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 - Answer
A 7-month-old presents to the emergency department with a
complaint of fever. Assessment reveals a patent airway and slight
cyanosis around his lips and nail beds. He is alert and interactive. His
vital signs are 38.5 °C (101.3 °F), HR 134, RR 32, BP 78/54 mm Hg,
and SpO2 84%. The nurse notes a healed surgical scar on his chest.
Based on this assessment, what is the nurse's priority?
A. Administer ibuprofen to treat the fever
B. Begin oxygen via a nonrebreather mask
C. Obtain a surgical history
D. Ask if the SpO2 is normal for him - Answer
An 11-year-old presents to the emergency department with a
complaint of hitting his head while playing soccer. The nurse enters
the room and performs an across-the-room assessment. He is staring
at the wall. He has no increased work of breathing, and his color is
pink. Using the pediatric assessment triangle (PAT), what
classification will the nurse assign?
A. Well
B. Sick
C. Sicker
, D. Sickest - Answer