©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
NU-404 Final Exam Study guide with
Complete Solutions
Ethics:1-2 (know the ethical principles and be able to recognize/apply to clinical situations) - Ans:✔✔--
beneficence: who benefits from action
-autonomy: patients rights to make decisions
-justice: who will be vulnerable, all clients fairly and equal treatment
-fidelity: nurse is responsible for commitments for others and self
-nonmaleficence: do no harm
-veracity: to tell the truth
-confidentiality: information is not shared beyond who needs to know
Upper airway problem in the child = 2 (know medication for Upper Airway Obstruction/stridor/croup -
Ans:✔✔--upper airway:
-stridor: racemic epi
Page 1/60
, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
-croup: dexathmethasone
what are nursing interventions for upper airway in kids - Ans:✔✔--have suctioning available
-oxygen
-nose breathers
-towel behind neck
what is the interpretation for the TB test - Ans:✔✔-- 5mm: HIV positive, recents contact with an active
TB, nodular or fibrotic changes on xray, organ transplant
-10 mm: positive if from country with high levels, IV drug use, resident/employee of high risk, comorbid
conditions, children less than 4
-15mm: positive for people with no risk factors for TB
what are the side effects for isoniazid: - Ans:✔✔--eat on empty stomach
-monitor for hepatotoxicity
-vitamin b6 - to prevent neurotoxicity
what are the side effects for rifampin - Ans:✔✔--change urine to being orange
-interfere with oral contraceptives
Page 2/60
, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
-monitor liver function tests
what are the side effects for pyrazinamide - Ans:✔✔--monitor liver function tests
-potentially cause worsen to gout and kidney problems
-avoid alcohol
what is patient teaching for someone with TB - Ans:✔✔--isolate yourself
-test all family at home
-need 3 negative sputum cultures - get those every 3 weeks
-in isolation for 30 days
-wear a mask if needing to leave house
-take medication
-put tissues in plastic bag to prevent spread
Carbon monoxide poisoning qs = 1 (clinical symptoms/vital signs/physical exam findings & know what
the best method is to monitor these patients) - Ans:✔✔--get an ABG
-replaced oxygen, will not show up on pulse ox
-cannot spell it
Page 3/60
, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
-silent killer
Beta Adrenergic agonist and their effect on the respiratory system =1 - Ans:✔✔-relax muscles of airway
-albuterol
Arterial blood gas interpretation for DKA, chronic and acute respiratory failure (2-3 questions) - Ans:✔✔-
-DKA: metabolic acidosis, ketone breath, ph is low and bicarb is also low
-Chronic respiratory failure: respiratory acidosis
-Acute respiratory failure: respiratory acidosis
Diabetes including DKA = 4 (including lab values in DKA) - Ans:✔✔--elevated BUN and creatinine
-decreased liver function
-high potassium: will drop when given insulin
-DKA is in type 1
-HHS is in type 2
-HHS is much higher glucose than DKA
-type 1: does not produce any insulin
-type 2: insulin resistant
Page 4/60
FIRST PUBLISH OCTOBER 2024
NU-404 Final Exam Study guide with
Complete Solutions
Ethics:1-2 (know the ethical principles and be able to recognize/apply to clinical situations) - Ans:✔✔--
beneficence: who benefits from action
-autonomy: patients rights to make decisions
-justice: who will be vulnerable, all clients fairly and equal treatment
-fidelity: nurse is responsible for commitments for others and self
-nonmaleficence: do no harm
-veracity: to tell the truth
-confidentiality: information is not shared beyond who needs to know
Upper airway problem in the child = 2 (know medication for Upper Airway Obstruction/stridor/croup -
Ans:✔✔--upper airway:
-stridor: racemic epi
Page 1/60
, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
-croup: dexathmethasone
what are nursing interventions for upper airway in kids - Ans:✔✔--have suctioning available
-oxygen
-nose breathers
-towel behind neck
what is the interpretation for the TB test - Ans:✔✔-- 5mm: HIV positive, recents contact with an active
TB, nodular or fibrotic changes on xray, organ transplant
-10 mm: positive if from country with high levels, IV drug use, resident/employee of high risk, comorbid
conditions, children less than 4
-15mm: positive for people with no risk factors for TB
what are the side effects for isoniazid: - Ans:✔✔--eat on empty stomach
-monitor for hepatotoxicity
-vitamin b6 - to prevent neurotoxicity
what are the side effects for rifampin - Ans:✔✔--change urine to being orange
-interfere with oral contraceptives
Page 2/60
, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
-monitor liver function tests
what are the side effects for pyrazinamide - Ans:✔✔--monitor liver function tests
-potentially cause worsen to gout and kidney problems
-avoid alcohol
what is patient teaching for someone with TB - Ans:✔✔--isolate yourself
-test all family at home
-need 3 negative sputum cultures - get those every 3 weeks
-in isolation for 30 days
-wear a mask if needing to leave house
-take medication
-put tissues in plastic bag to prevent spread
Carbon monoxide poisoning qs = 1 (clinical symptoms/vital signs/physical exam findings & know what
the best method is to monitor these patients) - Ans:✔✔--get an ABG
-replaced oxygen, will not show up on pulse ox
-cannot spell it
Page 3/60
, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
-silent killer
Beta Adrenergic agonist and their effect on the respiratory system =1 - Ans:✔✔-relax muscles of airway
-albuterol
Arterial blood gas interpretation for DKA, chronic and acute respiratory failure (2-3 questions) - Ans:✔✔-
-DKA: metabolic acidosis, ketone breath, ph is low and bicarb is also low
-Chronic respiratory failure: respiratory acidosis
-Acute respiratory failure: respiratory acidosis
Diabetes including DKA = 4 (including lab values in DKA) - Ans:✔✔--elevated BUN and creatinine
-decreased liver function
-high potassium: will drop when given insulin
-DKA is in type 1
-HHS is in type 2
-HHS is much higher glucose than DKA
-type 1: does not produce any insulin
-type 2: insulin resistant
Page 4/60
