NURS 407 Exam 1 Questions and
Answers 100% Verified Updated 2026
1
Head Injury
o Initial Assessments: LOC and bilateral assessment of extremity movement and
stabilization of neck
o General Plan of Care:
- Monitoring for changes in vital signs and LOC
- Signs of intracranial bleeding or increasing ICP
- Use of Glasgow coma scale for children
- Long-Term Follow-up is required
- LOC, Orientation, Blood, Pain
2
Respiratory
o Rate and quality of respirations
o Any sound of obstruction (wheezing, stridor, retractions, coughing)
o Color (cyanotic)
o Oxygen hunger (restlessness, inability to lie flat)
3
Cardiovascular
o Color (pallor form hemorrhage or cardiovascular collapse)
o Evident bleeding
o Pulse rate (increase with hemorrhage)
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o Blood Pressure (decreases with hemorrhage)
o Feeling of apprehension from altered vascular pressure
4
Nervous
o Level of Consciousness (child answers questions coherently, infant attunes to parent's
voice)
o Pupils (PERRLA)
o Bumps or bruises on head or spinal column
o Loss of motion or sensory function in a body part
5
Abdominal trauma
o Rapid Respirations
o Hypotension (less than 80 mmHg systolic and less than 60 mmHg in an infant)
o Increasing pallor
o Fresh and occult blood in stomach, stool, urine
6
Home Safety
o Covering outlets and block with furniture
o Stair Gates, Guard Rails, Window Guards, Cupboard Locks, corner padding
o Put dangerous objects high
o Lock doors
7
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Water Safety
o Supervision at all times
o Floatation devices
o Temperature of the water
o Secure gates and locks
o Lifeguards on duty
o Amount of water
o Put electrical devices away
o Put in swimming lessons
8
Poisoning
o Lock up cupboards with dangerous products
o Keep out of reach of children
o Childproof lids
o Be aware of where you put cleaning supplies, laundry, garage, and vitamins
o Educate other family members
o Have poison control number in phone
o Ask: "How is the Child behaving Right now?
9
Bike Safety
o Helmets, Elbow and Knee pads
o Parents set example
o Limits on where to go
o Correct footwear (wear tennis shoes and NOT flip flops)
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