Test Bank For Introduction to Maternity and Pediatric Nursing 9th
Edition BY Gloria Leifer Chapter 1-34 Newest Version 2022
Chapter 51 Nursing Care During a Pediatric Emergency
Maternity and Pediatric Nursing - Third Edition
1. The nurse is caring for a 6-year-old girl who was injured in a bicycle accident. Which
question would be most important for the nurse to ask during the health history?
A) ―Has she been diagnosed with any chronic disorders?‖
B) ―Is your daughter currently taking any medications?‖
C) ―Is she allergic to any medications or drugs?‖
D) ―Tell me how the bicycle accident happened.‖
2. The nurse is caring for a 7-year-old boy experiencing respiratory distress who is
scheduled to have a chest radiograph. Which of the following would be most important for
the nurse to include in the child's plan of care? A) Administering a sedative to help calm the
child
B) Assisting the child to lie still during the chest radiograph
C) Accompanying the child to continue observation
D) Informing the child that he might hear a loud banging noise
3. A 5-year-old girl is cyanotic, dusky, and anxious when she arrives in the emergency
department. Which of the following would be most appropriate?
A) Ventilating the child with a bag-valve-mask
B) Estimating the child's weight using a Broselow tape
C) Providing therapy using automated external defibrillation
D) Using rescue breathing and chest compressions
4. When caring for an 8-year-old boy injured in an automobile accident, the nurse
demonstrates understanding of the principles of Pediatric Advanced Life Support (PALS) by
which action?
A) Assisting ventilation with a bag-valve-mask (BVM) device
B) Treating ventricular fibrillation using a defibrillator
,Test Bank For Introduction to Maternity and Pediatric Nursing 9th
Edition BY Gloria Leifer Chapter 1-34 Newest Version 2022
C) Managing compensated shock to prevent decompensated shock D) Treating
supraventricular tachycardia using cardioversion
5. A 9-year-old girl who has fallen from a second-story window is brought to the
emergency department. Which assessment would be a priority?
A) Evaluating pupils for equality and reactivity
B) Monitoring oxygen saturation levels
C) Asking the child if she knows where she is
D) Using the appropriate pain assessment scale
6. The parents bring their 3-year-old son to the emergency department after having found
that he has ingested some of his mother's medicine. Which assessment would be of critical
importance for this child?
A) Assessing mental status and skin moisture and color
B) Evaluating the effectiveness of the child's breathing
C) Noting the child's pulse rate and quality
D) Auscultating all lung fields for signs of edema
7. Which of the following would the nurse do first for a 5-year-old girl with profound
bradycardia?
A) Provide oxygen at 100%
B) Administer epinephrine as ordered
C) Use warming blankets
D) Perform gastric lavage
8. Which measure would be most appropriate for the nurse to do to ensure that a child's
endotracheal (ET) tube is correctly positioned? A) Auscultate for abdominal breath sounds
B) Mark the tracheal tube at the child's lip
C) Watch for a yellow display on a CO2 monitor
,Test Bank For Introduction to Maternity and Pediatric Nursing 9th
Edition BY Gloria Leifer Chapter 1-34 Newest Version 2022
D) Inspect for water vapor in the tracheal tube
9. Which intervention would be most helpful in preventing barotrauma when ventilating a
3-year-old girl with a bag-valve-mask?
A) Choosing the correct size bag and face mask
B) Setting the flow rate at exactly 10 L/minute
C) Maintaining the airway in the open position
D) Delivering one breath every 3 to 5 seconds
10. The nurse is providing care to a 4-year-old boy with a broken arm and an infected
laceration from a fall. The nurse notes a significant elevation in the child's heart rate. Which
intervention would be least appropriate?
A) Administering antipyretics as ordered for fever
B) Using a defibrillator to reduce the heart rate
C) Administering analgesics to reduce pain
D) Allowing the parents to comfort the child
11. A child weighing 51 lbs requires defibrillation. How many joules would the nurse expect
to give initially?
A) 46
B) 92
C) 102
D) 204
12. A 1-month-old infant admitted to the emergency department in respiratory distress
exhibits a regular pattern of breathing followed by brief periods of apnea, then tachypnea for
a short time, eventually returning to a normal respiratory rate. The nurse documents this
finding as which of the following?
A) Hypoventilation
B) Hyperventilation
, Test Bank For Introduction to Maternity and Pediatric Nursing 9th
Edition BY Gloria Leifer Chapter 1-34 Newest Version 2022
C) Periodic breathing
D) Stridor
13. The nurse is gathering the necessary equipment for tracheal intubation for a child who is
2 years old. Which tracheal tube size would the nurse obtain?
A) 4.5
B) 5
C) 5.5
D) 6
14. Which of the following would lead the nurse to suspect that a 5-year-old child is
experiencing supraventricular tachycardia?
A) Heart rate 160 beats per minute
B) Flattened P waves
C) Normal QRS complex
D) History of fever
15. Which of the following would be most appropriate to use to help maintain a patent
airway in an infant experiencing a respiratory emergency?
A) Neck hyperextension
B) Head tilt–chin lift technique
C) Jaw-thrust maneuver
D) Small towel under shoulders
16. After teaching a group of nursing students about shock in children, the instructor
determines that the teaching was successful when the students identify which type of shock
as most common?
Edition BY Gloria Leifer Chapter 1-34 Newest Version 2022
Chapter 51 Nursing Care During a Pediatric Emergency
Maternity and Pediatric Nursing - Third Edition
1. The nurse is caring for a 6-year-old girl who was injured in a bicycle accident. Which
question would be most important for the nurse to ask during the health history?
A) ―Has she been diagnosed with any chronic disorders?‖
B) ―Is your daughter currently taking any medications?‖
C) ―Is she allergic to any medications or drugs?‖
D) ―Tell me how the bicycle accident happened.‖
2. The nurse is caring for a 7-year-old boy experiencing respiratory distress who is
scheduled to have a chest radiograph. Which of the following would be most important for
the nurse to include in the child's plan of care? A) Administering a sedative to help calm the
child
B) Assisting the child to lie still during the chest radiograph
C) Accompanying the child to continue observation
D) Informing the child that he might hear a loud banging noise
3. A 5-year-old girl is cyanotic, dusky, and anxious when she arrives in the emergency
department. Which of the following would be most appropriate?
A) Ventilating the child with a bag-valve-mask
B) Estimating the child's weight using a Broselow tape
C) Providing therapy using automated external defibrillation
D) Using rescue breathing and chest compressions
4. When caring for an 8-year-old boy injured in an automobile accident, the nurse
demonstrates understanding of the principles of Pediatric Advanced Life Support (PALS) by
which action?
A) Assisting ventilation with a bag-valve-mask (BVM) device
B) Treating ventricular fibrillation using a defibrillator
,Test Bank For Introduction to Maternity and Pediatric Nursing 9th
Edition BY Gloria Leifer Chapter 1-34 Newest Version 2022
C) Managing compensated shock to prevent decompensated shock D) Treating
supraventricular tachycardia using cardioversion
5. A 9-year-old girl who has fallen from a second-story window is brought to the
emergency department. Which assessment would be a priority?
A) Evaluating pupils for equality and reactivity
B) Monitoring oxygen saturation levels
C) Asking the child if she knows where she is
D) Using the appropriate pain assessment scale
6. The parents bring their 3-year-old son to the emergency department after having found
that he has ingested some of his mother's medicine. Which assessment would be of critical
importance for this child?
A) Assessing mental status and skin moisture and color
B) Evaluating the effectiveness of the child's breathing
C) Noting the child's pulse rate and quality
D) Auscultating all lung fields for signs of edema
7. Which of the following would the nurse do first for a 5-year-old girl with profound
bradycardia?
A) Provide oxygen at 100%
B) Administer epinephrine as ordered
C) Use warming blankets
D) Perform gastric lavage
8. Which measure would be most appropriate for the nurse to do to ensure that a child's
endotracheal (ET) tube is correctly positioned? A) Auscultate for abdominal breath sounds
B) Mark the tracheal tube at the child's lip
C) Watch for a yellow display on a CO2 monitor
,Test Bank For Introduction to Maternity and Pediatric Nursing 9th
Edition BY Gloria Leifer Chapter 1-34 Newest Version 2022
D) Inspect for water vapor in the tracheal tube
9. Which intervention would be most helpful in preventing barotrauma when ventilating a
3-year-old girl with a bag-valve-mask?
A) Choosing the correct size bag and face mask
B) Setting the flow rate at exactly 10 L/minute
C) Maintaining the airway in the open position
D) Delivering one breath every 3 to 5 seconds
10. The nurse is providing care to a 4-year-old boy with a broken arm and an infected
laceration from a fall. The nurse notes a significant elevation in the child's heart rate. Which
intervention would be least appropriate?
A) Administering antipyretics as ordered for fever
B) Using a defibrillator to reduce the heart rate
C) Administering analgesics to reduce pain
D) Allowing the parents to comfort the child
11. A child weighing 51 lbs requires defibrillation. How many joules would the nurse expect
to give initially?
A) 46
B) 92
C) 102
D) 204
12. A 1-month-old infant admitted to the emergency department in respiratory distress
exhibits a regular pattern of breathing followed by brief periods of apnea, then tachypnea for
a short time, eventually returning to a normal respiratory rate. The nurse documents this
finding as which of the following?
A) Hypoventilation
B) Hyperventilation
, Test Bank For Introduction to Maternity and Pediatric Nursing 9th
Edition BY Gloria Leifer Chapter 1-34 Newest Version 2022
C) Periodic breathing
D) Stridor
13. The nurse is gathering the necessary equipment for tracheal intubation for a child who is
2 years old. Which tracheal tube size would the nurse obtain?
A) 4.5
B) 5
C) 5.5
D) 6
14. Which of the following would lead the nurse to suspect that a 5-year-old child is
experiencing supraventricular tachycardia?
A) Heart rate 160 beats per minute
B) Flattened P waves
C) Normal QRS complex
D) History of fever
15. Which of the following would be most appropriate to use to help maintain a patent
airway in an infant experiencing a respiratory emergency?
A) Neck hyperextension
B) Head tilt–chin lift technique
C) Jaw-thrust maneuver
D) Small towel under shoulders
16. After teaching a group of nursing students about shock in children, the instructor
determines that the teaching was successful when the students identify which type of shock
as most common?
