NR602 MIDTERM- MY STUDY SET
EXAM QUESTIONS & CORRECT
COMPLETE ANSWERS
What is Tertiary Care of nursing - correct answer ✔✔tertiary care requires both specialized
expertise and equipment; and quaternary care requires highly specialized expertise and highly
unusual or specialized equipment
A child gets an animal bite how should you treat the wound - correct answer ✔✔1. Leave
animal and human bites open for healing by granulation
2. Administer tetanus booster and rabies prophylaxis if indicated
3. Using normal saline, irrigate the wounds using high pressure
4. Prescribe a 3- to 5-day course of prophylactic antibiotics
Prescribe a broad-spectrum antibiotic, such as amoxicillin clavulanate (first choice)
Treat penicillin-allergic individuals with an extended-spectrum cephalosporin or trimethoprim-
sulfamethoxazole plus clindamycin
What is the Rotavirus - correct answer ✔✔Rotavirus disease is common among infants and
young children. Rotavirus can cause severe watery diarrhea, vomiting, fever, and abdominal
pain. Some children with rotavirus disease lose a lot of fluids and become very dehydrated.
What is enterovirus? - correct answer ✔✔The red sores known as hand-foot-and-mouth disease
usually go away in 7 to 10 days
Symptoms on Enterovirus - correct answer ✔✔Muscle aches
Fever
Sore throat
,Red sores known as hand-foot-and-mouth disease
What is a sprain? - correct answer ✔✔stretching or tearing of ligaments
What is patellofemoral pain syndrome? - correct answer ✔✔"Anterior knee pain" or "runner's
knee". 3 categories; overuse, biomechanical, muscle dysfunction.
What is Osgood-Schlatter disease? - correct answer ✔✔common cause of knee pain in
adolescent male athletes
- periods of rapid growth in which the quadriceps tendon puts traction on the apophysis of the
tibial tubercle where the patellar tendon inserts
- traction apophysitis is worsened by sports that involve repetitive running, jumping, or kneeling
and improves with rest
DX: radiographic finding: anterior soft tissue swelling, lifting of tubercle from the shaft,
irregularity or fragmentation of the tubercle.
PE: edema and tenderness over the tibial tubercle. may feel a mass because of heterotopic
bone formation. Pain reproduced by extending the knee against resistance
TX: activity restriction, stretching exercises, NSAIDs
What is hydrocephalus? - correct answer ✔✔a condition in which fluid accumulates in the
brain, typically in young children, enlarging the head and sometimes causing brain damage.
symptoms of migraine headache - correct answer ✔✔dull to throbbing head pain
sensitivity to light, sound
nausea, vomiting
,visual aura
What is cerebral palsy? - correct answer ✔✔A permanent impairment affecting automatic
postural control and movement as a result of a non-progressive brain disorder
Treatment for Migraine - correct answer ✔✔1. Avoid Triggers (stress, foods, alcohol etc)
2. Take NSAIDs
3.*Triptans* if more severe
4. *Topiramate*
5. Follow-up 4-6 weeks if treating
6. AVOID Opiods
Secondary headaches - correct answer ✔✔Headaches caused by other illnesses as a symptom
of another problem.
Pathologic headache - correct answer ✔✔-Another disease is causing a headache
-Ex: HTN, hypothyroidism, and tumors
sickle cell disease - correct answer ✔✔Individuals who are homozygous for the gene controlling
hemoglobin S.
The disease is characterized by the destruction of red blood cells and by episodic blocking of
blood vessels by the adherence of sickle cells to the vascular endothelium.
sickle cell disease treatment - correct answer ✔✔•Symptom specific
•Prevention of infection
•Avoidance of temperature extremes
•Reduction in emotional and physical stress
, •Drugs:
-Promote production of red blood cells with hemoglobin F
-Treatment of pain and infection
atrial septal defect - correct answer ✔✔ASD; a hole in the atrial septum that causes blood in the
RA and LA to mix
atrial septal defect treatment - correct answer ✔✔May have spontaneous closure
If not closed by school age → repaired
Device closure - septal ocluder by catheter
Surgery - patch or stitches; Infection control for endocarditis after surgery
Medical management - symptomatic child;
Digoxin and diuretics
ventricular septal defect (VSD) - correct answer ✔✔a hole in the ventricular septum that causes
blood to mix between the RV and LV
treatment of ventricular septal defect - correct answer ✔✔1. digoxin
2. diuretics
3. high calorie formula
4. surgical repair (open heart surgery) or pulmonary artery banding to decrease pulmonary
blood flow
*fluid restriction is rare
**watch for postop arrhythmia
Which region globally has the highest infant mortality rate? - correct answer ✔✔Sub Saharan
Africa Correct
EXAM QUESTIONS & CORRECT
COMPLETE ANSWERS
What is Tertiary Care of nursing - correct answer ✔✔tertiary care requires both specialized
expertise and equipment; and quaternary care requires highly specialized expertise and highly
unusual or specialized equipment
A child gets an animal bite how should you treat the wound - correct answer ✔✔1. Leave
animal and human bites open for healing by granulation
2. Administer tetanus booster and rabies prophylaxis if indicated
3. Using normal saline, irrigate the wounds using high pressure
4. Prescribe a 3- to 5-day course of prophylactic antibiotics
Prescribe a broad-spectrum antibiotic, such as amoxicillin clavulanate (first choice)
Treat penicillin-allergic individuals with an extended-spectrum cephalosporin or trimethoprim-
sulfamethoxazole plus clindamycin
What is the Rotavirus - correct answer ✔✔Rotavirus disease is common among infants and
young children. Rotavirus can cause severe watery diarrhea, vomiting, fever, and abdominal
pain. Some children with rotavirus disease lose a lot of fluids and become very dehydrated.
What is enterovirus? - correct answer ✔✔The red sores known as hand-foot-and-mouth disease
usually go away in 7 to 10 days
Symptoms on Enterovirus - correct answer ✔✔Muscle aches
Fever
Sore throat
,Red sores known as hand-foot-and-mouth disease
What is a sprain? - correct answer ✔✔stretching or tearing of ligaments
What is patellofemoral pain syndrome? - correct answer ✔✔"Anterior knee pain" or "runner's
knee". 3 categories; overuse, biomechanical, muscle dysfunction.
What is Osgood-Schlatter disease? - correct answer ✔✔common cause of knee pain in
adolescent male athletes
- periods of rapid growth in which the quadriceps tendon puts traction on the apophysis of the
tibial tubercle where the patellar tendon inserts
- traction apophysitis is worsened by sports that involve repetitive running, jumping, or kneeling
and improves with rest
DX: radiographic finding: anterior soft tissue swelling, lifting of tubercle from the shaft,
irregularity or fragmentation of the tubercle.
PE: edema and tenderness over the tibial tubercle. may feel a mass because of heterotopic
bone formation. Pain reproduced by extending the knee against resistance
TX: activity restriction, stretching exercises, NSAIDs
What is hydrocephalus? - correct answer ✔✔a condition in which fluid accumulates in the
brain, typically in young children, enlarging the head and sometimes causing brain damage.
symptoms of migraine headache - correct answer ✔✔dull to throbbing head pain
sensitivity to light, sound
nausea, vomiting
,visual aura
What is cerebral palsy? - correct answer ✔✔A permanent impairment affecting automatic
postural control and movement as a result of a non-progressive brain disorder
Treatment for Migraine - correct answer ✔✔1. Avoid Triggers (stress, foods, alcohol etc)
2. Take NSAIDs
3.*Triptans* if more severe
4. *Topiramate*
5. Follow-up 4-6 weeks if treating
6. AVOID Opiods
Secondary headaches - correct answer ✔✔Headaches caused by other illnesses as a symptom
of another problem.
Pathologic headache - correct answer ✔✔-Another disease is causing a headache
-Ex: HTN, hypothyroidism, and tumors
sickle cell disease - correct answer ✔✔Individuals who are homozygous for the gene controlling
hemoglobin S.
The disease is characterized by the destruction of red blood cells and by episodic blocking of
blood vessels by the adherence of sickle cells to the vascular endothelium.
sickle cell disease treatment - correct answer ✔✔•Symptom specific
•Prevention of infection
•Avoidance of temperature extremes
•Reduction in emotional and physical stress
, •Drugs:
-Promote production of red blood cells with hemoglobin F
-Treatment of pain and infection
atrial septal defect - correct answer ✔✔ASD; a hole in the atrial septum that causes blood in the
RA and LA to mix
atrial septal defect treatment - correct answer ✔✔May have spontaneous closure
If not closed by school age → repaired
Device closure - septal ocluder by catheter
Surgery - patch or stitches; Infection control for endocarditis after surgery
Medical management - symptomatic child;
Digoxin and diuretics
ventricular septal defect (VSD) - correct answer ✔✔a hole in the ventricular septum that causes
blood to mix between the RV and LV
treatment of ventricular septal defect - correct answer ✔✔1. digoxin
2. diuretics
3. high calorie formula
4. surgical repair (open heart surgery) or pulmonary artery banding to decrease pulmonary
blood flow
*fluid restriction is rare
**watch for postop arrhythmia
Which region globally has the highest infant mortality rate? - correct answer ✔✔Sub Saharan
Africa Correct
