NEWEST 2024 ACTUAL EXAM 300 QUESTIONS
AND CORRECT DETAILED ANSWERS
Practice questions for this set
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Administer epinephrine IM
Rationale: When using the urgent vs. non-urgent approach to client care, the
nurse should determine that the priority action is administering epinephrine
IM to the child. During an anaphylactic reaction, histamine release causes
bronchoconstriction and vasodilation. This is an emergency because
ultimately it causes decreased blood return to the heart.
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A nurse is caring for a preschooler who is scheduled for hydrotherapy treatment for
1 wound debridement following a burn injury. Which of the following actions should the
nurse take prior to the procedure?
, A nurse is providing anticipatory guidance to the guardian of a toddler. Which of the
2
following expected behavior characteristics of toddlers should the nurse include?
A nurse in an emergency department is caring for a school-age child who is
experiencing an anaphylactic reaction. Which of the following is the priority action by
the nurse?
A nurse is teaching the parent of a preschooler about ways to prevent acute asthma
4 attacks. Which of the following statements by the parent indicates an understanding of
the teaching?
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Terms in this set (60)
Administer epinephrine IM
A nurse in an emergency
department is caring for a
Rationale: When using the urgent vs. non-urgent
school-age child who is
approach to client care, the nurse should determine
experiencing an
that the priority action is administering epinephrine IM
anaphylactic reaction.
to the child. During an anaphylactic reaction,
Which of the following is
histamine release causes bronchoconstriction and
the priority action by the
vasodilation. This is an emergency because ultimately
nurse?
it causes decreased blood return to the heart.
, Apply supplemental oxygen
Rationale: According to the medical record and chest
x-ray report, the adolescent could potentially have a
pneumothorax. Also according to the medical record
and chest x-ray report, the adolescent's oxygen
A nurse in a pediatric saturation level is decreasing, which indicates hypoxia.
emergency department is Therefore, the nurse should plan to administer
planning care for an supplemental oxygen.
adolescent. Based on the
information in the Prepare for chest tube insertion
adolescent's medical
record, which of the Rationale: According to the medical record and chest
following actions should x-ray report, the adolescent could potentially have a
the nurse plan to take? pneumothorax. A pneumothorax is the presence of air
Select all that apply. in the pleural cavity, which results in decreased lung
expansion. The adolescent could experience
dyspnea, tachypnea, tachycardia, hypoxia, and pain.
This requires prompt intervention by the provider,
such as the placement of a chest tube into the
thoracic cavity to remove air and fluid from the pleural
space, if present, allowing the lung to re-expand.
Monitor the child's oxygen saturation
A nurse in an emergency
department is caring for a
Rationale: The nurse should monitor the child's
school-age child who has
oxygen saturation level because the child is
epiglottitis. Which of the
experiencing acute respiratory distress and it is
following actions should
necessary to determine if the child is responding to
the nurse take?
treatment.