NUR 158 Final Exam Questions and
Answers Updated 2025
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
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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)
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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
NUR 158