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NUR 436 Midterm Exam Questions with Correct Answers Latest Update
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NUR 436 Midterm Exam Questions with Correct Answers Latest Update
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NUR 436 Midterm Exam Questions withCorrect Answers Latest Update
True or false, to effectively administer medications via SVN, the machine must only be
used with oxygen, not air? - Answer-False
What oxygen delivery system is best for an infant whose O2 sats have dropped to 90%?
- Answer-6 L/min simple mask via blow-by
In a school age child coming from the PACU, O2 sats of 91% should be treated with
what O2 delivery system? - Answer-2 L/min nasal cannula
A toddler's O2 sats are 85%; they are currently on 4 L/min of nasal cannula; what
intervention is needed? - Answer-Place toddler on non-rebreather at 10 L/minute
What supplies are needed for SVN treatments? - Answer-SVN tubing
Nebulizer cup
Bronchodilator
Saline bullets
Nebulizer machine
How long does an SVN treatment usually last? - Answer-10-15 minutes
What three medication classifications can be used in a nebulizer? - Answer-
Bronchodilators
Steroids
Antibiotics
How often is a pulse ox probe changed for pediatric patients? - Answer-Every 8 hours
What should a peds respiratory assessment include? - Answer-Bilateral auscultation
skin-to-skin
Check rate per minute
Where are intercostal retractions located? - Answer-Between ribs
Where are supraclavicular retractions located? - Answer-Above clavicle
Where are substernal retractions located? - Answer-Between xiphoid area
Which beds are most appropriate for the following ages:
4 month old
13 month old
28 month old
,4 year old - Answer-Open crib
Climber crib
Climber crib
Regular hospital bed
At what rate should a nasal cannula be used? - Answer-1-6 L/minute
At what rate should a simple mask be used? - Answer-6-12 L/min
At what rate should a non-rebreather mask be used? - Answer-10-15 L/min
What does a Venturi mask deliver? - Answer-Specific amounts of humidified oxygen at
a low, constant rate
What percent oxygen does a Venturi mask deliver? - Answer-24-50%
When giving chest compressions, how far should you compress the chest? - Answer-
1/3 of the AP diamter
What should the ratio of compressions to oxygenation be for CPR? - Answer-30:2
If a pulse is >60 how many rescue breaths are given for peds patients per minutes? -
Answer-12-20
At what HR are compressions indicated for pediatrics? - Answer-Less than 60
What are some signs and symptoms of respiratory infections? - Answer-Fever
Poor feeding
Vomiting
Diarrhea
Abdominal pain
Nasal blockage
Cough
Hoarseness
Sore throat
Headache
What are some nursing interventions for respiratory infections? - Answer-Ease
respiratory efforts
Promote rest and comfort
Prevent infection
Reduce temperature
Promote hydration
Provide nutrition
, What may promote comfort for infants with large amounts of nasal drainage due to
respiratory infections? - Answer-Nasal aspirators or bulb syringes
What are some signs of increased ICP in infants? - Answer-Bulging fontanel
Irritability
Drowsiness
Sleeping
High-pitched cry
Poor feeding
What are some signs of increased ICP in children? - Answer-Headache
Nausea
Vomiting
Blurred vision
Seizures
Drowsiness
Limited physical/mental activity
Inability to follow commands
Poor school performance
What are some LATE signs of increased ICP? - Answer-Decreased HR
Decreased response to commands and painful stimuli
Altered pupil size
Cheyne-Stokes
Decreased LOC
Coma
Hydrocephalus is a condition caused by an imbalance in what? - Answer-CSF
absorption
What does a ventriculoperitoneal shunt provide? - Answer-Drainage of CSF from
ventricles to the peritoneum
When is infection of greatest risk after a VP shunt placement? - Answer-Within the first
6 months
What are some nursing interventions for hydrocephalus? - Answer-Measure head size
Palpate fontanels
Observe behavior
Position on un-operated side
What are some principles for emergency seizure management? - Answer-Time seizure
Ease child to floor and place on one side
Pillow under head
Remove restrictions
Clear area
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