Mark Quinn Room 302
Mark Quinn, 9-year-old male comes to the school nurse with complaints of abdominal pain and nausea.
Vital signs: Temperature 98.2, HR 87, BP 104/ 67, RR 22, PaO2 97%. The nursing assessment reveals
diffuse lower abdominal pain, tenderness, and normoactive bowel sounds. After consultation with the child
and the parents, the child is sent home with a possible viral intestinal infection.
You responded correctly to 4 out of 6 evaluations:
Category Your response Explanation
Educational Needs Increased acuity Status Assessment reports impending surgery and rehabilitation needs.
Health Increased acuity Status assessment reports abdominal pain, normoactive bowel sounds
LOC Increased acuity Status assessment reports no indication of increased LOC acuity
Pain Increased acuity Status assessment reports abdominal pain, normoactive bowel sounds
Psych Increased acuity Status assessment reports no indication of increased Psychiatric acuity
Safety Increased acuity Status assessment reports abdominal pain and nausea causing mobility issues.
You correctly diagnosed 4 out of 6 options:
Physiological
Description Your Response Explanation
Acute Pain True Status assessment reports abdominal pain.
, Description Your Response Explanation
Fluid volume deficit True Patient is at risk for Fluid volume deficit.
Impaired skin integrity False Patient is at risk for Infection.
Oral, mucous membranes, altered True Status assessment reports no indication of oral, mucous membranes, alte
Safety
Description Your Response Explanation
Deficient Knowledge False Status assessment reports nothing definitive to point to Deficient Knowledge
Risk for infection True Patient is experiencing signs of Appendicitis.
Scenario 1
Mark, 9 years old, presents to the ED with abdominal cramps, nausea, vomiting x 2 days with no relief.
Temp is 102.1 F. HR 98 RR 24 B/P 120/74 O2 sat 98% in room air.
You correctly ordered 2 out of 5 actions:
Mark Quinn, 9-year-old male comes to the school nurse with complaints of abdominal pain and nausea.
Vital signs: Temperature 98.2, HR 87, BP 104/ 67, RR 22, PaO2 97%. The nursing assessment reveals
diffuse lower abdominal pain, tenderness, and normoactive bowel sounds. After consultation with the child
and the parents, the child is sent home with a possible viral intestinal infection.
You responded correctly to 4 out of 6 evaluations:
Category Your response Explanation
Educational Needs Increased acuity Status Assessment reports impending surgery and rehabilitation needs.
Health Increased acuity Status assessment reports abdominal pain, normoactive bowel sounds
LOC Increased acuity Status assessment reports no indication of increased LOC acuity
Pain Increased acuity Status assessment reports abdominal pain, normoactive bowel sounds
Psych Increased acuity Status assessment reports no indication of increased Psychiatric acuity
Safety Increased acuity Status assessment reports abdominal pain and nausea causing mobility issues.
You correctly diagnosed 4 out of 6 options:
Physiological
Description Your Response Explanation
Acute Pain True Status assessment reports abdominal pain.
, Description Your Response Explanation
Fluid volume deficit True Patient is at risk for Fluid volume deficit.
Impaired skin integrity False Patient is at risk for Infection.
Oral, mucous membranes, altered True Status assessment reports no indication of oral, mucous membranes, alte
Safety
Description Your Response Explanation
Deficient Knowledge False Status assessment reports nothing definitive to point to Deficient Knowledge
Risk for infection True Patient is experiencing signs of Appendicitis.
Scenario 1
Mark, 9 years old, presents to the ED with abdominal cramps, nausea, vomiting x 2 days with no relief.
Temp is 102.1 F. HR 98 RR 24 B/P 120/74 O2 sat 98% in room air.
You correctly ordered 2 out of 5 actions:
