Pre-Sim Quiz
1. A nurse observes that a school-age child who is hospitalized
appears stressed. What is the most likely stressor for this
child? Loss of body parts
2. A patient arrives at the emergency department in respiratory
distress with a history of asthma. Upon assessment, the nurse
notes that the patient sits forward with intercostal retractions,
has a productive cough, and wheezes upon auscultation. Which
intervention is most appropriate for the nurse to implement at
this time? Elevate the head of the bed and allow the patient to
assume a position of comfort.
3. A patient weighing 43 lb has an order for intravenous
cefuroxime 475 mg every 8 hours. The safe dose range is 50 to
100 mg/kg/day. Is this order safe? Yes, the safe range is 975 to
1,950 mg/day.
4. The provider has given an order for acetaminophen suspension
240 mg orally every 4 to 6 hours as needed for fever. Which
consideration does the nurse need to remember when
administering acetaminophen? Acetaminophen can affect
laboratory test results for hemoglobin and hematocrit.
5. A nurse is explaining the pathophysiology of asthma and
asthma exacerbations to a group of nursing students at a
workshop. Which statement(s) would the nurse include in the
education? (Select all that apply.). 'The smooth muscles of the
airway increase in responsiveness, causing bronchoconstriction.',
'Chronic inflammation contributes to irreversible airway changes and
decreased lung function.', 'Exposure to bacterial and viral infections
increases airway responsiveness and inflammation.'
6. The nurse is preparing an 8-year-old for a CT scan of the chest.
Which action would the nurse take when explaining the
procedure to the patient? Allow the child to watch a video of the
procedure.
7. A nurse must administer maintenance fluid intravenously to a
patient weighing 43 lb. What is the daily maintenance fluid
requirement for this patient? 1,475 mL/day
8. During assessment, the pediatric patient reports good control
of asthma symptoms with no interferences in daily activities
and one incidence of nighttime coughing in the past month.
The patient uses a rescue inhaler occasionally during the week
, for asthma exacerbations. The patient would be classified as
having which level of asthma severity? Mild intermittent
SBAR Report
Situation
Sabina is an 8-year-old patient experiencing respiratory distress
related to pneumonia and has a history of asthma
Background
She is followed by the asthma clinic team and her asthma has been
well controlled
Sabina has a history of asthma and has had cold-like symptoms for
the last few days
Assessment
Patient was reporting 2/10 chest pain and pain with breathing
The patient had a productive cough and verbalized that “it is really
hard to breathe”
Following nebulizer, wheezing improved and patient respiratory rate
slowed to 27
Recommendation
Provide education to family and patient on treatment plan for
pneumonia
Post-Sim Quiz
1. Which assessment finding(s) would require nursing
intervention? (Select all that apply.) Temperature of 102.2°F
1. A nurse observes that a school-age child who is hospitalized
appears stressed. What is the most likely stressor for this
child? Loss of body parts
2. A patient arrives at the emergency department in respiratory
distress with a history of asthma. Upon assessment, the nurse
notes that the patient sits forward with intercostal retractions,
has a productive cough, and wheezes upon auscultation. Which
intervention is most appropriate for the nurse to implement at
this time? Elevate the head of the bed and allow the patient to
assume a position of comfort.
3. A patient weighing 43 lb has an order for intravenous
cefuroxime 475 mg every 8 hours. The safe dose range is 50 to
100 mg/kg/day. Is this order safe? Yes, the safe range is 975 to
1,950 mg/day.
4. The provider has given an order for acetaminophen suspension
240 mg orally every 4 to 6 hours as needed for fever. Which
consideration does the nurse need to remember when
administering acetaminophen? Acetaminophen can affect
laboratory test results for hemoglobin and hematocrit.
5. A nurse is explaining the pathophysiology of asthma and
asthma exacerbations to a group of nursing students at a
workshop. Which statement(s) would the nurse include in the
education? (Select all that apply.). 'The smooth muscles of the
airway increase in responsiveness, causing bronchoconstriction.',
'Chronic inflammation contributes to irreversible airway changes and
decreased lung function.', 'Exposure to bacterial and viral infections
increases airway responsiveness and inflammation.'
6. The nurse is preparing an 8-year-old for a CT scan of the chest.
Which action would the nurse take when explaining the
procedure to the patient? Allow the child to watch a video of the
procedure.
7. A nurse must administer maintenance fluid intravenously to a
patient weighing 43 lb. What is the daily maintenance fluid
requirement for this patient? 1,475 mL/day
8. During assessment, the pediatric patient reports good control
of asthma symptoms with no interferences in daily activities
and one incidence of nighttime coughing in the past month.
The patient uses a rescue inhaler occasionally during the week
, for asthma exacerbations. The patient would be classified as
having which level of asthma severity? Mild intermittent
SBAR Report
Situation
Sabina is an 8-year-old patient experiencing respiratory distress
related to pneumonia and has a history of asthma
Background
She is followed by the asthma clinic team and her asthma has been
well controlled
Sabina has a history of asthma and has had cold-like symptoms for
the last few days
Assessment
Patient was reporting 2/10 chest pain and pain with breathing
The patient had a productive cough and verbalized that “it is really
hard to breathe”
Following nebulizer, wheezing improved and patient respiratory rate
slowed to 27
Recommendation
Provide education to family and patient on treatment plan for
pneumonia
Post-Sim Quiz
1. Which assessment finding(s) would require nursing
intervention? (Select all that apply.) Temperature of 102.2°F
