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Swift River Simulations 2.0 — Pediatrics Questions and Answers Latest Version Graded A+

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Swift River Simulations 2.0 — Pediatrics Questions and Answers Latest Version Graded A+ A 4-year-old child with asthma is wheezing and has difficulty breathing after playing outside. What should the nurse do first? Administer the prescribed bronchodilator and reassess the child's breathing. A 2-year-old child has a fever of 102°F and is refusing to eat. What is the nurse's best action? Offer small amounts of fluids and assess for signs of dehydration. A newborn presents with jaundice on day 2 of life. What is the nurse’s most appropriate action? Monitor bilirubin levels and assess the baby’s feeding patterns. A 6-month-old infant presents with a persistent cough and nasal congestion. What is the most likely diagnosis? The child may have a respiratory syncytial virus (RSV) infection, and supportive care should be provided. 2 A 10-year-old child with a history of type 1 diabetes is complaining of dizziness and irritability. What should the nurse check? Check the child's blood glucose level immediately. A 5-year-old child is admitted with a diagnosis of dehydration after vomiting and diarrhea for 3 days. What is the first intervention? Administer oral rehydration solution and monitor hydration status. A 3-year-old child is hospitalized for pneumonia and is receiving antibiotics. What should the nurse monitor for in this patient? Monitor the child’s respiratory rate and oxygen saturation levels. A 7-year-old child with chickenpox is being discharged. What is the most important instruction for the parent? Keep the child home from school until all lesions have crusted over. A 12-year-old child has a leg cast and is complaining of pain that is worsening despite pain medication. What should the nurse do first? 3 Assess for signs of compartment syndrome, such as swelling or a change in color or temperature of the limb. A 3-month-old infant is being evaluated for failure to thrive. What is the most important factor to assess? The infant’s feeding history, including frequency, quantity, and type of feeding. A 4-year-old child presents with a fever of 101°F and a painful, swollen red area on the cheek. What is the most likely diagnosis? Mumps, and isolation precautions should be implemented. A 10-year-old child with ADHD is not responding to medication as expected. What should the nurse assess? Evaluate the child’s adherence to the medication regimen and assess for any side effects or interactions with other medications. A 6-year-old child has a new diagnosis of scoliosis. What is the primary nursing intervention? Educate the child and family about the treatment plan, which may include wearing a brace. 4 A 2-year-old child is receiving antibiotics for an ear infection but develops a rash. What should the nurse do? Notify the provider, as the rash could indicate an allergic reaction to the medication. A 5-year-old child with sickle cell anemia is admitted with severe pain. What is the nurse’s priority intervention? Administer pain medications as prescribed and monitor the child for any signs of respiratory distress. A 3-year-old child is being evaluated for suspected lead poisoning. What is the most appropriate test? A blood lead level test to confirm the diagnosis. A 9-month-old infant is exhibiting signs of irritability, vomiting, and lethargy. What should the nurse assess first? Assess for signs of dehydration and monitor the infant's hydration status closely. A 7-year-old child with a history of asthma

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Swift River Simulations 2.0 — Pediatrics
Questions and Answers Latest Version
Graded A+

A 4-year-old child with asthma is wheezing and has difficulty breathing after playing outside.

What should the nurse do first?


✔✔ Administer the prescribed bronchodilator and reassess the child's breathing.




A 2-year-old child has a fever of 102°F and is refusing to eat. What is the nurse's best action?


✔✔ Offer small amounts of fluids and assess for signs of dehydration.




A newborn presents with jaundice on day 2 of life. What is the nurse’s most appropriate action?


✔✔ Monitor bilirubin levels and assess the baby’s feeding patterns.




A 6-month-old infant presents with a persistent cough and nasal congestion. What is the most

likely diagnosis?


✔✔ The child may have a respiratory syncytial virus (RSV) infection, and supportive care

should be provided.




1

,A 10-year-old child with a history of type 1 diabetes is complaining of dizziness and irritability.

What should the nurse check?


✔✔ Check the child's blood glucose level immediately.




A 5-year-old child is admitted with a diagnosis of dehydration after vomiting and diarrhea for 3

days. What is the first intervention?


✔✔ Administer oral rehydration solution and monitor hydration status.




A 3-year-old child is hospitalized for pneumonia and is receiving antibiotics. What should the

nurse monitor for in this patient?


✔✔ Monitor the child’s respiratory rate and oxygen saturation levels.




A 7-year-old child with chickenpox is being discharged. What is the most important instruction

for the parent?


✔✔ Keep the child home from school until all lesions have crusted over.




A 12-year-old child has a leg cast and is complaining of pain that is worsening despite pain

medication. What should the nurse do first?




2

, ✔✔ Assess for signs of compartment syndrome, such as swelling or a change in color or

temperature of the limb.




A 3-month-old infant is being evaluated for failure to thrive. What is the most important factor to

assess?


✔✔ The infant’s feeding history, including frequency, quantity, and type of feeding.




A 4-year-old child presents with a fever of 101°F and a painful, swollen red area on the cheek.

What is the most likely diagnosis?


✔✔ Mumps, and isolation precautions should be implemented.




A 10-year-old child with ADHD is not responding to medication as expected. What should the

nurse assess?


✔✔ Evaluate the child’s adherence to the medication regimen and assess for any side effects or

interactions with other medications.




A 6-year-old child has a new diagnosis of scoliosis. What is the primary nursing intervention?


✔✔ Educate the child and family about the treatment plan, which may include wearing a brace.




3

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