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NUR 203 Exam 1 Practice
Questions and Answers
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NUR 203 EXAM 1
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1. Students can demonstrate -Prevent or minimize physical stressors, including pain, discom-
the principles and compe- fort, immobility, sleep deprivation, inability to eat or drink, and
tencies of providing atrau- changes in elimination
matic care to pediatric -Prevent or minimize parent-child separation
clients. -Promote family-centered care, treating the family as the patient
-Promote a sense of control
-Try and keep one nurse for pt
2. Students can discuss the role -give distractions
of the child life specialist in -ALWAYS provides safety
providing care to the pedi- *Provide support during medical procedure
atric client *Therapeutic play and activities to support normal growth and
development
* Grief and bereavement support
3. Students can discuss how -Make sure its age appropriate
to develop therapeutic re- *If doing a spinal tap on a kid and they need to stay still do
lationship and promote therapeutic hugging
age-appropriate indepen- -Therapeutic touch does not help with safety
dence with a hospitalized -Alternative distractions can allow kids to cooperate
child -School age kids can suture a doll
4. Students can discuss the -Provides productivity to promote best over all health for kids
points of focus of health su- *Teaches parents to prevent injury
pervision *Optimize level of function
*Provides care set by national guidelines
-Partnership is the key to starting these
5. Students can demonstrate *Safety is top priority
priority education to parents -Give a run down on the basics of what it is
of a child with epilepsy -Tell them key points
-Allow them to ask questions and then go more into education
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NUR 203 EXAM 1
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6. Students can discuss the *community can cause or contribute to an illness
role of community influence
on health in individuals and
families
7. Students can discuss the so- -Heath insurance coverages
cioeconomic factors that in- -Transportation
fluence chronic disease in -Financial stressors
pediatric clients -Family coping
-Schools response to the child with a chronic illness
8. Students can identify chil- *Single parent
dren at risk of developmen- *Parent has mental illness
tal delays -Child with a birth weight less the 1500g
9. Students can discuss how Risk assessment
to determine if children are -Includes objective and subjective data to determine the likeli-
meeting developmental and hood that the child will develop a condition
growth milestones
Universal screening
-Screening of an entire population regardless of the child's indi-
vidual risk
Selective screening
-Done when a risk assessment indicates the child has one or more
risk factors for a disorder
10. Students can discuss the for- -Assessment based of parental concerns
mat of hearing testing for -Pure-Tone Audiometry:
older children -The child wears headphones and listens for sounds through a
speaker. They respond by pressing a button or raising a hand
when they hear the tones.
-Speech Audiometry:
2/9
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NUR 203 EXAM 1
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-The child listens to spoken words or sentences through head-
phones and repeats them or identifies them from a list.
*Do hearing assessment by one month of age
11. Students can discuss the *When done by a young age such as 6 months they use black and
format of assessing vision white because they can only see in black in white
on children at different age -If they cant read yet do test with the images
groups
12. Students can discuss the Exchange infusion = hearing loss
complications of treatments
for the child with hyper-
bilirubinemia
13. Students can discuss the *Lead poisoning affects kids younger than 6 because they are
complications of lead poi- more sensitive to lead
soning for different age *Lead over 8 is high worry about the brain
groups *Lead over 3 check more often
*Check the lead until they are off the ground
14. Students can use the expect- Functional Capability history is daily activities and safety such as
ed functional capability of does a child use a car seat
child development to deter-
mine if a child is meeting
milestones
15. Students can discuss the cor- Do it based off symptoms
rect route to obtain a tem- EX) If they come in with severe diarrhea take it:
perature based on the child's -Axillary
chief complaint -Tympanic
-Temporal
-Oral
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16. Students can describe the I-1: Very faint, heard only with special effort
grade of heart murmurs H-2: Faint but heard immediately with stethoscope
heard on auscultation A-3:Modertly loud, easily heard without a stethoscope
V-4:Loud with palpable thrill (Vibration)
E-5:Very loud with a thrill may be heard with the edge of a stetho-
scope off the chest
A-6: Extremely loud with a thrill, heard without a stethoscope
17. Students can identify normal -clubbing of the fingers
and abnormal signs of hy- *New born skin on their hands and feet are blue THIS IS NORMAL
poxemia based on the age of
the child
18. Students can describe the -Right medication
"rights" associated with ad- -Right pt
ministering medications to -Right time (20-30 mins with in scheduled time)
the pediatric client -Right route
-Right dose
-Right approach
-Right doc, education, form, and the right to refuse
19. Pharmacodynamics -Behavior of medication at the cellular level
-Affected by the physiologic immaturity of some body systems in
a child compared to adults; response may vary based on genetic
makeup
20. Pharmacokinetics -Movement of drugs over time throughout the body via absorp-
tion, distribution, metabolism, and excretion
-Affected by the child's age, weight, body surface area, body
composition, and diseases affecting related organs (liver, kidney)
21. Students can describe the -Verify placement of tube
best methods of administer- -Give liquid medications directly via syringe along with small
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