NURS 366 Final Exam Questions With Complete Solutions
ACE -What is it? What are the components? Correct Answers
3 categories: Abuse, Neglect, Household dysfunction.
- Physical, emotional, sexual, mental illness, divorce,
incarceration, substance abuse
- Results in higher risk of alcholism, COPD, depression, drug
use, multiple sexual partners, STIs, unintended pregnancies
Ambiguous genitalia Correct Answers congenital
malformations that prevent visual identification of childs sex.
chromosome analysis to determine genetic karotype
Assessment findings and clinical manifestations of UTI,
urosepsis, nephrotic syndrome, AGN. Correct Answers UTI:
Issues with emptying and storage. Dysuria.
Urosepsis: tachycardia, fever, chills, confusion.
Nephrotic Syndrome: Edema of face, abd, legs, genitalia, weight
gain, irritable, easily fatigued, susceptible to infection, frothy
and decreased urine.
AGN:
Periorbital edema, facial edema in AM, spreads during the day.
Anorexia, cloudy/cola color urine. Severe oliguria. Pale,
irritable, lethargic, ill appearance. Cardiac enlargement,
pulmonary congestion on CXR.
-Latent period of 10-21 days
- Peak age 6-7 following streptococcal infections
,Care of the post-op patient, identify and manage post-op
complications. Correct Answers Most common complications:
Infection, PE, atelectasis, urinary retention, skin breakdown,
constipation, pain, DVT.
Characteristics of fluid shift in infants. Correct Answers
Unable to concentrate urine well and have little fluid volume
reserve.
Disturbances occur more frequently and rapidly.
More extracellular fluid--- more rapid water loss.
- 2/3 fluid loss through skin, 1/3 through resp.
-2-3x higher body surface area
-BMR is higher
Chordee- Correct Answers Ventral curvature of penis
Compare the differences in signs and symptoms and lab values
of cerebral spinal fluid for bacterial and viral meningitis.
Correct Answers Viral: Symptomatic tx, self-limiting, shorter
treatment
-No bacterial growth from CSF cultures
-WBC: Bacterial: increased neutrophils. Viral: increased lymphs
-Protein: Bacterial increased, normal or slightly increased viral
-Glucose normal in viral, decreased in bacterial
-Pressure normal in viral, increased in bacterial
-Color: clear or slightly cloudy in viral, turbid or cloudy in
bacterial.
, cryptorchidism Correct Answers Undescended testicles
Demonstrate an understanding of the manifestations of a seizure
disorder and the management of a child with such a disorder.
Correct Answers -Identify underlying cause and epileptic or not
(History, EEG observation).
-Drugs: loading, maintenance, break-through
-Observe for triggers/precipitating factors
-Ketogenic diet
-NPO
-Time seizure
-Pad side rails
-rectal meds
Describe age-appropriate medication administration methods.
Correct Answers Infant - Vastus Lateralis until 3 years for
deltoid, ventrogluteal at 18.
Eardrops pull pinna up if less than 2 years.
Describe carb ratio, correction factors and be able to calculate
each. Correct Answers
Describe issues older adults face with polypharmacy. Correct
Answers - Medication management , communicate with
provider about all meds.
Describe management of joint replacement surgery (knee and
hip). Needed patient education and home care. Correct Answers
Hip: Keep legs abducted using pillows. HOB <45 degrees. No
bending over to pick up objects. CMS checks KNEE: Weight-
bearing rx first 24 hours, elevate leg when sitting. Both:
ACE -What is it? What are the components? Correct Answers
3 categories: Abuse, Neglect, Household dysfunction.
- Physical, emotional, sexual, mental illness, divorce,
incarceration, substance abuse
- Results in higher risk of alcholism, COPD, depression, drug
use, multiple sexual partners, STIs, unintended pregnancies
Ambiguous genitalia Correct Answers congenital
malformations that prevent visual identification of childs sex.
chromosome analysis to determine genetic karotype
Assessment findings and clinical manifestations of UTI,
urosepsis, nephrotic syndrome, AGN. Correct Answers UTI:
Issues with emptying and storage. Dysuria.
Urosepsis: tachycardia, fever, chills, confusion.
Nephrotic Syndrome: Edema of face, abd, legs, genitalia, weight
gain, irritable, easily fatigued, susceptible to infection, frothy
and decreased urine.
AGN:
Periorbital edema, facial edema in AM, spreads during the day.
Anorexia, cloudy/cola color urine. Severe oliguria. Pale,
irritable, lethargic, ill appearance. Cardiac enlargement,
pulmonary congestion on CXR.
-Latent period of 10-21 days
- Peak age 6-7 following streptococcal infections
,Care of the post-op patient, identify and manage post-op
complications. Correct Answers Most common complications:
Infection, PE, atelectasis, urinary retention, skin breakdown,
constipation, pain, DVT.
Characteristics of fluid shift in infants. Correct Answers
Unable to concentrate urine well and have little fluid volume
reserve.
Disturbances occur more frequently and rapidly.
More extracellular fluid--- more rapid water loss.
- 2/3 fluid loss through skin, 1/3 through resp.
-2-3x higher body surface area
-BMR is higher
Chordee- Correct Answers Ventral curvature of penis
Compare the differences in signs and symptoms and lab values
of cerebral spinal fluid for bacterial and viral meningitis.
Correct Answers Viral: Symptomatic tx, self-limiting, shorter
treatment
-No bacterial growth from CSF cultures
-WBC: Bacterial: increased neutrophils. Viral: increased lymphs
-Protein: Bacterial increased, normal or slightly increased viral
-Glucose normal in viral, decreased in bacterial
-Pressure normal in viral, increased in bacterial
-Color: clear or slightly cloudy in viral, turbid or cloudy in
bacterial.
, cryptorchidism Correct Answers Undescended testicles
Demonstrate an understanding of the manifestations of a seizure
disorder and the management of a child with such a disorder.
Correct Answers -Identify underlying cause and epileptic or not
(History, EEG observation).
-Drugs: loading, maintenance, break-through
-Observe for triggers/precipitating factors
-Ketogenic diet
-NPO
-Time seizure
-Pad side rails
-rectal meds
Describe age-appropriate medication administration methods.
Correct Answers Infant - Vastus Lateralis until 3 years for
deltoid, ventrogluteal at 18.
Eardrops pull pinna up if less than 2 years.
Describe carb ratio, correction factors and be able to calculate
each. Correct Answers
Describe issues older adults face with polypharmacy. Correct
Answers - Medication management , communicate with
provider about all meds.
Describe management of joint replacement surgery (knee and
hip). Needed patient education and home care. Correct Answers
Hip: Keep legs abducted using pillows. HOB <45 degrees. No
bending over to pick up objects. CMS checks KNEE: Weight-
bearing rx first 24 hours, elevate leg when sitting. Both:
