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Nurs 145 Final Exam Questions and Complete Solutions

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  • NUR 145
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  • NUR 145

Which of the following is an assessment finding characteristic of acute glomerulonephritis (AGN) and not nephrotic syndrome (nephrosis)? positive (ASO) titer A child is brought into the emergency department with suspected appendicitis. What signs and symptoms does the nurse expect to assess? Selec...

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  • September 3, 2024
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  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • NUR 145
  • NUR 145
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Nurs 145 Final Exam Questions and
Complete Solutions
Which of the following is an assessment finding characteristic of acute
glomerulonephritis (AGN) and not nephrotic syndrome (nephrosis)? ✅positive (ASO)
titer

A child is brought into the emergency department with suspected appendicitis. What
signs and symptoms does the nurse expect to assess? Select all that apply. ✅-
guarding
-rebound tenderness
-pain on lifting thigh when supine

A child is admitted with viral gastroenteritis, is dehydrated, and intravenous (IV) therapy
is initiated. Which assessment finding must the nurse confirm before IV potassium is
administered? ✅urinary excretion/at least one void

A mother is concerned about her infant who has developed sudden severe abdominal
pain, kicking, loud crying, and despite efforts to strain is only passing blood and mucous
bowel movements. The infant has a bile-stained emesis as well. The manifestations
above describe which of the following conditions seen in children? ✅intussusception

In the newborn nursery, which of the following observations in a neonate should be
reported to the provider immediately? ✅drooling

The nurse is reviewing the post-operative plan of care for an infant who has had
correction of pyloric stenosis. The nurse understands the plan of care when which of the
following interventions is included in the shift? ✅resume oral feedings in small
amounts as prescribed

The nurse is caring for a preschool-age child with a life-threatening illness. What should
the nurse remember the child's concept of death is at this age? ✅that a person
becomes alive again soon after death

The nurse explains that the COPP medical regimen for treatment of Hodgkin's disease
uses a combination of which drugs? Select all that apply. ✅-vincristine
-cyclophosphamide
-prednisone
-procarbazine hydrochloride

The nurse notes that a 4 year old child's gums bleed easily and he/she has ecchymosis
and petechiae on his/her extremities. Which lab value is consistent with these
symptoms? ✅platelet count of 25,000/mm3

, The nurse is assessing a child with the diagnosis of kwashiorkor. What is most likely to
be observed when assessing this child? Select all that apply. ✅-white streak in hair
-edematous abdomen
-slowed growth

The nurse is teaching the parents of a young child with iron deficiency anemia about
nutrition. What food would the nurse emphasize as being a rich source of iron?
✅Cream of wheat

An adolescent is diagnosed with Hodgkin's disease. Lymph nodes on both sides of the
diaphragm have been found to be involved, including cervical and inguinal nodes.
Which disease stage is that? ✅stage III

The nurse is helping a 6-year old child with celiac disease order breakfast from the
menu. Which of the following selections would be appropriate? ✅rice chex cereal, milk,
and orange juice

The clinic nurse is rooming a child with Herpes Simplex Type 1. Which of the following
assessment findings can the nurse expect? l ✅a blister on the lips that began with a
feeling of tingling, itching, and burning

The nurse is caring for a child admitted with frequent urinary tract infections and the
providers have diagnosed vesircoureteral reflux. Teaching about this conition is
effective with the parent states: ✅"if she gets another urinary tract infection, this could
cause pyelonephritis or kidney damage"

A nurse is planning to teach a family about Tay-Sachs disease. What will the nurse
relay about the pattern of inheritance for inborn errors of metabolism? They are usually:
✅autosomal recessive

A parent reports that her 4 month old infant is lethargic, sleeps 18 hours a day, and
snores. The nurse recognizes these signs are characteristic of what? ✅hypothyroidism

The nurse is caring for child admitted with a urinary tract infection (UTI). Baseline vital
signs reveal a fever over 101F. the health care provider prescribes acetaminophen
15mg/kg of body weight. Knowing the child weighs 33 pounds, how many mL of
medication should the nurse administer? The acetaminophen you have on hand is
160mg/5mL. ✅7mL

A child who has diabetes mellitus asks why he cannot take insulin orally instead of by
subcutaneous injection. The nurse's response is based on the knowledge that:
✅digestive enzymes destroy insulin

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