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NUR 445 Final Exam (2025/2026) – 100 Questions with Answers | Pediatric, Maternity & Pathophysiology

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This in-depth study guide for NUR 445 – Nursing in Complex Health Systems contains 100 carefully structured final exam questions and answers, designed to support nursing students in mastering key concepts for the 2025/2026 academic year. The questions span essential areas such as pediatric and maternal nursing, pharmacological interventions, clinical pathophysiology, and nursing care planning, with detailed rationales that enhance understanding and retention. Topics covered include conditions like otitis media, pyloric stenosis, GERD, spina bifida, diabetes mellitus type I, asthma, nephrotic syndrome, and complications such as acute chest syndrome, preeclampsia, placenta previa, postpartum hemorrhage, and more. Additional content addresses developmental milestones, pediatric assessments, vaccine schedules, and nursing interventions during labor, delivery, and postpartum periods. Medication safety and maternal-fetal care are emphasized throughout. This resource is ideal for: Bachelor of Science in Nursing (BSN) students Associate Degree in Nursing (ADN) students RN-to-BSN bridge program participants NCLEX-RN exam preparation Students enrolled in advanced pediatric, maternal-child, or medical-surgical nursing courses The guide aligns with exam standards and clinical expectations, making it a practical and effective tool for final exams and licensure preparation. Keywords: nursing exam questions, pediatric nursing, maternity care, pharmacology nursing, NCLEX study guide, nursing final exam, pathophysiology, clinical interventions, labor and delivery, University of Phoenix

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NUR 445
Course
NUR 445

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NUR 445 Final 2025/2026 Exam
Questions and Answers | A+ Score
Assured



otitis media expected findings - 🧠ANSWER ✔✔fever, purulent draininage,

pain, tug at ear


pyloric stenosis is; sx; when see provider - 🧠ANSWER ✔✔is a narrowing of

the pylorus, the outlet from the stomach to the small intestine;v, proj v,

hunger; sx

orthopnea andheart failure interventions to improve breathing and

oxygenation - 🧠ANSWER ✔✔- A toddler who has heart failure has

increased venous return to the heart and lungs, which leads to pulmonary

congestion.

The congestion causes orthopnea, or difficulty breathing, while lying down;

sit up tp decrease pressue

,mumps transmission and precautions - 🧠ANSWER ✔✔large droplets;

droplet


pertussis another name - 🧠ANSWER ✔✔whooping cough


dehydration sx; and sickle cell - 🧠ANSWER ✔✔irritability in infants; fluid

goals daily; SC and angina is PRIORITY acute chest syndrome


expected UO for infants and sx adequate - 🧠ANSWER ✔✔1-2 ml/kg/hr;

adeq UO, moist muc mem, cap refill, turgr, i/o, electrolytes


GERD- how decrease aspiration risk - 🧠ANSWER ✔✔sit upa fter eat


celiac acceptable foods - 🧠ANSWER ✔✔rice,


Reye syndrome is associated with; prevention; sx - 🧠ANSWER ✔✔aspirin;

acet/ibu for fever/pain; metabolic encephalopathy with manifestations of

cerebral edema and fatty changes in the liver.

Laryngotracheobronchitis patho; sx; cool mist tent purpose; how determine

decrease respiratory effort - 🧠ANSWER ✔✔croup;infection of the upper

airway (larynx, trachea, and bronchus);barking cough. Edema and

obstruction in the upper airways cause the characteristic cough and stridor

, (noisy breathing).; humidify inspired air and ddec resp effort; stridor

decrease


bronchiolitis sx; most commone age - 🧠ANSWER ✔✔sneexe cough

congest intermitt. fever, apneic spell; 2-12 mth


aortic stenosis sx and why - 🧠ANSWER ✔✔hypotension (decreased CO),

tachycardia, weak pulse (dec CO), murmur (narrow of aortic valve)


patent ductus arteriosus is - 🧠ANSWER ✔✔- area between the pulmonary

artery and aorta remains open, allowing the blood to flow through the

patent ductus arteriosus and back to the pulmonary artery and lungs.


Hirschsprung's disease causes - 🧠ANSWER ✔✔inadeq motility of

intestinges and mech obstruct; absent innervation of lower bowel


- Tracheoesophageal fistula sx - 🧠ANSWER ✔✔cough, apnea, cyanosis,

frothy saliva


Pediculosis capitis - 🧠ANSWER ✔✔head lice; itch


Acute Appendicitis labs; ref range for child - 🧠ANSWER ✔✔elevated WBC

from bacteria; 5-10,000




3
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