A fertilizer silo exploded during a school tour of a working farm. The children are able to manage
their own secretions but are all incontinent and salivating with excess tearing. Which of the
followiing is the priority intervention?
Removal of clothing and decontamination Decontamination of nerve agents requires
removal of clothing and flushing the skin with copious amounts of soap and water.
,A 10-year-old patient was recently diagnosed with Marfan syndrome. The emergency nurse
understands that this patient may be at risk for developing which of the following conditions?
Aortic Aneurism Cardiovascular defects associated with Marfan syndrome are mitral
valve prolapse, heart failure, and aortic dissection/aneurysm.
Which of the following patient presentations should increase suspicion of potential child
maltreatment?
Bruising to the left ear of a newborn from sleeping on his side Any bruise in a non-
exploratory location in children younger than 4 years and any bruising in a child
younger than 4 months (TEN-4) are cause for suspicion of abuse
The neurosurgeon has decided to perform an invasive procedure in the emergency department
to monitor the intracranial pressure on a 5-year-old patient. The family does not speak English and
, has identified their religion as Muslim. Which of the following interventions is most supportive of
the family?
Allow the extended to family members to serve as interpreters during the procedure.
A 12-year-old who was recently started on anti-psychotic medication for schizophrenia is brought
to the emergency department with severe muscle rigidity and hyperthermia. These symptoms are
most likely caused by which of the following?
Neuroleptic malignant syndrome These are classic symptoms of neuroleptic malignant
syndrome, which is a rare reaction to antipsychotic medications.
According to the American Academy of Pedatrics guidelines, which of the following describes
how a neonate riding in a car should be positioned?