1|Page
NSG 3600 Peds Exam 2 TEST FINAL EXAM AND PRACTICE
EXAM 20262027 BANK 2 VERSIONS QUESTIONS WITH
DETAILED VERIFIED ANSWERS EXAM QUESTIONS WILL
COME FROM HERE (100% CORRECT ANSWERS A+ GRADED
Acute Epiglottitis - ANSWERS--Acute inflammation of the epiglottis due
to Haemophilus type b (Hib)
Prevention is to get Haemophilus influenzae type b (Hib) vaccine
Acute Epiglottitis Clinical Manifestations - ANSWERS--Rapid Onset,
Tripod positioning, drooling, dysphagia, muffled speech, retractions,
inspiratory stridor, high fever. Medical emergency can lead to
obstruction.
Acute Epiglottitis Diagnostics - ANSWERS--Steeple Sign and Thumb Sign
Acute Epiglottitis Treatment - ANSWERS--The swelling is usually
decreased after 24 hours of antibiotics therapy. DO NOT examine the
throat. Need to reduce anxiety, position for comfort, trach tray or
endotracheal tube need to be available at bedside, use cool mist to
humidification, no oral fluids and use IV fluids to help prevent
dehydration.
,2|Page
Acute Laryngotracheobronchitis (LBT) Therapeutic Management -
ANSWERS--Airway Management, maintain hydration, watch I & O (IV
fluids), high humidity with cool mist, never lay flat, Racemic
Epinephrine is a nebulizer treatment and steroids
Acute Laryngotracheobronchitis (LTB) Etiology - ANSWERS--S. Aureus,
RSV, Parainfluenza virus
Happens in kids less than 5 years old
Acute Laryngotracheobronchitis Clinical Manifestations - ANSWERS--
Inspiratory stridor, Suprasternal retractions, barking or "seal-like"
cough, increasing respiratory distress and hypoxia, purulent sputum,
high fever.
Adolescents Vital Signs - ANSWERS--60-100 pulse
110-125/65-85 mm Hg
97.6-99.5 Axillary
12-20 RR
Albumin levels in Children - ANSWERS--4.5-9 g/dL
Aortic Stenosis: Pathophysiology - ANSWERS--Malformation and
narrowing in the aorta or around the aortic valve. Kids can pass out
from overexertion and can cause heart failure.
,3|Page
Asthma - ANSWERS--Inflammation and edema of the mucous
membranes, accumulation of tenacious secretions from mucous glands,
and spasms or the smooth muscle of the bronchi and bronchioles which
decrease the caliber of the bronchioles.
Asthma Clinical Manifestations - ANSWERS--#1 clinical manifestation is
wheezing, tachypnea, non-productive cough, chest tightness, prolonged
expiratory phase.
Asthma Complications - ANSWERS--Status asthmaticus: an acute
asthma attack that does not go away with inhaler, respiratory distress
continues despite vigorous therapeutic measures.
Emergency treatment: epinephrine 0.01 mL/kg subcutaneously (
maximum does 0.3 mL) Emergency - silent (absence of wheezing in a
previously wheezing patient)
Asthma Pharmacological Therapy Long Term - ANSWERS--
Corticosteroids (The inhaled form is the anti-inflammatory drug of
choice for persistent asthma.)
Mast cell stabilizers (anti-inflammatory drugs),
Long acting beta-agonists (bronchodilators often used along with an
anti-inflammatory drug),
Theophylline (a bronchodilator used along with an anti-inflammatory
drug to prevent nighttime symptoms),
Leukotriene modifiers (an alternative to steroids and mast cell
stabilizers)
, 4|Page
Xolair (an injectable asthma medication used when inhaled steroids for
asthma failed to control asthma symptoms in people with moderate to
severe asthma who also have allergies)
Asthma Pharmacological Therapy Short Term - ANSWERS--Short acting
beta-agonists-Albuterol (#1)
This is your rescue inhaler for symptomatic treatment NOT BE USED
VERY DAY
Atrial Septal Defect (ASD) - ANSWERS--Simple defect of the atria results
when the two septae fail to overlap properly. Will occur in the second
intercostal space and is on the LEFT side. Sound will either be blowing
or very harsh. These kids will be surgery due to their defect not closing
on its own.
Bronchiolitis (RSV) - ANSWERS--The bronchiole mucosa swell and
lumina are filled with mucus and exudate
Bronchiolitis (RSV) Clinical Manifestations - ANSWERS--URI-rhinorrhea,
fever, cough-non productive, paroxysmal, apnea, intercostal retractions
is a hallmark sign of this diagnosis. Very thick mucus. Can be contagious
for up to 3 weeks
Bronchiolitis/RSV Diagnostic Testing - ANSWERS--ELISA-enzyme-linked
immunosorbent assay swob in the nose
NSG 3600 Peds Exam 2 TEST FINAL EXAM AND PRACTICE
EXAM 20262027 BANK 2 VERSIONS QUESTIONS WITH
DETAILED VERIFIED ANSWERS EXAM QUESTIONS WILL
COME FROM HERE (100% CORRECT ANSWERS A+ GRADED
Acute Epiglottitis - ANSWERS--Acute inflammation of the epiglottis due
to Haemophilus type b (Hib)
Prevention is to get Haemophilus influenzae type b (Hib) vaccine
Acute Epiglottitis Clinical Manifestations - ANSWERS--Rapid Onset,
Tripod positioning, drooling, dysphagia, muffled speech, retractions,
inspiratory stridor, high fever. Medical emergency can lead to
obstruction.
Acute Epiglottitis Diagnostics - ANSWERS--Steeple Sign and Thumb Sign
Acute Epiglottitis Treatment - ANSWERS--The swelling is usually
decreased after 24 hours of antibiotics therapy. DO NOT examine the
throat. Need to reduce anxiety, position for comfort, trach tray or
endotracheal tube need to be available at bedside, use cool mist to
humidification, no oral fluids and use IV fluids to help prevent
dehydration.
,2|Page
Acute Laryngotracheobronchitis (LBT) Therapeutic Management -
ANSWERS--Airway Management, maintain hydration, watch I & O (IV
fluids), high humidity with cool mist, never lay flat, Racemic
Epinephrine is a nebulizer treatment and steroids
Acute Laryngotracheobronchitis (LTB) Etiology - ANSWERS--S. Aureus,
RSV, Parainfluenza virus
Happens in kids less than 5 years old
Acute Laryngotracheobronchitis Clinical Manifestations - ANSWERS--
Inspiratory stridor, Suprasternal retractions, barking or "seal-like"
cough, increasing respiratory distress and hypoxia, purulent sputum,
high fever.
Adolescents Vital Signs - ANSWERS--60-100 pulse
110-125/65-85 mm Hg
97.6-99.5 Axillary
12-20 RR
Albumin levels in Children - ANSWERS--4.5-9 g/dL
Aortic Stenosis: Pathophysiology - ANSWERS--Malformation and
narrowing in the aorta or around the aortic valve. Kids can pass out
from overexertion and can cause heart failure.
,3|Page
Asthma - ANSWERS--Inflammation and edema of the mucous
membranes, accumulation of tenacious secretions from mucous glands,
and spasms or the smooth muscle of the bronchi and bronchioles which
decrease the caliber of the bronchioles.
Asthma Clinical Manifestations - ANSWERS--#1 clinical manifestation is
wheezing, tachypnea, non-productive cough, chest tightness, prolonged
expiratory phase.
Asthma Complications - ANSWERS--Status asthmaticus: an acute
asthma attack that does not go away with inhaler, respiratory distress
continues despite vigorous therapeutic measures.
Emergency treatment: epinephrine 0.01 mL/kg subcutaneously (
maximum does 0.3 mL) Emergency - silent (absence of wheezing in a
previously wheezing patient)
Asthma Pharmacological Therapy Long Term - ANSWERS--
Corticosteroids (The inhaled form is the anti-inflammatory drug of
choice for persistent asthma.)
Mast cell stabilizers (anti-inflammatory drugs),
Long acting beta-agonists (bronchodilators often used along with an
anti-inflammatory drug),
Theophylline (a bronchodilator used along with an anti-inflammatory
drug to prevent nighttime symptoms),
Leukotriene modifiers (an alternative to steroids and mast cell
stabilizers)
, 4|Page
Xolair (an injectable asthma medication used when inhaled steroids for
asthma failed to control asthma symptoms in people with moderate to
severe asthma who also have allergies)
Asthma Pharmacological Therapy Short Term - ANSWERS--Short acting
beta-agonists-Albuterol (#1)
This is your rescue inhaler for symptomatic treatment NOT BE USED
VERY DAY
Atrial Septal Defect (ASD) - ANSWERS--Simple defect of the atria results
when the two septae fail to overlap properly. Will occur in the second
intercostal space and is on the LEFT side. Sound will either be blowing
or very harsh. These kids will be surgery due to their defect not closing
on its own.
Bronchiolitis (RSV) - ANSWERS--The bronchiole mucosa swell and
lumina are filled with mucus and exudate
Bronchiolitis (RSV) Clinical Manifestations - ANSWERS--URI-rhinorrhea,
fever, cough-non productive, paroxysmal, apnea, intercostal retractions
is a hallmark sign of this diagnosis. Very thick mucus. Can be contagious
for up to 3 weeks
Bronchiolitis/RSV Diagnostic Testing - ANSWERS--ELISA-enzyme-linked
immunosorbent assay swob in the nose
