SWIFT RIVER EXAM: PEDIATRIC
CARDIO/RESPIRATORY SWIFT RIVER,
2025/2026 WITH CORRECT/ACCURATE
ANSWERS
Jack Hammond: Scenario
Physiological: Gas Exchange
Physiological: Fluid and Electrolyte
Physiological: Comfort
Physiological: Nutrition
Health Promotion: Client Education Psychosocial: Stress and
Coping
Jack Hammond: Scenario
Encourage Jack to lie on his left side or in a semi-Fowler's position
Perform airway clearance therapy
Offer small meals and frequent snacks
Jack Hammond
Apply a vest to administer high-frequency chest compressions
Administer a nebulized bronchodilator at the beginning of the
therapy
Administer a mucolytic nebulized solution
Jack Hammond
Robitussin Children's cough syrup every 6 hrs PRN cough
Jack Hammond
, Medicate Jack for pain
Obtain a prescription for a portable chest xray
Increase the oxygen flow rate to 3 liters/min
Jack Hammond
Maintain the chest drainage system below the level of the chest
Reassure Jack that he can lay on his left side if desired
Request a prescription for ketorolac
Jack Hammond: Calculate & Administer Medication
HOLD Acetaminophen 0000 325mg
GIVE Ketorolac 0000 0.5mg/kg/dose
GIVE Erythromycin 0200 2.5ml
GIVE Erythromycin 0800 2.5ml
GIVE Pancrelipase 1500 units/kg (3 capsules)
GIVE Cefuroxime 0900 50mg/kg (41.7ml)
GIVE pancrelipase 1500 units/kg (3 capsules)
GIVE erythromycin 5mg/kg (2.5ml)
Johnathan Gibbons: Scenario
Administer albuterol via nebulizer every 30 minutes Administer
90mg methylprednisolone IV once Initiate humidified oxygen
therapy to maintain SpO2 above 90% Obtain an arterial blood gas
Johnathan Gibbons: Scenario
The adolescent is having an adverse reaction to albuterol
Levalabuterol is a bronchodilator, like albuterol, but has less
adverse effects You should have regular eye exams while taking
this medication You should rinse your mouth with water after
each use You should notify the provider if you develop nausea,
weakness or fatigue I should use a peak flow meter to determine
which zone I am in The medications and doses will vary
depending on which zone I am in 0.72 methylpresdisolone (solu-
medrol)
CARDIO/RESPIRATORY SWIFT RIVER,
2025/2026 WITH CORRECT/ACCURATE
ANSWERS
Jack Hammond: Scenario
Physiological: Gas Exchange
Physiological: Fluid and Electrolyte
Physiological: Comfort
Physiological: Nutrition
Health Promotion: Client Education Psychosocial: Stress and
Coping
Jack Hammond: Scenario
Encourage Jack to lie on his left side or in a semi-Fowler's position
Perform airway clearance therapy
Offer small meals and frequent snacks
Jack Hammond
Apply a vest to administer high-frequency chest compressions
Administer a nebulized bronchodilator at the beginning of the
therapy
Administer a mucolytic nebulized solution
Jack Hammond
Robitussin Children's cough syrup every 6 hrs PRN cough
Jack Hammond
, Medicate Jack for pain
Obtain a prescription for a portable chest xray
Increase the oxygen flow rate to 3 liters/min
Jack Hammond
Maintain the chest drainage system below the level of the chest
Reassure Jack that he can lay on his left side if desired
Request a prescription for ketorolac
Jack Hammond: Calculate & Administer Medication
HOLD Acetaminophen 0000 325mg
GIVE Ketorolac 0000 0.5mg/kg/dose
GIVE Erythromycin 0200 2.5ml
GIVE Erythromycin 0800 2.5ml
GIVE Pancrelipase 1500 units/kg (3 capsules)
GIVE Cefuroxime 0900 50mg/kg (41.7ml)
GIVE pancrelipase 1500 units/kg (3 capsules)
GIVE erythromycin 5mg/kg (2.5ml)
Johnathan Gibbons: Scenario
Administer albuterol via nebulizer every 30 minutes Administer
90mg methylprednisolone IV once Initiate humidified oxygen
therapy to maintain SpO2 above 90% Obtain an arterial blood gas
Johnathan Gibbons: Scenario
The adolescent is having an adverse reaction to albuterol
Levalabuterol is a bronchodilator, like albuterol, but has less
adverse effects You should have regular eye exams while taking
this medication You should rinse your mouth with water after
each use You should notify the provider if you develop nausea,
weakness or fatigue I should use a peak flow meter to determine
which zone I am in The medications and doses will vary
depending on which zone I am in 0.72 methylpresdisolone (solu-
medrol)
