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The nurse is reevaluating the effectiveness of interventions for a 4-year-old child with a suspected
tension pneumothorax. Which assessment finding indicates the interventions were effective?
Bilateral chest wall rise with assisted ventilations.
,A caregiver presents to the emergency department with an 18-month-old and reports the child is
not using their left arm after playing a game with an older sibling. The child is alert and curious,
with regular, even respirations, and skin color is appropriate. Using the Pediatric Assessment
Triangle (PAT), how would you categorize this patient?
Sick
You are discharging a patient home who has a history of depression. Discharge teaching should
include which of the following?
Ensuring all firearms in the home are locked up with no access available by the patient.
Burn Transfer Criteria
, 1. Partial thickness >10% of BSA
2. Face, hands, feet, genetalia, perineum or major joints
3. Third degree burns in any age group.
4. Electrical burns, including lightning injury, and chemical burns.
5. Inhalation injury.
6. Burn injury in pt with preexisting medical disorders that could complicate tx.
7. Concomitant trauma (such as fx) in which the burn injury poses the greatest risk of
morbidity or mortality.
8. Burned children in hospital wo qualified equipment or personnel to care for them
9. Pt who will require special social, emotional, or rehabilitative intervention.
After an explosion at a school, you are helping triage patients. In your field triage room you find a
5-year-old patient who is not breathing. What is the appropriate initial intervention?
Open the airway and assess for breathing.
A preschooler has a small laceration that required 2 stitches. The nurse covers the wound with a
bandage knowing that it will comfort the child to have it covered. What is the developmental
reason for this intervention?
, A. Preschoolers are magical thinkers and imagine bandages keep their insides from coming out
B. Preschoolers fear physical disability and believe a bandage will prevent disability
C. Preschoolers explore orally and will likely chew or suck on the stitches if left uncovered
D. Preschoolers are concerned with body image and don't want to appear different than peers
A. Magical thinkers
A school-aged child arrives in the emergency department with a 2-day history of vomiting. The
child is cool and pale, with weak pulses, elevated heart rate, and capillary refill of 4 to 5 seconds.
Which of the following is the priority intervention for the child?
Initiate a fluid bolus
A 3-year-old is brought by caregivers with generalized tonic-clonic activity, unresponsiveness,
and drooling that began 6 minutes prior to arrival. Which of the following interventions would be
most appropriate for this event?
The nurse is reevaluating the effectiveness of interventions for a 4-year-old child with a suspected
tension pneumothorax. Which assessment finding indicates the interventions were effective?
Bilateral chest wall rise with assisted ventilations.
,A caregiver presents to the emergency department with an 18-month-old and reports the child is
not using their left arm after playing a game with an older sibling. The child is alert and curious,
with regular, even respirations, and skin color is appropriate. Using the Pediatric Assessment
Triangle (PAT), how would you categorize this patient?
Sick
You are discharging a patient home who has a history of depression. Discharge teaching should
include which of the following?
Ensuring all firearms in the home are locked up with no access available by the patient.
Burn Transfer Criteria
, 1. Partial thickness >10% of BSA
2. Face, hands, feet, genetalia, perineum or major joints
3. Third degree burns in any age group.
4. Electrical burns, including lightning injury, and chemical burns.
5. Inhalation injury.
6. Burn injury in pt with preexisting medical disorders that could complicate tx.
7. Concomitant trauma (such as fx) in which the burn injury poses the greatest risk of
morbidity or mortality.
8. Burned children in hospital wo qualified equipment or personnel to care for them
9. Pt who will require special social, emotional, or rehabilitative intervention.
After an explosion at a school, you are helping triage patients. In your field triage room you find a
5-year-old patient who is not breathing. What is the appropriate initial intervention?
Open the airway and assess for breathing.
A preschooler has a small laceration that required 2 stitches. The nurse covers the wound with a
bandage knowing that it will comfort the child to have it covered. What is the developmental
reason for this intervention?
, A. Preschoolers are magical thinkers and imagine bandages keep their insides from coming out
B. Preschoolers fear physical disability and believe a bandage will prevent disability
C. Preschoolers explore orally and will likely chew or suck on the stitches if left uncovered
D. Preschoolers are concerned with body image and don't want to appear different than peers
A. Magical thinkers
A school-aged child arrives in the emergency department with a 2-day history of vomiting. The
child is cool and pale, with weak pulses, elevated heart rate, and capillary refill of 4 to 5 seconds.
Which of the following is the priority intervention for the child?
Initiate a fluid bolus
A 3-year-old is brought by caregivers with generalized tonic-clonic activity, unresponsiveness,
and drooling that began 6 minutes prior to arrival. Which of the following interventions would be
most appropriate for this event?
