CORRECT ANSWER
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? - ............ANSWER..............
A.Increased diastolic blood pressure
B.Bounding peripheral pulses
C.Prolonged capillary refill
D.Increased urine output
You are discharging a patient home who has a history of depression. Discharge
teaching should include which of the following? - ............ANSWER..............
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 escalations in the
patient's behavior.
D.Ensuring all firearms in the home are locked up with no access available by the
patient.
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? - ............ANSWER.............. A.Serum
B.Urine
C.Stool
D.Sputum
,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? - ............ANSWER.............. 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
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? - ............ANSWER.............. A.Utilize AED/defibrillator
B.Prepare for needle decompression
C.Administer intravenous epinephrine
D.Intubate with endotracheal tube
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? - ............ANSWER.............. A.Obtaining a sterile
urine sample
B.Initiating intravenous access
C.Preparing the patient for ultrasound
D.Scanning the patient's bladder
,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? - ............ANSWER.............. A.Integumentary
B.Renal
C.Gastrointestinal
D.Neurological
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? -
............ANSWER.............. A.Bilateral posterior back
B.Over the epigastrium
C.Bilateral midaxillary
D.Bilateral anterior chest
A 5-year-old presents with sudden onset nausea, vomiting, abdominal cramping,
hives, and hypotension after eating lunch. Which of the following is the priority
intervention? - ............ANSWER.............. A.Intramuscular epinephrine
B.Inhaled albuterol
C.Oral diphenhydramine
D.Intravenous ondansetron
A 3-year-old is assessed for the presence of increasing amounts of
serosanguineous drainage from his left nares over the past 6 hours. Which of the
following foreign bodies is the most likely etiology? - ............ANSWER..............
A.Magnet
B.Button battery
, C.Dried bean
D.Fishing weight
Caregivers state an 18-month-old child had a harsh, barky cough, low-grade fever,
and irritability throughout the night. On assessment this morning, the child
appears alert, is interactive, their present cough is quiet, and their temperature is
98.8°F (37.1°C) axillary. Which of the following diagnoses is the highest probablity
for this child? - ............ANSWER.............. A.Asthma
B.Croup
C.Epiglottitis
D.Pneumonia
A 12-year-old female patient arrives awake and alert with an acute onset of
abdominal pain on the right side, nausea, vomiting, and vaginal spotting. On
palpation, the pain is localized to the right side and there is tenderness to the
breasts. Which of the following laboratory tests is the priority for this patient? -
............ANSWER.............. A.Human chorionic gonadotropin
B.Complete blood count
C.Vaginal cultures
D.Bedside glucose level
A fertilizer silo exploded during a school tour of a working farm. The children are
able to manage their own secretions but all are incontinent and salivating, with
excess tearing. Which of the following is the priority intervention? -
............ANSWER.............. A.Removal of clothing and decontamination
B.Establishing patient identification
C.Rapid administration of atropine
D.Providing supportive treatment