NURS 422 Exam 1 Questions With Complete
Solutions
When caring for a patient who has received an
opioid, which of the following side effects would be
the priority for the nurse?
A.Moderate constipation
B.Agitation
C.Orthostatic hypotension
D.Urticaria
C.Orthostatic hypotension
When assessing the pain of a 15-year-old who is
developmentally delayed and unable to speak,
which is the appropriate pain assessment tool?
A.FACES
B.VAS
C.CRIES
D.NCCPC
D.NCCPC
Which of the following side effects of opioid
analgesics should prompt a discontinuation of the
medication?
A.Prevent or minimize bodily injury and pain
B.Provide a caring environment that facilitates
strong mental health
C.Enhance the parent-child relationship
,D.Facilitate achievement of developmental
milestones
A.Prevent or minimize bodily injury and pain
The nurse is monitoring a 3-year-old child receiving
conscious sedation while undergoing a painful
procedure. The child's respiratory rate is 14
breaths/min and heart rate is 64 beats/min. The
child is exhibiting which of the following?
A.Oversedation
B.Appropriate level of sedation
C.Cardiac complications of midazolam
D.Respiratory complications of midazolam
A.Oversedation
What are stressors in the hospital for children?
- Separation, loss of control, bodily injury & pain
- Children's reaction -> depends on developmental
age
- Previous experience/expression of fears
- Separation anxiety
- Loss of control
When observing manifestations of separation
anxiety in young children, what might a nurse
expect to see? (Select all that apply.)
A.Crying
B.Screaming
C.Searching for their parent with their eyes
,D.Physically attacks strangers (e.g., bites, hits)
E.Clinging to the parent
F.Very interested in their surroundings
A.Crying
B.Screaming
C.Searching for their parent with their eyes
D.Physically attacks strangers (e.g., bites, hits)
E.Clinging to the parent
The age of child who may react to the dependency
of hospitalization with rejection,
uncooperativeness, or withdrawal is the:
A.Toddler
B.Preschooler
C.School-Age
D.Adolescent
D.Adolescent
Factors affecting the parents' reactions to their
child's illness include: (Select all that apply.)
A.Seriousness of the threat to the child
B.Previous experience with illness or hospitalization
C.Available support systems
D.Previous coping abilities
E.The type of food served to the patient and family
F.Communication patterns among family members
A.Seriousness of the threat to the child
B.Previous experience with illness or hospitalization
, C.Available support systems
D.Previous coping abilities
F.Communication patterns among family members
Nursing Interventions to Reduce Stress for Children
in the Hospital
- Preventing or minimizing separation
- Parental absence during hospitalization
- Minimizing loss of control
- Promoting freedom of movement
- Maintaining the child's routine
- Encouraging independence
- Promoting understanding
- Preventing or Minimizing Fear of Bodily Injury
- Providing Developmentally Appropriate Activities
- Providing Opportunities for Play and Expressive
Activities
Ø Diversional activities/toys/expressive
activities/creative expression/dramatic play
Nursing Care of the Family of a child in the hospital
- Supporting Family Members
- Family-Centered Care
- Providing Information
- Encouraging Parent Participation
- Preparing for Discharge & Home Care
What are typical responses of children who are
hospitalized?
Solutions
When caring for a patient who has received an
opioid, which of the following side effects would be
the priority for the nurse?
A.Moderate constipation
B.Agitation
C.Orthostatic hypotension
D.Urticaria
C.Orthostatic hypotension
When assessing the pain of a 15-year-old who is
developmentally delayed and unable to speak,
which is the appropriate pain assessment tool?
A.FACES
B.VAS
C.CRIES
D.NCCPC
D.NCCPC
Which of the following side effects of opioid
analgesics should prompt a discontinuation of the
medication?
A.Prevent or minimize bodily injury and pain
B.Provide a caring environment that facilitates
strong mental health
C.Enhance the parent-child relationship
,D.Facilitate achievement of developmental
milestones
A.Prevent or minimize bodily injury and pain
The nurse is monitoring a 3-year-old child receiving
conscious sedation while undergoing a painful
procedure. The child's respiratory rate is 14
breaths/min and heart rate is 64 beats/min. The
child is exhibiting which of the following?
A.Oversedation
B.Appropriate level of sedation
C.Cardiac complications of midazolam
D.Respiratory complications of midazolam
A.Oversedation
What are stressors in the hospital for children?
- Separation, loss of control, bodily injury & pain
- Children's reaction -> depends on developmental
age
- Previous experience/expression of fears
- Separation anxiety
- Loss of control
When observing manifestations of separation
anxiety in young children, what might a nurse
expect to see? (Select all that apply.)
A.Crying
B.Screaming
C.Searching for their parent with their eyes
,D.Physically attacks strangers (e.g., bites, hits)
E.Clinging to the parent
F.Very interested in their surroundings
A.Crying
B.Screaming
C.Searching for their parent with their eyes
D.Physically attacks strangers (e.g., bites, hits)
E.Clinging to the parent
The age of child who may react to the dependency
of hospitalization with rejection,
uncooperativeness, or withdrawal is the:
A.Toddler
B.Preschooler
C.School-Age
D.Adolescent
D.Adolescent
Factors affecting the parents' reactions to their
child's illness include: (Select all that apply.)
A.Seriousness of the threat to the child
B.Previous experience with illness or hospitalization
C.Available support systems
D.Previous coping abilities
E.The type of food served to the patient and family
F.Communication patterns among family members
A.Seriousness of the threat to the child
B.Previous experience with illness or hospitalization
, C.Available support systems
D.Previous coping abilities
F.Communication patterns among family members
Nursing Interventions to Reduce Stress for Children
in the Hospital
- Preventing or minimizing separation
- Parental absence during hospitalization
- Minimizing loss of control
- Promoting freedom of movement
- Maintaining the child's routine
- Encouraging independence
- Promoting understanding
- Preventing or Minimizing Fear of Bodily Injury
- Providing Developmentally Appropriate Activities
- Providing Opportunities for Play and Expressive
Activities
Ø Diversional activities/toys/expressive
activities/creative expression/dramatic play
Nursing Care of the Family of a child in the hospital
- Supporting Family Members
- Family-Centered Care
- Providing Information
- Encouraging Parent Participation
- Preparing for Discharge & Home Care
What are typical responses of children who are
hospitalized?
