Midterm NUR 3600 Questions and Answers Already Passed
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? - AnswersHas your son/daughter had a sore throat recently?
What are hyper cyanotic spells (tet spell)? - Answersspasm that decreases pulmonary blood flow causing
hypoxia
What diagnosis would you see hypercapnic spells most with? - Answerstetralogy of fallot
How do you treat hypercapnic spells (tet spells)? What if they are not old enough? - Answerssquat
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
How would you treat CHF? - Answersdiuretic (furosemide) and digoxin
Digoxin Q24 hrs and furosemide Q6 hrs for CHF pt, what might you see in your pt? What do you want to
monitor for? - Answersdigoxin toxicity and decrease in potassium (hypokalemia), monitor digoxin level
and potassium level
What things would you not expect to see in a CHF pt? - Answershypercapnic spells, murmur, fever,
carditis, hypertension
When performing newborn assessment, what order should you do your vital signs in? -
Answersrespirations, then pulse, then temperature
Family centered care is defined as what? - Answerspartnership with relationship between nurses,
physicians, healthcare workers with the parents and the child/association of everybody coming together
What is your primary critical observation when doing an APGAR score? - Answersheart rate
You have a 12 month old toddler who is hospitalized and in contact precautions. What toy would you
use for this child? - Answersplastic large building blocks
When you do an abdominal assessment, what should the order of assessment be? - Answersinspect,
auscultate, superficial palpitation, deep palpitation
What would you keep in plan of care for a three year old who has a fear of painful procedures? -
Answershave 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
What would you expect to find in a 6 month olds well child visit? - Answersposterior fontanel closed
Giving discharge instructions to the parent of a 10 year old after doing a cardiac Cath, what would you
include in the instructions? - Answerscan 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
At what age do you expect a child to be descending stairs by placing both feet on the steps and holding
the railing? - Answers3 years old
What would help provide child better sleep when they are hospitalized? - Answersbedtime routines
What approach is going to ensure a positive response from a toddler when you are trying to increase
communication? - Answersget on eye level, soft stance, arms loose at sides, explain in terms they can
understand, open ended questions, talk quietly
When getting history from family and thinking it is rheumatic fever again, what would be significant to
find out in the history of the family? - Answerssibling who has been ill lately (sibling who had sore throat
3 weeks ago)
Family wants to know what they should expect of a preschooler for their child development, what would
you include for them to expect for a preschooler? - Answersimaginary friends
Now assessing a 10 month old child, what findings would you want to report to the provider? -
Answersdoesn't sit steadily without support
How would you talk to a toddler when you need to listen to their breath sounds? - AnswersI'm going to
listen to your heart and your lungs
Assessing a 15 month old, which of the following should the nurse report to the provider? -
Answerscannot stand upright without support
Where are you going to listen to the heart sounds when taking vital signs? - Answersapex of heart
You are teaching somebody about taking respiratory rate, you tell them to take it for a full minute. Why
do you tell them that? - Answersbaby's rate and rhythm of breathing is irregular
Assessing a 3 month old, what would you report to the provider? - Answerscan't raise their head when
in a prone position
What is the system that you need to evaluate for someone with Kawasaki disease? -
Answerscardiovascular system (need to be in ICU to be monitored)
Now have a toddler who has gone to Cath lab, what do you expect for outcomes to be achieved post
care? - Answerswant to know got pulses back and they are equal and bilateral after a little bit of time,
lacets that have catheter in it is warm to touch and equal in color to the other side, pressure dressing is
intact and small amount of dry blood, temp is normalized, apical heart rate is strong and regular, can
take whatever they want to for oral intake, should not have much pain (warmth and color of legs is
equal, pulses are strong and equal, apical heart rate is strong and regular)
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? - AnswersHas your son/daughter had a sore throat recently?
What are hyper cyanotic spells (tet spell)? - Answersspasm that decreases pulmonary blood flow causing
hypoxia
What diagnosis would you see hypercapnic spells most with? - Answerstetralogy of fallot
How do you treat hypercapnic spells (tet spells)? What if they are not old enough? - Answerssquat
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
How would you treat CHF? - Answersdiuretic (furosemide) and digoxin
Digoxin Q24 hrs and furosemide Q6 hrs for CHF pt, what might you see in your pt? What do you want to
monitor for? - Answersdigoxin toxicity and decrease in potassium (hypokalemia), monitor digoxin level
and potassium level
What things would you not expect to see in a CHF pt? - Answershypercapnic spells, murmur, fever,
carditis, hypertension
When performing newborn assessment, what order should you do your vital signs in? -
Answersrespirations, then pulse, then temperature
Family centered care is defined as what? - Answerspartnership with relationship between nurses,
physicians, healthcare workers with the parents and the child/association of everybody coming together
What is your primary critical observation when doing an APGAR score? - Answersheart rate
You have a 12 month old toddler who is hospitalized and in contact precautions. What toy would you
use for this child? - Answersplastic large building blocks
When you do an abdominal assessment, what should the order of assessment be? - Answersinspect,
auscultate, superficial palpitation, deep palpitation
What would you keep in plan of care for a three year old who has a fear of painful procedures? -
Answershave 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
What would you expect to find in a 6 month olds well child visit? - Answersposterior fontanel closed
Giving discharge instructions to the parent of a 10 year old after doing a cardiac Cath, what would you
include in the instructions? - Answerscan 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
At what age do you expect a child to be descending stairs by placing both feet on the steps and holding
the railing? - Answers3 years old
What would help provide child better sleep when they are hospitalized? - Answersbedtime routines
What approach is going to ensure a positive response from a toddler when you are trying to increase
communication? - Answersget on eye level, soft stance, arms loose at sides, explain in terms they can
understand, open ended questions, talk quietly
When getting history from family and thinking it is rheumatic fever again, what would be significant to
find out in the history of the family? - Answerssibling who has been ill lately (sibling who had sore throat
3 weeks ago)
Family wants to know what they should expect of a preschooler for their child development, what would
you include for them to expect for a preschooler? - Answersimaginary friends
Now assessing a 10 month old child, what findings would you want to report to the provider? -
Answersdoesn't sit steadily without support
How would you talk to a toddler when you need to listen to their breath sounds? - AnswersI'm going to
listen to your heart and your lungs
Assessing a 15 month old, which of the following should the nurse report to the provider? -
Answerscannot stand upright without support
Where are you going to listen to the heart sounds when taking vital signs? - Answersapex of heart
You are teaching somebody about taking respiratory rate, you tell them to take it for a full minute. Why
do you tell them that? - Answersbaby's rate and rhythm of breathing is irregular
Assessing a 3 month old, what would you report to the provider? - Answerscan't raise their head when
in a prone position
What is the system that you need to evaluate for someone with Kawasaki disease? -
Answerscardiovascular system (need to be in ICU to be monitored)
Now have a toddler who has gone to Cath lab, what do you expect for outcomes to be achieved post
care? - Answerswant to know got pulses back and they are equal and bilateral after a little bit of time,
lacets that have catheter in it is warm to touch and equal in color to the other side, pressure dressing is
intact and small amount of dry blood, temp is normalized, apical heart rate is strong and regular, can
take whatever they want to for oral intake, should not have much pain (warmth and color of legs is
equal, pulses are strong and equal, apical heart rate is strong and regular)
