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NSG 300 EXAM 1, 2, AND 3 | ALL QUESTIONS
AND CORRECT ANSWERS | VERIFIED
ANSWERS | LATEST VERSION 2025 | GRADED
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NSG 300 Exam 1
_______________ are indicated for nociceptive pain that is severe or unrelieved by nonopioids. Only given to 3 months and older and evaluate q15-30 minutes after intervention. ---------CORRECT ANSWER----------------
- Opioids Respiratory distress, constipation, pruritus (itching), nausea, sedation, tolerance, and physical dependence ---------CORRECT ANSWER------------- ----Side effects of opioids May be used alone or with nonopioids and opioids to control pain and associated symptoms, including opioid side effects ---------CORRECT ANSWER-----------------Adjuvant drugs Mild to moderate pan (Tylenol, aspirin, NSAIDS) ---------CORRECT ANSWER-----------------Nonopioids Moderate to severe pain ---------CORRECT ANSWER----------------- Morphine, codeine, fentanyl
Issues developing nervous system, long term effects ---------CORRECT ANSWER-----------------Preterm infants Don't have a general/common understanding ---------CORRECT ANSWER- ----------------Cognitively impaired children Can come out of surgery happy, confused, or combative ---------CORRECT ANSWER-----------------Children post anesthesia Stimulating sounds are hard for these children ---------CORRECT ANSWER-----------------Children in PICU Pt responds to verbal commands, respiratory and cardio are unaffected, cognitive function may be impaired ---------CORRECT ANSWER--------------- --Minimal Sedation Pt responds to verbal commands, doesn't response to light tactile stimulation, cognitive function is impaired, respiratory and cardio is unaffected ---------CORRECT ANSWER-----------------Moderate Sedation Pt cannot be easily aroused without painful stimuli, ability to maintain breathing can be impaired, spontaneous ventilation impaired, cardio is maintained ---------CORRECT ANSWER-----------------Deep sedation
ground, screams, cries and refuses to eat. The nurse should do which of the following? ---------CORRECT ANSWER-----------------Explain that the response is normal for hospitalization Legal age of consent ---------CORRECT ANSWER----------------- 18 Should include the nature of the illness or condition, proposed care, or treatment; potential risks, benefits, and alternatives; and what might happen id the patient chooses not to consent ---------CORRECT ANSWER- ----------------Informed consent Developing trust and sensorimotor thought ---------CORRECT ANSWER----- ------------Infant Developing autonomy and sensorimotor to pre operational thought --------- CORRECT ANSWER-----------------Toddler Developing initiative and pre-operational thought ---------CORRECT ANSWER-----------------Preschooler Developing industry and concrete thought ---------CORRECT ANSWER------ -----------School age child Developing identity and abstract thought ---------CORRECT ANSWER-------- ---------Adolescent
Defined the temperature around which body temperature is regulated by a thermostat like mechanism in the hypothalamus ---------CORRECT ANSWER-----------------Set point An elevation in set point such as that body temperature is regulated at a higher level ---------CORRECT ANSWER-----------------Fever (hyperpyrexia) Body temperature exceeding the set point, which usually results from the body or external conditions creating more heat than the body can eliminate ---------CORRECT ANSWER-----------------Hyperthermia Antipyretics are not effective because the set point is normal, cool applications to the skin help reduce core temperature ---------CORRECT ANSWER-----------------Treating hyperthermia Involve vigilant hand hygiene for blood, bodily fluids, secretions, and excretions except sweat, non-intact skin, and mucous membranes --------- CORRECT ANSWER-----------------Standard precautions For patients with documented or suspected infection or colonization with highly transmissible or epidemiologically important pathogens beyond standard precautions ---------CORRECT ANSWER----------------- Transmission based precautions
Sample of urine obtained for culture after the urethral meats is cleaned and the first few milliliters of urine are voided ---------CORRECT ANSWER-------- ---------Clean catch specimen All voided urine in 24 hour of collection is saved and kept on ice, it differs for age, smaller children and infants will use collection bags --------- CORRECT ANSWER-----------------Twenty four hour collection What is an effective way you can establish trust with a child? --------- CORRECT ANSWER-----------------Engage in a relationship with the parent in front of the child In what way, can you gain insight on the child? ---------CORRECT ANSWER-----------------By observing the child and speaking/communicating with the parent What are the 5 rules of communication you should use when speaking with a child/parent? ---------CORRECT ANSWER-----------------Encourage parent/child to talk, use open ended questions, listen while controlling expressions, environment, be objective and avoid giving personal opinions, review fundamental principles of communication, use empathy, silence, and interpreter appropriately As a nurse, you must be sensitive to children's needs. What are some ways to demonstrate this? ---------CORRECT ANSWER-----------------Avoid staring or staring over, offer a choice when possible, be honest, allow expressions of feelings, use variety of communication methods
Identify the age: Child responds to nonverbal behaviors like cuddles, patting, or physical contact, loud and harsh sounds are frightening, parent/consistent caregiver interprets nonverbal cues ---------CORRECT ANSWER-----------------Infancy 0-12 months Identify playtime activity for an infant 0-12 months of age: --------- CORRECT ANSWER-----------------Tummy time Identify the age: visual aids (puppets or dolls), use nightlights for sleep, allow child to play with instruments before use ---------CORRECT ANSWER-----------------Early childhood 1-5 years Identify playtime activity for an early childhood kid 1-5 years of age: --------- CORRECT ANSWER-----------------Peek a boo, clapping, rattles Identify the age: allow child to express feelings, allow child to ask questions related to care and treatment, establish limits and consequences --------- CORRECT ANSWER-----------------School age 5-12 years Identify playtime activity for a school age kid 5-12 years of age: --------- CORRECT ANSWER-----------------Drawing/coloring Identify the age: confidentiality, listen, encourage expression of ideas and feelings, avoid judging and criticizing ---------CORRECT ANSWER------------ -----Adolescents 13- 18 years
How do you measure a child length? ---------CORRECT ANSWER------------- ----Crown to heel recumbent length Fluid within the abdomen causing distention ---------CORRECT ANSWER--- --------------Ascites In order to get an oral temperature the child must be able to ________________________. ---------CORRECT ANSWER----------------- Follow directions In order to get an axillary temperature the nurse must: ---------CORRECT ANSWER-----------------Place the probe in the center of axilla, not touching clothing A radial pulse can be taken in a child greater than ________. --------- CORRECT ANSWER-----------------2 years old Children below 2 years of age you must obtain an _________ pulse for 1 full minute. ---------CORRECT ANSWER-----------------Apical Pulse range for a newborn: ---------CORRECT ANSWER----------------- 85 - 190 Pulse range for a 3-6M: ---------CORRECT ANSWER----------------- 100 - 190
Pulse range for a 1-2 year old: ---------CORRECT ANSWER----------------- 100 - 140 Pulse range for a 3-5 year old: ---------CORRECT ANSWER----------------- 80 - 120 Pulse range for a 6-11 year old: ---------CORRECT ANSWER----------------- 75 - 120 Pulse range for a 12 years and greater: ---------CORRECT ANSWER--------- -------- 60 - 100 Infants respirations are _______________ and primarily diaphragmic. ------- --CORRECT ANSWER-----------------Irregular Observe infants abdominal movements for _________________, _____________ and count for one full minute. ---------CORRECT ANSWER-----------------Retractions, heaves Respiration Range for a newborn: ---------CORRECT ANSWER----------------
______________________ pain interventions consists of rocking/cuddling by the parental figure, distraction of the child, use play, inform parents on what to expect, and speak softly/comfort child. ---------CORRECT ANSWER-----------------Nonpharmacological Have child read a book, look at electronics, listen to music, color, watch movies, reward child and offer praise no matter child's reaction --------- CORRECT ANSWER-----------------Pain management in peds Burn pain, cancer pain, sickle cell pain ---------CORRECT ANSWER---------- -------Common mixed pain conditions 25 - 40 weeks, heart rate, O2 stat, brow bulge, eye squeeze, nasolabial flow, behavioral state, score: 0- 21 ---------CORRECT ANSWER----------------- PIPP 26 - 40 weeks, types of pain: breathing, face, arms, legs, cry, arousal, score: 0 - 7 ---------CORRECT ANSWER-----------------NIPS 23 - 40 weeks, procedural and prolonged pain: vital signs, crying/irritability, facial expressions, behavioral state, extremities/tone, score: 0- 10 --------- CORRECT ANSWER----------------- 24 - 42 weeks, prolonged pain: alertness, calmness/agitation, respiratory response of crying, body movement, muscle tone, facial tension, score: 6- 30 ---------CORRECT ANSWER-----------------COMFORT-neo
What are the four factors that influence usual state of health? --------- CORRECT ANSWER-----------------Separation anxiety (anaclitic depression), loss of control, bodily injury, and pain Manifestations of separation anxiety in young children (age: 6-30 months) - --------CORRECT ANSWER-----------------Protest, despair, detachment Identifies parasites and other organisms that cause diarrhea, gastrointestinal function and checking for occult blood ---------CORRECT ANSWER-----------------Stool specimen Nurse is responsible for the collection that it was collected on time and labeled appropriately ---------CORRECT ANSWER-----------------Blood specimen 7 rights of medication administration ---------CORRECT ANSWER------------- ----Right patient, dose, route, time, medication, indication, documentation IM sites for children ---------CORRECT ANSWER-----------------Vastus lateralis, ventrogluteal, deltoid Vastus lateralis injection needle size ---------CORRECT ANSWER------------- ---- 22 - 25 gauge 5/8-1 inch
1 through 2 years ---------CORRECT ANSWER-----------------Toddler 3 through 5 years ---------CORRECT ANSWER-----------------Preschool 6 through 12 years ---------CORRECT ANSWER-----------------School age 13 - 18 years ---------CORRECT ANSWER-----------------Adolescent ---------CORRECT ANSWER-----------------Trust vs Mistrust ---------CORRECT ANSWER-----------------Autonomy vs shame and doubt ---------CORRECT ANSWER-----------------Initiative vs guilt Industry vs inferiority ---------CORRECT ANSWER----------------- ---------CORRECT ANSWER-----------------Identity vs role confusion Head to toe development proximal-distal ---------CORRECT ANSWER------- ----------Cephalocaudal-Proximosdistal
Weight gain is about ________ per month until age 5 months --------- CORRECT ANSWER-----------------1.5lbs Birth weight has at least doubled by ______ months ---------CORRECT ANSWER----------------- 6 Weight gain __________ by 1/2 that amount during the second 6 months -- -------CORRECT ANSWER-----------------Decreases By __________ of age the infants birth weight has tripled --------- CORRECT ANSWER-----------------1 year The height of an infant increases by ____ inch during the first 6 months and _____ inch during the second 6 months. Increase mainly in trunk --------- CORRECT ANSWER-----------------1, 1/ 2 During the first 6 months the head circumference increase approx. ______ inch/month from birth to 3 months ---------CORRECT ANSWER----------------
- 3/ 4 to 6 months head circumference ---------CORRECT ANSWER----------------
- 1 cm per month
6 neurologic reflexes ---------CORRECT ANSWER-----------------Labyrinth righting, neck righting, body righting, otolith righting, landau, parachute ---------CORRECT ANSWER-----------------Labyrinth righting Neck righting ---------CORRECT ANSWER----------------- Body righting ---------CORRECT ANSWER----------------- Otolith righting ---------CORRECT ANSWER----------------- Landau ---------CORRECT ANSWER----------------- Parachute ---------CORRECT ANSWER----------------- _____________ is the visual field for babies ---------CORRECT ANSWER--- -------------- 10 - 12 inches Begins to develop by 6 weeks of age ---------CORRECT ANSWER------------ -----Binocularity
Lack of binocular vision, must be detected early to prevent permanent blindness ---------CORRECT ANSWER-----------------Strabismus At birth acuity 20/100/400, farsighted ---------CORRECT ANSWER------------ -----Newborn vision Watch face intently ---------CORRECT ANSWER-----------------4 weeks Dolls eye reflex disappears ---------CORRECT ANSWER----------------- 6 - 12 weeks Fixation of 2 ocular images into one cerebral picture ---------CORRECT ANSWER-----------------Binocularity Recognizes bottle, plays with hands, watches them ---------CORRECT ANSWER----------------- 12 - 20 weeks Adjust posture to see object; retrieve dropped object; hand eye coordination ---------CORRECT ANSWER----------------- 20 - 28 weeks Recognizes familiar and strange faces, color ---------CORRECT ANSWER-- ---------------6months Depth perception ---------CORRECT ANSWER----------------- 28 - 44 weeks
