NUR611 Final Exam Questions and
Answers 2023 Graded A+
A child with atrial septal defect usually presents with? - CORRECT ANSWER
Frequent URIs and fatigue
Acyanotic: Left to Right shunting includes? - CORRECT ANSWER ASD, VSD, and
PDA
Acyanotic: L to R Outflow obstruction includes? - CORRECT ANSWER Pulmonary
and aortic stenosis, coarctation of aorta
Cyanotic: Right to left shunting decreased pulmonary flow includes? - CORRECT
ANSWER Tetralogy of fallot, tricuspid atresia, hypo plastic L heart syndrome
Cyanotic: Right to left shunting mixed blood flow includes? - CORRECT ANSWER
Transposition of great vessels, trunks arterioles
CHF in infants includes which s/s - CORRECT ANSWER rales, peripheral edema,
SOB, DOE, tachypnea, tachycardia, hepatomegaly, cardiomegaly, poor growth and
development
Marked different in UE BP and LE BP would likely be which heart defect in a 4yr old? -
CORRECT ANSWER coarctation of aorta
Most common cause of uncontrolled HTN? - CORRECT ANSWER sleep apnea
Which BP meds cause angioedema and a dry cough - CORRECT ANSWER ACEI
Which 2 BP med classes cause hyperkalemia and cannot be used together
simultaneously - CORRECT ANSWER ACEI and ARBs
BB should be used if there is a MI or CHF history, but should not be used in which
patients? - CORRECT ANSWER COPD, asthma patients
CCB can cause swelling where? - CORRECT ANSWER lower extremities
, What fruit to avoid while on CCBs? - CORRECT ANSWER grapefruit
Hyperkalemia - CORRECT ANSWER peaked T wave, wide QRS, long ST
Hypokalemia - CORRECT ANSWER depressed T wave, U waves
Hypercalcemia - CORRECT ANSWER short ARS and ST
Hypocalcemia - CORRECT ANSWER long ST
SABA - CORRECT ANSWER albuterol
LABA + ICS - CORRECT ANSWER Dulera, Symbicort, Brea Ellipta, Advair
Atrovent - CORRECT ANSWER don't use on patients with BPH or glaucoma
LAMA - CORRECT ANSWER Spiriva
with obstructive airways problems they have trouble breathing??? - CORRECT
ANSWER Breathing out
not COPD unless FEV1/FVC is less than? - CORRECT ANSWER <70
with COPD they will have a HX of? - CORRECT ANSWER chronic cough, purulent
sputum, increased sputum, smoking, alpha 1 antrysin before age 40
Rule of 2 with SABAs - CORRECT ANSWER using inhaler >2x week, awakening >2x
month, refills >2x year
Theophylline and MAOIs - CORRECT ANSWER Adverse reactions if mixed
Test for appendicitis? - CORRECT ANSWER Rovsings, Psoas, Obturator, Jar,
McBurneys point
Test for cholecystitis? - CORRECT ANSWER Murphys sign (RUQ)
Pain elicited by RUQ palpation? - CORRECT ANSWER Murphys sign-gallbladder
surface antigeN - CORRECT ANSWER infectioN
surface antibodY - CORRECT ANSWER immunitY
IgG (gone) so if IgG is negative they have - CORRECT ANSWER immunity from
immunization
Answers 2023 Graded A+
A child with atrial septal defect usually presents with? - CORRECT ANSWER
Frequent URIs and fatigue
Acyanotic: Left to Right shunting includes? - CORRECT ANSWER ASD, VSD, and
PDA
Acyanotic: L to R Outflow obstruction includes? - CORRECT ANSWER Pulmonary
and aortic stenosis, coarctation of aorta
Cyanotic: Right to left shunting decreased pulmonary flow includes? - CORRECT
ANSWER Tetralogy of fallot, tricuspid atresia, hypo plastic L heart syndrome
Cyanotic: Right to left shunting mixed blood flow includes? - CORRECT ANSWER
Transposition of great vessels, trunks arterioles
CHF in infants includes which s/s - CORRECT ANSWER rales, peripheral edema,
SOB, DOE, tachypnea, tachycardia, hepatomegaly, cardiomegaly, poor growth and
development
Marked different in UE BP and LE BP would likely be which heart defect in a 4yr old? -
CORRECT ANSWER coarctation of aorta
Most common cause of uncontrolled HTN? - CORRECT ANSWER sleep apnea
Which BP meds cause angioedema and a dry cough - CORRECT ANSWER ACEI
Which 2 BP med classes cause hyperkalemia and cannot be used together
simultaneously - CORRECT ANSWER ACEI and ARBs
BB should be used if there is a MI or CHF history, but should not be used in which
patients? - CORRECT ANSWER COPD, asthma patients
CCB can cause swelling where? - CORRECT ANSWER lower extremities
, What fruit to avoid while on CCBs? - CORRECT ANSWER grapefruit
Hyperkalemia - CORRECT ANSWER peaked T wave, wide QRS, long ST
Hypokalemia - CORRECT ANSWER depressed T wave, U waves
Hypercalcemia - CORRECT ANSWER short ARS and ST
Hypocalcemia - CORRECT ANSWER long ST
SABA - CORRECT ANSWER albuterol
LABA + ICS - CORRECT ANSWER Dulera, Symbicort, Brea Ellipta, Advair
Atrovent - CORRECT ANSWER don't use on patients with BPH or glaucoma
LAMA - CORRECT ANSWER Spiriva
with obstructive airways problems they have trouble breathing??? - CORRECT
ANSWER Breathing out
not COPD unless FEV1/FVC is less than? - CORRECT ANSWER <70
with COPD they will have a HX of? - CORRECT ANSWER chronic cough, purulent
sputum, increased sputum, smoking, alpha 1 antrysin before age 40
Rule of 2 with SABAs - CORRECT ANSWER using inhaler >2x week, awakening >2x
month, refills >2x year
Theophylline and MAOIs - CORRECT ANSWER Adverse reactions if mixed
Test for appendicitis? - CORRECT ANSWER Rovsings, Psoas, Obturator, Jar,
McBurneys point
Test for cholecystitis? - CORRECT ANSWER Murphys sign (RUQ)
Pain elicited by RUQ palpation? - CORRECT ANSWER Murphys sign-gallbladder
surface antigeN - CORRECT ANSWER infectioN
surface antibodY - CORRECT ANSWER immunitY
IgG (gone) so if IgG is negative they have - CORRECT ANSWER immunity from
immunization
