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NR602 FINAL EXAM (2 VERSIONS) NEWEST
COMPLETE 200 QUESTIONS AND CORRECT
DETAILED ANSWERS ||VERIFIED EXAM!!(VERIFIED
ANSWERS) |ALREADY GRADED A+||NEWEST
UPDATE!!!
What additional preventative action should patients with
sickle cell have? - ANSWER--routine blood pressure
monitoring
-Transcranial Doppler's up to 16 years old
-Retinal exam starting at age 10
What vaccination should sickle cell patients have and
why? - ANSWER--PCV13 (2m, 4m, 6m, 12m)
-PPSV23 (24m, 5y-7y)
-influenza (6m starting..)
They are at higher risk for infection that could be deadly.
A four month old infant's Mother calls and states the
patient has a fever of 101.8 rectally. The mother reports
that the patient has received her penicillin prophylaxis that
was prescribed for sickle cell. There is no respiratory
distress and the patient has good oral intake and normal
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urine output. What advice would you give the mother at
this time? - ANSWER-The mother should be advised to
take the patient to the emergency department immediately
for initiation of IV antibiotics and further evaluation
Out of the following children who should be seen
immediately?
A.) A four month old who has had a fever of 101.2 x 2 days
but is still playing and has good oral intake.
B.) A two month old with a fever of 100.6
C.) A 13 year old with a fever of 103
D.) A 3 year old with a fever of 101.1 - ANSWER-B
Babies <3 months with a fever greater than 100.4 should
be seen immediately
Exclusively breast-fed infants should be started on what at
four months of age? - ANSWER-Iron supplementation
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Iron-fortified cereal and/or purred meats at 6 months
What education should be provided for families of children
taking iron supplements? - ANSWER--avoid administering
with meals or milk
-vitamin C juice enhances absorption
-Child stores will turn black
-Any dental staining can be removed with dental cleaning
A mother presents with a six-year-old male with
complaints of fever times one week and rash. Upon exam
you find conjunctival injection, red, tender, edematous
hands and feet, cracked red dry lips, cervical
lymphadenitis, and a red strawberry tongue. What is the
diagnosis and treatment? - ANSWER-Labs: CBC, CMP,
ESR, and CRP
Kawasaki Disease- vasculitis
Admit to hospital, needs: IVIG, ASA (antiplatlet therapy),
antiplatlet
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*no live vaccinations x 11 months post IVIG.
rheumatic fever - ANSWER-A bacterial infection that can
be carried in the blood to the joints from group A strep
Jones Criteria to help identify
What is the treatment for rheumatic fever? - ANSWER-
First line: PCN
If allergic to PCN: azithro
Prednisone
ASA
No prophylaxis for endocarditis in rheumatic fever
What is the difference between croup and Bronchiolitis? -
ANSWER-Croup targets the upper respiratory track,
bronchitis threatens the small and medium lower
respiratory tract passages
NR602 FINAL EXAM (2 VERSIONS) NEWEST
COMPLETE 200 QUESTIONS AND CORRECT
DETAILED ANSWERS ||VERIFIED EXAM!!(VERIFIED
ANSWERS) |ALREADY GRADED A+||NEWEST
UPDATE!!!
What additional preventative action should patients with
sickle cell have? - ANSWER--routine blood pressure
monitoring
-Transcranial Doppler's up to 16 years old
-Retinal exam starting at age 10
What vaccination should sickle cell patients have and
why? - ANSWER--PCV13 (2m, 4m, 6m, 12m)
-PPSV23 (24m, 5y-7y)
-influenza (6m starting..)
They are at higher risk for infection that could be deadly.
A four month old infant's Mother calls and states the
patient has a fever of 101.8 rectally. The mother reports
that the patient has received her penicillin prophylaxis that
was prescribed for sickle cell. There is no respiratory
distress and the patient has good oral intake and normal
,2|Page
urine output. What advice would you give the mother at
this time? - ANSWER-The mother should be advised to
take the patient to the emergency department immediately
for initiation of IV antibiotics and further evaluation
Out of the following children who should be seen
immediately?
A.) A four month old who has had a fever of 101.2 x 2 days
but is still playing and has good oral intake.
B.) A two month old with a fever of 100.6
C.) A 13 year old with a fever of 103
D.) A 3 year old with a fever of 101.1 - ANSWER-B
Babies <3 months with a fever greater than 100.4 should
be seen immediately
Exclusively breast-fed infants should be started on what at
four months of age? - ANSWER-Iron supplementation
,3|Page
Iron-fortified cereal and/or purred meats at 6 months
What education should be provided for families of children
taking iron supplements? - ANSWER--avoid administering
with meals or milk
-vitamin C juice enhances absorption
-Child stores will turn black
-Any dental staining can be removed with dental cleaning
A mother presents with a six-year-old male with
complaints of fever times one week and rash. Upon exam
you find conjunctival injection, red, tender, edematous
hands and feet, cracked red dry lips, cervical
lymphadenitis, and a red strawberry tongue. What is the
diagnosis and treatment? - ANSWER-Labs: CBC, CMP,
ESR, and CRP
Kawasaki Disease- vasculitis
Admit to hospital, needs: IVIG, ASA (antiplatlet therapy),
antiplatlet
, 4|Page
*no live vaccinations x 11 months post IVIG.
rheumatic fever - ANSWER-A bacterial infection that can
be carried in the blood to the joints from group A strep
Jones Criteria to help identify
What is the treatment for rheumatic fever? - ANSWER-
First line: PCN
If allergic to PCN: azithro
Prednisone
ASA
No prophylaxis for endocarditis in rheumatic fever
What is the difference between croup and Bronchiolitis? -
ANSWER-Croup targets the upper respiratory track,
bronchitis threatens the small and medium lower
respiratory tract passages
