform activities next day as long as not strenuous, no swimming or tub baths, can
eat anything they want to eat, can use Tylenol for discomfort, leave dressing intact for 24 hrs
Question:
16. At what age do you expect a child to be descending stairs by placing both feet on the steps and holding
the railing?
Answer:
3 years old
CORRECT ANSWERS
Question:
1. A nurse is getting a history from a pt that has suspected acute rheumatic fever. What question would you
want to be sure and ask?
Answer:
Has your son/daughter had a sore throat recently?
Question:
2. What are hyper cyanotic spells (tet spell)?
Answer:
spasm that decreases pulmonary blood flow causing hypoxia
Question:
3. What diagnosis would you see hypercapnic spells most with?
Answer:
tetralogy of fallot
Question:
4. How do you treat hypercapnic spells (tet spells)? What if they are not old enough?
Answer:
squat down, knee to chest to bring volume of blood to upper body if they are not old enough, morphine to
try to relax spasms (IV morphine) relax muscle area below pulmonary valves
Question:
5. How would you treat CHF?
Answer:
diuretic (furosemide) and digoxin
Question:
6. Digoxin Q24 hrs and furosemide Q6 hrs for CHF pt, what might you see in your pt? What do you want
to monitor for?
Answer:
digoxin toxicity and decrease in potassium (hypokalemia), monitor digoxin level and potassium level
Question:
7. What things would you not expect to see in a CHF pt?
Answer:
hypercapnic spells, murmur, fever, carditis, hypertension
Question:
8. When performing newborn assessment, what order should you do your vital signs in?
Answer:
respirations, then pulse, then temperature
, Question:
9. Family centered care is defined as what?
Answer:
partnership with relationship between nurses, physicians, healthcare workers with the parents and the
child/association of everybody coming together
Question:
10. What is your primary critical observation when doing an APGAR score?
Answer:
heart rate
Question:
11. You have a 12 month old toddler who is hospitalized and in contact precautions. What toy would you
use for this child?
Answer:
plastic large building blocks
Question:
12. When you do an abdominal assessment, what should the order of assessment be?
Answer:
inspect, auscultate, superficial palpitation, deep palpitation
Question:
13. What would you keep in plan of care for a three year old who has a fear of painful procedures?
Answer:
have parents in room, keep location of procedure separate from location of comfort, allow them to take a
toy, allow them to take part in procedure as much as possible, perform procedure as quick as possible
Question:
14. What would you expect to find in a 6 month olds well child visit?
Answer:
posterior fontanel closed
Question:
15. Giving discharge instructions to the parent of a 10 year old after doing a cardiac Cath, what would you
include in the instructions?
Answer:
can attend school and perform activities next day as long as not strenuous, no swimming or tub baths, can
eat anything they want to eat, can use Tylenol for discomfort, leave dressing intact for 24 hrs
Question:
16. At what age do you expect a child to be descending stairs by placing both feet on the steps and holding
the railing?
Answer:
3 years old
