Questions & Answers
1.A 3 year-old patient presents following frequent emesis and diarrhea over
the past 12 hours. Which of the following assessment findings indicate that
the patient' body is compensating for the fluid loss?:
A.Increased diastolic blood pressure
B.Bounding peripheral pulses
C.Prolonged capillary refill
D.Increased urine output
2.You are discharging a patient home who has a history of depression.
Discharge teaching should include which of the following?:
A.Discussing the importance of stopping all current psychiatric
medications.
B.Providing the family a list of behavioral health facilities to call for follow
up. C.Explaining that the family should not call authorities for escalation
in the patient's behavior.
D.Ensuring all firearms in the home are locked up with no access
available by the patient.
3.A child with an electrical injury is seen 1 hour post event. Which of the
following specimen samples would provide visual information regarding
a potential complication of this injury?:
,A.Serum
B.Urine
C.Stool
D.Sputu
m
4.A 4-year-old patient is being assessed for a foreign body in the nose. The
child is awake and alert and watching a video on the caregivers phone.
Vitals include HR of 110 beats/minute, RR of 26 breaths per minute, BP of
138/90 mm Hg, and T of 37.3oC (99.3oF) orally. Which of the following
interventions should the nurse perform next?:
A.Check the size of the blood pressure cuff
B.Recheck the temperature rectally
C.Recheck the blood pressure on the other arm
D.Place the patient on cardiac and respiratory monitors
5.A 10-year-old playing baseball is hit in the chest with a ball. He
immediately demonstrates loss of consciousness with no pulses. Which of
the following is the priority intervention?:
A.Utilize AED/defibrillator
B.Prepare for needle
decompression C.Administer
intravenous epinephrine
D.Intubate with endotracheal
tube
, 6.The triage nurse is assessing a 14 year old male who was brought in by
ambulance. The patient reports he was playing his video games at home
when he had a sudden onset of groin pain that was so severe he became
nauseated and vomited. Further assessment reveals a swollen scrotum.
What
is the priority intervention for this patient?:
A.Obtaining a sterile urine sample
B.Initiating intravenous access
C.Preparing the patient for
ultrasound D.Scanning the
patient's bladder
7.A caregiver reports their one-month-old has had a yellowish color to their
eyes and skin over the last two weeks. If left untreated, which body system
can this affect?:
A.Integumentary
B.Renal
C.Gastrointestinal
D.Neurological
8.An infant presents to the emergency department with difficulty breathing.
The patient is pale and respirations appear rapid and shallow. Which
location on the torso is the most effective site for assessing bilateral breath
sounds?-