VSim Charlie Snow Complex Pre/Post Sim
1. Cow's Milk: A nurse is teaching new parents about preventing the development of food
allergies. Which of the following foods should be avoided in patients younger than 1 year to
prevent the development of a food allergy?
2. Wheezing: The nurse is assessing a patient with an allergic reaction from a food allergen.
Which finding is most concerning?
3. Increases systemic vascular resistance and heart rate.: A nurse is describingto a new
nurse how epinephrine works. Which of the following correctly describes the mechanism
of action of epinephrine?
4. I am going to give you some medicine. It may make you feel a little shaky. Your
parent can help hold your hand and your job is to hold your arm still.: Thenurse is
preparing a 6-year-old patient who is experiencing an allergic reaction for an intramuscular
epinephrine injection. Which of the following demonstrates that thenurse understands
developmentally appropriate communication?
5. Blood pressure.: The nurse is preparing to administer methylprednisolone to a6-year-
old patient with anaphylaxis. The patient is allergic to peanuts with no otherpertinent
medical conditions. Which of the following is the priority for the nurse to monitor with
administration?
6. Massive systemic vasodilation.: A nurse is explaining to a coworker the re- lationship
between anaphylaxis and distributive shock. The nurse's explanation is based on the
knowledge that distributive shock is caused by which of the following?
7. Administer 20 mL/kg of intravenous (IV) fluid bolus.: While completing a fo- cused
cardiovascular assessment on a 6-year-old patient admitted with anaphylaxis,the nurse notes
that the skin is cool, central and peripheral pulses are weak, and capillary refill is
prolonged. The patient is responsive and anxious, with a heart rateof 140, respiratory rate
of 32, blood pressure of 106/60, and oxygen saturation of 91%. What is the most
appropriate initial intervention to support perfusion?
8. 420 (they rounded to 21 kg. 21*20=420): The nurse has an order to administernormal
saline 20 mL/kg bolus intravenously over 30 minutes. The patient weighs
46.2 pounds. How many mL should the nurse prepare to administer?
9. Ineffective airway clearance related to laryngeal edema and bron- chospasm.:
What would be the highest priority and most appropriate nursing di-agnosis for a patient
exhibiting signs of anaphylaxis?
10. Nonrebreather mask at 12 L/min.: A 6-year-old patient with anaphylaxis is
receiving oxygen via nasal cannula at 2 L/min with an order to titrate oxygen saturations
of greater than 94%. Fifteen minutes later, the nurse notes that the patient is sleepy,
breathing with mouth open at a rate of 32 breaths per minute, andhas oxygen saturations of
89%. Which of the following would be the best method ofdelivering oxygen delivery for
the patient at this time?
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1. Cow's Milk: A nurse is teaching new parents about preventing the development of food
allergies. Which of the following foods should be avoided in patients younger than 1 year to
prevent the development of a food allergy?
2. Wheezing: The nurse is assessing a patient with an allergic reaction from a food allergen.
Which finding is most concerning?
3. Increases systemic vascular resistance and heart rate.: A nurse is describingto a new
nurse how epinephrine works. Which of the following correctly describes the mechanism
of action of epinephrine?
4. I am going to give you some medicine. It may make you feel a little shaky. Your
parent can help hold your hand and your job is to hold your arm still.: Thenurse is
preparing a 6-year-old patient who is experiencing an allergic reaction for an intramuscular
epinephrine injection. Which of the following demonstrates that thenurse understands
developmentally appropriate communication?
5. Blood pressure.: The nurse is preparing to administer methylprednisolone to a6-year-
old patient with anaphylaxis. The patient is allergic to peanuts with no otherpertinent
medical conditions. Which of the following is the priority for the nurse to monitor with
administration?
6. Massive systemic vasodilation.: A nurse is explaining to a coworker the re- lationship
between anaphylaxis and distributive shock. The nurse's explanation is based on the
knowledge that distributive shock is caused by which of the following?
7. Administer 20 mL/kg of intravenous (IV) fluid bolus.: While completing a fo- cused
cardiovascular assessment on a 6-year-old patient admitted with anaphylaxis,the nurse notes
that the skin is cool, central and peripheral pulses are weak, and capillary refill is
prolonged. The patient is responsive and anxious, with a heart rateof 140, respiratory rate
of 32, blood pressure of 106/60, and oxygen saturation of 91%. What is the most
appropriate initial intervention to support perfusion?
8. 420 (they rounded to 21 kg. 21*20=420): The nurse has an order to administernormal
saline 20 mL/kg bolus intravenously over 30 minutes. The patient weighs
46.2 pounds. How many mL should the nurse prepare to administer?
9. Ineffective airway clearance related to laryngeal edema and bron- chospasm.:
What would be the highest priority and most appropriate nursing di-agnosis for a patient
exhibiting signs of anaphylaxis?
10. Nonrebreather mask at 12 L/min.: A 6-year-old patient with anaphylaxis is
receiving oxygen via nasal cannula at 2 L/min with an order to titrate oxygen saturations
of greater than 94%. Fifteen minutes later, the nurse notes that the patient is sleepy,
breathing with mouth open at a rate of 32 breaths per minute, andhas oxygen saturations of
89%. Which of the following would be the best method ofdelivering oxygen delivery for
the patient at this time?
1/2
