NUR 336 FINAL EXAM QUESTIONS WITH COMPLETE
SOLUTIONS
acute otitis media (AOM) Correct Answers inflammation of the
middle ear (rf smoke exposure, congenital deformities)
anaphylaxis Correct Answers acute, immediate severe IgE-
mediated response
anaphylaxis s/s Correct Answers prussic urticaria, coughing,
stridor, anxiety, LOC changes
anaphylaxis treatment Correct Answers epinephrine,
corticosteroids, antihistamines
apendicitis nursing Correct Answers antibiotics, fluid
replacement, pain control, pre-op NPO and NGT feeds, watch
for perforation
appendicitis Correct Answers irritation, inflammation, and
infection of the appendix
appendicitis s/s Correct Answers RLQ pain, rebound
tenderness, fever, rigid abdomen, decreased bowel sounds, pain
at McBurney's, vomiting
asthma Correct Answers chronic inflammation in airways with
intermittent bronchoconstriction
asthma nursing Correct Answers peak-flow meter (G,YR),
nebulizer, inhaler, IV/PO meds, O2
,asthma s/s Correct Answers wheezing, chest retractions,
tachycardia, fatigue
asthma triggers Correct Answers pollen, mold, pet dander,
tobacco smoke, exercise, anxiety, dust
atrial septal defect Correct Answers hole in the wall that
separates the left and right atria which allows O2 rich and O2
poor blood to mix (inc work on the lungs and heart)
atrial septal defect nursing Correct Answers long-term blood
thinners, dental prophylaxis, education
atrial septal defect s/s Correct Answers murmur present, may
be asymptomatic
atrial septal defect treatment Correct Answers small hole may
close on its own by 3y or with a patch; larger hole requires
surgery
beta thalassemia Correct Answers abnormal Hgb beta chains
lead to rapid RBC destruction ( causes severe anemia, cellular
damage and free iron build up)
beta thalassemia s/s Correct Answers bone malformations,
short stature, cardiomyopathy, yellow-bronze skin, osteoporosis,
spleen/liver enlargement
, beta thalassemia treatment Correct Answers blood transfusion,
chelation therapy (decreases free iron), splenectomy, growth
hormone replacement
cast care Correct Answers handle wet cast with open palms,
never put anything inside, monitor CSMs, watch for
compartment syndrome
cerebral palsy Correct Answers chronic, non progressive
condition that involves an injury or disruption to the brain
*highly variable
cerebral palsy nursing Correct Answers advocate, promote self
care and safety, early interventions, assistive devices, improve
communication and self image
cerebral palsy risk factors Correct Answers premature birth,
low birth weight, neuro trauma
cerebral palsy s/s Correct Answers failure to reach milestones,
seizures, sensory impairments
child abuse indicators Correct Answers injuries that don't align
with the given story, symmetry in burns or breaks
cleft lip and palate Correct Answers congenital anomaly of the
lip or hard/soft palate, could be bilateral or unilateral
cleft lip and palate nursing Correct Answers post-op: pain
management, liquid only Q72h, "welcome sleeves", adaptive
bottles