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Aquifer Pediatrics Case 24 – 2-Year-Old
with Altered Mental Status – 2026/2027
Pediatric Nursing Study Guide, Practice
Questions and Answers
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Aquifer
Aquifer
AquiferPediatrics
Pediatrics
PediatricsCase
Case
Case24
24
24–
–
–2-Year-Old
2-Year-Old
2-Year-Oldwith
with
withAltered
Altered
AlteredMental
Mental
MentalStatus
Status
Status–
–
–2026_2027
2026_2027
2026_2027Pediatric
Pediatric
PediatricNursing
Nursing
NursingStudy
Study
StudyGuide,
Guide,
Guide,Practice
Practice
PracticeQuestions
Questions
Questionsand
and
andAnswers.pdf
Answers.pdf
Answers.pdf
,Aquifer Pediatrics_ Case 24 - 2 yr old with altered mental status.pdf Aquifer Pediatrics_ Case 24 - 2 yr old with altered mental status.pdf Aquifer Pediatrics_ Case 24 - 2 yr old with altered mental status.pdf
List your differential diagnosis for a two-year-old with acute onset altered mental status.
Infection (sepsis, meningitis, encephalitis)
Toxic ingestion
Trauma
seizure
Pneumonic for altered mental status (AEIOU TIPS)
Alcohol, ingested toxins
Epilepsy, encephalitis, endocrine, electrolytes
Infection (meningitis/sepsis)
Overdose, opiates, oxygen deprived
Uremia (renal failure)
Trauma, temperature
Insulin
Psychosis
Stroke, shock, space occupying lesions
Aquifer Pediatrics_ Case 24 - 2 yr old with altered mental status.pdf Aquifer Pediatrics_ Case 24 - 2 yr old with altered mental status.pdf Aquifer Pediatrics_ Case 24 - 2 yr old with altered mental status.pdf
, Aquifer Pediatrics_ Case 24 - 2 yr old with altered mental status.pdf Aquifer Pediatrics_ Case 24 - 2 yr old with altered mental status.pdf Aquifer Pediatrics_ Case 24 - 2 yr old with altered mental status.pdf
What should be the steps in your initial assessment? (Select the top five.)
The best options are indicated below. Your selections are indicated by the shaded boxes.
A. Obtain more history from the mother
B. Assess the patency of her airway
C. Observe for cyanosis or respiratory depression
D. Check the vital signs
E. Order a CT scan of the head
F. Check for evidence of circulatory compromise
G. Order a serum drug screen
H. Perform a complete neurological exam
I. Obtain a fingerstick glucose test
Do the ABCDs and check glucose level
Aquifer Pediatrics_ Case 24 - 2 yr old with altered mental status.pdf Aquifer Pediatrics_ Case 24 - 2 yr old with altered mental status.pdf Aquifer Pediatrics_ Case 24 - 2 yr old with altered mental status.pdf