NUR3503 Nursing children and young people
Exam Questions With Correct Answers
Common |age |groups |- |CORRECT |ANSWER✔✔-0-4 |weeks- |neonate
0-1 |year- |Infant
1-3 |years- |Toddler |
1-5 |years- |early |childhood
4-6 |years- |Pre-schooler
6-11 |years- |School |aged
12- |19 |years- |Adolescence |(varies)
What |pain |assessment |tools |are |used |for |neonates, |infants |or |premature |infants |and |what |do |
they |assess? |- |CORRECT |ANSWER✔✔-Neonatal |infant |pain |scale |(NIPS)
Premature |Infant |pain |profile |(PIPP)
Pain |is |assessed |by |facial |expression, |crying, |breathing |pattern, |state |of |arousal |and |if |arms |
and |legs |are |tense |or |relaxed
What |pain |assessment |tool |is |used |for |0-3 |year |olds |and |what |does |it |assess? |- |CORRECT |
ANSWER✔✔-FLACC
Face, |legs, |activity, |cry, |consolability |
Revised |FLACC |is |for |non |verbal/cognitive |impaired |0-18 |years.
What |pain |assessment |tools |are |used |for |children |ages |3-8 |years |and |8 |years |and |above? |- |
CORRECT |ANSWER✔✔-3 |- |8 |years |FACES |pain |scale |(FPS-R) |
(Wong |baker |pain |scale |is |no |longer |used)
, 8+ |years- |Numerical |pain |scale
Non-pharmacologic |pain |management |- |CORRECT |ANSWER✔✔-Physical- |repositioning, |
comforting, |baths, |massage |or |heat |pack |if |appropriate, |spray |on |ice, |buzzy |bee/vibration |
placed |between |the |brain |and |the |pain. |
Environmental- |keeping |volume |down |on |monitors |etc
Behavioural- |relaxation, |art |and |play |therapy
Cognitive- |distraction |with |ipads, |toys, |music, |imagery.
For |babies- |clustering |of |care |to |avoid |extra |irritation
Why |is |fluid |and |elctroclyte |balance |so |important |in |children? |(5) |- |CORRECT |ANSWER✔✔-· |
They |dehydrate |quickly |due |to |a |higher |ratio |of |extracellular |fluid |compared |to |intracellular.
· |Higher |basal |metabolic |rate |(use |more |calories)
· |Larger |body |surface |area |compared |to |mass |which |leads |to |higher |loss |of |fluids
· |Immature |kidneys |which |leads |to |increased |loss |of |water
· |Immature |homeostatic |mechanisms.
What |are |the |3 |main |classifications |of |fluid |rehydration? |- |CORRECT |ANSWER✔✔-Isotonic- |No |
movement |of |solutes. |Used |in |children |who |have |short |term |dehydration |or |hemorrhage |
(quantity |of |fluid |has |been |lost |but |no |electrolyte |imbalance |yet |so |we |dont |want |to |rehydrate
|at |a |level |that |will |shift |electrolytes). |Has |the |same |osmolality |as |intracellular |fluids. |eg- |0.9% |
NaCI, |Normal |saline,
Hypotonic- |used |in |children |with |prolonged |fluid |loss |who |are |very |unwell. |Lower |osmolality |
than |interstitial |fluids. |eg- |0.45% |NaCI
Exam Questions With Correct Answers
Common |age |groups |- |CORRECT |ANSWER✔✔-0-4 |weeks- |neonate
0-1 |year- |Infant
1-3 |years- |Toddler |
1-5 |years- |early |childhood
4-6 |years- |Pre-schooler
6-11 |years- |School |aged
12- |19 |years- |Adolescence |(varies)
What |pain |assessment |tools |are |used |for |neonates, |infants |or |premature |infants |and |what |do |
they |assess? |- |CORRECT |ANSWER✔✔-Neonatal |infant |pain |scale |(NIPS)
Premature |Infant |pain |profile |(PIPP)
Pain |is |assessed |by |facial |expression, |crying, |breathing |pattern, |state |of |arousal |and |if |arms |
and |legs |are |tense |or |relaxed
What |pain |assessment |tool |is |used |for |0-3 |year |olds |and |what |does |it |assess? |- |CORRECT |
ANSWER✔✔-FLACC
Face, |legs, |activity, |cry, |consolability |
Revised |FLACC |is |for |non |verbal/cognitive |impaired |0-18 |years.
What |pain |assessment |tools |are |used |for |children |ages |3-8 |years |and |8 |years |and |above? |- |
CORRECT |ANSWER✔✔-3 |- |8 |years |FACES |pain |scale |(FPS-R) |
(Wong |baker |pain |scale |is |no |longer |used)
, 8+ |years- |Numerical |pain |scale
Non-pharmacologic |pain |management |- |CORRECT |ANSWER✔✔-Physical- |repositioning, |
comforting, |baths, |massage |or |heat |pack |if |appropriate, |spray |on |ice, |buzzy |bee/vibration |
placed |between |the |brain |and |the |pain. |
Environmental- |keeping |volume |down |on |monitors |etc
Behavioural- |relaxation, |art |and |play |therapy
Cognitive- |distraction |with |ipads, |toys, |music, |imagery.
For |babies- |clustering |of |care |to |avoid |extra |irritation
Why |is |fluid |and |elctroclyte |balance |so |important |in |children? |(5) |- |CORRECT |ANSWER✔✔-· |
They |dehydrate |quickly |due |to |a |higher |ratio |of |extracellular |fluid |compared |to |intracellular.
· |Higher |basal |metabolic |rate |(use |more |calories)
· |Larger |body |surface |area |compared |to |mass |which |leads |to |higher |loss |of |fluids
· |Immature |kidneys |which |leads |to |increased |loss |of |water
· |Immature |homeostatic |mechanisms.
What |are |the |3 |main |classifications |of |fluid |rehydration? |- |CORRECT |ANSWER✔✔-Isotonic- |No |
movement |of |solutes. |Used |in |children |who |have |short |term |dehydration |or |hemorrhage |
(quantity |of |fluid |has |been |lost |but |no |electrolyte |imbalance |yet |so |we |dont |want |to |rehydrate
|at |a |level |that |will |shift |electrolytes). |Has |the |same |osmolality |as |intracellular |fluids. |eg- |0.9% |
NaCI, |Normal |saline,
Hypotonic- |used |in |children |with |prolonged |fluid |loss |who |are |very |unwell. |Lower |osmolality |
than |interstitial |fluids. |eg- |0.45% |NaCI
