NR 328 EXAMS TEST 2027 ANSWERS AND
QUESTIONS SET A+
✔✔Wilm's Tumor: Post Op Assessment - ✔✔- return of bowel sounds
- edema
- BP
- distension
- vomiting
- pain
- urine output
- infections
✔✔Wilm's Tumor: Care - ✔✔- explanation of procedure
- explanation of radiation and chemo benefits
- side effects=loss of hair usually about 2 weeks after first round of chemo
- recover is usually rapid
- survival is 80-90%
✔✔Diagnostic Tests: GU Disorders - ✔✔- ultrasound
- urinalysis
- blood tests
- ct scan
- VCUB
- KUB
- Biopsy
✔✔Acute Renal Failure: Nutrition - ✔✔- concentrate food sources high in carbs and fat
but low in protein, potassium and sodium
- control of water balance is extremely important (IV fluids preferred)
✔✔Acute Renal Failure: Treatment - ✔✔- prevention
- treating the underlying cause
- management of complications
- provision of supportive therapy
, ✔✔Medications to treat hyperkalemia - ✔✔- calcium gluconate
- sodium bicarbonate
- glucose, 50% and insulin
- kayexalate
- dialysis
✔✔VSD - ✔✔- most common congenital defect
- CHF due to volume overload
- severity depends on size and location in septum
- may have single hole or many (swiss cheese)
- loud halo systolic murmur heard best and sternal border
- prophylaxis required for dental work to prevent endocarditis
✔✔VSD Treatment - ✔✔- many will close on their own, usually during first year of life
- surgical treatment
✔✔Coarctation of Aorta - ✔✔- narrowed segment of aorta near ductus arteriosis
- check bp in all extremities
- increase bp (upper)
- decreased bp (lower)
- signs of chf
- treatment is surgery or balloon
✔✔CHF Interventions - ✔✔- Digoxin
- Ace Inhibitors
- Diuretics
- Fluid Restrictions
- Daily weight/I&O
- oxygen
- monitor vitals and electrolytes
✔✔CHF: Nursing Diagnosis - ✔✔- fluid volume overload
- impaired gas exchange
- imbalanced nutrition
- activity intolerance
- decreased cardiac output
✔✔Congenital Heart Defects: S/S - ✔✔- mumur
- assess pmi
- pallor, cyanosis
- tachycardia
- poor feeding
- regurgitation
- frequent uri's
- activity intolerance
QUESTIONS SET A+
✔✔Wilm's Tumor: Post Op Assessment - ✔✔- return of bowel sounds
- edema
- BP
- distension
- vomiting
- pain
- urine output
- infections
✔✔Wilm's Tumor: Care - ✔✔- explanation of procedure
- explanation of radiation and chemo benefits
- side effects=loss of hair usually about 2 weeks after first round of chemo
- recover is usually rapid
- survival is 80-90%
✔✔Diagnostic Tests: GU Disorders - ✔✔- ultrasound
- urinalysis
- blood tests
- ct scan
- VCUB
- KUB
- Biopsy
✔✔Acute Renal Failure: Nutrition - ✔✔- concentrate food sources high in carbs and fat
but low in protein, potassium and sodium
- control of water balance is extremely important (IV fluids preferred)
✔✔Acute Renal Failure: Treatment - ✔✔- prevention
- treating the underlying cause
- management of complications
- provision of supportive therapy
, ✔✔Medications to treat hyperkalemia - ✔✔- calcium gluconate
- sodium bicarbonate
- glucose, 50% and insulin
- kayexalate
- dialysis
✔✔VSD - ✔✔- most common congenital defect
- CHF due to volume overload
- severity depends on size and location in septum
- may have single hole or many (swiss cheese)
- loud halo systolic murmur heard best and sternal border
- prophylaxis required for dental work to prevent endocarditis
✔✔VSD Treatment - ✔✔- many will close on their own, usually during first year of life
- surgical treatment
✔✔Coarctation of Aorta - ✔✔- narrowed segment of aorta near ductus arteriosis
- check bp in all extremities
- increase bp (upper)
- decreased bp (lower)
- signs of chf
- treatment is surgery or balloon
✔✔CHF Interventions - ✔✔- Digoxin
- Ace Inhibitors
- Diuretics
- Fluid Restrictions
- Daily weight/I&O
- oxygen
- monitor vitals and electrolytes
✔✔CHF: Nursing Diagnosis - ✔✔- fluid volume overload
- impaired gas exchange
- imbalanced nutrition
- activity intolerance
- decreased cardiac output
✔✔Congenital Heart Defects: S/S - ✔✔- mumur
- assess pmi
- pallor, cyanosis
- tachycardia
- poor feeding
- regurgitation
- frequent uri's
- activity intolerance
