RASMUSSEN UNIVERSITY MATERNAL CHILD
HEALTH NURSING (NUR 2633) FINAL EXAM SG
2025 |125 QUESTIONS WITH ACCURATE
SOLUTIONS
,125 questions
Chapter 40 - Respiratory Disorders
Asthma
● s/s chronic nonproductive cough, diffuse wheezing on expiration,
retractions, tachypnea
● Tx: nebulizer via mask = for 10-15 min
Bronchiolitis - caused by RSV
● Inflammation and swelling of bronchioles → may cause bronchospasms
● S/S: upper airway congestion and wheezing, intermittent fever, and apneic
spells
○ Wheezing NOT reversed with albuterol
○ First 3 days are critical = peaks day 5, cough for 2-4 weeks
● Elevate HOB
● Humidified oxygen air to get O2 sat > 90% + steamy shower or cool mist
● Clear liquids PO
● Suction the nasopharynx as needed
Pneumonia
● s/s ***Productive harsh cough, fine crackles (rales), fever, diminished breath
sounds
● Tx: small, frequent meals, clear liquids = avoid dairy
Croup - swelling of vocal cords
● s/s Barking cough, stridor, dyspnea, URI symptoms
● Stridor at rest = Racemic Epinephrine nebulizer therapy
○ Cool air + dexamethasone (0.6 mg/kg) to reduce inflammation
● NO cough medications - it dries out and thickens secretions
● Tx: elevate HOB, humidified O2, corticosteroids (dexamethasone) unless
bacterial
Cystic Fibrosis - causes pancreatic insufficiency = can’t digest and absorb
nutrients
- s/s: thick tenacious mucus, steatorrhea, wheezing, barrel chest, finger
clubbing
- Chronic hypoxemia, frequent respiratory infections
- Diabetes mellitus = monitor BG
- Sweat chloride test = confirms dx
- Tx: tobramycin, albuterol, dornase alfa, fat-soluble vit
(A,D,E,K)
- Give pancrelipase with meals/snacks and high-protein diet
- May interfere with iron absorption = risk for anemia
- Chest physiotherapy (CPT) - give albuterol before
- Goal = increased expectoration
Bacterial Epiglottitis = caused by Hib
● s/s: drooling, absence of cough, dysphonia, dysphagia, inspiratory stridor,
, high fever
● Do NOT put anything in their throat
● Nasotracheal intubation = overriding priority when drooling is present
HEALTH NURSING (NUR 2633) FINAL EXAM SG
2025 |125 QUESTIONS WITH ACCURATE
SOLUTIONS
,125 questions
Chapter 40 - Respiratory Disorders
Asthma
● s/s chronic nonproductive cough, diffuse wheezing on expiration,
retractions, tachypnea
● Tx: nebulizer via mask = for 10-15 min
Bronchiolitis - caused by RSV
● Inflammation and swelling of bronchioles → may cause bronchospasms
● S/S: upper airway congestion and wheezing, intermittent fever, and apneic
spells
○ Wheezing NOT reversed with albuterol
○ First 3 days are critical = peaks day 5, cough for 2-4 weeks
● Elevate HOB
● Humidified oxygen air to get O2 sat > 90% + steamy shower or cool mist
● Clear liquids PO
● Suction the nasopharynx as needed
Pneumonia
● s/s ***Productive harsh cough, fine crackles (rales), fever, diminished breath
sounds
● Tx: small, frequent meals, clear liquids = avoid dairy
Croup - swelling of vocal cords
● s/s Barking cough, stridor, dyspnea, URI symptoms
● Stridor at rest = Racemic Epinephrine nebulizer therapy
○ Cool air + dexamethasone (0.6 mg/kg) to reduce inflammation
● NO cough medications - it dries out and thickens secretions
● Tx: elevate HOB, humidified O2, corticosteroids (dexamethasone) unless
bacterial
Cystic Fibrosis - causes pancreatic insufficiency = can’t digest and absorb
nutrients
- s/s: thick tenacious mucus, steatorrhea, wheezing, barrel chest, finger
clubbing
- Chronic hypoxemia, frequent respiratory infections
- Diabetes mellitus = monitor BG
- Sweat chloride test = confirms dx
- Tx: tobramycin, albuterol, dornase alfa, fat-soluble vit
(A,D,E,K)
- Give pancrelipase with meals/snacks and high-protein diet
- May interfere with iron absorption = risk for anemia
- Chest physiotherapy (CPT) - give albuterol before
- Goal = increased expectoration
Bacterial Epiglottitis = caused by Hib
● s/s: drooling, absence of cough, dysphonia, dysphagia, inspiratory stridor,
, high fever
● Do NOT put anything in their throat
● Nasotracheal intubation = overriding priority when drooling is present
