NUR 3490 EXAM 1 | COMPREHENSIVE STUDY GUIDE, NCLEX-STYLE PRACTICE QUESTIONS &
ANSWERS 2026/2027
Katz 10 Rules of Engagement - ✔✔1. first do no harm
2. never lie
3. talk to child & parents
4. explain to child & parents
5. do not tell a child not to cry
6. give choices when possible/appropriate
7. show respect
8. provide privacy
9. bend a little, be flexible
10. manage pain
atraumatic care - ✔✔-prevent or minimize physical distresses
-prevent or minimize child-parent separation
-promote a sense of control
key considerations for pediatric physical exam - ✔✔-noninvasive to invasive
-peripheral to central
-examine normal before abnormal
-go w/ the flow
what is ADHD/ADD? - ✔✔attention deficit hyperactivity disorder is the most common
neurodevelopment disorder of childhood
, what are the symptoms of ADHD/ADD? - ✔✔-inattention, impulsivity, distractibility,
hyperactivity
-labile mood
-emotional outbursts
-peer rejection
-poor school performance
-low self-esteem
-lack of time management skills
what are the treatment options for ADHD/ADD? - ✔✔-psychostimulants
-norepinephrine rey-take inhibitors
-a-agonist antihypertensive agents
**give psychostimulants in the morning to prevent insomnia**
**give med after meal if child experiences lack of appetite**
what are the potential signs that a child may have autism? - ✔✔-failure to point at objects at
18 months
-cannot orient to their name
-cannot make eye contact w/ people
-cannot develop speech
-indifferent to touch/affection
-muteness
-self-injuring behaviors (i.e. head banging)
-bizarre motor behaviors
what are the methods used to screen a child for autism? - ✔✔1. modified checklist for autism
in toddlers (M-CHAT-R) 18 months, reassess at 24-30 months
ANSWERS 2026/2027
Katz 10 Rules of Engagement - ✔✔1. first do no harm
2. never lie
3. talk to child & parents
4. explain to child & parents
5. do not tell a child not to cry
6. give choices when possible/appropriate
7. show respect
8. provide privacy
9. bend a little, be flexible
10. manage pain
atraumatic care - ✔✔-prevent or minimize physical distresses
-prevent or minimize child-parent separation
-promote a sense of control
key considerations for pediatric physical exam - ✔✔-noninvasive to invasive
-peripheral to central
-examine normal before abnormal
-go w/ the flow
what is ADHD/ADD? - ✔✔attention deficit hyperactivity disorder is the most common
neurodevelopment disorder of childhood
, what are the symptoms of ADHD/ADD? - ✔✔-inattention, impulsivity, distractibility,
hyperactivity
-labile mood
-emotional outbursts
-peer rejection
-poor school performance
-low self-esteem
-lack of time management skills
what are the treatment options for ADHD/ADD? - ✔✔-psychostimulants
-norepinephrine rey-take inhibitors
-a-agonist antihypertensive agents
**give psychostimulants in the morning to prevent insomnia**
**give med after meal if child experiences lack of appetite**
what are the potential signs that a child may have autism? - ✔✔-failure to point at objects at
18 months
-cannot orient to their name
-cannot make eye contact w/ people
-cannot develop speech
-indifferent to touch/affection
-muteness
-self-injuring behaviors (i.e. head banging)
-bizarre motor behaviors
what are the methods used to screen a child for autism? - ✔✔1. modified checklist for autism
in toddlers (M-CHAT-R) 18 months, reassess at 24-30 months
