complete solution Updated 2025
An unresponsive 2-year-old child was found by his mother with a bottle labeled "Elavil 50
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mg" by his side. Which piece of information is important to obtain from his mother?
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A. The size of the medication bottle.
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B. The expiration date of the medication.
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C. The number of pills left in the bottle.
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D. The person for whom the medication was prescribe. - Correct Answers C. The number
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of pills left in the bottle.
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A nurse providing crisis intervention to the family of a seriously ill child can best keep the
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family informed of the child's condition by:
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A. Placing them in a secluded room.
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B. Referring to their child as "the patient".
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C. Telling the family how they should feel.
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D. Appointing one staff member to communicate with them. - Correct Answers D.
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Appointing one staff member to communicate with them.
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A 16-month-old child was an unrestrained front seat passenger in a motor vehicle crash.
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The chest x-ray reveals multiple rib fractures. These findings suggest what type of injury?
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A. Minor surface injury.
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B. Significant underlying injury.
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C. Significant surface injury.
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D. Minor underlying injury. - Correct Answers B. Significant underlying injury.
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Which piece of information is most important to know prior to transferring a patient to
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another facility?
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A. Documentation of the family's health insurance coverage.
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B. Pertinent family health history.
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C. Confirmation of acceptance from the receiving hospital.
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D. Confirmation of a medical diagnosis. - Correct Answers C. Confirmation of acceptance
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from the receiving hospital.
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A 10-year-old child who was struck by a car has a distended, tense abdomen. The child's
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heart rate is 144 beats/minute, respirations 24 breaths/minute, and blood pressure 120/80
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mm Hg. Capillary refill is more than 3 seconds, and skin is pale and cool. The patient's signs
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and symptoms suggest:
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A. Obstructive shock.
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B. Distributive shock.
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C. Hypovolemic shock.
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D. Cardiogenic shock. - Correct Answers C. Hypovolemic shock.
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, A school-aged child is about to receive stitches. To evaluate his understanding of the
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procedure, you tell him:
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A. "Young people your age have questions about getting stitches. What are your
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questions?"
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B. "Don't cry while you are getting the stitches. Be brave like a man."
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C. "You will probably receive 10 stitches. Do you have any questions before we restrain
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you?"
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D. "Does your cut hurt? Would you like your mommy to hold you?" - Correct Answers A.
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"Young people your age have questions about getting stitches. What are your questions?"
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What is the preferred sit for intraosseous access in the infant?
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A. Lateral malleolus
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B. Iliac crest
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C. Proximal femur
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D. Anteromedial tibia - Correct Answers D. Anteromedial tibia
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An important consideration in the assessment of pain for an adolescent patient is that they:
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A. May deny or minimize their pain when friends visit for fear of losing control.
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B. Have difficulty localizing or describing the pain.
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C. Are unable to use the 1 to 10 scale to report their pain.
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D. Feel that the pain is a punishment for something they did wrong. - Correct Answers A.
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May deny or minimize their pain when friends visit for fear of losing control.
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An 8-month-old infant with pneumonia has severe intercostal and substernal retractions,
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weak muscle tone, lethargy, and gray skin color. The infant's condition does not improve
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after bag-mask ventilation. The next step in treatment is most likely to be:
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A. Administration of epinephrine.
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B. Supplemental warming measures.
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C. Rapid sequence intubation.
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D. Administration of albuterol. - Correct Answers C. Rapid sequence intubation.
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Which combination of medications is best to have prepared for a pediatric resuscitation?
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A. Dopamine and sodium bicarbonate.
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B. Epinephrine and glucose.
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C. Naloxone and lidocaine.
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D. Pentothal and vecuronium. - Correct Answers B. Epinephrine and glucose.
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A 20-day-old infant has a 1-week history of not eating well. The infant has a weak cry and is
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jittery. Which laboratory test is indicated?
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A. Arterial blood gas.
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B. Finger-stick glucose.
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C. Complete blood count with differential.
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D. Toxicology screen. - Correct Answers B. Finger-stick glucose.
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Which intervention should be performed next if tactile stimulation, positioning, drying, and
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blow-by oxygen administration do not increase a newborn's heart rate?
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