NSG 3107 LATEST 2026 STUDY GUIDE QUESTIONS AND
SOLUTIONS GRADED A+
✔✔Hypoxemia - ✔✔Arterial oxygen tension that is less than normal
✔✔Endocarditis (BSDT) - ✔✔B: Bacterial, infective or subacute
S: flu like, standard cardiac
D: blood culture, standard cardiac
T: Prophylactic abx 1hr prior to procedure
✔✔Pulmonary Artery Hypertension (BSDT) - ✔✔B: Rare group of disorders that result
in an elevation of pulmonary artery pressure
S: dyspnea with exertion, chest pain, syncope
D: blood test, imaging
T: treat underlying cause, meds (nitrous oxide, Ca channel antagonist), surgery
✔✔Rheumatic Fever (BSDT) - ✔✔B: Inflammatory disease occurs after GABHS
Uncommon in Canada
Can cause rheumatic heart disease
S: skin rash, red/swollen joints, pain, tonsillitis
D: GABHS culture, standard cardiac
T: Managed by infection eradication, rehab, prevent recurrence (abx, steroids, bedrest
when acute)
✔✔Cardiomyopathy (BSDT) - ✔✔B: Abnormalities of myocardium in which the ability of
the muscle to contract is impaired
(fmhx, infx, metabolic abnormalities)
S: standard cardiac
D: imaging
T: sxtx, medication + surgical (removing part of thickened portion)
✔✔Kawasaki Disease (BSDT) - ✔✔B: Monocutaneous lymph node syndrome
75% of cases under 5yo
, Risk of coronary artery aneurysm
S: fvr, red etes, rash, swollen/peeling extremities, red cracked lips, inflamed tongue
D: primarily r/o others
T: self limiting, therapeutic (gamma globulin, anti-inflammatory)
✔✔Signs of increased ICP in infants - ✔✔irritability
Macewen sign (cracked pot)
bulging fontanels
separated cranial sutures
sunset eyes
distended scalp veins
✔✔Signs of increased ICP in children - ✔✔h/a
vomiting
seizures
lethargy
diplopia
✔✔Late signs of increasing ICP - ✔✔Bradycardia
Decr motor response
Altered pupil size/reactivity
Papilledema
Posturing
Cheyne-Stokes respirations
Decr consciousness
Coma
✔✔Levels of Consciousness - ✔✔Confusion
Disorientation
Lethargy
Obtundation
Stupor
Coma
Persistent vegetative state
✔✔Pediatric Glasgow Coma Scale - ✔✔Assess:
eyes
motor
verbal
<3 worst possible
<8 coma
15 normal
SOLUTIONS GRADED A+
✔✔Hypoxemia - ✔✔Arterial oxygen tension that is less than normal
✔✔Endocarditis (BSDT) - ✔✔B: Bacterial, infective or subacute
S: flu like, standard cardiac
D: blood culture, standard cardiac
T: Prophylactic abx 1hr prior to procedure
✔✔Pulmonary Artery Hypertension (BSDT) - ✔✔B: Rare group of disorders that result
in an elevation of pulmonary artery pressure
S: dyspnea with exertion, chest pain, syncope
D: blood test, imaging
T: treat underlying cause, meds (nitrous oxide, Ca channel antagonist), surgery
✔✔Rheumatic Fever (BSDT) - ✔✔B: Inflammatory disease occurs after GABHS
Uncommon in Canada
Can cause rheumatic heart disease
S: skin rash, red/swollen joints, pain, tonsillitis
D: GABHS culture, standard cardiac
T: Managed by infection eradication, rehab, prevent recurrence (abx, steroids, bedrest
when acute)
✔✔Cardiomyopathy (BSDT) - ✔✔B: Abnormalities of myocardium in which the ability of
the muscle to contract is impaired
(fmhx, infx, metabolic abnormalities)
S: standard cardiac
D: imaging
T: sxtx, medication + surgical (removing part of thickened portion)
✔✔Kawasaki Disease (BSDT) - ✔✔B: Monocutaneous lymph node syndrome
75% of cases under 5yo
, Risk of coronary artery aneurysm
S: fvr, red etes, rash, swollen/peeling extremities, red cracked lips, inflamed tongue
D: primarily r/o others
T: self limiting, therapeutic (gamma globulin, anti-inflammatory)
✔✔Signs of increased ICP in infants - ✔✔irritability
Macewen sign (cracked pot)
bulging fontanels
separated cranial sutures
sunset eyes
distended scalp veins
✔✔Signs of increased ICP in children - ✔✔h/a
vomiting
seizures
lethargy
diplopia
✔✔Late signs of increasing ICP - ✔✔Bradycardia
Decr motor response
Altered pupil size/reactivity
Papilledema
Posturing
Cheyne-Stokes respirations
Decr consciousness
Coma
✔✔Levels of Consciousness - ✔✔Confusion
Disorientation
Lethargy
Obtundation
Stupor
Coma
Persistent vegetative state
✔✔Pediatric Glasgow Coma Scale - ✔✔Assess:
eyes
motor
verbal
<3 worst possible
<8 coma
15 normal
