NUR 3490 Final Exam Questions With Complete Solutions
11 years immunizations Correct Answers M Meningitis
I Influenza
T Tdap
H HPV
**HPV vaccination is OPTIONAL → educate parents that the
vaccine is very safe, and prevents incidence of cervical cancer in
females**
**Meningitis vaccine is also optional, but educate parents that
meningitis is a highly lethal disease & if contracted in college
can be lethal in a short period of time**
12 months immunizations Correct Answers M MMR
A Hep A
D DTap
H HIb
P Pneumococcal vaccine (PCV)
V Varicella
2 months immunizations Correct Answers B Hep B
D DTap
R Rotavirus (RV)
H HIb
I IPV
P PCV
4 months immunizations Correct Answers D DTap
R Rotavirus (RV)
H HIb
I IPV
,P PCV
6 months immunizations Correct Answers B Hep B
D DTap
R Rotavirus (RV)
H HIb
I IPV
P PCV
Influenza (yearly)
Acute poststreptococcal glomerulonephritis assessment Correct
Answers Presentation
Fever
Lethargy
Headache
Decreased urine output
Abdominal pain
Vomiting
Anorexia
LABORATORY FINDINGS
Throat culture (will likely be negative by time of diagnosis of
acute post strep glomerulonephritis)
U/A
Proteinuria
Dark colored urine
High urine specific gravity
Renal function
BUN & Cr elevated
Antistreptolysin O (ASO titer)
Positive indicator for recent presence of strep infection
,Acute poststreptococcal glomerulonephritis management
Correct Answers Clients who have normal BP and urine output
can be managed symptomatically at home
Monitor Is and Os
Monitor neurological status & note any changes
Daily weights
Possible restriction of sodium
Manage fluid restrictions as prescribed
Assess for activity tolerance
Fluid restriction
Blood pressure must be monitored, especially if they are
hypertensive
Check for pulmonary edema, nutrition, and prevent skin
breakdown
Treat if strep positive results
ADHD assessment Correct Answers Labile moods, emotional
outbursts, peer rejection, poor school performance, low self-
esteem, lack time management skills
ADHD Correct Answers attention deficit hyperactivity disorder
is the most common neurodevelopmental disorder of childhood;
inattention, impulsivity, distractibility, and hyperactivity.
ADHD management Correct Answers Psychostimulants,
nonstimulant norepinephrine reuptake inhibitors, and/or a-
agonist antihypertensive agents
Patient education: stimulant medications should be taken in the
morning to prevent insomnia // give medication after meal if
, child experiences decreased appetite // important to stick to
schedules
Asthma Assessment Correct Answers Observe general
appearance and color
Mild → remain pink
Severe → cyanosis
Note: lethargy, irritability, anxiety, fearfulness
Audible wheeze
Barrel chest
Increased work of breathing
WHEEZING is HALLMARK SIGN
Coarseness
Diminished breath sounds
Quiet chest = OMINOUS SIGN → MAY INDICATE SEVERE
AIRWAY OBSTRUCTION
Hyperresonance
Asthma management Correct Answers Avoidance of asthma
triggers, reduction or control of inflammatory episodes
Most recent recommendation from the National Asthma
Education and Prevention Program → stepwise approach to
medication management as well as control of environmental
factors and comorbid conditions
Common medications
Increasing medications as the child's condition worsens, then
backing off the treatment as he or she improves
Short-acting bronchodilators may be used in acute treatment of
bronchoconstriction
11 years immunizations Correct Answers M Meningitis
I Influenza
T Tdap
H HPV
**HPV vaccination is OPTIONAL → educate parents that the
vaccine is very safe, and prevents incidence of cervical cancer in
females**
**Meningitis vaccine is also optional, but educate parents that
meningitis is a highly lethal disease & if contracted in college
can be lethal in a short period of time**
12 months immunizations Correct Answers M MMR
A Hep A
D DTap
H HIb
P Pneumococcal vaccine (PCV)
V Varicella
2 months immunizations Correct Answers B Hep B
D DTap
R Rotavirus (RV)
H HIb
I IPV
P PCV
4 months immunizations Correct Answers D DTap
R Rotavirus (RV)
H HIb
I IPV
,P PCV
6 months immunizations Correct Answers B Hep B
D DTap
R Rotavirus (RV)
H HIb
I IPV
P PCV
Influenza (yearly)
Acute poststreptococcal glomerulonephritis assessment Correct
Answers Presentation
Fever
Lethargy
Headache
Decreased urine output
Abdominal pain
Vomiting
Anorexia
LABORATORY FINDINGS
Throat culture (will likely be negative by time of diagnosis of
acute post strep glomerulonephritis)
U/A
Proteinuria
Dark colored urine
High urine specific gravity
Renal function
BUN & Cr elevated
Antistreptolysin O (ASO titer)
Positive indicator for recent presence of strep infection
,Acute poststreptococcal glomerulonephritis management
Correct Answers Clients who have normal BP and urine output
can be managed symptomatically at home
Monitor Is and Os
Monitor neurological status & note any changes
Daily weights
Possible restriction of sodium
Manage fluid restrictions as prescribed
Assess for activity tolerance
Fluid restriction
Blood pressure must be monitored, especially if they are
hypertensive
Check for pulmonary edema, nutrition, and prevent skin
breakdown
Treat if strep positive results
ADHD assessment Correct Answers Labile moods, emotional
outbursts, peer rejection, poor school performance, low self-
esteem, lack time management skills
ADHD Correct Answers attention deficit hyperactivity disorder
is the most common neurodevelopmental disorder of childhood;
inattention, impulsivity, distractibility, and hyperactivity.
ADHD management Correct Answers Psychostimulants,
nonstimulant norepinephrine reuptake inhibitors, and/or a-
agonist antihypertensive agents
Patient education: stimulant medications should be taken in the
morning to prevent insomnia // give medication after meal if
, child experiences decreased appetite // important to stick to
schedules
Asthma Assessment Correct Answers Observe general
appearance and color
Mild → remain pink
Severe → cyanosis
Note: lethargy, irritability, anxiety, fearfulness
Audible wheeze
Barrel chest
Increased work of breathing
WHEEZING is HALLMARK SIGN
Coarseness
Diminished breath sounds
Quiet chest = OMINOUS SIGN → MAY INDICATE SEVERE
AIRWAY OBSTRUCTION
Hyperresonance
Asthma management Correct Answers Avoidance of asthma
triggers, reduction or control of inflammatory episodes
Most recent recommendation from the National Asthma
Education and Prevention Program → stepwise approach to
medication management as well as control of environmental
factors and comorbid conditions
Common medications
Increasing medications as the child's condition worsens, then
backing off the treatment as he or she improves
Short-acting bronchodilators may be used in acute treatment of
bronchoconstriction
