Answers 2025
Elijah Williams -(correct answer)Educational- Increased Health- normal LOC- normal Pain
Level- normal Psychological needs- normal Safety- normal Elijah Williams -(correct
answer)Knowledge deficit Elijah Williams- Scenario 1 -(correct answer)Ask the child
and/or parent to verify name/DOB Ask the child to remove his shoes Obtain a height and
weight for the child Provide the parent with a urine sample cup Show the child and the
parent to the room Elijah Williams- Scenario 2 -(correct answer)Allow the child and parent
to go to the restroom Gather a health history from the mother Obtain vital signs Explain
when the dr will arrive to the room Take the urine sample to the lab Elijah Williams-
Scenario 3 -(correct answer)Gather the materials needed for the vision screening Conduct
the vision screening with the child in the hallway Ask the child and mother to return to the
room Prepare the educational materials Prepare the vaccines ordered Elijah Williams-
Scenario 4 -(correct answer)Evaluate the mother's understanding of the material Explain
the child will be getting the MMRV, DTaP, and IPV Assist the child into the correct position,
obtaining assistance from other staff if needed Administer the vaccines Allow the mother
to comfort the child as needed Elijah Williams- Scenario 5 -(correct answer)Ensure the
child is not having a reaction Provide documentation to the mother regarding today's
vaccines Remind the mother to call if she has any further questions or concerns Provide
the child with a sticker, with the mother's permission Ask the mother to schedule the
5-year-old checkup before leaving Baby Strickland -(correct answer)Alteration in
thermoregulation Hypoglycemia Ineffectual breathing pattern Baby Strickland -(correct
answer)Educational- increased Health- increased LOC- normal Pain- normal Psych-
normal Safety- increased Baby Strickland- Scenario 1 -(correct answer)Obtain heel stick
blood glucose level Feed baby 1/2 ounce formula Notify lab for confirmation blood glucose
, level Recheck blood glucose in 45 minutes Continue to monitor Baby Strickland- Scenario
2 -(correct answer)Position baby in trendelenburg Suction excessive secretions via bulb
syringe and NG tube Place under oxy hood at 40% Initiate IV D5 1/4 NS at 6ml/hour
Reassess respiratory system Baby Strickland- Scenario 3 -(correct answer)Assess vital
signs Wrap baby in warm blanket and put hat on baby's head Reassess temp in 15
minutes Place baby in radiant warmer Educate parents on neonatal heat loss Baby
Strickland- Scenario 4 -(correct answer)Place infant in isolation radiant warmer Obtain
ordered blood cultures Initiate IV Ampicillin per MD order Reassess blood glucose OG
feed infant 15 ml infant formula Baby Strickland- Scenario 5 -(correct answer)Place infant
in triple phototherapy isolette Place protective eye shields over the baby's eyes Initiate the
phototherapy treatment Feed infant every 2 1/2 hours Document number of voids and
stools per shift Madelyn Harrison -(correct answer)Educational- increased Health-
increased LOC- normal Pain- normal Psych- increased Safety- increased Madelyn
Harrison -(correct answer)Alteration in Nutrition Ineffectual health management Anxiety
Knowledge deficit Madelyn Harrison- Scenario 1 -(correct answer)Ask Madelyn if she has
any concerns to be addressed Have Madelyn perform a 24- hour food recall Ask Madelyn
what are her favorite foods Have Madelyn describe her normal activities Document
findings in the electronic health record Madelyn Harrison- Scenario 2 -(correct
answer)Assess blood glucose level, determine it is 51 mg/dL Provide 15 grams oral
glucose, such as 120 mL orange juice or sweetened soda Check blood glucose level 15
minutes later, determine it is 52 mg/dL Repeat 15 grams of oral glucose, recheck blood
glucose 15 minutes later If blood glucose is correct to WNL, provide a protein snack or
meal Madelyn Harrison- Scenario 3 -(correct answer)Have Madelyn lie down on her left
side on the cot Dim lights in the clinic Reassess B/P in 15 minutes, Result is 154/88
mmHg Notify parent of hypertension and headache, recommend take to pediatrician today,