CORRECT ANSWERS
An6unresponsive62-year-
old6child6was6found6by6his6mother6with6a6bottle6labeled6"Elavil6506mg"6by6his6side.6Which6
piece6of6information6is6important6to6obtain6from6his6mother?6
A.6The6size6of6the6medication6bottle.6
B.6The6expiration6date6of6the6medication.
C.6The6number6of6pills6left6in6the6bottle.
D.6The6person6for6whom6the6medication6was6prescribe.6-6ans--
C.6The6number6of6pills6left6in6the6bottle.
A6nurse6providing6crisis6intervention6to6the6family6of6a6seriously6ill6child6can6best6keep6th
e6family6informed6of6the6child's6condition6by:
A.6Placing6them6in6a6secluded6room.
B.6Referring6to6their6child6as6"the6patient".
C.6Telling6the6family6how6they6should6feel.
D.6Appointing6one6staff6member6to6communicate6with6them.6-6ans--
D.6Appointing6one6staff6member6to6communicate6with6them.
A616-month-
old6child6was6an6unrestrained6front6seat6passenger6in6a6motor6vehicle6crash.6The6chest6x
-ray6reveals6multiple6rib6fractures.6These6findings6suggest6what6type6of6injury?
A.6Minor6surface6injury.
B.6Significant6underlying6injury.6
C.6Significant6surface6injury.
D.6Minor6underlying6injury.6-6ans--B.6Significant6underlying6injury.
Which6piece6of6information6is6most6important6to6know6prior6to6transferring6a6patient6to6an
other6facility?
A.6Documentation6of6the6family's6health6insurance6coverage.6
B.6Pertinent6family6health6history.
C.6Confirmation6of6acceptance6from6the6receiving6hospital.6
D.6Confirmation6of6a6medical6diagnosis.6-6ans--
C.6Confirmation6of6acceptance6from6the6receiving6hospital.
, A610-year-
old6child6who6was6struck6by6a6car6has6a6distended,6tense6abdomen.6The6child's6heart6rat
e6is61446beats/minute,6respirations6246breaths/
minute,6and6blood6pressure6120/806mm6Hg.6Capillary6refill6is6more6than636seconds,6and6
skin6is6pale6and6cool.6The6patient's6signs6and6symptoms6suggest:
A.6Obstructive6shock.6
B.6Distributive6shock.
C.6Hypovolemic6shock.6
D.6Cardiogenic6shock.6-6ans--C.6Hypovolemic6shock.
A6school-
aged6child6is6about6to6receive6stitches.6To6evaluate6his6understanding6of6the6procedure,6
you6tell6him:
A.6"Young6people6your6age6have6questions6about6getting6stitches.6What6are6your6questi
ons?"6
B.6"Don't6cry6while6you6are6getting6the6stitches.6Be6brave6like6a6man."6
C.6"You6will6probably6receive6106stitches.6Do6you6have6any6questions6before6we6restrain6
you?"
D.6"Does6your6cut6hurt?6Would6you6like6your6mommy6to6hold6you?"6-6ans--
A.6"Young6people6your6age6have6questions6about6getting6stitches.6What6are6your6questi
ons?"
What6is6the6preferred6sit6for6intraosseous6access6in6the6infant?6
A.6Lateral6malleolus
B.6Iliac6crest
C.6Proximal6femur
D.6Anteromedial6tibia6-6ans--D.6Anteromedial6tibia
An6important6consideration6in6the6assessment6of6pain6for6an6adolescent6patient6is6that6th
ey:
A.6May6deny6or6minimize6their6pain6when6friends6visit6for6fear6of6losing6control.6
B.6Have6difficulty6localizing6or6describing6the6pain.6
C.6Are6unable6to6use6the616to6106scale6to6report6their6pain.
D.6Feel6that6the6pain6is6a6punishment6for6something6they6did6wrong.6-6ans--
A.6May6deny6or6minimize6their6pain6when6friends6visit6for6fear6of6losing6control.
An68-month-
old6infant6with6pneumonia6has6severe6intercostal6and6substernal6retractions,6weak6muscl
e6tone,6lethargy,6and6gray6skin6color.6The6infant's6condition6does6not6improve6after6bag-
mask6ventilation.6The6next6step6in6treatment6is6most6likely6to6be:
A.6Administration6of6epinephrine.
B.6Supplemental6warming6measures.
C.6Rapid6sequence6intubation.
D.6Administration6of6albuterol.6-6ans--C.6Rapid6sequence6intubation.
Which6combination6of6medications6is6best6to6have6prepared6for6a6pediatric6resuscitation?