SHADOW HEALTH PRESCHOOLER SICK
VISIT: EAR PAIN RESULTS
COMPREHENSIVE STUDY GUIDE 2026 FULL
QUESTIONS AND SOLUTIONS GRADED A+
◍ Auscultate-Breath Sounds.
Answer: Breath Sounds: Present in all areaAdventitious Sounds:
NoneLocation: All Clear
◍ Kyle, age 6 months, is brought to the clinic. His parent says, "I think he
hurts. He cries and rolls his head from side to side a lot." This most likely
suggests which feature of pain?a. Type c. Durationb. Severity d. Location.
Answer: D(The child is displaying a local sign of pain. Rolling the head
from side to side and pulling at ears indicate pain in the ear. The child's
behavior indicates the location of the pain. The behavior does not provide
information about the type, severity, or duration.)
◍ A child is being seen in the emergency department with multiple facial
abrasions and lacerations. The combination agent lidocaine, adrenaline, and
tetracaine (LAT) is applied topically to the wounds. The purpose of this
combination therapy is to
A. cleanse the wound.
B. promote scab formation.
C. prevent infection of the wound.
D. provide anesthesia to the wound..
Answer: D(Provide anesthesia to the wound.)
◍ Inspect-Nasal Mucosa.
Answer: Appearance: moist and pink
,◍ Palpate-Bladder.
Answer: not palpable
◍ Physiologic measurements in children's pain assessment are:a. The best
indicator of pain in children of all ages.b. Essential to determine whether a
child is telling the truth about pain.c. Of most value when children also
report having pain.d. Of limited value as sole indicator of pain..
Answer: D(Physiologic manifestations of pain may vary considerably and
may not provide a consistent measure of pain. Heart rate may increase or
decrease. The same signs that may suggest fear, anxiety, or anger also
indicate pain. In chronic pain the body adapts, and these signs decrease or
stabilize. These signs are of limited value and must be viewed in the context
of a pain-rating scale, behavioral assessment, and parental report. When the
child states that pain exists, it does. That is the truth.)
◍ The nurse is monitoring a patient for side effects associated with opioid
analgesics. Which side effects should the nurse expect to monitor for (Select
all that apply)?a. Diarrheab. Respiratory depressionc. Hypertensiond.
Prurituse. Sweating.
Answer: B, D, E(Side effects of opioids include respiratory depression,
pruritus, and sweating. Constipation may occur, not diarrhea, and orthostatic
hypotension may occur but not hypertension.)
◍ Inspect-Mouth.
Answer: Oral Mucosa: moist and pink
◍ After administering an injection, the nurse provides containment by
covering the infant with a blanket roll. What are the probable reasons for
this nursing intervention? Select all that apply.
A. To decrease stress
B. To keep the child awake
C. To increase the heart rate
D. To make the child feel warm
E. To make the infant feel secure.
Answer: A, E(Containment is a nonpharmacological approach that helps the
, child feel secure and reduces stress. It can help the infant settle down and
stop crying. This therapy is not performed to keep the child awake, and in
fact it can help the child sleep. Containment is intended to reduce or
maintain the heart beat, not increase it.)
◍ The nurses caring for a child are concerned about the child's frequent
requests for pain medication. During a team conference, a nurse suggests
that they consider administering a placebo instead of the usual pain
medication. This decision should be based on knowledge that
A. it is unjustified and unethical to administer placebos instead of pain
medication.
B. the absence of a response to a placebo means the child's pain has an
organic basis.
C. a positive response to a placebo will not occur if the child's pain has an
organic basis.
D. administering a placebo instead of the usual pain medication is effective
in determining whether a child's pain is real..
Answer: A(It is unjustified and unethical to administer placebos instead of
pain medication.)
◍ A child who is terminally ill with bone cancer is in severe pain. Nursing
interventions should be based on the knowledge that
A. children tend to be overmedicated for pain.
B. giving large doses of opioids causes euthanasia.
C. narcotic addiction is common in terminally ill children.
D. large doses of opioids are justified when there are no other treatment
options.
Answer: D(Large doses of opioids are justified when there are no other
treatment options.)
◍ Test-Skin Tugor.
Answer: no tenting
◍ History of Presenting Illness +1.
Answer: Do you have difficulty going to the bathroom?
VISIT: EAR PAIN RESULTS
COMPREHENSIVE STUDY GUIDE 2026 FULL
QUESTIONS AND SOLUTIONS GRADED A+
◍ Auscultate-Breath Sounds.
Answer: Breath Sounds: Present in all areaAdventitious Sounds:
NoneLocation: All Clear
◍ Kyle, age 6 months, is brought to the clinic. His parent says, "I think he
hurts. He cries and rolls his head from side to side a lot." This most likely
suggests which feature of pain?a. Type c. Durationb. Severity d. Location.
Answer: D(The child is displaying a local sign of pain. Rolling the head
from side to side and pulling at ears indicate pain in the ear. The child's
behavior indicates the location of the pain. The behavior does not provide
information about the type, severity, or duration.)
◍ A child is being seen in the emergency department with multiple facial
abrasions and lacerations. The combination agent lidocaine, adrenaline, and
tetracaine (LAT) is applied topically to the wounds. The purpose of this
combination therapy is to
A. cleanse the wound.
B. promote scab formation.
C. prevent infection of the wound.
D. provide anesthesia to the wound..
Answer: D(Provide anesthesia to the wound.)
◍ Inspect-Nasal Mucosa.
Answer: Appearance: moist and pink
,◍ Palpate-Bladder.
Answer: not palpable
◍ Physiologic measurements in children's pain assessment are:a. The best
indicator of pain in children of all ages.b. Essential to determine whether a
child is telling the truth about pain.c. Of most value when children also
report having pain.d. Of limited value as sole indicator of pain..
Answer: D(Physiologic manifestations of pain may vary considerably and
may not provide a consistent measure of pain. Heart rate may increase or
decrease. The same signs that may suggest fear, anxiety, or anger also
indicate pain. In chronic pain the body adapts, and these signs decrease or
stabilize. These signs are of limited value and must be viewed in the context
of a pain-rating scale, behavioral assessment, and parental report. When the
child states that pain exists, it does. That is the truth.)
◍ The nurse is monitoring a patient for side effects associated with opioid
analgesics. Which side effects should the nurse expect to monitor for (Select
all that apply)?a. Diarrheab. Respiratory depressionc. Hypertensiond.
Prurituse. Sweating.
Answer: B, D, E(Side effects of opioids include respiratory depression,
pruritus, and sweating. Constipation may occur, not diarrhea, and orthostatic
hypotension may occur but not hypertension.)
◍ Inspect-Mouth.
Answer: Oral Mucosa: moist and pink
◍ After administering an injection, the nurse provides containment by
covering the infant with a blanket roll. What are the probable reasons for
this nursing intervention? Select all that apply.
A. To decrease stress
B. To keep the child awake
C. To increase the heart rate
D. To make the child feel warm
E. To make the infant feel secure.
Answer: A, E(Containment is a nonpharmacological approach that helps the
, child feel secure and reduces stress. It can help the infant settle down and
stop crying. This therapy is not performed to keep the child awake, and in
fact it can help the child sleep. Containment is intended to reduce or
maintain the heart beat, not increase it.)
◍ The nurses caring for a child are concerned about the child's frequent
requests for pain medication. During a team conference, a nurse suggests
that they consider administering a placebo instead of the usual pain
medication. This decision should be based on knowledge that
A. it is unjustified and unethical to administer placebos instead of pain
medication.
B. the absence of a response to a placebo means the child's pain has an
organic basis.
C. a positive response to a placebo will not occur if the child's pain has an
organic basis.
D. administering a placebo instead of the usual pain medication is effective
in determining whether a child's pain is real..
Answer: A(It is unjustified and unethical to administer placebos instead of
pain medication.)
◍ A child who is terminally ill with bone cancer is in severe pain. Nursing
interventions should be based on the knowledge that
A. children tend to be overmedicated for pain.
B. giving large doses of opioids causes euthanasia.
C. narcotic addiction is common in terminally ill children.
D. large doses of opioids are justified when there are no other treatment
options.
Answer: D(Large doses of opioids are justified when there are no other
treatment options.)
◍ Test-Skin Tugor.
Answer: no tenting
◍ History of Presenting Illness +1.
Answer: Do you have difficulty going to the bathroom?
