NSG 502 Exam 1 Questions And
Correct Answers
*school-agers*
- age range
- characteristics
- major milestones
- approach for physical exam
- health promotion issues - CORRECT ANSWER- - 5-12 years old
- growth levels off; abstract thinking
- sports
- head is less invasive than genitals; ask before touching
- sports safety; mental health; cigarettes
*toddler*
- age range
- characteristics
- major milestones
- approach for physical exam
- health promotion issues - CORRECT ANSWER- - 1-3 years
- growth continues, but slower; understand more than they can express
(causes frustration)
- develops gross motor skills (walking, jumping)
- very sensitive towards the head area; use toys to distract
- rear facing car seat; drowning; furniture bolted down so it doesn't crush
*infant*
- age range
- characteristics
- major milestones
- approach for physical exam
- health promotion issues - CORRECT ANSWER- - 1-12 months
- rapid growth
,- walks with one hand held, says few words, searches for objects
- least invasive to most invasive (head last)
- safe sleep, vax, fall prevention, rear facing car seat, "shaken baby
syndrome"
*pre-schooler*
- age range
- characteristics
- major milestones
- approach for physical exam
- health promotion issues - CORRECT ANSWER- - 3-5 years
- growth becomes proportional (legs lengthen); very imaginative
- skipping; throw and catch ball; larger vocabulary
- make it like a game; use imagination
- more vax before schooling/socialization; rear facing car seat
*adolescents*
- age range
- characteristics
- major milestones
- approach for physical exam
- health promotion issues - CORRECT ANSWER- - 12-25
- puberty
- driving; sexually active
- like an adult; body integrity/awareness
- sleep; bullying; dating/violence; mental health
Describe the correct methods for obtaining anthropometric measures
(height or length, weight, circumferences) - CORRECT ANSWER-
ruler/tape measure
- crown to heel
- head circumference
- chest circumference
- abdominal circumference
Describe the correct methods for obtaining physiological measures (vital
signs) - CORRECT ANSWER- - pediatric sized cuff
- cuff around ankle; auscultate posterior tibial pulse
,Describe the correct methods for administering oral medication in the
pediatric population. - CORRECT ANSWER- - ONLY use oral
syringes
- NEVER use luer lock/IV syringes
For each stage of development, outline two responses to hospitalization
and two nursing interventions that can facilitate coping in the
hospitalized child. - CORRECT ANSWER- *responses*
- separation anxiety
- loss of control and autonomy
- pain and discomfort
*interventions*
- promote freedom of movement
- routine
- therapeutic play
- school work
- friends and visitors
Describe the role of the family in relationship to the hospitalized child.
Outline at least 2 nursing interventions that facilitate coping for family
members. - CORRECT ANSWER- *role*
- emotional support
- logistical/practical support
- provide information
- caregiver
*interventions*
- involve family when possible
Identify one method to assess health literacy and one individual and
societal ramification for poor health literacy. - CORRECT ANSWER-
*assess*
- "what do you know about _______"
- teach back
*ramifications*
, - poor adherence
- failure to seek preventive services
- prolonged hospitalizations
- high annual health care costs
Identify 3 potential challenges in communicating with older adults and 3
nursing interventions to maximize communication. - CORRECT
ANSWER- *challenges*
- time and technology
- risk of paternalism (patronizing) and infantilism (childish behavior)
- relating to the older adults reality
- sensory and cognitive changes
- comorbidities that distract from focus
- health literacy
*interventions*
- assessment tools
- use of assistive devices (glasses, walkers, etc)
- 4M's framework (what matters, medication, mentation, mobility)
3. The newest nurse on the pediatric unit is concerned about maintaining
a professional distance in her relationship with a patient and the patient's
family. Which comment indicates that she needs more mentoring
regarding her patient-nurse relationship?
a. "I realize that caring for the child means I can visit them on my days
off if they ask me."
b. "When the mother asks if I will care for her daughter every day, I
explain that the assignments change based on the needs of the unit."
c. "When the mother asks me questions about my family, I answer
politely, but I offer only pertinent information."
d. "I engage in multidisciplinary rounds and listen to the family's
concerns." - CORRECT ANSWER- a
4. What is the overriding goal of atraumatic care?
a. Prevent or minimize the child's separation from the family
b. Do no harm
Correct Answers
*school-agers*
- age range
- characteristics
- major milestones
- approach for physical exam
- health promotion issues - CORRECT ANSWER- - 5-12 years old
- growth levels off; abstract thinking
- sports
- head is less invasive than genitals; ask before touching
- sports safety; mental health; cigarettes
*toddler*
- age range
- characteristics
- major milestones
- approach for physical exam
- health promotion issues - CORRECT ANSWER- - 1-3 years
- growth continues, but slower; understand more than they can express
(causes frustration)
- develops gross motor skills (walking, jumping)
- very sensitive towards the head area; use toys to distract
- rear facing car seat; drowning; furniture bolted down so it doesn't crush
*infant*
- age range
- characteristics
- major milestones
- approach for physical exam
- health promotion issues - CORRECT ANSWER- - 1-12 months
- rapid growth
,- walks with one hand held, says few words, searches for objects
- least invasive to most invasive (head last)
- safe sleep, vax, fall prevention, rear facing car seat, "shaken baby
syndrome"
*pre-schooler*
- age range
- characteristics
- major milestones
- approach for physical exam
- health promotion issues - CORRECT ANSWER- - 3-5 years
- growth becomes proportional (legs lengthen); very imaginative
- skipping; throw and catch ball; larger vocabulary
- make it like a game; use imagination
- more vax before schooling/socialization; rear facing car seat
*adolescents*
- age range
- characteristics
- major milestones
- approach for physical exam
- health promotion issues - CORRECT ANSWER- - 12-25
- puberty
- driving; sexually active
- like an adult; body integrity/awareness
- sleep; bullying; dating/violence; mental health
Describe the correct methods for obtaining anthropometric measures
(height or length, weight, circumferences) - CORRECT ANSWER-
ruler/tape measure
- crown to heel
- head circumference
- chest circumference
- abdominal circumference
Describe the correct methods for obtaining physiological measures (vital
signs) - CORRECT ANSWER- - pediatric sized cuff
- cuff around ankle; auscultate posterior tibial pulse
,Describe the correct methods for administering oral medication in the
pediatric population. - CORRECT ANSWER- - ONLY use oral
syringes
- NEVER use luer lock/IV syringes
For each stage of development, outline two responses to hospitalization
and two nursing interventions that can facilitate coping in the
hospitalized child. - CORRECT ANSWER- *responses*
- separation anxiety
- loss of control and autonomy
- pain and discomfort
*interventions*
- promote freedom of movement
- routine
- therapeutic play
- school work
- friends and visitors
Describe the role of the family in relationship to the hospitalized child.
Outline at least 2 nursing interventions that facilitate coping for family
members. - CORRECT ANSWER- *role*
- emotional support
- logistical/practical support
- provide information
- caregiver
*interventions*
- involve family when possible
Identify one method to assess health literacy and one individual and
societal ramification for poor health literacy. - CORRECT ANSWER-
*assess*
- "what do you know about _______"
- teach back
*ramifications*
, - poor adherence
- failure to seek preventive services
- prolonged hospitalizations
- high annual health care costs
Identify 3 potential challenges in communicating with older adults and 3
nursing interventions to maximize communication. - CORRECT
ANSWER- *challenges*
- time and technology
- risk of paternalism (patronizing) and infantilism (childish behavior)
- relating to the older adults reality
- sensory and cognitive changes
- comorbidities that distract from focus
- health literacy
*interventions*
- assessment tools
- use of assistive devices (glasses, walkers, etc)
- 4M's framework (what matters, medication, mentation, mobility)
3. The newest nurse on the pediatric unit is concerned about maintaining
a professional distance in her relationship with a patient and the patient's
family. Which comment indicates that she needs more mentoring
regarding her patient-nurse relationship?
a. "I realize that caring for the child means I can visit them on my days
off if they ask me."
b. "When the mother asks if I will care for her daughter every day, I
explain that the assignments change based on the needs of the unit."
c. "When the mother asks me questions about my family, I answer
politely, but I offer only pertinent information."
d. "I engage in multidisciplinary rounds and listen to the family's
concerns." - CORRECT ANSWER- a
4. What is the overriding goal of atraumatic care?
a. Prevent or minimize the child's separation from the family
b. Do no harm
