NURS 373 Midterm Questions With Complete Solutions
At what age do infection rates rise? Correct Answers 3-6
months
At what age does the respiratory tract stop growing at? Correct
Answers 12 years
At what age is the blood brain barrier finally mature? Correct
Answers 2 years
At what age range are high rate of viral infections occurring?
Correct Answers Toddler and preschool ages
Calculate the hourly fluid requirement for a 36 kg child:
4 for first 10 kg, 2 for second 10kg, 1 for remaining kg Correct
Answers 76 mL/hr
Can children under 5 be diagnosed with asthma? Correct
Answers No, because they cannot perform a pulmonary
function test
Can you feel a pulse on the fontanelle? Correct Answers Yes
Define crackles. Correct Answers - Fine - high pitched
crackling or popping sound heard on inspiration not cleared by
coughing
- Inhaled air collides with previously deflated airways which
will pop open
,- Course - low pitched bubbling and gurgling sounds that start in
early inspiration and may be present in expiration
- inhaled air collides with secretions in trachea or large bronchi
- Sounds like velcro
Define stridor. Correct Answers - High pitched crowing sound
- Originated in larynx or trachea
- Obstruction from swollen inflamed tissues or lodged foreign
body
Define transmitted sounds. Correct Answers - May seem to
originate in the lungs but actually referred from the upper airway
(ex; mucous in the throat or nose)
Define wheezing. Correct Answers - Musical high pitched
squeaking sound often heard mid to late expiration
- Air is squeezed or compressed through passageways narrowed
almost to closure through collapsing airways, swelling,
secretions
- May be high or low pitched
Do nurses have an ethical an moral obligation to involve
families in their health-care practices? Correct Answers Yes
Explain acute lymphoid leukemia. Correct Answers - Most
common leukemia
- Childhood cancer
- If an adult has ALL, this is a high risk case
Explain acute nonlymphoid (myelogenous) leukemia (ANLL or
AML). Correct Answers - Adult cancer
,- If a child has AML, this is a high risk case
Explain chemotherapy treatment for a patient with febrile
neutropenia Correct Answers - At the start of chemo,
neutrophils ~ 0.75, HB ~ 90s, and Plt ~ 100s
- At the nadir period (LOWEST), chemo should have killed off
all regenerating cells including the good ones. If HB < 70, RBC
should be transfused. If Plt < 50 and doing procedure, transfuse
platelets, <10 and no procedure, transfuse platelets. If
neutropenias < 0.5, there is no option to transfuse neutrophiles
- Process starts again
Explain how 6-30 month olds deal with separation anxiety
(protest, despair, detachment). Correct Answers - Method of
coping that some children use
Protest: crying that their parent has to leave
Despair: stops crying but they look very depressed (quiet,
withdrawn, uninterested in forming any relationships)
Emotional detachment: doesn't have long term effects.
Superficially they will interact with you but will not form a
strong bond with you because they want their parents
Family commendations involve:
A) Observations of behaviour that occur across time
B) Observations of behaviour within the span of the health-care
visit
C) Complimenting one family member to encourage others to
follow the example
D) Reinforcing the family's current view of their own situation
Correct Answers A)
, Family commendations are observations of behaviour that
OCCUR ACROSS TIME. The nurse is looking for patterns
rather than a one-time occurrence that is more likely to elicit
only a compliment
For a child with Roseola, having a fever higher than 40°C. What
can you give them to bring the fever down? Correct Answers
Tylenol
For which of the family functioning domains is encouraging
respite an effective intervention?
A) Cognitive
B) Affective
C) Behavioural Correct Answers C)
How are infants under 3 immune to diseases? Correct Answers
Maternal antibodies
How are severe infections of haemophilus influenzae Type B
treated? Correct Answers IV antibiotics
How can you prevent the recurrence of otitis media? Correct
Answers - Stop bottle propping
- Stop smoking
- Sit children up
How do 6 months - 30 month old infants deal with
hospitalization? Correct Answers - Separation anxiety (protest,
despair, and detachment)
At what age do infection rates rise? Correct Answers 3-6
months
At what age does the respiratory tract stop growing at? Correct
Answers 12 years
At what age is the blood brain barrier finally mature? Correct
Answers 2 years
At what age range are high rate of viral infections occurring?
Correct Answers Toddler and preschool ages
Calculate the hourly fluid requirement for a 36 kg child:
4 for first 10 kg, 2 for second 10kg, 1 for remaining kg Correct
Answers 76 mL/hr
Can children under 5 be diagnosed with asthma? Correct
Answers No, because they cannot perform a pulmonary
function test
Can you feel a pulse on the fontanelle? Correct Answers Yes
Define crackles. Correct Answers - Fine - high pitched
crackling or popping sound heard on inspiration not cleared by
coughing
- Inhaled air collides with previously deflated airways which
will pop open
,- Course - low pitched bubbling and gurgling sounds that start in
early inspiration and may be present in expiration
- inhaled air collides with secretions in trachea or large bronchi
- Sounds like velcro
Define stridor. Correct Answers - High pitched crowing sound
- Originated in larynx or trachea
- Obstruction from swollen inflamed tissues or lodged foreign
body
Define transmitted sounds. Correct Answers - May seem to
originate in the lungs but actually referred from the upper airway
(ex; mucous in the throat or nose)
Define wheezing. Correct Answers - Musical high pitched
squeaking sound often heard mid to late expiration
- Air is squeezed or compressed through passageways narrowed
almost to closure through collapsing airways, swelling,
secretions
- May be high or low pitched
Do nurses have an ethical an moral obligation to involve
families in their health-care practices? Correct Answers Yes
Explain acute lymphoid leukemia. Correct Answers - Most
common leukemia
- Childhood cancer
- If an adult has ALL, this is a high risk case
Explain acute nonlymphoid (myelogenous) leukemia (ANLL or
AML). Correct Answers - Adult cancer
,- If a child has AML, this is a high risk case
Explain chemotherapy treatment for a patient with febrile
neutropenia Correct Answers - At the start of chemo,
neutrophils ~ 0.75, HB ~ 90s, and Plt ~ 100s
- At the nadir period (LOWEST), chemo should have killed off
all regenerating cells including the good ones. If HB < 70, RBC
should be transfused. If Plt < 50 and doing procedure, transfuse
platelets, <10 and no procedure, transfuse platelets. If
neutropenias < 0.5, there is no option to transfuse neutrophiles
- Process starts again
Explain how 6-30 month olds deal with separation anxiety
(protest, despair, detachment). Correct Answers - Method of
coping that some children use
Protest: crying that their parent has to leave
Despair: stops crying but they look very depressed (quiet,
withdrawn, uninterested in forming any relationships)
Emotional detachment: doesn't have long term effects.
Superficially they will interact with you but will not form a
strong bond with you because they want their parents
Family commendations involve:
A) Observations of behaviour that occur across time
B) Observations of behaviour within the span of the health-care
visit
C) Complimenting one family member to encourage others to
follow the example
D) Reinforcing the family's current view of their own situation
Correct Answers A)
, Family commendations are observations of behaviour that
OCCUR ACROSS TIME. The nurse is looking for patterns
rather than a one-time occurrence that is more likely to elicit
only a compliment
For a child with Roseola, having a fever higher than 40°C. What
can you give them to bring the fever down? Correct Answers
Tylenol
For which of the family functioning domains is encouraging
respite an effective intervention?
A) Cognitive
B) Affective
C) Behavioural Correct Answers C)
How are infants under 3 immune to diseases? Correct Answers
Maternal antibodies
How are severe infections of haemophilus influenzae Type B
treated? Correct Answers IV antibiotics
How can you prevent the recurrence of otitis media? Correct
Answers - Stop bottle propping
- Stop smoking
- Sit children up
How do 6 months - 30 month old infants deal with
hospitalization? Correct Answers - Separation anxiety (protest,
despair, and detachment)
