NUR 3600 FINAL EXAM QUESTIONS AND ANSWERS
What would be 3 characteristics of duchenne muscular dystrophy? - CORRECT ANSWER✅✅-Lordosis
-waddling gait
-hypertrophy on calves
Tet of fallot child. Having blue spell, what is happening in their heart when they have this? - CORRECT
ANSWER✅✅They squat to help with increasing perfusion to heart and brain. When having a blue spell,
shunting desat blood from right to left. Have a problem with their pulmonary vessels, pulmonary system
has pulmonary stenosis, stiffening of it and smaller than. Spasm occurs that decreases pulmonary blood
flow. Multiple defects such as overriding aorta. Malfunction of aorta. Decreases pulmonary blood flow
causing shunting from right to left of desat blood and overriding aorta. Blue spells mean they get
cyanotic caused by spasming of heart that sits next to pulmonary valves causing backup to aorta
What do you expect a 6 month old to be able to do at well child visit? - CORRECT ANSWER✅✅closed
posterior fontanel
6 month old postop post laryngotomy tube to help drain, what pain scale would you use? - CORRECT
ANSWER✅✅FLACC scale
Child who has a systemic disorder, been on antibiotics immunosuppressants and steroids, parents have
smoking history and soreness in mouth and refusing to eat, white plaque in mouth and wont go away,
what is it called? - CORRECT ANSWER✅✅candidiasis
Somebody with pinworms, what is principal symptom of this? - CORRECT ANSWER✅✅Itchy
bottom/perianal itchiness; to detect, put tape on bottom/anus
Have someone with vasocclusive sickle cell crisis, what would you take care of for this child? - CORRECT
ANSWER✅✅pain management and IV fluids (hydration)
Pyloric stenosis, what would you see? - CORRECT ANSWER✅✅projectile vomiting
, Putting cast on, what action do you want to do for this child to help them tolerate it more? - CORRECT
ANSWER✅✅Use a toy or stuffed animal to demonstrate procedure
In Kawasaki disease, you have long term therapy you use for them that puts them at risk for what? -
CORRECT ANSWER✅✅ASA puts them at risk for Reyes syndrome
What do you find if you have bedbugs? - CORRECT ANSWER✅✅rash
Why would you do a surgical closure to repair a PDA? - CORRECT ANSWER✅✅Preventing return of
oxygenated blood back to the lungs, pushing oxygenated blood forward
What defect causes increase in pulmonary blood flow? - CORRECT ANSWER✅✅ASD (atrial septal
defect)
What intervention would help minimize separation anxiety for a hospitalized toddler? - CORRECT
ANSWER✅✅Allow parents to room in
Giving steroids to someone that has ITP (idiopathic thrombocytopenic purpura) what do you need to
monitor when you give them steroids? - CORRECT ANSWER✅✅Signs of infection
5 year old in acute care setting who has sickle cell anemia and having vasoocclusive crisis, parents
experiencing joint pain for 3 days and giving tylenol but does not help, noticed rrecent upper resp
infection prior to joint pain. At 1, admitted with temp 100, HR 120, RR 24, sats 98 RA, both knees and
elbows are hurting, has pain level of 10 on FACES scale, trying not to move legs and arms, mucous
membranes are dry and cap refill less than 2 sec, has not been eating or drinking, breath sounds
shallow, 2L NC, abdomen flat and soft, peripheral IV started, IV infusing, morphine administered for
pain, remains in bed at 4 but now uncooperative and no getting fluids, 4 pain on FACES scale, bilat
moderate resp inspiratory wheezes, clear yellow urine. What in assessment require another action? -
CORRECT ANSWER✅✅-Nasal flaring
-moderate subcostals and retractions
-chest pain and joint pain
-moderate wheezing
-uncooperative and agitated
What would be 3 characteristics of duchenne muscular dystrophy? - CORRECT ANSWER✅✅-Lordosis
-waddling gait
-hypertrophy on calves
Tet of fallot child. Having blue spell, what is happening in their heart when they have this? - CORRECT
ANSWER✅✅They squat to help with increasing perfusion to heart and brain. When having a blue spell,
shunting desat blood from right to left. Have a problem with their pulmonary vessels, pulmonary system
has pulmonary stenosis, stiffening of it and smaller than. Spasm occurs that decreases pulmonary blood
flow. Multiple defects such as overriding aorta. Malfunction of aorta. Decreases pulmonary blood flow
causing shunting from right to left of desat blood and overriding aorta. Blue spells mean they get
cyanotic caused by spasming of heart that sits next to pulmonary valves causing backup to aorta
What do you expect a 6 month old to be able to do at well child visit? - CORRECT ANSWER✅✅closed
posterior fontanel
6 month old postop post laryngotomy tube to help drain, what pain scale would you use? - CORRECT
ANSWER✅✅FLACC scale
Child who has a systemic disorder, been on antibiotics immunosuppressants and steroids, parents have
smoking history and soreness in mouth and refusing to eat, white plaque in mouth and wont go away,
what is it called? - CORRECT ANSWER✅✅candidiasis
Somebody with pinworms, what is principal symptom of this? - CORRECT ANSWER✅✅Itchy
bottom/perianal itchiness; to detect, put tape on bottom/anus
Have someone with vasocclusive sickle cell crisis, what would you take care of for this child? - CORRECT
ANSWER✅✅pain management and IV fluids (hydration)
Pyloric stenosis, what would you see? - CORRECT ANSWER✅✅projectile vomiting
, Putting cast on, what action do you want to do for this child to help them tolerate it more? - CORRECT
ANSWER✅✅Use a toy or stuffed animal to demonstrate procedure
In Kawasaki disease, you have long term therapy you use for them that puts them at risk for what? -
CORRECT ANSWER✅✅ASA puts them at risk for Reyes syndrome
What do you find if you have bedbugs? - CORRECT ANSWER✅✅rash
Why would you do a surgical closure to repair a PDA? - CORRECT ANSWER✅✅Preventing return of
oxygenated blood back to the lungs, pushing oxygenated blood forward
What defect causes increase in pulmonary blood flow? - CORRECT ANSWER✅✅ASD (atrial septal
defect)
What intervention would help minimize separation anxiety for a hospitalized toddler? - CORRECT
ANSWER✅✅Allow parents to room in
Giving steroids to someone that has ITP (idiopathic thrombocytopenic purpura) what do you need to
monitor when you give them steroids? - CORRECT ANSWER✅✅Signs of infection
5 year old in acute care setting who has sickle cell anemia and having vasoocclusive crisis, parents
experiencing joint pain for 3 days and giving tylenol but does not help, noticed rrecent upper resp
infection prior to joint pain. At 1, admitted with temp 100, HR 120, RR 24, sats 98 RA, both knees and
elbows are hurting, has pain level of 10 on FACES scale, trying not to move legs and arms, mucous
membranes are dry and cap refill less than 2 sec, has not been eating or drinking, breath sounds
shallow, 2L NC, abdomen flat and soft, peripheral IV started, IV infusing, morphine administered for
pain, remains in bed at 4 but now uncooperative and no getting fluids, 4 pain on FACES scale, bilat
moderate resp inspiratory wheezes, clear yellow urine. What in assessment require another action? -
CORRECT ANSWER✅✅-Nasal flaring
-moderate subcostals and retractions
-chest pain and joint pain
-moderate wheezing
-uncooperative and agitated
