NUR 158 Final Exam QUESTIONS AND
CORRECT ANSWERS
Effects of hospitalization on infants - CORRECT ANSWER disruption in feeding, sleeping,
elimination
Effects of hospitalization on toddlers - CORRECT ANSWER fear of strangers, disruption in
routines, separation anxiety, refusal to eat
Effects of hospitalization on preschoolers - CORRECT ANSWER do not understand illness,
fear of intrusive procedures, magical thinking
How does play help with hospitalizated children? - CORRECT ANSWER -lessens stress of
separation
-provides diversion and relaxation
-helps the child to feel more secure
-provides release of tension & expression of feelings
Post op assessments for adolescent idiopathic scoliosis - CORRECT ANSWER -neurovascular
checks q2h (lower extrem.)
-neurological checks
-VS
-wound assessment
-pain management
-foley catheter (first 24 hrs)
Who is usually responsible for screening for scoliosis? - CORRECT ANSWER school nurse
Complications of cerebral palsy - CORRECT ANSWER -aspiration pneumonia
-pressure ulcers
-UTIs
-constipation
,-impaired vision/hearing/sensation/perception
-communication problems
-seizures, hydrocephalus
Nursing management for cerebral palsy - CORRECT ANSWER -Promote mobility (meds,
equipment)
-Promote nutrition (g-tube)
-Provide support & education
Nursing management for a fracture - CORRECT ANSWER -Assess NV status of distal
extremity
-Move injured part as little as possible
-Inspect skin for bruising, erythema, swelling
-Cover open wounds with a sterile or clean dressing
-Immobilize limb (above & below fracture site)
-Do not attempt to push in protruding bone
-Apply manual traction if circulatory compromise
-Elevate injured limb if possible
-Apply cold (no longer than 20 min intervals)
Otitis Media - CORRECT ANSWER inflammation of the middle ear with the presence of fluid
(most common age 6 mos-2 yrs)
Acute otitis media (AOM) - CORRECT ANSWER -rapid onset of symptoms
-last 1-3 weeks
-viral (most common)
Manifestations of AOM - CORRECT ANSWER -otalgia (earache)
-fever (may or may not be present)
-cryinig
-irritability
, -lethargy
-loss of appetite
Otitis media with effusion (OME) - CORRECT ANSWER fluid in the middle ear without
symptoms of acute infection
(will not have pus behind the ear drum)
Chronic otitis media with effusion - CORRECT ANSWER OME that last longer than 3 months
(would probably get referred to ENT for tubes)
Otitis Externa (OE) - CORRECT ANSWER Swimmers ear
-infection and inflammation of the skin of external ear canal
Post op pain relief after tonsillectomy - CORRECT ANSWER analgesics, popsicles (not red
colored), ice collar
Nursing management for patient after tonsillectomy - CORRECT ANSWER -Minimizing
activites or interventions that precipitate bleeding
-Discourage coughing frequently, clearing throat and blow nose
-Do not use straws
Signs of hemorrhage after tonsillectomy - CORRECT ANSWER frequent swallowing or fresh
blood in vomitus
Management for croup - CORRECT ANSWER usually done on outpatient basis
-hospitalization is needed if the child has significant stridor at rest or severe retractions
Treament for croup - CORRECT ANSWER based on severity (mild, moderate, severe)
-corticosteriods to decrease inflammation
-cool humidified air or steamy bathroom
CORRECT ANSWERS
Effects of hospitalization on infants - CORRECT ANSWER disruption in feeding, sleeping,
elimination
Effects of hospitalization on toddlers - CORRECT ANSWER fear of strangers, disruption in
routines, separation anxiety, refusal to eat
Effects of hospitalization on preschoolers - CORRECT ANSWER do not understand illness,
fear of intrusive procedures, magical thinking
How does play help with hospitalizated children? - CORRECT ANSWER -lessens stress of
separation
-provides diversion and relaxation
-helps the child to feel more secure
-provides release of tension & expression of feelings
Post op assessments for adolescent idiopathic scoliosis - CORRECT ANSWER -neurovascular
checks q2h (lower extrem.)
-neurological checks
-VS
-wound assessment
-pain management
-foley catheter (first 24 hrs)
Who is usually responsible for screening for scoliosis? - CORRECT ANSWER school nurse
Complications of cerebral palsy - CORRECT ANSWER -aspiration pneumonia
-pressure ulcers
-UTIs
-constipation
,-impaired vision/hearing/sensation/perception
-communication problems
-seizures, hydrocephalus
Nursing management for cerebral palsy - CORRECT ANSWER -Promote mobility (meds,
equipment)
-Promote nutrition (g-tube)
-Provide support & education
Nursing management for a fracture - CORRECT ANSWER -Assess NV status of distal
extremity
-Move injured part as little as possible
-Inspect skin for bruising, erythema, swelling
-Cover open wounds with a sterile or clean dressing
-Immobilize limb (above & below fracture site)
-Do not attempt to push in protruding bone
-Apply manual traction if circulatory compromise
-Elevate injured limb if possible
-Apply cold (no longer than 20 min intervals)
Otitis Media - CORRECT ANSWER inflammation of the middle ear with the presence of fluid
(most common age 6 mos-2 yrs)
Acute otitis media (AOM) - CORRECT ANSWER -rapid onset of symptoms
-last 1-3 weeks
-viral (most common)
Manifestations of AOM - CORRECT ANSWER -otalgia (earache)
-fever (may or may not be present)
-cryinig
-irritability
, -lethargy
-loss of appetite
Otitis media with effusion (OME) - CORRECT ANSWER fluid in the middle ear without
symptoms of acute infection
(will not have pus behind the ear drum)
Chronic otitis media with effusion - CORRECT ANSWER OME that last longer than 3 months
(would probably get referred to ENT for tubes)
Otitis Externa (OE) - CORRECT ANSWER Swimmers ear
-infection and inflammation of the skin of external ear canal
Post op pain relief after tonsillectomy - CORRECT ANSWER analgesics, popsicles (not red
colored), ice collar
Nursing management for patient after tonsillectomy - CORRECT ANSWER -Minimizing
activites or interventions that precipitate bleeding
-Discourage coughing frequently, clearing throat and blow nose
-Do not use straws
Signs of hemorrhage after tonsillectomy - CORRECT ANSWER frequent swallowing or fresh
blood in vomitus
Management for croup - CORRECT ANSWER usually done on outpatient basis
-hospitalization is needed if the child has significant stridor at rest or severe retractions
Treament for croup - CORRECT ANSWER based on severity (mild, moderate, severe)
-corticosteriods to decrease inflammation
-cool humidified air or steamy bathroom
