NUR201 EXAM QUESTIONS AND CORRECT ANSWERS| GRADED A+|PASS!!
1.setting limits - ANSWER implemented to prevent and/or respond to unclear or inappropriate behaviors
and to maximize the therapeutic experience; clearly conveys expectations, consequences of not meeting
those expectations; may be verbal, physical, and/or written
2.discipline - ANSWER Methods used to prevent behavior problems from occurring or to respond to
behavior problems so as to reduce their occurrence in the future.
3.punishment - ANSWER An aversive action taken that follows a voluntary behavior thereby decreasing
the probability the behavior will be repeated
4.authoritarian parenting - ANSWER style of parenting in which parent is rigid and overly strict, showing
little warmth to the child
5.authoritative parenting - ANSWER parenting style characterized by emotional warmth, high standards
for behavior, explanation and consistent enforcement of rules, and inclusion of children in decision
making
6.permissive parenting - ANSWER an approach to child rearing that is characterized by high nurturance
and communication but little discipline, guidance, or control
7.neglectful parenting - ANSWER a parenting style characterized by a lack of parental involvement in the
child's life
8.Family Assessment - ANSWER 1. Health history
2. Interpersonal interactions
3. Lifespan and cultural considerations
9.Family Interview - ANSWER 1. Structure - who has custody, illness in family, legal power of attorney
2. Role/function/resources - support system, who provides, health insurance
3. Physical and mental health status - vaccines, chronic illnesses, health status of family members
,4. Family interactions and values - communication, religion, culture, family health values
10.Child Abuse - Nursing Assessment - ANSWER - Includes physical & mental injury, sexual abuse, &
neglect.
- Most important indicators of abuse - injuries not congruent with the child's developmental age or skills,
injuries not correlated with the stated cause, & delay in seeking medical care.
- Bruises in unusual places & in various stages of healing.
- Bruises, welts caused by belts, cords.
- Burns.
- Whiplash injuries caused by being shaken.
- Bald patches where hair has been pulled.
- Fractures in various stages of healing.
- Failure to thrive, unattended to physical problems.
- Torn, stained bloody under clothes.
- Bedwetting.
- STDs.
- Parent seeing child as different from other children.
- Parent using child to meet own needs.
- Parent seldom touching or responding to child.
- Child appearing frightened & withdrawal in presence of parent or other adult.
- Family history of frequent over, unstable employment, marital discord, & family violence.
- One parent answering all the questions.
11.sickle cell anemia - ANSWER a genetic disorder that causes abnormal hemoglobin, resulting in some
red blood cells assuming an abnormal sickle shape
12.HbS - ANSWER abnormal hemoglobin; although it can carry oxygen, it forms long fibers once it has
given up its oxygen, causing red blood cells to sickle
13.ntravascular hemolysis - ANSWER Destruction of red blood cells within blood vessels
,14.Extravascular hemolysis - ANSWER destruction of red blood cells outside the cardiovascular system,
often the spleen.
15.Chronic Sickle Cell Symptoms - ANSWER Fatigue, impaired growth/development, pallor, jaundice,
gallstones, dysfunctional spleen (infections)
16.Normal RBC - ANSWER -120 day lifespan
-destroyed at a normal rate
-normal oxygen capacity 12-14 g hemoglobin per mL of blood
-smooth and round
17.Sickled RBC - ANSWER -20 day lifespan
-decreased oxygen carrying capacity
-destroyed faster
-6-9g hemoglobin per mL of blood
-hard and rigid
hypoxemia - ANSWER deficient amount of oxygen in the blood
causes of hypoxemia - ANSWER -dehydration
-fever
-physical or emotional stress
-increase/decrease in environmental temperature
-high altitudes
-poorly pressurized airplanes
-diarrhea
Hydroxyurea (mechanism, use, toxicity) - ANSWER -Mechanism: inhibits ribonucleotide reductase
decreasing DNA Synthesis (S-phase specific).
, -Use: melanoma, CML, sickle cell disease ( HbF).
-Toxicity: severe myelosuppression, GI upset.
sickle cell crisis - ANSWER condition in sickle cell anemia in which the sickled cells interfere with oxygen
transport, obstruct capillary blood flow, and cause fever and severe pain in the joints and abdomen
vaso-occlusive crisis - ANSWER -most common
-precipitated by dehydration, cold, acidosis, localized hypoxemia
-can last 4-6 days
-visual disturbance, hematuria, painful swelling extremities, fever, tachycardia, PAIN
splenic sequestration - ANSWER • Life threatening—death can occur within hours
• Blood pools in the spleen
• Signs
• Profound anemia, hypovolemia , and shock
splenic sequestration symptoms - ANSWER sudden and severe anemia, with symptoms of sudden
weakness, pale lips, rapid breathing, excessive thirst, belly pain, and rapid heartbeat
aplastic crisis - ANSWER diminished RBC production usually caused by viral infection that may result in
profound anemia
aplastic crisis symptoms - ANSWER -Pale color of lips, gums or fingernails
-Fever (temperature of 101°F or greater)
-Extreme tiredness
-Weakness
-Loss of energy
-Rapid heart rate
-Shortness of breath
-Irritability
1.setting limits - ANSWER implemented to prevent and/or respond to unclear or inappropriate behaviors
and to maximize the therapeutic experience; clearly conveys expectations, consequences of not meeting
those expectations; may be verbal, physical, and/or written
2.discipline - ANSWER Methods used to prevent behavior problems from occurring or to respond to
behavior problems so as to reduce their occurrence in the future.
3.punishment - ANSWER An aversive action taken that follows a voluntary behavior thereby decreasing
the probability the behavior will be repeated
4.authoritarian parenting - ANSWER style of parenting in which parent is rigid and overly strict, showing
little warmth to the child
5.authoritative parenting - ANSWER parenting style characterized by emotional warmth, high standards
for behavior, explanation and consistent enforcement of rules, and inclusion of children in decision
making
6.permissive parenting - ANSWER an approach to child rearing that is characterized by high nurturance
and communication but little discipline, guidance, or control
7.neglectful parenting - ANSWER a parenting style characterized by a lack of parental involvement in the
child's life
8.Family Assessment - ANSWER 1. Health history
2. Interpersonal interactions
3. Lifespan and cultural considerations
9.Family Interview - ANSWER 1. Structure - who has custody, illness in family, legal power of attorney
2. Role/function/resources - support system, who provides, health insurance
3. Physical and mental health status - vaccines, chronic illnesses, health status of family members
,4. Family interactions and values - communication, religion, culture, family health values
10.Child Abuse - Nursing Assessment - ANSWER - Includes physical & mental injury, sexual abuse, &
neglect.
- Most important indicators of abuse - injuries not congruent with the child's developmental age or skills,
injuries not correlated with the stated cause, & delay in seeking medical care.
- Bruises in unusual places & in various stages of healing.
- Bruises, welts caused by belts, cords.
- Burns.
- Whiplash injuries caused by being shaken.
- Bald patches where hair has been pulled.
- Fractures in various stages of healing.
- Failure to thrive, unattended to physical problems.
- Torn, stained bloody under clothes.
- Bedwetting.
- STDs.
- Parent seeing child as different from other children.
- Parent using child to meet own needs.
- Parent seldom touching or responding to child.
- Child appearing frightened & withdrawal in presence of parent or other adult.
- Family history of frequent over, unstable employment, marital discord, & family violence.
- One parent answering all the questions.
11.sickle cell anemia - ANSWER a genetic disorder that causes abnormal hemoglobin, resulting in some
red blood cells assuming an abnormal sickle shape
12.HbS - ANSWER abnormal hemoglobin; although it can carry oxygen, it forms long fibers once it has
given up its oxygen, causing red blood cells to sickle
13.ntravascular hemolysis - ANSWER Destruction of red blood cells within blood vessels
,14.Extravascular hemolysis - ANSWER destruction of red blood cells outside the cardiovascular system,
often the spleen.
15.Chronic Sickle Cell Symptoms - ANSWER Fatigue, impaired growth/development, pallor, jaundice,
gallstones, dysfunctional spleen (infections)
16.Normal RBC - ANSWER -120 day lifespan
-destroyed at a normal rate
-normal oxygen capacity 12-14 g hemoglobin per mL of blood
-smooth and round
17.Sickled RBC - ANSWER -20 day lifespan
-decreased oxygen carrying capacity
-destroyed faster
-6-9g hemoglobin per mL of blood
-hard and rigid
hypoxemia - ANSWER deficient amount of oxygen in the blood
causes of hypoxemia - ANSWER -dehydration
-fever
-physical or emotional stress
-increase/decrease in environmental temperature
-high altitudes
-poorly pressurized airplanes
-diarrhea
Hydroxyurea (mechanism, use, toxicity) - ANSWER -Mechanism: inhibits ribonucleotide reductase
decreasing DNA Synthesis (S-phase specific).
, -Use: melanoma, CML, sickle cell disease ( HbF).
-Toxicity: severe myelosuppression, GI upset.
sickle cell crisis - ANSWER condition in sickle cell anemia in which the sickled cells interfere with oxygen
transport, obstruct capillary blood flow, and cause fever and severe pain in the joints and abdomen
vaso-occlusive crisis - ANSWER -most common
-precipitated by dehydration, cold, acidosis, localized hypoxemia
-can last 4-6 days
-visual disturbance, hematuria, painful swelling extremities, fever, tachycardia, PAIN
splenic sequestration - ANSWER • Life threatening—death can occur within hours
• Blood pools in the spleen
• Signs
• Profound anemia, hypovolemia , and shock
splenic sequestration symptoms - ANSWER sudden and severe anemia, with symptoms of sudden
weakness, pale lips, rapid breathing, excessive thirst, belly pain, and rapid heartbeat
aplastic crisis - ANSWER diminished RBC production usually caused by viral infection that may result in
profound anemia
aplastic crisis symptoms - ANSWER -Pale color of lips, gums or fingernails
-Fever (temperature of 101°F or greater)
-Extreme tiredness
-Weakness
-Loss of energy
-Rapid heart rate
-Shortness of breath
-Irritability
