NFDN 2005 UNIT 1-4 MIDTERM QUESTIONS WITH
COMPLETE SOLUTIONS
Acute Illness Correct Answers - Sudden
- Predictable course
- Hospitalization occurs once
- Need to be orientated with the hospital
- Usually a short course
- Complete recovery
Administering Oral Medications Correct Answers - Oral
syringe
- Medication cup
- Offer a "chaser" if not contraindicated
Adolescent Correct Answers - Physical Development
· Age 12-18
· Puberty
· Secondary sex characteristics develop
· Girls experience menarche - age 10-16
· Acne may be present
· Growth spurts
· Fatigue is common
- Cognitive Development
· Formal operations
· Post conventional morality
· Develop a sense of personal identity
· Experience a desire to "fit in" with their peer group
- Play
· Prefer "talk time"
· Enjoy spending time with their friends
,· Begin to engage with the opposite sex
- Nutrition
· Help them to play healthy meals, keeping in mind common
food choices
· Boys have higher metabolisms
· Girls may be at risk for anemia and insufficient calcium intake
- Safety
· Risky behavior
· Driving safety
· Substance use (illicit and legal)
· Sexually
Adolescents Teaching Styles Correct Answers - Ask about
hobbies, sports, activities and school
- Educate about risk-taking behaviour
- Provide options
- Teach them about ways to be included in the group even in the
context of illness
- Educate parents about normal behaviour
- Work with them and explain it
- Ask specific question; group teachings
Adolescents with Chronic Illness Correct Answers - May be
worried about transitioning to adult care
- May have developed a relationship with nursing and healthcare
staff on the unit
- Encourage exploration of feelings
- Arrange for transfer of care to adult unit
Ambiguous Genitalia Correct Answers mixed sex genitalia
,- Cause:
· Hormone exposure during pregnancy
- Treatment:
· Karyotyping to assign sex
· Pelvic ultrasound
Amenorrhea Correct Answers no period for 3 months
- Cause:
· Pregnancy
· Behavioural issues (stress, eating disorders, exercise)
· Hormonal disorders (PCOS)
Anticipatory Grief Correct Answers grief begins prior to death
- Normal in families of a terminally ill child
- Vulnerable Child Syndrome: accepting the death too early
Appendicitis Correct Answers inflammation of the appendix on
the lower right side of the abdomen
- S/S = right lower quadrant pain à MacBurney's point, nausea
and vomiting, low-grade fever
- Diagnosis:
· Empirical
· Blood work, Ultrasound
- Assessment:
· Rebound tenderness à may indicate peritonitis (infection of the
peritoneum)
- Treatment:
· Surgical removal
, - Education:
· No lifting for 6 weeks post appendectomy (2 weeks for
laparoscopic)
· Watch for wound drainage, redness, warmth, increased pain,
fever, abdominal pain
Assessment Correct Answers - Do invasive procedures last -
start with extremities, listen to lungs in the back
· Leave ear examinations last for infants
· Leave genitalia assessment until last
- Provide privacy
- Start with basic head to toe
- Focused assessment on the problem area
- Always assess every 4 hours
- Offer choices when they are available
- If child refuses, do something else and try again
- Perform a "doorway assessment" - activity, color, work of
breathing
- Make a game out of assessment
- Let the child know in advance what they can expect to feel
- Ask someone other than the parent to restrain the child PRN
- Never do a deep palpation of the spleen in adolescents (if they
have mono)
- Palpate the painful area last
- Always assess BOTH limbs if they complain of pain
Assessment of Intimate Partner Abuse Correct Answers - May
be observed in adolescents
- Ask how an adolescent received any injuries that you see
- Ask at routine check-ups and office visits if they are ever
afraid of their partner
COMPLETE SOLUTIONS
Acute Illness Correct Answers - Sudden
- Predictable course
- Hospitalization occurs once
- Need to be orientated with the hospital
- Usually a short course
- Complete recovery
Administering Oral Medications Correct Answers - Oral
syringe
- Medication cup
- Offer a "chaser" if not contraindicated
Adolescent Correct Answers - Physical Development
· Age 12-18
· Puberty
· Secondary sex characteristics develop
· Girls experience menarche - age 10-16
· Acne may be present
· Growth spurts
· Fatigue is common
- Cognitive Development
· Formal operations
· Post conventional morality
· Develop a sense of personal identity
· Experience a desire to "fit in" with their peer group
- Play
· Prefer "talk time"
· Enjoy spending time with their friends
,· Begin to engage with the opposite sex
- Nutrition
· Help them to play healthy meals, keeping in mind common
food choices
· Boys have higher metabolisms
· Girls may be at risk for anemia and insufficient calcium intake
- Safety
· Risky behavior
· Driving safety
· Substance use (illicit and legal)
· Sexually
Adolescents Teaching Styles Correct Answers - Ask about
hobbies, sports, activities and school
- Educate about risk-taking behaviour
- Provide options
- Teach them about ways to be included in the group even in the
context of illness
- Educate parents about normal behaviour
- Work with them and explain it
- Ask specific question; group teachings
Adolescents with Chronic Illness Correct Answers - May be
worried about transitioning to adult care
- May have developed a relationship with nursing and healthcare
staff on the unit
- Encourage exploration of feelings
- Arrange for transfer of care to adult unit
Ambiguous Genitalia Correct Answers mixed sex genitalia
,- Cause:
· Hormone exposure during pregnancy
- Treatment:
· Karyotyping to assign sex
· Pelvic ultrasound
Amenorrhea Correct Answers no period for 3 months
- Cause:
· Pregnancy
· Behavioural issues (stress, eating disorders, exercise)
· Hormonal disorders (PCOS)
Anticipatory Grief Correct Answers grief begins prior to death
- Normal in families of a terminally ill child
- Vulnerable Child Syndrome: accepting the death too early
Appendicitis Correct Answers inflammation of the appendix on
the lower right side of the abdomen
- S/S = right lower quadrant pain à MacBurney's point, nausea
and vomiting, low-grade fever
- Diagnosis:
· Empirical
· Blood work, Ultrasound
- Assessment:
· Rebound tenderness à may indicate peritonitis (infection of the
peritoneum)
- Treatment:
· Surgical removal
, - Education:
· No lifting for 6 weeks post appendectomy (2 weeks for
laparoscopic)
· Watch for wound drainage, redness, warmth, increased pain,
fever, abdominal pain
Assessment Correct Answers - Do invasive procedures last -
start with extremities, listen to lungs in the back
· Leave ear examinations last for infants
· Leave genitalia assessment until last
- Provide privacy
- Start with basic head to toe
- Focused assessment on the problem area
- Always assess every 4 hours
- Offer choices when they are available
- If child refuses, do something else and try again
- Perform a "doorway assessment" - activity, color, work of
breathing
- Make a game out of assessment
- Let the child know in advance what they can expect to feel
- Ask someone other than the parent to restrain the child PRN
- Never do a deep palpation of the spleen in adolescents (if they
have mono)
- Palpate the painful area last
- Always assess BOTH limbs if they complain of pain
Assessment of Intimate Partner Abuse Correct Answers - May
be observed in adolescents
- Ask how an adolescent received any injuries that you see
- Ask at routine check-ups and office visits if they are ever
afraid of their partner
