NURS 3900 Exam 2 Study Guide Questions with 100%
Correct Answers.
1 mg to mcg - Correct answer 1000 mcg
1 kg to lbs. - Correct answer 2.2 lbs.
Safe dosage calculations in pediatrics are - Correct answer weight based
When is it okay to crush a medication? - Correct answer when the policy says you can/
it is not extended release or has enteric coating
J tube and G tube
Traumatic care with medications - Correct answer - Using comforting positions
- Encourage child to participate in care
- Give child developmentally appropriate options
- Using topical anesthetic prior to injections
Physiologic changes in unrelieved pain - Correct answer Increased ICP, HR, RR, BP;
Decreased SaO2
Behavioral changes in unrelieved pain - Correct answer Muscle rigidity, facial
expression, crying, withdrawal, and sleeplessness
Pain in newborns - Correct answer they can feel pain
acute pain - Correct answer sudden onset that is less than 3 months; caused by illness
or injury, causes increased HR, RR, BP, diaphoresis, anxiety, urinary retention; goal is
to eliminate pain
chronic pain - Correct answer gradual onset typically, cause is unknown, causes flat
affect, decreased activity, fatigue, being withdrawn; goal is to improve quality of life, not
eliminate pain necessarily
Behavioral pain assessment - Correct answer Assessment of vocalization, facial
expression, and body movements with specific tool
Most reliable for short, sharp pain and with infants
Toddlers are likely to understand words such as "owe" or "boo boo"
Preschoolers may need to be coaxed to discuss their pain as they may feel something
is expected
FLACC scale
Self-report pain types - Correct answer Bier Faces Pain Scale-Revised: Six faces = 0 to
5, >4 years chart, numeric pain ratings
Bier Faces Pain Scale-Revised - Correct answer No smiling face at the "no pain" end
No tears face at the "most pain" end
Equivalent to a 0 to 10 metric system
Pain chart >4 years - Correct answer Smiling face = "no hurt"
, FLACC scale for CP - Correct answer Face
Legs
Activity
Cry
CONSOL ability
Types of partial seizures - Correct answer simple and complex
Simple partial seizure - Correct answer Divided into categories based on the type of
symptoms the person experiences:
Motor seizures
Sensory seizures
Autonomic seizures
Psychic seizures
Complex partial seizure - Correct answer usually start in a small area of the temporal
lobe or frontal lobe of the brain.
Then involve other areas of the brain that affect alertness and awareness.
Last 1 to 2 minutes.
May have an aura (or warning).
Include automatisms (such as lip smacking, picking at clothes, fumbling), unaware of
surroundings or may wander
Types of generalized seizures - Correct answer absence, myoclonic, tonic-clinic, tonic,
atonic, clinic
Tonic-clinic seizure - Correct answer Loss of consciousness, muscles stiffen, and
jerking movements
Last 1 to 3 minutes
Longer for a person to recover.
More than 5 minutes is a medical emergency
Clinic seizure - Correct answer rapidly alternating contraction and relaxation of a muscle
--repeated jerking.
Movements cannot be stopped by restraining or repositioning the arms or legs
Myoclonic seizure - Correct answer brief, shock-like jerks of a muscle or a group of
muscles.
Usually they don't last more than a second or two.
There can be just one, but sometimes many will occur within a short time.
Tonic seizure - Correct answer Increased tone- stiff body, arms, or legs
Usually no LOC
Occur during sleep
Usually involve all or most of the brain, affecting both sides of the body
Fall down if standing
Last < than 20 second
Atonic seizure - Correct answer Muscles suddenly lose strength
Eyelids may droop, the head may nod, and the person may drop things and often falls
to the ground.
Correct Answers.
1 mg to mcg - Correct answer 1000 mcg
1 kg to lbs. - Correct answer 2.2 lbs.
Safe dosage calculations in pediatrics are - Correct answer weight based
When is it okay to crush a medication? - Correct answer when the policy says you can/
it is not extended release or has enteric coating
J tube and G tube
Traumatic care with medications - Correct answer - Using comforting positions
- Encourage child to participate in care
- Give child developmentally appropriate options
- Using topical anesthetic prior to injections
Physiologic changes in unrelieved pain - Correct answer Increased ICP, HR, RR, BP;
Decreased SaO2
Behavioral changes in unrelieved pain - Correct answer Muscle rigidity, facial
expression, crying, withdrawal, and sleeplessness
Pain in newborns - Correct answer they can feel pain
acute pain - Correct answer sudden onset that is less than 3 months; caused by illness
or injury, causes increased HR, RR, BP, diaphoresis, anxiety, urinary retention; goal is
to eliminate pain
chronic pain - Correct answer gradual onset typically, cause is unknown, causes flat
affect, decreased activity, fatigue, being withdrawn; goal is to improve quality of life, not
eliminate pain necessarily
Behavioral pain assessment - Correct answer Assessment of vocalization, facial
expression, and body movements with specific tool
Most reliable for short, sharp pain and with infants
Toddlers are likely to understand words such as "owe" or "boo boo"
Preschoolers may need to be coaxed to discuss their pain as they may feel something
is expected
FLACC scale
Self-report pain types - Correct answer Bier Faces Pain Scale-Revised: Six faces = 0 to
5, >4 years chart, numeric pain ratings
Bier Faces Pain Scale-Revised - Correct answer No smiling face at the "no pain" end
No tears face at the "most pain" end
Equivalent to a 0 to 10 metric system
Pain chart >4 years - Correct answer Smiling face = "no hurt"
, FLACC scale for CP - Correct answer Face
Legs
Activity
Cry
CONSOL ability
Types of partial seizures - Correct answer simple and complex
Simple partial seizure - Correct answer Divided into categories based on the type of
symptoms the person experiences:
Motor seizures
Sensory seizures
Autonomic seizures
Psychic seizures
Complex partial seizure - Correct answer usually start in a small area of the temporal
lobe or frontal lobe of the brain.
Then involve other areas of the brain that affect alertness and awareness.
Last 1 to 2 minutes.
May have an aura (or warning).
Include automatisms (such as lip smacking, picking at clothes, fumbling), unaware of
surroundings or may wander
Types of generalized seizures - Correct answer absence, myoclonic, tonic-clinic, tonic,
atonic, clinic
Tonic-clinic seizure - Correct answer Loss of consciousness, muscles stiffen, and
jerking movements
Last 1 to 3 minutes
Longer for a person to recover.
More than 5 minutes is a medical emergency
Clinic seizure - Correct answer rapidly alternating contraction and relaxation of a muscle
--repeated jerking.
Movements cannot be stopped by restraining or repositioning the arms or legs
Myoclonic seizure - Correct answer brief, shock-like jerks of a muscle or a group of
muscles.
Usually they don't last more than a second or two.
There can be just one, but sometimes many will occur within a short time.
Tonic seizure - Correct answer Increased tone- stiff body, arms, or legs
Usually no LOC
Occur during sleep
Usually involve all or most of the brain, affecting both sides of the body
Fall down if standing
Last < than 20 second
Atonic seizure - Correct answer Muscles suddenly lose strength
Eyelids may droop, the head may nod, and the person may drop things and often falls
to the ground.
