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NURS 306 PRACTICE SOLUTION 2026 SOLVED
ITEMS CONFIRMED A+
◉ How do we accomplish the Healthy people 2020 goals? Answer: ❖Nutrition
- Childhood Obesity and DM ❖Dental Care ❖Immunizations ◉ Definition of Family Answer: ❖Family is an open system composed of individuals and relationships (subsystems) ❖The whole is > the sum ◉ Developmental Theory of Family Answer: How family functions at one stage affects next stage ◉ Displacement Defense Mechanism Answer: ❖Transference of emotion from one object or event to another less threatening one ❖"I've got to make a phone call" ❖Parent posting on facebook
◉ Denial Defense Mechanism Answer: Allows for hope and helps family distance themselves from overwhelming emotional burden of a child's illness ◉ Projection Defense Mechanism Answer: ❖Place responsibility on someone else ❖Test is delayed due to the "dumb nurses" who fed the patient ◉ Regression Defense Mechanism Answer: Revert to childish behaviors ◉ Intellectualization Defense Mechanism Answer: Use of knowledge to avoid the emotional impact of hospitalization ◉ Onlooker Play Answer: Watching others play, but not playing themselves ◉ Solitary Play Answer: Play alone with different toys from other children in area ◉ Parallel Play Answer: Play independently but among other children ◉ Associative Play Answer: Play together but no goal
•Minimum of 1-2 per kilo for. Urinary output ◉ How do we assess pain in a newborn? Answer: Based on vital signs, nonverbal, and grimaces ◉ When do children typically get their first measles vaccine? Answer: within the first year ◉ The nurse is examining a 6 mo old female who was born at 32 weeks gestation. Which finding is cause for concern? a)The child measures 21 in in length b)The child exhibits palmar grasp reflex c)Head size has increased 5 inches since birth d)The child weighs 10lbs 2 oz Answer: c)Head size has increased 5 inches since birth ◉ The nurse is educating the mother of a 6 mo old male about the symptoms of teething. Which symptom would the nurse identify? a)Running a mild fever or vomiting b)Choosing soft foods over hard foods c)Increased biting and sucking d)Frequent loose stools Answer: c)Increased biting and sucking
◉ The child has been admitted to the pediatric unit in a hospital. Which nursing interventions use atraumatic care principles? Select all that apply. a)Requesting that parents assist the nurse by "holding the child down" b)Applying a numbing cream prior to starting the child's IV line c)Asking the child if he would like to take a bath before or after he takes his medication d)Encouraging the family to bring in the child's favorite stuffed animal from home e)Showing the parent how to unfold the chair in the child's room into a bed Answer: b)Applying a numbing cream prior to starting the child's IV line c)Asking the child if he would like to take a bath before or after he takes his medication d)Encouraging the family to bring in the child's favorite stuffed animal from home ◉ The nurse is observing a 36-mo old boy during a well visit. Which motor skill has he most recently acquired? a)Undress himself b)Push a toy lawnmower c)Kick a ball d)Pull a toy while walking Answer: a)Undress himself
dying. Based on knowledge of this age group, the nurse understands that: a)At this age, children are not afraid of death b)Discussing death ad dying may hint at a psychological disorder c)Consistent thoughts of death and dying at this age leads to later development of depression d)Preoccupation with death and dying is common in the school-aged child Answer: d)Preoccupation with death and dying is common in the school-aged child ◉ A 16 yr/old female presents for a sports physical with a new belly button piercing. Which is the best response by the nurse? a)Be sure to clean the site several times a day with soap and water b)I hope for your sake the needle was clean c)This is a risk for hepatitis, tetanus, and AIDS d)This is a wound and can become infected Answer: a)Be sure to clean the site several times a day with soap and water ◉ A 16 yr old girl was removed from class for being disruptive and sent to the nurses office. She presents with dilated pupils and is talking rapidly, which drug might she be using? a)Opiates b)Barbiturates c)Amphetamines
d)Marijuana Answer: c)Amphetamines ◉ Atopic Dermatitis is characterized by what? Answer: pruritus and history of family hx of allergies (atopy) ➤AKA a type of eczema ◉ Why must women be on birth control while on Accutane? Answer: Can have teratogenic effects on the fetus, must ensure she cannot get pregnant ◉ First degree Burns Answer: Superficial, pink/red color, blanches with pressure, healing 3-7 days, painful ◉ Second degree Burns Answer: ➤Superficial partial thickness, deep partial thickness ➤Blanches with pressure, painful, blisters, red, scarring possible, 21 days healing ◉ Third degree Burns Answer: ➤Full thickness (epidermis, dermis, sub-Q, nerves, hair, sweat glands) ➤Red to black/brown or waxy, dry and leathery ➤Weeks to months to heal; grafting required
◉ What is Parotitis? Answer: inflammation of the parotid gland ◉ Pertussis = Answer: Whooping cough ◉ How is Pertussis spread? Answer: Spread through droplets or contaminated objects ◉ What causes Polio? Answer: enteroviruses ◉ Which disease process is characterized by bulging fontanels on assessment and subsequent febrile seizure or encephalitis? Answer: Roseola ◉ What is the great risk for Rubella (German measles)? Answer: the teratogenic effect
- Never give vaccine to pregnant woman BECAUSE IT IS A LIVE VACCINE ◉ Clinical presentation of Pneumonia Answer: oCough oSick for a couple of weeks oHaving trouble breathing
◉ Diagnosis of Pneumonia Answer: oChest x-ray oSputum culture ◉ Teaching for Pneumonia Answer: oCoughing oDeep breathing exercises oMinimum of 30 degrees elevation or higher ◉ Tonsillitis Answer: Inflammation of lymph tissue in the pharyngeal area ◦Bacterial or viral ◉ Diagnosis/Treatment for Tonsillitis Answer: ◦Perform throat culture (GABHS-group A beta hemolytic streptococci) "STREP" ◦Supportive care
Pain, fever, infection ◦Tonsilectomy ◉ Epiglottitis is considered a... Answer: medical emergency! ◉ What are the two main priorities in a patient who is presenting with Epiglottitis? Answer: ◦PROTECT THE AIRWAY ◦DO NOT THROAT CULTURE
◉ Heliox reduces what? Answer: resistance of flow because it is "lighter"; lessens WOB (work of breathing) ◉ Magnesium sulfate helps decrease what? Answer: WOB and blood pressure ◉ How does a child get Cystic Fibrosis? Answer: They must have genes from both of their parents ◉ Cystic Fibrosis is characterized by what? Answer: Increased viscosity of mucous gland secretions ◉ Steatorrhea Answer: large, frothy, bulky, greasy, foul smelling stools ◉ What is an optimal treatment method for a child with ARDs? Answer: proning! ◉ Bronchopulmonary Dysplasia makes the lungs stiff because the child lacks ____________________ Answer: surfactant production --> makes it hard to oxygenate ◉
