2026
You have a toddler who comes in coughing with respiratory infection, wheezing and Rhonchi, nasal
congestion, heart is ok but they are irritable, sweaty and taste salty, and have loose fatty stool, temp is
99.3, HR is 150, RR is 40, BP is 82/42, oxygen saturation is 92, sodium is 128, what are you going to
diagnose this as? What are you going to expect for orders? What will you continue to monitor on them?
- Answerscystic fibrosis; CPT and sweat chloride test to confirm; monitor lung sounds, oxygen saturation,
and stools
School age child has gotten cefazolin and suddenly has difficulty breathing and angioedema, what do
you give them? - Answersanaphylactic shock and administer epi
You have a child with atopic dermatitis, has dry scaly skin with some scabbing, you are giving
hydrocortisone cream, what else would you teach the family about what they can do? - Answersapply
thin layer on affected area, keep fingernails short, no bubble bath, can get emollient (emollient, trim
nails, small amounts of hydrocortisone)
What information would you give to the family of a new asthma school age child upon discharge? -
Answersget a PFT every 12 to 24 months
Where would you place a pulse oximeter probe on an infant? - Answerson great toe
You have a school age child who has had regular RR but some mild retractions and shallow breathing,
does have an expiratory wheeze and history of asthma. You assessed them at 8:30 but right now has
become restless, moderate retractions, rhonchi and wheezing, PMI at apex, HR is regular, pulses are
regular, temp is 98.8 at both assessments, HR has gone from 100 to 110, RR has gone from 22 to 30,
oxygen saturation has gone from 97 to 94, lab work shows white blood cell count is up, hematocrit and
hemoglobin are down, ABG is 7.49, 32, 24, and 92, what would you report to the provider? -
Answersoxygen saturation has declined, WBC count, ABGs, respiratory assessment
You have a school age child, you have to give atomostine 1.2 mg/kg, she weighs 75 lbs, and her
medication comes 40 mg per capsule, how many capsules are you going to give them? - Answers1
capsule
What do you evaluate on a child who has chemotherapy for anemia? - Answershemoglobin
You have a 13 month old who a week ago came into the doctors office for having trouble passing stool
for about the last month, and is awake and okay, hypoactive bowel sounds with nothing else. He told
the parents to get an OTC stool softener, increase fluids and increase fruits and vegetables. Today the
child returns lethargic, isn't interested in eating, has ribbon like foul smelling stools, heart is okay, has
hypoactive bowel sounds with distended abdomen, can palpate a fecal mass. He is currently at 99.2
temp with HR of 138, RR of 26, BP is 110/70, and 98 for oxygen saturation, what of all of that would you
want to follow up on? - Answersfoul smelling stool, lethargic, no interest in eating, hypoactive distended
abdomen, BP is slightly elevated; might have hirshsprungs (SATA)
, You have a preschooler at 7:15am temp of 100.9, HR at 126, RR at 26, and 97 for oxygen saturation, is
tired, complains of sore throat and fever, has some fluids in but no food, urine is dark yellow. At 7:30, he
is got dry sticky mucus membranes, skin turgor is okay, tonsils are enlarged and red, RR is normal and
non labored, PMI is okay, HR is okay, cap refill is okay, abdomen is flat and non distended,
mononucleosis swab came back positive, what would you suspect to monitor for because of what?
What is he at risk for? - Answersdiagnosed with mono and complication is splenomegaly (may need to
have spleen removed, splenomectaly)
What kind of diet does a cystic fibrosis child need to have? - Answershigh calorie (give 40% of diet)
You have a 3 year old presenting in the doctor's office for well visit, has a HR of 120, RR of 45, oxygen
saturation is 94, what would you want to report to the doctor? - Answersoxygen saturation and RR
You are discharging a cleft palate repair done about a week ago, what would you include in referral for
them? - Answersspeech therapist
You have a hospice preschool terminal pt that the parents are saying they can't cope and considering
moving out of the house, what could you do to support that family? - Answerslets talk about ways that
you have previously handled stress (therapeutic communication)
You have a 10 year old neutropenic pt, that you are trying to figure out a developmental activity to do,
what could you get them? - Answersprovide a book about adventures
You are with a school and making an educational plan for ADHD pts, how would you help other
instructors and educators on how to handle an ADHD child for best learning abilities? - Answersgive
challenging academics in morning when they are most focused and when medications are high enough
level
Following a tonic clonic seizure, what would you do for that pt? - Answersnote times, assess neurologic
status, make sure they are okay breathing (main one)
What would you recommend to a family if you are teaching them methods to prevent SIDS? -
Answershave baby sleep on back, remove everything from crib, do not sleep with baby on bed, child can
have pacifier when they go to bed
You have a severely dehydrated infant, what would indicate the degree of dehydration? - Answers10%
of weight loss
You have a child who comes in, CHF preschooler with widened QRS and high peaked T waves, what
would you want to review in her medications? - Answershyperkalemia (review meds to make sure pt is
not taking any supplemental potassium or if she is taking them wrong, make sure mom understands
how to give the meds)
You have several children that you need to assess, what do you observe or need to be concerned about
for a child who has a concussion? - Answersheadache that causes forceful vomiting, sleepy