NURS 629 EXAM 3 WITH COMPLETE
SOLUTIONS GRADED A+
What do you do for a patient with an elevated B/P on initial visit? - CORRECT
ANSWER-*Repeat in 1-2 weeks and average over 3 visits
*Pt to keep log for review
*Encourage healthy lifestyle choices
Asthma is disruptive several times during the night/interrupting sleep at least 3
times a week, what's the next step? - CORRECT ANSWER-Moderate persistant;
prescribe inhaled steroid (flovent)
Causative organism of bronchiolitis - CORRECT ANSWER-(RSV) Respiratory
syncytial virus most likely cause
what type of murmur is caused by normal blood flow thru normal cardiac
structures in up to 80% children; Midsystolic; can come and go; Gets louder with
fever, exercise, and anxiety - CORRECT ANSWER-functional or innocent murmur
When do innocent murmurs develop? - CORRECT ANSWER-(book p 763) age 3-4;
(module 10 lect) age 2-6
type of murmur caused by turbulent blood flow caused by a defect or abnormal
cardiac structures; Dystolic; Grade ≥ IV; increases with sitting or standing -
CORRECT ANSWER-pathological murmur
symptoms of croup - CORRECT ANSWER-· Barking cough
· Fever
· URI symptoms
s/s of bronchiolitis - CORRECT ANSWER-· inspiratory and expiratory wheezing
accompanied by:
*fever
*URI symptoms including profuse clear nasal discharge
When to use inhaler to treat exercise induced asthma - CORRECT ANSWER-Use
rescue inhaler 15-30 minute prior to activity
, Condition caused by a defect or hole in the atrial septum - CORRECT ANSWER-
Atrial Septum Defect (ASD)
When should children be screened for hyperlipidemia? - CORRECT ANSWER-
between 9-11 years then 17-21 years
Idiopathic multisystem disease characterized by vasculitis of small and medium
blood vessels including coronary arteries - CORRECT ANSWER-Kawasaki
What can develop in 15% - 25% of untreated children with Kawasaki disease? -
CORRECT ANSWER-Coronary artery aneurysms
Clinical findings of Kawasaki disease (requires 4/5 to diagnose) - CORRECT
ANSWER-*Change in extremities (edema, erythema, PEELING HANDS)
*Polymorphous exanthem (truncal)
*Conjunctival injection
*Erythema or fissuring of lips and oral cavity
*Cervical lymphadenopathy
common contagious bacterial infection; 2 forms non-bullous with honey-colored
crusts on lesions and bullous - CORRECT ANSWER-Impetigo
rose-colored flaking/scaling, hyper-pigmented lesions in a christmas tree
distribution (trunk); is a common, mild, self-limited papulosquamous disease;
caused by human herpes virus - CORRECT ANSWER-Pityriasis Rosea
fiery red, maculopapular facial rash concentrated on the cheeks; Slapped cheek
appearance - CORRECT ANSWER-Fifth's disease
commonly called ringworm, is a superficial fungal skin infection found on the
non-hairy skin of the body; · annular lesions with a scaly border and central
clearing - CORRECT ANSWER-Tinea Corporis
pustular, ulcerating lesions; on the hands and feet; oral ulcers - CORRECT
ANSWER-Hand-foot-mouth disease
Risk factors related to elevated cholesterol? - CORRECT ANSWER-· Obesity
· Diabetes
· Hypertension
· Family history:
o Coronary heart disease prior to age 55
o Hyperlipidemia
o Diabetes
SOLUTIONS GRADED A+
What do you do for a patient with an elevated B/P on initial visit? - CORRECT
ANSWER-*Repeat in 1-2 weeks and average over 3 visits
*Pt to keep log for review
*Encourage healthy lifestyle choices
Asthma is disruptive several times during the night/interrupting sleep at least 3
times a week, what's the next step? - CORRECT ANSWER-Moderate persistant;
prescribe inhaled steroid (flovent)
Causative organism of bronchiolitis - CORRECT ANSWER-(RSV) Respiratory
syncytial virus most likely cause
what type of murmur is caused by normal blood flow thru normal cardiac
structures in up to 80% children; Midsystolic; can come and go; Gets louder with
fever, exercise, and anxiety - CORRECT ANSWER-functional or innocent murmur
When do innocent murmurs develop? - CORRECT ANSWER-(book p 763) age 3-4;
(module 10 lect) age 2-6
type of murmur caused by turbulent blood flow caused by a defect or abnormal
cardiac structures; Dystolic; Grade ≥ IV; increases with sitting or standing -
CORRECT ANSWER-pathological murmur
symptoms of croup - CORRECT ANSWER-· Barking cough
· Fever
· URI symptoms
s/s of bronchiolitis - CORRECT ANSWER-· inspiratory and expiratory wheezing
accompanied by:
*fever
*URI symptoms including profuse clear nasal discharge
When to use inhaler to treat exercise induced asthma - CORRECT ANSWER-Use
rescue inhaler 15-30 minute prior to activity
, Condition caused by a defect or hole in the atrial septum - CORRECT ANSWER-
Atrial Septum Defect (ASD)
When should children be screened for hyperlipidemia? - CORRECT ANSWER-
between 9-11 years then 17-21 years
Idiopathic multisystem disease characterized by vasculitis of small and medium
blood vessels including coronary arteries - CORRECT ANSWER-Kawasaki
What can develop in 15% - 25% of untreated children with Kawasaki disease? -
CORRECT ANSWER-Coronary artery aneurysms
Clinical findings of Kawasaki disease (requires 4/5 to diagnose) - CORRECT
ANSWER-*Change in extremities (edema, erythema, PEELING HANDS)
*Polymorphous exanthem (truncal)
*Conjunctival injection
*Erythema or fissuring of lips and oral cavity
*Cervical lymphadenopathy
common contagious bacterial infection; 2 forms non-bullous with honey-colored
crusts on lesions and bullous - CORRECT ANSWER-Impetigo
rose-colored flaking/scaling, hyper-pigmented lesions in a christmas tree
distribution (trunk); is a common, mild, self-limited papulosquamous disease;
caused by human herpes virus - CORRECT ANSWER-Pityriasis Rosea
fiery red, maculopapular facial rash concentrated on the cheeks; Slapped cheek
appearance - CORRECT ANSWER-Fifth's disease
commonly called ringworm, is a superficial fungal skin infection found on the
non-hairy skin of the body; · annular lesions with a scaly border and central
clearing - CORRECT ANSWER-Tinea Corporis
pustular, ulcerating lesions; on the hands and feet; oral ulcers - CORRECT
ANSWER-Hand-foot-mouth disease
Risk factors related to elevated cholesterol? - CORRECT ANSWER-· Obesity
· Diabetes
· Hypertension
· Family history:
o Coronary heart disease prior to age 55
o Hyperlipidemia
o Diabetes
