Quiz_________________?
A charge nurse in an emergency department is preparing an in-service for a group of newly
licensed nurses about the manifestations of child maltreatment. Which of the following
manifestations should the charge nurse include as an indication of physical maltreatment?
A. Recurrent urinary tract infections
B. Symmetric burns of the lower extremities
C. Failure to thrive
D. Lack of subcutaneous fat -
Answer✅
B. Symmetric burns of the lower extremities
Rationale: The nurse should include that symmetric burns to the lower extremities can
indicate physical abuse. The patterns are usually characteristic of the method or object used,
such as cigar or cigarette burns, or burns in the shape of an iron.
Quiz_________________?
A hospice nurse is caring for a preschooler who has a terminal illness. One of the
preschooler's parents tells the nurse that they cannot cope anymore and are thinking about
moving out of the house. Which of the following statements should the nurse make?
A. "It is important that you provide emotional support for your family at this time."
B. "You have to do what you feel is best. Everything will turn out fine."
C. "I know how you feel. This is an extremely stressful time for your family."
D. "Let's talk about some of the ways you have handled previous stressors in your life." -
Answer✅
D. "Let's talk about some of the ways you have handled previous stressors in your life."
1
, Rationale: This statement offers a general lead to allow the parent to express their feelings
and previous actions when faced with stressful situations. It also helps the parent to focus
on ways that they can cope with the current situation.
Quiz_________________?
A nurse in an ED is caring for an adolescent experiencing an anaphylaxis reaction. Which of
the following is the priority action of the nurse?
A. Elevate the head of the child's bed.
B. Insert a large bore IV catheter for the child.
C. Determine the allergen that caused the child's reaction.
D. Administer epinephrine IM to the child. -
Answer✅
D. Administer epinephrine IM to the child.
Rationale: When using the urgent vs. nonurgent approach to client care, the nurse should
determine that the priority action is administering epinephrine IM to the child. During an
anaphylactic reaction, histamine release causes bronchoconstriction and vasodilation. This is
an emergency because ultimately this causes decreased blood return to the heart.
Quiz_________________?
A nurse in an emergency department is caring for an adolescent who has severe abdominal
pain due to appendicitis. Which of the following locations should the nurse identify as
McBurneys Point? -
Answer✅
A - The nurse should identify this area of the client's abdomen as McBurney's point. This
area of the right lower quadrant located about two-thirds of the way between the umbilicus
and the client's anterosuperior iliac spine is the area where a client who has appendicitis is
most likely to report pain and tenderness.
Quiz_________________?
A nurse in an emergency department is performing a physical assessment on a 2-week-old
male newborn. Which of the following findings is the priority for the nurse to report to the
provider?
A.Excoriated scrotal area
2
, B. Multiple capillary hemangiomas
C. Depressed posterior fontanel
D. Substernal retractions -
Answer✅
D. Substernal retractions
Rationale: When using the airway, breathing, and circulation approach to client care, the
nurse should determine that the priority finding to report to the provider is substernal
retractions. This finding indicates the newborn is experiencing increased respiratory effort,
which could quickly progress to respiratory failure.
Quiz_________________?
A nurse in the ED is caring for a school-aged child who has appendicitis and rates their pain
as 7 on a scale of 1-10. which of the following actions should the nurse take?
A. Instill a 500 mL tap water enema.
B. Give morphine 0.05 mg/kg IV.
C. Administer polyethylene glycol 1g/kg PO
D. Apply a heating pad to the child's abdomen. -
Answer✅
B. Give morphine 0.05 mg/kg IV.
Rationale: A pain level of 7 on a scale of 0 to 10 is considered severe. The nurse should
administer an analgesic medication for pain relief.
Quiz_________________?
A nurse in the emergency department is caring for a toddler who has partial-thickness burns
on their right arm. Which of the following actions should the nurse take?
A. Insert a nasogastric tube.
B. Initiate prophylactic antibiotic therapy.
C. Cleanse the affected area with mild soap and water.
D. Apply a topical corticosteroid to the affected area. -
Answer✅
C. Cleanse the affected area with mild soap and water.
3
A charge nurse in an emergency department is preparing an in-service for a group of newly
licensed nurses about the manifestations of child maltreatment. Which of the following
manifestations should the charge nurse include as an indication of physical maltreatment?
A. Recurrent urinary tract infections
B. Symmetric burns of the lower extremities
C. Failure to thrive
D. Lack of subcutaneous fat -
Answer✅
B. Symmetric burns of the lower extremities
Rationale: The nurse should include that symmetric burns to the lower extremities can
indicate physical abuse. The patterns are usually characteristic of the method or object used,
such as cigar or cigarette burns, or burns in the shape of an iron.
Quiz_________________?
A hospice nurse is caring for a preschooler who has a terminal illness. One of the
preschooler's parents tells the nurse that they cannot cope anymore and are thinking about
moving out of the house. Which of the following statements should the nurse make?
A. "It is important that you provide emotional support for your family at this time."
B. "You have to do what you feel is best. Everything will turn out fine."
C. "I know how you feel. This is an extremely stressful time for your family."
D. "Let's talk about some of the ways you have handled previous stressors in your life." -
Answer✅
D. "Let's talk about some of the ways you have handled previous stressors in your life."
1
, Rationale: This statement offers a general lead to allow the parent to express their feelings
and previous actions when faced with stressful situations. It also helps the parent to focus
on ways that they can cope with the current situation.
Quiz_________________?
A nurse in an ED is caring for an adolescent experiencing an anaphylaxis reaction. Which of
the following is the priority action of the nurse?
A. Elevate the head of the child's bed.
B. Insert a large bore IV catheter for the child.
C. Determine the allergen that caused the child's reaction.
D. Administer epinephrine IM to the child. -
Answer✅
D. Administer epinephrine IM to the child.
Rationale: When using the urgent vs. nonurgent approach to client care, the nurse should
determine that the priority action is administering epinephrine IM to the child. During an
anaphylactic reaction, histamine release causes bronchoconstriction and vasodilation. This is
an emergency because ultimately this causes decreased blood return to the heart.
Quiz_________________?
A nurse in an emergency department is caring for an adolescent who has severe abdominal
pain due to appendicitis. Which of the following locations should the nurse identify as
McBurneys Point? -
Answer✅
A - The nurse should identify this area of the client's abdomen as McBurney's point. This
area of the right lower quadrant located about two-thirds of the way between the umbilicus
and the client's anterosuperior iliac spine is the area where a client who has appendicitis is
most likely to report pain and tenderness.
Quiz_________________?
A nurse in an emergency department is performing a physical assessment on a 2-week-old
male newborn. Which of the following findings is the priority for the nurse to report to the
provider?
A.Excoriated scrotal area
2
, B. Multiple capillary hemangiomas
C. Depressed posterior fontanel
D. Substernal retractions -
Answer✅
D. Substernal retractions
Rationale: When using the airway, breathing, and circulation approach to client care, the
nurse should determine that the priority finding to report to the provider is substernal
retractions. This finding indicates the newborn is experiencing increased respiratory effort,
which could quickly progress to respiratory failure.
Quiz_________________?
A nurse in the ED is caring for a school-aged child who has appendicitis and rates their pain
as 7 on a scale of 1-10. which of the following actions should the nurse take?
A. Instill a 500 mL tap water enema.
B. Give morphine 0.05 mg/kg IV.
C. Administer polyethylene glycol 1g/kg PO
D. Apply a heating pad to the child's abdomen. -
Answer✅
B. Give morphine 0.05 mg/kg IV.
Rationale: A pain level of 7 on a scale of 0 to 10 is considered severe. The nurse should
administer an analgesic medication for pain relief.
Quiz_________________?
A nurse in the emergency department is caring for a toddler who has partial-thickness burns
on their right arm. Which of the following actions should the nurse take?
A. Insert a nasogastric tube.
B. Initiate prophylactic antibiotic therapy.
C. Cleanse the affected area with mild soap and water.
D. Apply a topical corticosteroid to the affected area. -
Answer✅
C. Cleanse the affected area with mild soap and water.
3
