Page 1 of 52
NUR 518 FINAL EXAM NEWEST 2025 TEST BANK|
COMPLETE 400 REAL EXAM QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED ANSWERS)
ALREADY GRADED A+| NUR 518 EXAM PREP (NEW!!)
Allergic Rhinitis Medication .....ANSWER..... -diphenhydramine:
sedating
-cetirizine (zyrtec)
-fexofenadine (allegra): most targeted, least SEs
-nasal steroids: for prevention, daily use, takes 1wk+ for full
effect
-eye drops
Uncomplicated URI treatment .....ANSWER..... -increased fluids
-saline spray
-nose frida
,Page 2 of 52
-honey - not in children under 1 yo
-NO vapor rub, cough suppressants, or cough medicine
-educate on s/sx of respiratory distress
ABRS vs URI .....ANSWER..... -ABRS lasts for 10+ days w/ nasal
discharge and/or daytime cough
-ABRS initially improves but then gets much worse
ABRS treatment .....ANSWER..... -amox or augmentin 10-28 days
-wait for clinical response then add 7 days
-failure to respond to augmentin - consult ENT
-nasal steroids
-saline irrigation
-possible decongestants, mucolytics, antihistamines
severe ABRS .....ANSWER..... fever >39 + 3 days purulent
discharge (referral to ENT)
,Page 3 of 52
croup characteristics .....ANSWER..... -viral: parainfluenza 1 and
3, influenza A, and RSV most common
-inflammation of larynx/trachea
-most common boys 6 mo-6 yo
-begins as mild URI, progresses to sore throat, barky cough
worse at night, +/- fever
-s/sx peak in 3-5 days
-moderate obstruction: stridor, retractions, tachycardia, nasal
flaring
-severe obstruction: cyanosis, worried, lethargic, decreased LOC
moderate croup treatment .....ANSWER..... -calm, distracted,
position of comfort, hydration
-first-line: dexamethasone, then budesonide or prednisone
-cool mist/ cool air
, Page 4 of 52
-only xray if suspect FB or congenital problems
croup red flags .....ANSWER..... -stridor at rest: send to ER for
racemic epinephrine neb (potential for rebound)
-toxic looking: send to ER for O2 and IV fluids
bacterial pneumonia .....ANSWER..... -age: 2+
- high fever, tachypnea, cough
-high WBC + left shift (low WBC is ominous sign)
-x-ray may look normal in early illness
-tx: <5 - amox, augmentin
>5 - macrolide
-f/u in 2-3 weeks or 1-2 days if no improvement from abx
mycoplasma pneumonia .....ANSWER..... -age: >5 years
-slow onset, fever, malaise, cough progressing to productive
-tx: azithromycin or cipro for 7-10 days
NUR 518 FINAL EXAM NEWEST 2025 TEST BANK|
COMPLETE 400 REAL EXAM QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED ANSWERS)
ALREADY GRADED A+| NUR 518 EXAM PREP (NEW!!)
Allergic Rhinitis Medication .....ANSWER..... -diphenhydramine:
sedating
-cetirizine (zyrtec)
-fexofenadine (allegra): most targeted, least SEs
-nasal steroids: for prevention, daily use, takes 1wk+ for full
effect
-eye drops
Uncomplicated URI treatment .....ANSWER..... -increased fluids
-saline spray
-nose frida
,Page 2 of 52
-honey - not in children under 1 yo
-NO vapor rub, cough suppressants, or cough medicine
-educate on s/sx of respiratory distress
ABRS vs URI .....ANSWER..... -ABRS lasts for 10+ days w/ nasal
discharge and/or daytime cough
-ABRS initially improves but then gets much worse
ABRS treatment .....ANSWER..... -amox or augmentin 10-28 days
-wait for clinical response then add 7 days
-failure to respond to augmentin - consult ENT
-nasal steroids
-saline irrigation
-possible decongestants, mucolytics, antihistamines
severe ABRS .....ANSWER..... fever >39 + 3 days purulent
discharge (referral to ENT)
,Page 3 of 52
croup characteristics .....ANSWER..... -viral: parainfluenza 1 and
3, influenza A, and RSV most common
-inflammation of larynx/trachea
-most common boys 6 mo-6 yo
-begins as mild URI, progresses to sore throat, barky cough
worse at night, +/- fever
-s/sx peak in 3-5 days
-moderate obstruction: stridor, retractions, tachycardia, nasal
flaring
-severe obstruction: cyanosis, worried, lethargic, decreased LOC
moderate croup treatment .....ANSWER..... -calm, distracted,
position of comfort, hydration
-first-line: dexamethasone, then budesonide or prednisone
-cool mist/ cool air
, Page 4 of 52
-only xray if suspect FB or congenital problems
croup red flags .....ANSWER..... -stridor at rest: send to ER for
racemic epinephrine neb (potential for rebound)
-toxic looking: send to ER for O2 and IV fluids
bacterial pneumonia .....ANSWER..... -age: 2+
- high fever, tachypnea, cough
-high WBC + left shift (low WBC is ominous sign)
-x-ray may look normal in early illness
-tx: <5 - amox, augmentin
>5 - macrolide
-f/u in 2-3 weeks or 1-2 days if no improvement from abx
mycoplasma pneumonia .....ANSWER..... -age: >5 years
-slow onset, fever, malaise, cough progressing to productive
-tx: azithromycin or cipro for 7-10 days
