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1. An unresponsive 2-year-old child was found by his C. The number of pills left
mother with a bottle labeled "Elavil 50 mg" by his in the bottle.
side. Which piece of information is important to obtain
from his mother?
A. The size of the medication bottle.
B. The expiration date of the medication.
C. The number of pills left in the bottle.
D. The person for whom the medication was pre-
scribe.
2. A nurse providing crisis intervention to the family of a D. Appointing one staff
seriously ill child can best keep the family informed of member to communicate
the child's condition by: with them.
A. Placing them in a secluded room.
B. Referring to their child as "the patient".
C. Telling the family how they should feel.
D. Appointing one staff member to communicate with
them.
3. A 16-month-old child was an unrestrained front seat B. Significant underlying
passenger in a motor vehicle crash. The chest x-ray injury.
reveals multiple rib fractures. These findings suggest
what type of injury?
A. Minor surface injury.
B. Significant underlying injury.
C. Significant surface injury.
D. Minor underlying injury.
4. Which piece of information is most important to know C. Confirmation of accep-
prior to transferring a patient to another facility? tance from the receiving
A. Documentation of the family's health insurance hospital.
coverage.
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B. Pertinent family health history.
C. Confirmation of acceptance from the receiving hos-
pital.
D. Confirmation of a medical diagnosis.
5. A 10-year-old child who was struck by a car has a dis- C. Hypovolemic shock.
tended, tense abdomen. The child's heart rate is 144
beats/minute, respirations 24 breaths/minute, and
blood pressure 120/80 mm Hg. Capillary refill is more
than 3 seconds, and skin is pale and cool. The patient's
signs and symptoms suggest:
A. Obstructive shock.
B. Distributive shock.
C. Hypovolemic shock.
D. Cardiogenic shock.
6. A school-aged child is about to receive stitches. To A. "Young people your
evaluate his understanding of the procedure, you tell age have questions about
him: getting stitches. What are
A. "Young people your age have questions about get- your questions?"
ting stitches. What are your questions?"
B. "Don't cry while you are getting the stitches. Be
brave like a man."
C. "You will probably receive 10 stitches. Do you have
any questions before we restrain you?"
D. "Does your cut hurt? Would you like your mommy
to hold you?"
7. What is the preferred sit for intraosseous access in the D. Anteromedial tibia
infant?
A. Lateral malleolus
B. Iliac crest
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C. Proximal femur
D. Anteromedial tibia
8. An important consideration in the assessment of pain A. May deny or minimize
for an adolescent patient is that they: their pain when friends
A. May deny or minimize their pain when friends visit visit for fear of losing con-
for fear of losing control. trol.
B. Have difficulty localizing or describing the pain.
C. Are unable to use the 1 to 10 scale to report their
pain.
D. Feel that the pain is a punishment for something
they did wrong.
9. An 8-month-old infant with pneumonia has severe C. Rapid sequence intuba-
intercostal and substernal retractions, weak muscle tion.
tone, lethargy, and gray skin color. The infant's condi-
tion does not improve after bag-mask ventilation. The
next step in treatment is most likely to be:
A. Administration of epinephrine.
B. Supplemental warming measures.
C. Rapid sequence intubation.
D. Administration of albuterol.
10. Which combination of medications is best to have B. Epinephrine and glu-
prepared for a pediatric resuscitation? cose.
A. Dopamine and sodium bicarbonate.
B. Epinephrine and glucose.
C. Naloxone and lidocaine.
D. Pentothal and vecuronium.
11. A 20-day-old infant has a 1-week history of not eating B. Finger-stick glucose.
well. The infant has a weak cry and is jittery. Which
laboratory test is indicated?