PEDIATRIC EMERGENCY EXAM|| 60+ QUESTIONS WITH CORRECT VERIFIED ANSWERS | GRADED A+|| SOLVED.

1. When a poison has been in- Call the local poison control center.
gested by a child, the par- Correct
ents should be instructed Explanation:
to do which of the follow- Not all poisons should be vomited. Strong acids, for example, could
ing first? cause as much destruction of tissue being vomited as being swal-
lowed. The poison control center will provide the most accurate
a) Induce vomiting. information on the next steps for the patient.
b) Call the local poison con-
trol center.
c) Administer an emetic.
d) Get to an emergency fa-
cility.

2. Assessment of a child re- Needle thoracotomy
veals a tension pneumoth- Correct
orax. The nurse would pre- Explanation:
pare the child for which of A needle thoracotomy is indicated for tension pneumothorax to
the following? relieve the air collected in the space. Intubation is indicated for
apnea and in situations in which the airway cannot be maintained.
a) Needle thoracotomy Suctioning would be indicated for excessive airway secretions that
b) Suctioning influence airway patency. Defibrillation is used to stimulate or alter
c) Intubation the heart's electrical rhythm.
d) Defibrillation

3. Initiate cardiac compressions
A 6-year-old girl who is be-
ing treated for shock is Correct
pulseless with an irregu- Explanation:
lar heart rate of 32 BPM. The American Heart Association (AHA) emphasizes the importance of
Choose the priority inter- cardiac compressions in pulseless clients with arrhythmias, making
vention: this the priority intervention in this situation. Current AHA recom-
mendations are for defibrillation to be administered once followed
a) Administer doses defib- by five cycles of CPR. The AHA now recommends against using

, rillator shocks in a row multiple doses of epinephrine because they have not been shown
b) Initiate cardiac com- to be helpful and may actually cause harm to the child.
pressions
c) Give three doses of epi-
nephrine
d) Defibrillate once fol-
lowed by three cycles of
cardiopulmonary resusci-
tation (CPR)

4. A 3-year-old girl had Suctioning the upper airway to ensure airway patency
a near-drowning incident Correct
when she fell into a wad- Explanation:
ing pool. Which interven- Due to the potentially devastating ettects of drowning-related hy-
tion would be of the high- poxia on a child's brain, airway interventions must be initiated im-
est priority? mediately. The child's airway should be suctioned to ensure pa-
tency. Other interventions such as covering the child with blankets,
a) Inserting a nasogastric inserting a nasogastric tube, and assuring that the child remains
tube to decompress stom- still during X-ray are interventions that are appropriate once airway
ach patency is achieved and maintained.
b) Assuring the child stays
still during an X-ray
c) Suctioning the upper air-
way to ensure airway pa-
tency
d) Covering the child with
warming blankets

5. The nurse is preparing Respiratory failure
an in-service program on Correct
pediatric cardiopulmonary Explanation:
resuscitation. The nurse Cardiopulmonary arrest in infants and children typically results from

, would include a discussion
N N N disorders that lead to respiratory failure and shock. In adults, the
N N N N N N N N N N



that cardiopulmonary ar-
N N N most common causes of cardiopulmonary arrest are lethal arrhyth-
N N N N N N N N N



rest in infants and
N N N N mias secondary to heart disease. Although neurologic trauma can
N N N N N N N N N



children is most likely
N N N N lead to respiratory failure, it alone is not the most likely factor.
N N N N N N N N N N N N



the result of which of the
N N N N N N



following?
N




a) Underlying heart dis- N N



N ease
b) Respiratory failure N



c) Neurologic trauma N



d) Lethal arrhythmia N


Test the fluid with a glucose reagent strip N N N N N N N



6. A 13-year-old girl suffered Correct
N N N N



Na serious fall while hiking Explanation:
N N N N



Nwith friends and injured
N Rhinorrhea or otorrhea (clear fluid draining from the nose or ear,
N N N N N N N N N N N N



Nher head. She is now be- respectively) may be noticeable. The fluid is cerebrospinal fluid
N N N N N N N N N N N N N N



Ning evaluated by a nurse (CSF) and is a serious finding because it means that the child's
N N N N N N N N N N N N N N N N



Nin the emergency room.
N N N



The nurse notices clear flu- central nervous system is open to infection. If it's not clear if the
N N N N N N N N N N N N N N N N N



id flowing from the girl's
N N N N



Nnose. The girl's friend N
a) Evaluate the client's lev- el of
N N
N N N N N




Nsaid that she had been
N N
consciousness N N
N




Nsuffer- ing from pollen N N N



Nallergy re- cently. Which N N N



Nof the follow- ing
N N N



Ninterventions should the N N



Nnurse implement to de- N N N



Ntermine whether the fluid N N N



Nis cerebrospinal fluid (CSF)
N N N



Nor rhinitis from an
N N N



Nallergy?

, fluid is CSF or rhinitis from an allergy, test
N N N N N N N N



the fluid with a glucose reagent strip. CSF
N N N N N N N N



Nwill test positive for glucose, whereas the
N N N N N N



Nclear, watery drainage from an upper
N N N N N



Nrespiratory tract infection or allergy will not.
N N N N N N



NThe other interventions would not help
N N N N N



Ndetermine whether the fluid was CSF or
N N N N N N



Nrhinitis.