NURS 653 Exam Maryville University Heart and Endocrine New Latest Version Updated 2023-2024 with All 55 Questions and 100% Correct Answers
4month old with 1 week history of congestion and occasional cough, last night + fever 102, stopped nursing, noisy breathing and paroxysmal coughing. on exam lethargy, tachypnea, wheezing and intercostal rtxns. older sibling with cold. What illness does baby most likely have? ------- Correct Answer ---------- RSV
Infant with RSV what is the treatment of choice? ------- Correct Answer ---------- Fluids, nutritional support and close monitoring
which of the following children should not have TB testing?
- 14 year old with family member recently incarcerated living with them
- 2 year old with RSV 3 months ago, now asymptomatic
- 3 month old immigrated from Cambodia 1 month ago
- 18 month old whose mother is infected with HIV ------- Correct Answer ---------- 2 year
old with RSV is not a risk factor for TB
What is the most common agent for nonviral pneumonia from school age to your adulthood ? ------- Correct Answer ---------- Mycoplasma Pneumoniae
Which one of the following diagnosis would not be part of the differential for recurrent lobar pneumonia in a 2 year old?
CF, foreign body asp, atelectasis or bronochitis ------- Correct Answer ---------- Bronchitis
Most common clinical presentation of pneumonia is ? ------- Correct Answer ---------- Cough, fever, tachypnea, chest or abdominal pain
Classic xray finding in croup is ------- Correct Answer ---------- Steeple sign
Persistent wheezing and asymmetrical breath sounds are findings suggestive of? ------- Correct Answer ---------- Foreign body aspiration
An ex preemie with BPD has gone home from the NICU. A problem area that requires close monitoring is: ------- Correct Answer ---------- Insufficient caloric intake
10 day old parents are conners about breathing. Stops breathing for periods of 10 seconds while feeding no cyanosis,.limp, pale or blue spells. What is your management? ------- Correct Answer ---------- Education that this is a normal newborn breathing pattern.
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- yr old with history of asthma, has wheezing and cough x1 day. RR 14, breathing
shallow, no wheezing, ------- Correct Answer ---------- Wheezing is not heard because breathing is shallow and muscle fatigue, pending resp failure possible
What is the appropriate management of a child with asthma who presents with acute wheezing and or coughing?
Administer inhaled corticosteroid Short acting beta agonist Adminster expectorant Administer oral corticosteroid ------- Correct Answer ---------- Start with short acting beta agonist
- month old with first time wheezing with new viral illness. Asthma runs in the family.
What could you conclude?
Infants has asthma exacerbated by viral infection OR Asthma is not diagnosed with first time wheezing ------- Correct Answer ---------- Asthma is not diagnosed with first time wheezing
In a mild to moderate acute asthma attack, albuterol should be given every 4-6 hours,
and routine medications should be:
Given only if albuterol is ineffective OR Continued as usual ------- Correct Answer ---------- Continued as usual
A child has mild persistent asthma appropriate daily medication should include:
-short acting beta 2 agonist
- oral systemic corticosteroid
- a cough suppressant ------- Correct Answer ---------- -inhaled low dose corticosteroid
Typical Xray finding in asthma is
- normal
- Diffuse airway edema
- RUL inflitrate
- Hyperinflation ------- Correct Answer ---------- Hyperinflation caused by air trapping
- a normal xray does not rule out asthma)
- year old with moderate persistent asthma presents with daily cough. Using SABA four
times a day for last several days, along with twice daily corticosteroid. A management
plan should include:
- Antibiotics recheck in 2 weeks
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