NUR 624 final Exam questions and answers
If you see bat wings on a CXR what does this mean? - ✅✅The hilar areas are very congested so
pulmonary edema is a concern.
#1 cause of chest pain - ✅✅musculoskeletal pain
What leads will show a STEMI if they are having a lateral wall MI? - ✅✅I, aVL, V5 and V6.
A right ventricular infarct is commonly correlated with what type of MI? - ✅✅II, III and aVF so inferior
wall MI. Lead III elevation will also be more elevated then lead II. Possible ST depression in V1.
How long do you have to start tPA if PCI isnt possible? - ✅✅2 hours.
How many ribs should you be able to see on a CXR with proper inhalation? What does it mean if you see
more? - ✅✅7-9 ribs if more the lungs are hyperinflated.
Where is a pleural effusion first seen on a CXR? - ✅✅Costophrenic angle.
What do you need to educate parents about febrile seizures? - ✅✅They can reoccur, you cannot
prevent them, and you cannot treat prophylactically.
What age does roseola commonly appear? - ✅✅6 months - 3 years.
The three phases of a rash for fifth disease. - ✅✅1 - slapped cheek thats bright red.
2 - a coalesce rash that goes to trunk and extremities.
3 - rash comes and goes.
How long are you contagious for with fifth disease? - ✅✅Until rash appears.
,How does the rash present in roseola? - ✅✅Erythematous macules on trunk, neck and arms. Rarely
on face.
Which communicable disease affects pregnant women? - ✅✅Rubella - it affects the cord of the fetus.
What type of chest x-ray is preferred, PA or AP? Why? - ✅✅PA because it is from the back.
Signs of roseola. - ✅✅Extremely high fever followed by a red rash on trunk and arms.
Which glands are effected by mumps? - ✅✅Parotid salivary glands and testicles.
Signs of measles. - ✅✅Fever, conjunctivitis, deep angry red rash, koplik spots.
Treatment for Scarlet Fever. - ✅✅Penicillin.
What is the cause of Kawasaki disease? - ✅✅There is no cause.
When is chicken pox no longer contagious? - ✅✅When all lesions are dry and scabbed over.
Most common age group for meningitis. - ✅✅Adolescents and young adults.
How do you diagnose meningitis. - ✅✅Lumbar puncture where you will see elevated WBCs and
protein.
What phase of the menstrual cycle does the corpus luteum develop? - ✅✅Luteal phase.
What type of discharge will a preovulatory/postovulatory woman have? - ✅✅Pre is thin and stretchy
and post is thick.
, Anovulation in adolescents is most commonly caused by what? - ✅✅Immature HPO axis.
Treatments for abnormal uterine bleeding. - ✅✅Birth control pills, mirena IUDs, progesterone
therapy.
Number one cause of secondary amenorrhea? - ✅✅Pregnancy, so if suspected you always give a
pregnancy test first.
Primary vs. Secondary Amenorrhea. - ✅✅Primary - no period after 16 with or without secondary sex
characteristics.
Secondary - no menstruation for 6 months after start of menarche.
What does an FNP do to a patient with primary amenorrhea? - ✅✅Refer to a specialist.
Medications used for PCOS. - ✅✅BC pills and metformin.
Patients with secondary amenorrhea after a negative pregnancy test, what is a treatment? - ✅✅BC
pills.
What do you order for a patient with amenorrhea? - ✅✅Pregnancy test, pap, pelvic exam, labs with a
thyroid panel, prolactin level, FSH and LH.
How are patients with PCOS usually diagnosed? - ✅✅By history because you don't always have cysts.
When does a diaphragm need to be fitted? - ✅✅When first using one, gaining or losing weight or if
you have a baby.
What type of spermicides are used with diaphragms and what do you educate about it? - ✅✅Cream
or jellies ONLY every time you have sex, it is good for 6 hours and you leave it in for 6 hours after sex.
If you see bat wings on a CXR what does this mean? - ✅✅The hilar areas are very congested so
pulmonary edema is a concern.
#1 cause of chest pain - ✅✅musculoskeletal pain
What leads will show a STEMI if they are having a lateral wall MI? - ✅✅I, aVL, V5 and V6.
A right ventricular infarct is commonly correlated with what type of MI? - ✅✅II, III and aVF so inferior
wall MI. Lead III elevation will also be more elevated then lead II. Possible ST depression in V1.
How long do you have to start tPA if PCI isnt possible? - ✅✅2 hours.
How many ribs should you be able to see on a CXR with proper inhalation? What does it mean if you see
more? - ✅✅7-9 ribs if more the lungs are hyperinflated.
Where is a pleural effusion first seen on a CXR? - ✅✅Costophrenic angle.
What do you need to educate parents about febrile seizures? - ✅✅They can reoccur, you cannot
prevent them, and you cannot treat prophylactically.
What age does roseola commonly appear? - ✅✅6 months - 3 years.
The three phases of a rash for fifth disease. - ✅✅1 - slapped cheek thats bright red.
2 - a coalesce rash that goes to trunk and extremities.
3 - rash comes and goes.
How long are you contagious for with fifth disease? - ✅✅Until rash appears.
,How does the rash present in roseola? - ✅✅Erythematous macules on trunk, neck and arms. Rarely
on face.
Which communicable disease affects pregnant women? - ✅✅Rubella - it affects the cord of the fetus.
What type of chest x-ray is preferred, PA or AP? Why? - ✅✅PA because it is from the back.
Signs of roseola. - ✅✅Extremely high fever followed by a red rash on trunk and arms.
Which glands are effected by mumps? - ✅✅Parotid salivary glands and testicles.
Signs of measles. - ✅✅Fever, conjunctivitis, deep angry red rash, koplik spots.
Treatment for Scarlet Fever. - ✅✅Penicillin.
What is the cause of Kawasaki disease? - ✅✅There is no cause.
When is chicken pox no longer contagious? - ✅✅When all lesions are dry and scabbed over.
Most common age group for meningitis. - ✅✅Adolescents and young adults.
How do you diagnose meningitis. - ✅✅Lumbar puncture where you will see elevated WBCs and
protein.
What phase of the menstrual cycle does the corpus luteum develop? - ✅✅Luteal phase.
What type of discharge will a preovulatory/postovulatory woman have? - ✅✅Pre is thin and stretchy
and post is thick.
, Anovulation in adolescents is most commonly caused by what? - ✅✅Immature HPO axis.
Treatments for abnormal uterine bleeding. - ✅✅Birth control pills, mirena IUDs, progesterone
therapy.
Number one cause of secondary amenorrhea? - ✅✅Pregnancy, so if suspected you always give a
pregnancy test first.
Primary vs. Secondary Amenorrhea. - ✅✅Primary - no period after 16 with or without secondary sex
characteristics.
Secondary - no menstruation for 6 months after start of menarche.
What does an FNP do to a patient with primary amenorrhea? - ✅✅Refer to a specialist.
Medications used for PCOS. - ✅✅BC pills and metformin.
Patients with secondary amenorrhea after a negative pregnancy test, what is a treatment? - ✅✅BC
pills.
What do you order for a patient with amenorrhea? - ✅✅Pregnancy test, pap, pelvic exam, labs with a
thyroid panel, prolactin level, FSH and LH.
How are patients with PCOS usually diagnosed? - ✅✅By history because you don't always have cysts.
When does a diaphragm need to be fitted? - ✅✅When first using one, gaining or losing weight or if
you have a baby.
What type of spermicides are used with diaphragms and what do you educate about it? - ✅✅Cream
or jellies ONLY every time you have sex, it is good for 6 hours and you leave it in for 6 hours after sex.
