NUR 3600 Final Questions With Complete Solutions
15 month old on your assessment, what would you report to the
provider? Correct Answer Cannot stand upright without
support
17 year old leukemia pt who does not want to continue treatment
but mom wants to have further treatment, what do you do?
Correct Answer Call doctor
2 month old following surgical procedure, what pain scale to
use? Correct Answer FLACC
2 month old in emergency room irritable and inconsolable,
congested with nasal drainage, copious amounts and crackles,
retractions, nasal flaring, temp 101.8 went to 101.2, HR went
from 172 to 168, RR went to 60 to 48. Correct Answer
condition is RSV by copious secretions and retractions
4 month old ill and losing weight not tolerating formula,
vomiting and diarrhea, abdomen rounded and distended,
hypoactive bowel sounds, temp 98.2, HR 146, RR 30, no
pregnancy problems second child vag delivery, meconium stool
passed 56 hrs after birth, what are you going to think this leads
to? What is the diagnosis? Correct Answer Hirschsprungs
disease, not pass stool for 24 hrs
4 year old requires airborne isolation, what kind of activity
would you include for them? Correct Answer Put a large piece
puzzle together
,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
-restlessness
6 month old postop post laryngotomy tube to help drain, what
pain scale would you use? Correct Answer FLACC scale
6 month old who has intussusception and has liquids by mouth,
what would you give them? Correct Answer Oral electrolyte
solution
6 month old, how can you tell they are having pain following a
procedure? Correct Answer -increased crying episodes*
-tachycardic
-tachypneic
, -feeding decrease
Adolescent in the ER, ask to tell if assessment findings
improved or no change. At 3pm weak and SOB and hast eaten
for 3 days, dry cough with some wheezing in bilat upper lobes,
gets dyspneic when walking to bathroom but seems to be ok
when sitting upright. RR in 3:15 and did treatment on NC 2L. At
7:30, sitting upright and dyspneic trouble wit activity, 2L and
eaten portion of dinner, has mild wheezing upper lung lobes,
90mL clear yellow urine. BP 143/92 to 129/72, HR 120 to 92,
RR 26 to 20, temp 99.8, 94% oxygen, gets humidified oxygen at
2 L, Lasix 220 mg daily, digoxin 0.25 PO daily. Hold HR less
than 70. enalapril, regular diet, recorded intake and output. Had
Lasix and enalapril and digoxin. HR 110. has allergies to
penicillin and tramadol and manifestations of HF. What has
improved or no change? Correct Answer -improved: oxygen
improved, RR improved, HR improved, BP improved, intake
improved
-no change: lung sounds and dyspnea
An adolescent ED, pt comes in with pain in left arm and comes
in with sickle cell with pain 9/10, complains of throbbing
stabbing pain, no edema, clear breath sounds, temp 98.9, HR 98,
RR 18, BP 114/68, what do you anticipate for orders on this pt?
Correct Answer -anticipated: IV fluids, ketorolac for pain
-nonessential: oxygen
-contraindicated: activity, Demerol (meperidine), cold ice packs
Assessing 11 month old, which of the following associates with
CNS infection? Correct Answer Bulging fontanel
15 month old on your assessment, what would you report to the
provider? Correct Answer Cannot stand upright without
support
17 year old leukemia pt who does not want to continue treatment
but mom wants to have further treatment, what do you do?
Correct Answer Call doctor
2 month old following surgical procedure, what pain scale to
use? Correct Answer FLACC
2 month old in emergency room irritable and inconsolable,
congested with nasal drainage, copious amounts and crackles,
retractions, nasal flaring, temp 101.8 went to 101.2, HR went
from 172 to 168, RR went to 60 to 48. Correct Answer
condition is RSV by copious secretions and retractions
4 month old ill and losing weight not tolerating formula,
vomiting and diarrhea, abdomen rounded and distended,
hypoactive bowel sounds, temp 98.2, HR 146, RR 30, no
pregnancy problems second child vag delivery, meconium stool
passed 56 hrs after birth, what are you going to think this leads
to? What is the diagnosis? Correct Answer Hirschsprungs
disease, not pass stool for 24 hrs
4 year old requires airborne isolation, what kind of activity
would you include for them? Correct Answer Put a large piece
puzzle together
,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
-restlessness
6 month old postop post laryngotomy tube to help drain, what
pain scale would you use? Correct Answer FLACC scale
6 month old who has intussusception and has liquids by mouth,
what would you give them? Correct Answer Oral electrolyte
solution
6 month old, how can you tell they are having pain following a
procedure? Correct Answer -increased crying episodes*
-tachycardic
-tachypneic
, -feeding decrease
Adolescent in the ER, ask to tell if assessment findings
improved or no change. At 3pm weak and SOB and hast eaten
for 3 days, dry cough with some wheezing in bilat upper lobes,
gets dyspneic when walking to bathroom but seems to be ok
when sitting upright. RR in 3:15 and did treatment on NC 2L. At
7:30, sitting upright and dyspneic trouble wit activity, 2L and
eaten portion of dinner, has mild wheezing upper lung lobes,
90mL clear yellow urine. BP 143/92 to 129/72, HR 120 to 92,
RR 26 to 20, temp 99.8, 94% oxygen, gets humidified oxygen at
2 L, Lasix 220 mg daily, digoxin 0.25 PO daily. Hold HR less
than 70. enalapril, regular diet, recorded intake and output. Had
Lasix and enalapril and digoxin. HR 110. has allergies to
penicillin and tramadol and manifestations of HF. What has
improved or no change? Correct Answer -improved: oxygen
improved, RR improved, HR improved, BP improved, intake
improved
-no change: lung sounds and dyspnea
An adolescent ED, pt comes in with pain in left arm and comes
in with sickle cell with pain 9/10, complains of throbbing
stabbing pain, no edema, clear breath sounds, temp 98.9, HR 98,
RR 18, BP 114/68, what do you anticipate for orders on this pt?
Correct Answer -anticipated: IV fluids, ketorolac for pain
-nonessential: oxygen
-contraindicated: activity, Demerol (meperidine), cold ice packs
Assessing 11 month old, which of the following associates with
CNS infection? Correct Answer Bulging fontanel
