NUR 3490 Exam 1 Questions with All
Solved Solutions 2026 Updated.
Katz 10 Rules of Engagement - Answer 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 - Answer -prevent or minimize physical distresses
-prevent or minimize child-parent separation
-promote a sense of control
key considerations for pediatric physical exam - Answer -noninvasive to invasive
-peripheral to central
-examine normal before abnormal
-go w/ the flow
what is ADHD/ADD? - Answer attention deficit hyperactivity disorder is the most common
neurodevelopment disorder of childhood
what are the symptoms of ADHD/ADD? - Answer -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? - Answer -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? - Answer -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? - Answer 1. modified checklist for
autism in toddlers (M-CHAT-R) 18 months, reassess at 24-30 months
2. social communication questionnaire
3. pervasive developmental disorders screening test II
epiglottitis - Answer inflammation and swelling of the epiglottis; most often caused by
Haemophilus influenzae type B; rare now due to Hib vaccine
symptoms of epiglottis - Answer -respiratory arrest & death if airway becomes obstructed
-child refuses to speak or uses soft voice
-child may refuse to lie down
-sits forward w/ head distended
pharyngitis (strep throat) - Answer inflammation of the throat mucosa (pharynx); group A
streptococci account for 20-30% of cases
symptoms of pharyngitis - Answer -assymetrical swelling of the tonsils, uvula shifts to 1 side
-petechiae on the palate
-red, sandpaper-like rash on the trunk
Solved Solutions 2026 Updated.
Katz 10 Rules of Engagement - Answer 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 - Answer -prevent or minimize physical distresses
-prevent or minimize child-parent separation
-promote a sense of control
key considerations for pediatric physical exam - Answer -noninvasive to invasive
-peripheral to central
-examine normal before abnormal
-go w/ the flow
what is ADHD/ADD? - Answer attention deficit hyperactivity disorder is the most common
neurodevelopment disorder of childhood
what are the symptoms of ADHD/ADD? - Answer -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? - Answer -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? - Answer -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? - Answer 1. modified checklist for
autism in toddlers (M-CHAT-R) 18 months, reassess at 24-30 months
2. social communication questionnaire
3. pervasive developmental disorders screening test II
epiglottitis - Answer inflammation and swelling of the epiglottis; most often caused by
Haemophilus influenzae type B; rare now due to Hib vaccine
symptoms of epiglottis - Answer -respiratory arrest & death if airway becomes obstructed
-child refuses to speak or uses soft voice
-child may refuse to lie down
-sits forward w/ head distended
pharyngitis (strep throat) - Answer inflammation of the throat mucosa (pharynx); group A
streptococci account for 20-30% of cases
symptoms of pharyngitis - Answer -assymetrical swelling of the tonsils, uvula shifts to 1 side
-petechiae on the palate
-red, sandpaper-like rash on the trunk
