NUR 158 Final UPDATED ACTUAL Exam 2026/2027
NEWEST VERIFIED QUESTIONS WITH DETAILED
ANSWERS
• How does play help with hospitalizated children? -✓✓ -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 -✓✓ -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? -✓✓ school nurse
• Complications of cerebral palsy -✓✓ -aspiration pneumonia
-pressure ulcers
-UTIs
-constipation
-impaired vision/hearing/sensation/perception
-communication problems
-seizures, hydrocephalus
,• Nursing management for cerebral palsy -✓✓ -Promote mobility (meds,
equipment)
-Promote nutrition (g-tube)
-Provide support & education
• Nursing management for a fracture -✓✓ -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 -✓✓ inflammation of the middle ear with the presence of fluid
(most common age 6 mos-2 yrs)
• Acute otitis media (AOM) -✓✓ -rapid onset of symptoms
-last 1-3 weeks
-viral (most common)
• Manifestations of AOM -✓✓ -otalgia (earache)
-fever (may or may not be present)
, -cryinig
-irritability
-lethargy
-loss of appetite
• Otitis media with effusion (OME) -✓✓ fluid in the middle ear without symptoms
of acute infection
(will not have pus behind the ear drum)
• Chronic otitis media with effusion -✓✓ OME that last longer than 3 months
(would probably get referred to ENT for tubes)
• Otitis Externa (OE) -✓✓ Swimmers ear
-infection and inflammation of the skin of external ear canal
• Post op pain relief after tonsillectomy -✓✓ analgesics, popsicles (not red
colored), ice collar
• Nursing management for patient after tonsillectomy -✓✓ -Minimizing activites or
interventions that precipitate bleeding
-Discourage coughing frequently, clearing throat and blow nose
-Do not use straws
• Signs of hemorrhage after tonsillectomy -✓✓ frequent swallowing or fresh blood
in vomitus
NEWEST VERIFIED QUESTIONS WITH DETAILED
ANSWERS
• How does play help with hospitalizated children? -✓✓ -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 -✓✓ -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? -✓✓ school nurse
• Complications of cerebral palsy -✓✓ -aspiration pneumonia
-pressure ulcers
-UTIs
-constipation
-impaired vision/hearing/sensation/perception
-communication problems
-seizures, hydrocephalus
,• Nursing management for cerebral palsy -✓✓ -Promote mobility (meds,
equipment)
-Promote nutrition (g-tube)
-Provide support & education
• Nursing management for a fracture -✓✓ -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 -✓✓ inflammation of the middle ear with the presence of fluid
(most common age 6 mos-2 yrs)
• Acute otitis media (AOM) -✓✓ -rapid onset of symptoms
-last 1-3 weeks
-viral (most common)
• Manifestations of AOM -✓✓ -otalgia (earache)
-fever (may or may not be present)
, -cryinig
-irritability
-lethargy
-loss of appetite
• Otitis media with effusion (OME) -✓✓ fluid in the middle ear without symptoms
of acute infection
(will not have pus behind the ear drum)
• Chronic otitis media with effusion -✓✓ OME that last longer than 3 months
(would probably get referred to ENT for tubes)
• Otitis Externa (OE) -✓✓ Swimmers ear
-infection and inflammation of the skin of external ear canal
• Post op pain relief after tonsillectomy -✓✓ analgesics, popsicles (not red
colored), ice collar
• Nursing management for patient after tonsillectomy -✓✓ -Minimizing activites or
interventions that precipitate bleeding
-Discourage coughing frequently, clearing throat and blow nose
-Do not use straws
• Signs of hemorrhage after tonsillectomy -✓✓ frequent swallowing or fresh blood
in vomitus
