ORPEDIC NURSE CERTIFICATION: AN A+ QUESTIONS AND
ANSWERS PLAYBOOK
Live viruses
MMR and Varicella (weakened/attenuated form of virus). Small risk of causing weak case of
disease
Killed/inactivated vaccines
made from protein or other small piece taken from virus
Vision Screening
Chart with lines, numbers and symbols at eye level, arch of foot on line, passing 20/40 for K,
20/30 for 1st and up. Screens for Visual acuity, color discrimination and extraoccular
movememnt
Refractive errors
Most common vision problem in children
Greatest cause of death for children 5-9 years old
1)accidents/unintentional injury 2) cancer 3) congenital malformations 4) homocide
Greatest cause of death for children 10-14 years old
1)accident 2) cancer 3) suicide 4) homicide
Greatest cause of death for children 15-19 years old
1) accident 2) homicide 3) suicide 4) Cancer
hearing screening pass
1000, 2000, 4000 (Hertz/pitch) pass at 20/25db (loudness). Can be affected by cerumen
impacted
Prevention (primary, secondary, tertiary)
Primary - for everyone! immunizations, info on health promotion, health fair. Secondary for
those at risk to a condition (vision screening, referring to dr). Tertiary - prevent additional
disability, maximize capabilities (devp IHP for seizures, transition back to school, staff training)
Insulin types
Novolog - fast acting, to cover for meals. Lantus - long acting - all day control
Calcium needs for kids
, 4-8 yo 1000mg, 9-18 1300mg. also needs sunlight, weigh bearing exercises, broccoli, cheese,
yogurt. When fractures occur bone density screening recommended
pneumothorax
air in the pleural cavity caused by a puncture of the lung or chest wall
S/s liver laceration
Rt upper quad tenderness, guarding signs of blood loss, shock
s/sx of bowl perforation
abd pain, N&V
Treatment of abd injuries
bend knees and hips, place pillow or blanket, treat for shock
When do you need stitches
when wound 1 inch, edges don't fall together
State Board of Nursing develops state Nurse Practice Act
LAW. Denotes what a nurse can and cannot do, intent to protect public
ANA (American Nurses Association)
- professional organization for RNs in the US
- deals with professional scope and standards of practice
- addresses ethics, public policy, and economic/general welfare of nurses
- mission = advance profession of nursing
NBCSN
provides cert exam voluntary
Primary Assessment
ABCDE (Airway, breathing, circulation, disability and exposure)
Secondary Assessment
EFGHI: expose, farenheit (temp), get VS, H head assessment I- inspect and isolate if infection or
immune compromised
CIAMPEDS (mneumonic for pediatric triage)
ANSWERS PLAYBOOK
Live viruses
MMR and Varicella (weakened/attenuated form of virus). Small risk of causing weak case of
disease
Killed/inactivated vaccines
made from protein or other small piece taken from virus
Vision Screening
Chart with lines, numbers and symbols at eye level, arch of foot on line, passing 20/40 for K,
20/30 for 1st and up. Screens for Visual acuity, color discrimination and extraoccular
movememnt
Refractive errors
Most common vision problem in children
Greatest cause of death for children 5-9 years old
1)accidents/unintentional injury 2) cancer 3) congenital malformations 4) homocide
Greatest cause of death for children 10-14 years old
1)accident 2) cancer 3) suicide 4) homicide
Greatest cause of death for children 15-19 years old
1) accident 2) homicide 3) suicide 4) Cancer
hearing screening pass
1000, 2000, 4000 (Hertz/pitch) pass at 20/25db (loudness). Can be affected by cerumen
impacted
Prevention (primary, secondary, tertiary)
Primary - for everyone! immunizations, info on health promotion, health fair. Secondary for
those at risk to a condition (vision screening, referring to dr). Tertiary - prevent additional
disability, maximize capabilities (devp IHP for seizures, transition back to school, staff training)
Insulin types
Novolog - fast acting, to cover for meals. Lantus - long acting - all day control
Calcium needs for kids
, 4-8 yo 1000mg, 9-18 1300mg. also needs sunlight, weigh bearing exercises, broccoli, cheese,
yogurt. When fractures occur bone density screening recommended
pneumothorax
air in the pleural cavity caused by a puncture of the lung or chest wall
S/s liver laceration
Rt upper quad tenderness, guarding signs of blood loss, shock
s/sx of bowl perforation
abd pain, N&V
Treatment of abd injuries
bend knees and hips, place pillow or blanket, treat for shock
When do you need stitches
when wound 1 inch, edges don't fall together
State Board of Nursing develops state Nurse Practice Act
LAW. Denotes what a nurse can and cannot do, intent to protect public
ANA (American Nurses Association)
- professional organization for RNs in the US
- deals with professional scope and standards of practice
- addresses ethics, public policy, and economic/general welfare of nurses
- mission = advance profession of nursing
NBCSN
provides cert exam voluntary
Primary Assessment
ABCDE (Airway, breathing, circulation, disability and exposure)
Secondary Assessment
EFGHI: expose, farenheit (temp), get VS, H head assessment I- inspect and isolate if infection or
immune compromised
CIAMPEDS (mneumonic for pediatric triage)
