Nurse state exam 2.0

Question 1

what is a streptococcus pneumonia

Answer 1

gram positive alphahemolytic/beta hemolytic anerobic bacteria.

Question 2

What are the sounds in auscultation?

Answer 2

wheezing, small clicking & rattling sounds

Question 3

What is the action of salbutamol?

Answer 3

Relax airway muscles

Question 4

What is a pernicious anemia?

Answer 4

A Rare blood disorder due to deficiency of B12. These cant be absorbed due to the Lack of cells in stomach that make intrinsic factors

Question 5

What symptoms of pernicious anemia?

Answer 5

• weight loss
• mild fatigue
• Dizziness
• Pale skin
• Tingling skin
• Racing HR
• weakness

Question 6

Why is Vitamin B12 given IM & not orally?

Answer 6

There is no Intrinsic factor (role- absoprtion) in the stomach for the B12 to absorb if ingested orally.

Question 7

How is pneumonia spread?

Answer 7

Droplets & airborne

Question 8

Which part of the lungs does pneumonia affect?

Answer 8

Air sacs/Alveoli which would be filled with pus or fluid.

Question 9

How to tell if a child had adequate fluid intake?

Answer 9

• Good urine output
• Lemonade coloured urine
• Skin
• Tongue

Question 10

How to estimate fluid balance for peads?

Answer 10

• frequency of nappy
• weight loss/ gain

Question 11

How does staphlococcus aureus pneumonia spread?

Answer 11

• Contact isolation
• Lung
• through the blood
• infected sites such as skin

Question 12

What is respiratory acidosis?

Answer 12

1. when lungs cant remove enough of CO2 that the body produces (hyopventilation)
2. Excess CO2 causes PH of blood and other bodily fluids to decrease making ACID.

Question 13

What is the normal pH of blood?

Answer 13

7.35 -7.45