Class Quiz

Question 0

When evaluating a child who complains of headaches, which description would lead nurse to suspect migraine headaches?

1. Headache associated with stress only
2. Associated with frequent use of acetaminophen
3. Associated with sinus pressure and upper respiratory symptoms
4. Associated with an aura prior to onset

Answer 0

4. Associated with aura prior

Rationale - stress =tension. Using med more than 3xwk can trigger headache, sinus ones don’t have an aura. Migraine headaches often have an aura

Question 1

A nurse is caring for a 15 y/o male who is recovering from a grade 3 concussion. Which educational statement would be important for the nurse to present go this family?

1. The pt can experience personality changes within next 6 months
2. Concussions usually are associated with skull fractures
3. If the patient has another concussion in the future, recovery time should remain same
4. The pt should not play sports for one hr after the concussion

Answer 1

1. The pt can experience personality changes within next 6 months

Rationale- young athletes should avoid sports for 7days-rest of season to avoid a second one. Symptoms can occur as post concussion syndrome for up to 6 months Inc. Headache, personality changes, poor memory and vertigo. Multiple confusion = longer recovery and can have no evidence of skull fracture

Question 2

Parents bring a 3 y/o to ED stating she had her first seizure. It lasts less than 5mins and involved jerking movements over entire body. Prior to seizure she had been sick and ran a fever. Based on description the nurse suspects what type of seizure?

1. Partial
2. Status epileptics
3. Febrile
4. Generized

Answer 2

3. Febrile

Rationale - they are usually associated with fevers. While general and partial are not associated with fever. Status epileptics last more than 30mins

Question 3

A nurse is educating a family about the type of fracture their 8 y/o has experienced. What description would be an accurate way to explain a closed fracture of the radius to the family?

1. One of the bones in the arm broke completely and penetrated the skin
2. One of the bones in the arm broke completely, but didn’t penetrate the skin
3. One of the bones in the arm is broken incompletely, like a green twig
4. One of the bones in the Rm is crushed and broken incompletely

Answer 3

2. A closed fracture will break completely but not penetrate skin

Question 4

A school nurse is evaluating a child whose leg was hurt in gym class . The nurse feels it is a muscle strain, but is still going to refer child to the primary care provider (pcp). Which instruction should the child follow until seen by pcp

1. Increase motion to the extremity
2. Try to walk on it even if there is pain
3. Go back to gym class and participate
4. Apply ice for 20min at a time

Answer 4

4. Apply ice at 20 min at a time.

Should rest and apply ice 4x daily and gradually increase motion to extremity and should not participate In Sport for 2-3 wks after a strain

Question 5

A nurse is caring for a child who just received a cast. Which of the following considerations would b important in providing care for child?

1. Assess castes extremity every 15-30 min for first 2hrs applied
2. When handling cast use fingertips only for first 24hr
3. Give the child a blunt object to help with itching under the cast
4. Apply powder to inside of cast edges to help decrease moisture

Answer 5

1. Assess cast extremity 15-30min for first 2hrs of application

This is important to assess intact circulation, sensation and movement for signs of compartment syndrome