NURS 629 EXAM 3 QUESTIONS AND
ANSWERS LATEST SOLUTION GUIDE
Risk factors related to elevated cholesterol? - Answer · Obesity
· Diabetes
· Hypertension
· Family history:
o Coronary heart disease prior to age 55
o Hyperlipidemia
o Diabetes
Most common cyanotic cardiac lesion (disorder) - Answer Tetralogy of Fallot
What is Tetralogy of Fallot? - Answer a congenital heart condition involving four
abnormalities occurring together:
1) Pulmonary valve stenosis
2) RT vent hypertrophy
3)Vent septum Defect
4)Aorta overrides Vent Septum
What would be seen on X-ray with TOF - Answer Boot shaped heart and Rt vent
hypertrophy
What are the common s/s of tetralogy of Fallot? - Answer *Cyanosis (hypoxia)
*SOB w/exercise
*clubbing fingers and toes
*delayed growth
*systolic and holosystolic murmurs
What criteria would you have to consider inpatient admission in a patient with
pneumonia - Answer Comorbidities: lung dz, congenital Heart dz, DM, grunting child,
O2 <92%
What to expect of a 2-mo old visual acuity? - Answer *Vision of 20/400
*Can fix and follow objects
S/S of viral conjunctivitis - Answer *Starts bilaterally
*usually occurs with upper resp tract infection (adenovirus)
*serous(watery) drainage
*injected conjunctiva
*Enlarged or tender preauricular nodes
Clinical findings of of viral conjunctivitis - Answer *Normal visual acuity
*injected conjunctiva
, *Preauricular lymphadenopathy
Treatment of viral conjunctivitis - Answer * Symptomatic only
* Warm or Cool compresses
* Strict eye/hand hygiene
* avoid contacts for a while
What do you do for a patient with an elevated B/P on initial visit? - Answer *Repeat in
1-2 weeks and average over 3 visits
*Pt to keep log for review
*Encourage healthy lifestyle choices
Asthma is disruptive several times during the night/interrupting sleep at least 3 times a
week, what's the next step? - Answer Moderate persistant; prescribe inhaled steroid
(flovent)
Causative organism of bronchiolitis - Answer (RSV) Respiratory syncytial virus most
likely cause
what type of murmur is caused by normal blood flow thru normal cardiac structures in
up to 80% children; Midsystolic; can come and go; Gets louder with fever, exercise, and
anxiety - Answer functional or innocent murmur
When do innocent murmurs develop? - Answer (book p 763) age 3-4; (module 10 lect)
age 2-6
type of murmur caused by turbulent blood flow caused by a defect or abnormal cardiac
structures; Dystolic; Grade ≥ IV; increases with sitting or standing - Answer pathological
murmur
symptoms of croup - Answer · Barking cough
· Fever
· URI symptoms
s/s of bronchiolitis - Answer · inspiratory and expiratory wheezing accompanied by:
*fever
*URI symptoms including profuse clear nasal discharge
When to use inhaler to treat exercise induced asthma - Answer Use rescue inhaler 15-
30 minute prior to activity
Condition caused by a defect or hole in the atrial septum - Answer Atrial Septum Defect
(ASD)
When should children be screened for hyperlipidemia? - Answer between 9-11 years
then 17-21 years
ANSWERS LATEST SOLUTION GUIDE
Risk factors related to elevated cholesterol? - Answer · Obesity
· Diabetes
· Hypertension
· Family history:
o Coronary heart disease prior to age 55
o Hyperlipidemia
o Diabetes
Most common cyanotic cardiac lesion (disorder) - Answer Tetralogy of Fallot
What is Tetralogy of Fallot? - Answer a congenital heart condition involving four
abnormalities occurring together:
1) Pulmonary valve stenosis
2) RT vent hypertrophy
3)Vent septum Defect
4)Aorta overrides Vent Septum
What would be seen on X-ray with TOF - Answer Boot shaped heart and Rt vent
hypertrophy
What are the common s/s of tetralogy of Fallot? - Answer *Cyanosis (hypoxia)
*SOB w/exercise
*clubbing fingers and toes
*delayed growth
*systolic and holosystolic murmurs
What criteria would you have to consider inpatient admission in a patient with
pneumonia - Answer Comorbidities: lung dz, congenital Heart dz, DM, grunting child,
O2 <92%
What to expect of a 2-mo old visual acuity? - Answer *Vision of 20/400
*Can fix and follow objects
S/S of viral conjunctivitis - Answer *Starts bilaterally
*usually occurs with upper resp tract infection (adenovirus)
*serous(watery) drainage
*injected conjunctiva
*Enlarged or tender preauricular nodes
Clinical findings of of viral conjunctivitis - Answer *Normal visual acuity
*injected conjunctiva
, *Preauricular lymphadenopathy
Treatment of viral conjunctivitis - Answer * Symptomatic only
* Warm or Cool compresses
* Strict eye/hand hygiene
* avoid contacts for a while
What do you do for a patient with an elevated B/P on initial visit? - Answer *Repeat in
1-2 weeks and average over 3 visits
*Pt to keep log for review
*Encourage healthy lifestyle choices
Asthma is disruptive several times during the night/interrupting sleep at least 3 times a
week, what's the next step? - Answer Moderate persistant; prescribe inhaled steroid
(flovent)
Causative organism of bronchiolitis - Answer (RSV) Respiratory syncytial virus most
likely cause
what type of murmur is caused by normal blood flow thru normal cardiac structures in
up to 80% children; Midsystolic; can come and go; Gets louder with fever, exercise, and
anxiety - Answer functional or innocent murmur
When do innocent murmurs develop? - Answer (book p 763) age 3-4; (module 10 lect)
age 2-6
type of murmur caused by turbulent blood flow caused by a defect or abnormal cardiac
structures; Dystolic; Grade ≥ IV; increases with sitting or standing - Answer pathological
murmur
symptoms of croup - Answer · Barking cough
· Fever
· URI symptoms
s/s of bronchiolitis - Answer · inspiratory and expiratory wheezing accompanied by:
*fever
*URI symptoms including profuse clear nasal discharge
When to use inhaler to treat exercise induced asthma - Answer Use rescue inhaler 15-
30 minute prior to activity
Condition caused by a defect or hole in the atrial septum - Answer Atrial Septum Defect
(ASD)
When should children be screened for hyperlipidemia? - Answer between 9-11 years
then 17-21 years
