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A 4-week-old infant born prematurely is brought to the emergency department due to the rapid
onset of abdominal distention, vomiting, bloody stools, and exhibiting signs of shock. Based on
these findings, what condition should the nurse suspect?
Necrotizing enterocolitis
A 6-year-old child weighing 20 kg (44.1 lb) arrives in full arrest following an electrocution event.
CPR is in progress after defibrillation for ventricular fibrillation. What is the intravenous dose of
epinephrine for this patient?
0.2 mg
A 5-year-old child presents with hives, swelling of the lips and face, and stridor that developed
about an hour after eating lunch. The child has no known allergies. Which of the following is the
priority intervention?
Administer intramuscular epinephrine
An 11-year-old child presents with right arm pain after falling off a bicycle. The child is tearful
and holding his right arm. What pain scale would be the most appropriate to use when
assessing this child's pain?
Number scale
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, A child in cardiopulmonary arrest is receiving chest compressions and manual ventilations with
a bag-mask device. Once return of spontaneous circulation has been confirmed, which of the
following would be the priority intervention?
Establishing a secure airway
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?
intramuscular epinephrine
A teenager presents to the ED for evaluation of pain with deep inspiration. The pain was a
sudden onset after running track at school. While obtaining the history, the patient states that
they have Marfan Syndrome. What would be a priority triage question based on this
information?
Have you ever had a pneumothorax?
An 8-year-old pedestrian is thrown onto the hood of a moving vehicle striking the windshield.
On arrival to the ED. the patient is minimally responsive with active bleeding from the nose and
mouth. The patient is vomiting. Which of the following interventions would most likely be
considered?
Endotracheal intubation
After a seizure at home, a 9-month-old infant is awake and interacting appropriately. Vital signs
on arrival are HR 150 beats/minutes, RR 36 breaths/minute (unlabored), BP 80/52 mm Hg, SaO2
97% without supplemental oxygen, and T 102.7°F (39.3°C) rectally. During re-evaluation 2 hours
after arrival, which of the following assessments would indicate appropriate measures were
taken in treating this child?
Temp 99.9F
A 5-year-old patient presents with severe dehydration and signs of shock due to viral
gastroenteritis. Which of the following physiologic responses by this patient will have the
greatest impact on improving their cardiac output?
increase heart rate
Parents with an infant requiring multiple laboratory tests, radiographic studies, and invasive
procedures appear to be distressed and withdrawn. Which of the following interventions would
best ensure a sense of comfort and control for these parents?
Providing frequent updates and re-educating them on the care that is being provided
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