NSG 222 EXAMINATION STUDY SHEET 2026
QUESTIONS WITH DETAILED SOLUTIONS
◉10 Warning Signs of Primary Immunodeficiency. Answer: 5.
Failure of an infant to gain weight or grow normally
6. Recurrent, deep skin or organ abscesses
7. Persistent thrush in mouth or fungal infec. on skin
8. Need for IV antibiotics to clear infections
9. 2 or more deep-seated infections inc septicemia
10. A family hx of PI
◉What to watch for with IV Immunoglobulin?. Answer: Watch for
dehydration & infection.
Ensure that the child is well hydrated before the infusion to decrease
the risk for rate-related reactions & aseptic meningitis after the
infusion.
◉Premedication for IVIG. Answer: Premedication w/
diphenhydramine or acetaminophen may be indicated in children
who have never received IVIG, have not had an infusion in more than
8 wks
,◉Assessment for IVIG. Answer: IVIG is a plasma product, so observe
closely for signs of anaphylaxis such as headache, facial flushing,
urticaria, dyspnea, SOB, wheezing, chest pain, fever, chills, n/v,
increased anxiety, or hypotension.
◉Systemic Lupus Erthematosus- What to know?. Answer: Avoid
Heat
Watch Temp
Butterfly rash
◉SLE Labs. Answer: Laboratory findings may include decreased
hemoglobin & hematocrit, decreased platelet count, & low WBC
count. Complement levels, C3 and C4, will also be decreased.
◉Nursing Assessment for Juvenile Idiopathic Arthritis. Answer:
Manage pain. Keep low stress environment and good diet.
◉Nursing Management Myasthenia Gravis. Answer: The goals of
nursing management include prevention of respiratory problems &
providing adequate nutrition.
, Prevention of infection
◉Food Allergies: What to know. Answer: Try one food at a time
Inspect the skin for color, rash, hives, or edema. Auscultate the heart
& lungs to determine HR & to assess for wheezing.T
The child who has been prescribed an EpiPen should carry the pen
w/ him or her at all times. Since these reactions can be so sudden
(unknown ingestion of allergen) & severe, it is helpful for the family
to have a written emergency plan in case of a reaction. Keep an Epi
Pen & benadryl w/ you at all times
◉Allergies with cross-reactivity with latex. Answer: Determine
whether the child has ever had allergic symptoms after eating foods
w/ a known cross-reactivity to latex, such as pear, peach, passion
fruit, plum, pineapple, kiwi, fig, grape, cherry, melon, nectarine,
papaya, apple, apricot, banana, chestnut, carrot, celery, avocado,
tomato, or potato
◉Delayed Growth-. Answer: Dwarfism
◉Endocrine Disorder: Important to focus on. Answer: Have the child
and family describe the child's activities on a typical day, including
QUESTIONS WITH DETAILED SOLUTIONS
◉10 Warning Signs of Primary Immunodeficiency. Answer: 5.
Failure of an infant to gain weight or grow normally
6. Recurrent, deep skin or organ abscesses
7. Persistent thrush in mouth or fungal infec. on skin
8. Need for IV antibiotics to clear infections
9. 2 or more deep-seated infections inc septicemia
10. A family hx of PI
◉What to watch for with IV Immunoglobulin?. Answer: Watch for
dehydration & infection.
Ensure that the child is well hydrated before the infusion to decrease
the risk for rate-related reactions & aseptic meningitis after the
infusion.
◉Premedication for IVIG. Answer: Premedication w/
diphenhydramine or acetaminophen may be indicated in children
who have never received IVIG, have not had an infusion in more than
8 wks
,◉Assessment for IVIG. Answer: IVIG is a plasma product, so observe
closely for signs of anaphylaxis such as headache, facial flushing,
urticaria, dyspnea, SOB, wheezing, chest pain, fever, chills, n/v,
increased anxiety, or hypotension.
◉Systemic Lupus Erthematosus- What to know?. Answer: Avoid
Heat
Watch Temp
Butterfly rash
◉SLE Labs. Answer: Laboratory findings may include decreased
hemoglobin & hematocrit, decreased platelet count, & low WBC
count. Complement levels, C3 and C4, will also be decreased.
◉Nursing Assessment for Juvenile Idiopathic Arthritis. Answer:
Manage pain. Keep low stress environment and good diet.
◉Nursing Management Myasthenia Gravis. Answer: The goals of
nursing management include prevention of respiratory problems &
providing adequate nutrition.
, Prevention of infection
◉Food Allergies: What to know. Answer: Try one food at a time
Inspect the skin for color, rash, hives, or edema. Auscultate the heart
& lungs to determine HR & to assess for wheezing.T
The child who has been prescribed an EpiPen should carry the pen
w/ him or her at all times. Since these reactions can be so sudden
(unknown ingestion of allergen) & severe, it is helpful for the family
to have a written emergency plan in case of a reaction. Keep an Epi
Pen & benadryl w/ you at all times
◉Allergies with cross-reactivity with latex. Answer: Determine
whether the child has ever had allergic symptoms after eating foods
w/ a known cross-reactivity to latex, such as pear, peach, passion
fruit, plum, pineapple, kiwi, fig, grape, cherry, melon, nectarine,
papaya, apple, apricot, banana, chestnut, carrot, celery, avocado,
tomato, or potato
◉Delayed Growth-. Answer: Dwarfism
◉Endocrine Disorder: Important to focus on. Answer: Have the child
and family describe the child's activities on a typical day, including
