Nurs 629 Exam 3 (Maryville) Latest Update 2023- 2024 250 Questions and Verified Correct Answers Guaranteed Success
>90th% but less than 95% - Correct Answer: Borderline HTN
>95th% + 12mmhg - Correct Answer: Stage 2 HTN
95% - Correct Answer: Stage 1 HTN
Acute airway inflammation causing bronchoconstriction, edema and formation of mucus
plugs - Correct Answer: asthma
Acute onset with uri sx, productive cough with cradles and wheezing - Correct Answer: Bronchiolitis/RSV
After contracting chickenpox, when can a child return to school? - Correct Answer: About 2 weeks - lesions have to be crusted up before returning to school
Annular lesions with a scaly border and central clearing? - Correct Answer: Tinea Corporis
Are adults able to get HFMD? - Correct Answer: Yes
Are chickenpox contagious? - Correct Answer: Yep
Are mumps unilateral or bilateral? - Correct Answer: Can be either!
At what age do we always treat with abx for AOM? - Correct Answer: Under 6 months
Average systolic BP and/or diastolic BP > or equal to 95th% for gender, age and height
on 3 or more occasions - Correct Answer: Hypertension
CAP causative organisms - Correct Answer: Can be viral or bacterial - viral is most common - if bacterial most often s. Pneumoniae
Causative organism for bacterial pharyngitis - Correct Answer: Group A Beta Hemolytic strep
Causative organism for cat scratch disease/Lymphoreticulosis - Correct Answer: B.henselae
Causative organism for chickenpox? - Correct Answer: Varicella zoster virus
Causative organism for croup - Correct Answer: Staph aureus 1 / 3
Causative organism for influenza - Correct Answer: Orthomyxovirus types A, B, and C
Causative organism for Lyme disease - Correct Answer: Borrelia burgdorferi
Causative organism for RMSF - Correct Answer: Rickettsia rickettsia via tick
Causative organism of bronchiolitis - Correct Answer: Respiratory syncytial virus (RSV) most likely cause
Causative organism of diphtheria - Correct Answer: C.diptheriae
Causative organism of epiglottitis? - Correct Answer: ***HIB , strep, Bacillus
Causative organisms for impetigo - Correct Answer: Staph (most common), strep
Causative organisms for otitis externa: - Correct Answer: Psuedomonas aeruginosa (20-60%); Staphylococcus Aureus (10-70%); 10% fungal infection
Characteristics of innocent (benign) murmur - Correct Answer: Heard in up to 50% of children/No radiation/Systolic/Grade Classic triad of mononucleosis Pharyngitis: - Correct Answer: Fever, equative pharyngitis POSTERIOR cervical lymphadenopathy Clinical findings for tetralogy of Fallot: - Correct Answer: Cyanosis: caused by blood low in oxygen, Shortness of breath and rapid breathing, especially during feeding or exercise, Loss of consciousness, Clubbing of fingers and toes, Poor weight gain, delayed growth, Polycythemia, metabolic acidosis, Systolic murmur at 2nd left ICS & holosystolic murmur at LLSB Clinical findings of Kawasaki Disease? - Correct Answer: Fever for at least 5 days (102-104) and at least 4 of the 5 following features: 1.Changes in extremities (edema, erythema, desquamation (peeling of hands) 2. Conjunctival injection 3. Cervical lymphadenopathy 4. Cracking of lips and oral cavity 5. Polymorphous exanthema, usually truncal Common in children <6 years of age, Steeple sign on neck and soft tissue xray - Complications of influenza - Correct Answer: Myocarditis/CHF / Pneumonia/ Atelectasis Cough lasting 6-10 weeks with high pitched inspiratory "whoop" followed by spasm of Diagnosis of CAP - Correct Answer: CXR to show consolidation of the aveolar spaces in the lungs Diagnosis of cat scratch disease/Lymphoreticulosis - Correct Answer: IFA for serum antibodies Diagnosis of impetigo: - Correct Answer: wound culture - MRSA Diagnosis of Lyme disease - Correct Answer: Clinical hx / IgG and IgM antibodies Diagnosis of meningitis - Correct Answer: BCX, peripheral gram skin, CSF, Sputum, rash scraping, PCR assays Diagnosis of trachomalacia - Correct Answer: laryngoscopy, airway fluoroscopy X-ray, barium swallow, ct scan, PFT, MRI Diagnostics for HTN: - Correct Answer: Renal ultrasound, TSH, CMP, UA, CBC, Earliest age that visual acuity screeinging in primary care practice should be included in Early onset (<2 years old) xerosis occurs - Correct Answer: Atopic Dermatitis "Eczema" Education for impetigo: - Correct Answer: Wash face BID with soap/water / Wash sheets and pillow cases /No school for 48 hours after starting treatment Education for mononucleosis: - Correct Answer: F/u in 1-2 weeks, Avoid contact sports until 1 month after symptoms subside - concern for rupture Education for Tinea Corporis: - Correct Answer: Avoid contact with skin lesion. No contact sports for 48 hours after treatment Education re strep pharyngitis: - Correct Answer: Discard toothbrush after 24hs on an abx and after treatment completion Fiery red, maculopapular facial rash concentrated on the cheeks (giving a slapped Findings for diphtheria: - Correct Answer: Low grade fever, pharyngitis, rhinorrhea, hoarse voice, cough, gray color to nasopharynx, pharynx, and or trachea, cutaneous throat lesions - non healing ulcers w gray membrane colonization Correct Answer: Larngotracheobronchitis "Croup"
coghing - Correct Answer: Pertussis "Whooping cough"
Diagnosis of influenza - Correct Answer: Rapid flu
Diagnosis of RMSF - Correct Answer: PCR, IFA - gold standard
ESR/CRP, ECG
the overall well child assessment - Correct Answer: 4 years of age
cheek appearance) - Correct Answer: Fifth Disease