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?’s on EXAM 3- fall 2023
1. (Exam 2)
a. Sleep terrors are normal and requires to little or not intervention.
2. Everything is true except: the primary sexual caractheristic in females is pubarche
(Wrong) → it is menarche and ovulation.
3. ITP: Thrombocytopenia: ↓ platelets and destruction, acquired hemorrhagic destruction of
platelets (NOT DIC).
4. Hemophilia: ZONT DO PASSIVE ROM the answer was advice noncontact sports.
pancytopenie
5. Sickle cell priority: HYDRATION AND PAIN MANAGEMENT.
6. Priority for burns: ensure patent airway.
7. ? asked which had a depletion is all components of blood→ aplastic anemia.
8. Factors that cause sickle cell crises: infection, dehydration, stress, fever, exercises? I dont
remember sorry but it was SATA.
9. Hemolytic uremia syndrom classic triad SATA: hemolytic anemia, thrombocytopenia,
AKI.(answer said acute renal injury but same thing)
hat
10. Kid who had been vomiting the past 3 days → metabolic alkalosis
(something like this pH = 7.48 pCO2 = 45 HCO3 = 32).
11. Pt vitals and then GI assessment showed abdominal distention and pain on palpation and
hard abdomen → PERITONITIS CALL HCP.
12. Ulcerative colitis: asked about long term management/maintenance EXCEPT →
corticosteroids (only for acute management).
13. Most common etiology for encorporesis → constipation (Exam 2).
14. Gave symptoms of MODERATE dehydration: sunken fontanells, tenting, dry mucous
membrane, was like main indicator.
15. Phimosis: narrowing foreskin opening (literally definition ?).
16. 6-7 month old locomotion → crawling (Exam 2).
17. Dysmenorrhea symptoms and asked for treatment SATA: oral contraceptives, heating
pad, nsaids, exercises.
18. Infants are at higher risk for fluid and electrolyte imbalance→ d/t immature renal system,
something about infants kidneys are immature and inefficient.
19. Parent came in after son killed himself and she said a major factor that indicated he was
gonna commit suicide→ he went from being depressed to becoming really happy all of a
sudden.
20. CONDOMS protect against STI’s.
21. Urinary stasis → UTI.
22. How to access fluid BALANCE→ DAILY WEIGHTS!! NOT I&O’S .
23. Common cause for Acute kidney injury in children → dehydration.
24. Nephrotic syndrome: MASSIVE proteinuria, Hyperlipidemia, and hypoalbuminimia
NOT decrease BUN (if you have nephrotic syndrome BUN is increased).
25. Female athlete triad was in the give the definition ? and the answer was long distance
runner (affect most women who participate in sports emphasizing low body weight).
26. Some kid got hit in the balls & he went to nurse & he had a swollen red painful scrotum
→ testicular trosion → MEDICAL EMERGENCY → refer to hcp
27. HSV→ something about which of the following is true and it was like once you get it
theres no cure i think.
28. Burn patient ? ANS: clear airway
hat
29. The ? said Hgb < 6 and idk what the answer was i got it wrong i think give fluids? Nope
just give Oxygen bc the symptoms indicated the pt is anemic not dehydrated so oxygen
first.
30. Hypertonic dehydration Na+ = 152.
31. Something about eating disorders (AN & BN) which of the following requires more
teaching → if the pt stated that she can keep the same skinny body that she had before get
into the hospital.
32. Children HR decreases and BP increases (Exam 2). (i thought that was from this exam)
33. Something about presscholer caretaker advice → the answer was something related to
poison like keep toxic substances without children reach.
34. All of the following children have been brought to the ED with dehydration. You are
receiving a report from the previous nurse. Which of the following patients would be
the priority for the nurse to assess?
A. Abbott, a 12-year-old boy, is brought in after playing in an all-day soccer
tournament in 90-degree weather. Abbott is described as thirsty and somewhat
irritable with his parent, but he is otherwise reported as being tired and
cooperative.
B. Bethany, a 6-year-old girl who weighs 25 lb, was somewhat lethargic when she
first arrived at the ED. She has just finished receiving her second 500-ml NS bolus
and is reported as alert and interactive.
C. Caleb, a 2-year-old boy with a canker sore for the past 2 days, is reported by
his parent to be reluctant to eat or drink. Caleb is irritable and resistant to being
examined. Caleb had a large void and his specific gravity was 1.022.
D. Daphne, a 4-month-old infant, has had moderate to severe diarrhea for the
past week but no fever. Her parent states Daphne has been less interested in her
bottle and has been sleeping contently most of the day.
35. Parent thinks friend is a bad influence and the answer is to invite that friend over to get to
know them.
36. SATA question about dehydration or hypovolemic shock features, 2 correct answers, low
cardiac preload, and low tissue perfusion I think.
37. DIC pt and right answer was the pt has to receive platelets transfusion and blood frozen
plasma.
38. Pt with history of fluid loss (do not remember if vomit or diarrhea) during 2 days, with
visible signs of dehydration and BP within normal range, next nurse step → call HCP to
report impending shock.
39. ? asked which of the following would be an inappropriate ? to ask it was about GER and
the inappropriate ? was “Does the child have asthma?”
40. The ? about the adolescent states the he will be driving and texting and it that OK, the
question was asking for who need more teaching.
41. Who remember the question that one of the answers was U-bag for urine collection,
about UTI diagnostic studies.
42. Peritonitis ?, the question that gave a bunch of sx including RIGID ABDOMEN so u
refer to hcp → MED EMERGENCY.
43. Which of the following parenting styles will the child abstain from substances?
Authoritative parenting.
44. ? gave patho of “↓ platelets and destruction” → ans was ITP (Idiopathic
Thrombocytopenic Purpura).
45. Cant rmr if this was a sata but the question asked about assessment of an adolescent, i
think the ans was like can interview the adolescent alone, ask who else live with you?
(assessing home environment), Who do you do for fun or activities → questions were
related to the HEEADSSS thing.
a. Other WRONG choices were like ask about sex first in the question,interview the
adolescent with his parents, or telling something wrong about bully and the nurse
share a story about himself.
14. Pediculosis capitis (head lice) V.S Scabies
a. LICE: s/s = itching, intense pruritus of scalp (behind the ears or nape of neck)
b. SCABIES: s/s = intense pruritus, excoriation and burrows, discrete inflammation
between finger webs, neck folds, groin (hidden folds)
15. Lice pt teaching:
a. machine wash hot water and hot dryer for involved contact products (sheets,
pillow cases, and blankets)
b. remove nits with an extra-fine-tooth comb or tweezers
c. family education = not due to dirtiness, also all family members need to get
treated
16. seborrheic dermatitis: management = shampoo everyday with an antiseborrheic shampoo
A
Extra stuff:
1. concurrent stressors of mother= fighting with husband
2. Mother asks the nurse what the chemotherapy is for? Nurse responds: Chemotherapy is to
decrease pain not cure the cancer tumor
3. Pallative care-> administer opioids regularly
4. D&S question= ans was 3ml
5. D&S question= ans was 25mg
6. Which order by the physician would the nurse question after giving spironolactone? ANS
was potassium chloride
7. Chest tube drainage know when to NOTIFY HCP
8. What's the second stage of lyme disease? early disseminated disease = constitutional
symptoms
-
X
D&S- 2 questions
EXAM 3- 6 questions
?’s on EXAM 3:
Everything is true except: the primary sexual characteristic in females is pubarche (Wrong) → it
is menarche and ovulation.
ITP: Thrombocytopenia: ↓ platelets and destruction, acquired hemorrhagic destruction of
platelets (NOT DIC).
Hemophilia: ZONT DO PASSIVE ROM, the answer was advice noncontact sports.
Sickle cell priority: HYDRATION AND PAIN MANAGEMENT.
Priority for burns: ensure patent airway.
? asked which had a depletion is all components of blood→ aplastic anemia.
-
Factors that cause sickle cell crises: infection, dehydration, stress, fever, exercises? I dont
remember sorry but it was SATA.
Hemolytic uremia syndrome classic triad SATA: hemolytic anemia, thrombocytopenia,
AKI.(answer said acute renal injury but same thing)
Kid who had been vomiting the past 3 days → metabolic alkalosis
(something like this pH = 7.48 pCO2 = 45 HCO3 = 32).
Pt vitals and then GI assessment showed abdominal distention and pain on palpation and hard
abdomen → PERITONITIS CALL HCP.
Ulcerative colitis: asked about long term management/maintenance EXCEPT → corticosteroids
(only for acute management).
Gave symptoms of MODERATE dehydration: sunken fontanelle, tenting, dry mucous
membrane, was like the main indicator.
Phimosis: narrowing foreskin opening (literally definition ?).
Dysmenorrhea symptoms and asked for treatment SATA: oral contraceptives, heating pad,
nsaids, exercises.
Infants are at higher risk for fluid and electrolyte imbalance→ d/t immature renal system,
something about infants' kidneys are immature and inefficient.
Parent came in after son killed himself and she said a major factor that indicated he was gonna
commit suicide→ he went from being depressed to becoming really happy all of a sudden.
CONDOMS protect against STI’s.
Urinary stasis → UTI.
How to access fluid BALANCE→ DAILY WEIGHTS!! NOT I&O’S .
Common cause for Acute kidney injury in children → dehydration.
Nephrotic syndrome: MASSIVE proteinuria, Hyperlipidemia, and hypoalbuminemia
Female athlete triad was in the give the definition ? and the answer was long distance runner
(affect most women who participate in sports emphasizing low body weight).
Some kid got hit in the balls & he went to nurse & he had a swollen red painful scrotum →
testicular torsion → MEDICAL EMERGENCY → refer to hcp
HSV→ something about which of the following is true and it was like once you get it there's no
cure i think.
Burn patient ? ANS: clear airway
The ? said Hgb < 6 and idk what the answer was just give Oxygen bc the symptoms indicated the
pt is anemic not dehydrated so oxygen first.
Hypertonic dehydration Na+ = 152.
Something about eating disorders (AN & BN) which of the following requires more teaching →
if the pt stated that she can keep the same skinny body that she had before get into the hospital.
Something about preschooler caretaker advice → the answer was something related to poison
like keeping toxic substances without children's reach.
All of the following children have been brought to the ED with dehydration. You are receiving a
report from the previous nurse. Which of the following patients would be the priority for the
nurse to assess?
- Daphne, a 4-month-old infant, has had moderate to severe diarrhea for the past week but
no fever. Her parent states Daphne has been less interested in her bottle and has been
sleeping contently most of the day.
Parent thinks friend is a bad influence and the answer is to invite that friend over to get to know
them.
SATA question about dehydration or hypovolemic shock features, 2 correct answers, low cardiac
preload, and low tissue perfusion I think.
DIC pt and right answer was the pt has to receive platelets transfusion and blood frozen plasma.
Pt with history of fluid loss (do not remember if vomit or diarrhea) during 2 days, with visible
signs of dehydration and BP within normal range, next nurse step → call HCP to report
impending shock.
? asked which of the following would be an inappropriate ? to ask it was about GER and the
inappropriate ? was “Does the child have asthma?”
The ? about the adolescent states the he will be driving and texting and it that OK, the question
was asking for who need more teaching.
Who remember the question that one of the answers was U-bag for urine collection, about UTI
diagnostic studies.
Peritonitis ?, the question that gave a bunch of sx including RIGID ABDOMEN so u refer to hcp
→ MED EMERGENCY.
Which of the following parenting styles will the child abstain from substances? Authoritative
parenting.
Cant rmr if this was a sata but the question asked about assessment of an adolescent, i think the
ans was like can interview the adolescent alone, ask who else live with you? (assessing home
environment), Who do you do for fun or activities → questions were related to the HEEADSSS
thing.
Other WRONG choices were like ask about sex first in the question,interview the adolescent
with his parents, or telling something wrong about bully and the nurse share a story about
himself.
ANAPHYLACTIC SHOCK= HYPERSENSITIVITY D/T LATEX ALLERGY