Answers
A 3 year-old patient presents following frequent emesis and diarrhea over the past 12
Page | 1 hours. Which of the following assessment findings indicate that the patient' body is
compensating for the fluid loss? - -A.Increased diastolic blood pressure
B.Bounding peripheral pulses
C.Prolonged capillary refill
D.Increased urine output
You are discharging a patient home who has a history of depression. Discharge teaching
should include which of the following? - -A.Discussing the importance of stopping all
current psychiatric medications.
B.Providing the family a list of behavioral health facilities to call for follow-up.
C.Explaining that the family should not call authorities for escalations in the patient's
behavior.
D.Ensuring all firearms in the home are locked up with no access available by the patient.
A child with an electrical injury is seen 1 hour post event. Which of the following specimen
samples would provide visual information regarding a potential complication of this injury?
- -A.Serum
B.Urine
C.Stool
D.Sputum
A 4-year-old patient is being assessed for a foreign body in the nose. The child is awake and
alert and watching a video on the caregivers phone. Vitals include HR of 110 beats/minute,
RR of 26 breaths per minute, BP of 138/90 mm Hg, and T of 37.3oC (99.3oF) orally. Which of
, the following interventions should the nurse perform next? - -A.Check the size of the
blood pressure cuff
B.Recheck the temperature rectally
Page | 2 C.Recheck the blood pressure on the other arm
D.Place the patient on cardiac and respiratory monitors
A 10-year-old playing baseball is hit in the chest with a ball. He immediately demonstrates
loss of consciousness with no pulses. Which of the following is the priority intervention? -
-A.Utilize AED/defibrillator
B.Prepare for needle decompression
C.Administer intravenous epinephrine
D.Intubate with endotracheal tube
The triage nurse is assessing a 14 year old male who was brought in by ambulance. The
patient reports he was playing his video games at home when he had a sudden onset of
groin pain that was so severe he became nauseated and vomited. Further assessment
reveals a swollen scrotum. What is the priority intervention for this patient? - -
A.Obtaining a sterile urine sample
B.Initiating intravenous access
C.Preparing the patient for ultrasound
D.Scanning the patient's bladder
A caregiver reports their one-month-old has had a yellowish color to their eyes and skin
over the last two weeks. If left untreated, which body system can this affect? - -
A.Integumentary
B.Renal
C.Gastrointestinal