STUDY GUIDE AND BUNDLED PRACTICE
EXAMS GRADED A+ 2026.
⫸ death and dying: toddler. Answer: do not understand death
mirror parent's emotions
regress to earlier stage
⫸ death and dying: preschool. Answer: magical thinking
view death as temporary
⫸ death and dying: school age. Answer: begin to have adult
understanding of death
may be interested in the funeral services etc
⫸ death and dying: adolescent. Answer: difficulty accepting death
because they are discovering who they are
stress due to changes in physical appearance
⫸ physical manifestations of death. Answer: sensation of heat when
body feels cool
decreased sensation and movement in lower limbs
loss of senses - hearing is last
confusion/loss of consciousness
,dec appetite/thirst
swallowing difficulties
bradycardia
hypotension
⫸ is it ok to go to funeral and maintain contact with the family after
child has passed. Answer: yes
⫸ treatment for viral meningitis. Answer: supportive care
⫸ treatment of bacterial meningitis. Answer: IV antibiotics
corticosteroids
analgesics
⫸ sx of meningitis. Answer: photophobia
nausea
irritability
headache
nuchal rigidity
bulging fontanels
poor muscle tone, weak cry in infant
petechiae
positive bradzinski
positive kernig
,⫸ bradzinski's sign. Answer: deliberate flexion of neck = flexion of
extremities
⫸ kernig's sign. Answer: when hip is flexed the leg resists extension
⫸ bacterial meningitis CSF test. Answer: cloudy
inc WBC
inc protein
dec glucose
positive gram stain
⫸ lumbar puncture routine. Answer: have child empty bladder
EMLA
head flexed and knees drawn
lie flat for 4-8 hrs after
⫸ precautions for meningitis. Answer: droplet
⫸ signs of inc ICP in infant. Answer: bulging fontanels
high pitched cry
distended scalp veins
irritability
bradycardia
, respiratory changes
⫸ how to reduce ICP. Answer: HOB at 30 degrees
avoid coughing or straining
minimal environmental stimuli
low lighting
⫸ reyes syndrome. Answer: liver dysfunction and cerebral edema
may be caused by aspirin
typically follows viral infection
⫸ treatment of reyes syndrome. Answer: mannitol
vitamin K - improves synthesis of blood clotting factors in liver
⫸ absence seizure. Answer: loss of consciousness for 5-10 seconds
daydreaming
lip smacking, eye twitching, slight hand movements
⫸ myoclonic seizure. Answer: brief contraction in muscle
⫸ atonic seizure. Answer: muscle tone lost
⫸ interventions during a seizure. Answer: move furniture away
hold head in lap