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1. In a scenario where a child presents with signs of renal failure after an
electrical injury, what would be the most appropriate initial specimen to
collect for assessment?
Urine
Tissue biopsy
Blood
X-ray
2. A 4-year-old is brought hypotensive to the ED after an MVA. Peripheral IV is
attempted but is unsuccessful. The next best access is
Single lumen subclavian venous catheter
Cordis introducer in the internal jugular vein
Double lumen femoral venous catheter
Intraosseous catheter
3. Jason's parents refused to give their son his medication for leukemia because
they believed it would cause autism. What type of neglect is this an example
of?
emotional
medical
educational
physical
,4. What is the highest priority intervention for a well-appearing 2-month-old
with a fever according to pediatric emergency nursing guidelines?
Lumbar Puncture
Intravenous Fluid Bolus
Urine Culture
Chest XR
5. Describe how the symptoms of nausea, diarrhea, and hypotension can
indicate a food allergy in a pediatric patient.
These symptoms are typical of a bacterial infection leading to
dehydration.
These symptoms are unrelated and indicate a psychological response
to food.
These symptoms suggest an allergic reaction, where the body
responds to an allergen with gastrointestinal and cardiovascular
effects.
These symptoms indicate a viral infection affecting the gastrointestinal
tract.
6. You are caring for a child who has had return of spontaneous circulation after
resuscitation.
Administer epinephrine.
Optimize ventilation and oxygenation.
Treat hypoglycemia.
Administer norepinephrine.
,7. Of the steps listed below, which is the first priority following the birth of a
baby:
deliver the placenta
clamp and cut the umbilical cord
control maternal blood loss
ensure the infant's airway and breathing are adequate
8. Your 5-year-old patient is unresponsive. A carotid pulse is present at 40 beats
per minute. Breaths are shallow at six per minute. You should immediately:
Place the patient in the recovery position.
Apply a nonrebreather mask.
Begin chest compressions.
Begin artificial ventilations.
9. Why is identifying the type of formula a priority intervention for a 3-week-old
with gastrointestinal symptoms?
This step is essential for ensuring the infant's hydration status.
It helps in deciding the need for medication administration.
Identifying the type of formula can help determine if the infant is
experiencing a reaction to it, which may be causing the symptoms.
It is necessary to rule out infections before any other interventions.
10. If the CT scan of the head reveals signs of meningitis in the infant, what
would be the most appropriate immediate nursing intervention?
Monitor vital signs every 15 minutes.
Administer intravenous antibiotics as ordered.
, Initiate fluid resuscitation with normal saline.
Perform a lumbar puncture for further testing.
11. What is the immediate priority intervention for a child who has lost
consciousness and has no pulses after being hit in the chest?
Prepare for needle decompression
Utilize AED/Defib
Administer intravenous
Intubate with endotracheal tube
12. Why is it important to avoid placing clothing on the floor when collecting
evidence from a crime victim?
Placing clothing on the floor can contaminate evidence and
compromise the investigation.
Clothing must be placed on the floor to dry before collection.
The floor is a safe place for evidence collection.
It is important to keep clothing clean for the victim's comfort.
13. Why is the measurement of human chorionic gonadotropin (hCG) important
in the assessment of a 12-year-old female with abdominal pain and vaginal
spotting?
It identifies specific vaginal infections that could cause symptoms.
It helps to determine if the patient may be pregnant, which is
critical in evaluating her symptoms.
It measures blood sugar levels to rule out diabetes.
It assesses the overall blood count to check for infection.