Emergency Nursing Pediatric Course
C. Check Level of Consciousness - (correct Answer) - A 9month old has arrived in the ER after a trauma.
Which of the following actions will the nurse take after assessing the ABC status?
A. Assess metabolic demands
B. Maintain core temperature
C. Check Level of Consciousness
D. Assess Vital Signs
B. Establish IV access - (correct Answer) - A 12 yr old boy is brought into the ER with a broken leg and is
showing signs and symptoms of shock. Which of the following actions should the nurse do next after
providing 100% O2 by mask?
A. Check circulation of toes of the affected leg.
B. Establish IV access
C. Provide oral analgesics as ordered.
D. Position the boy on his back with the head elevated.
Trauma
Near drowning
Burns
Injury d/t falls, accidents, sports
Acute illness
,Respiratory issues - (correct Answer) - Why children come to the ER
1. Birth defects
2. short pregnancy
3. SIDS
4. Pregnancy Complications
5. Pregnancy problems - (correct Answer) - Ranking of mortality causes of death for children under 1
1. Accidental
2. Birth Defects
3. CANCER
4. Homicide
5. Heart Disease - (correct Answer) - Ranking of mortality causes of death for children 1-4
1. Accidental
2. CANCER
3. Birth Defects
4. Homicide
5. Heart Disease - (correct Answer) - Ranking of mortality causes of death for children 5-9
1. Accidental
2. CANCER
3. Suicide
4. Homicide
5. Birth
Defects - (correct Answer) - Ranking of mortality causes of death for children 10-14
1. Accidental
2. Suicide
3. Homicide
4. CANCER
5. Heart Disease - (correct Answer) - Ranking of mortality causes of death for children 15-24
, suffocation (infants), MVA, drowning, fires, falls, pedestrian, firearm suicide, accidental ingestions -
(correct Answer) - Most preventable causes of pediatric mortality
Kids can lose their volume very quickly -- Need to get an IV in !!! - (correct Answer) - First things to
consider for pediatric emergency
Emergency Severity Index - (correct Answer) - How to triage children in emergency room
A five level system to categorize patients based on level of emergency and services that will be required.
- (correct Answer) - Emergency Severity Index
1. Resuscitation
2. Emergent (potential threat for loss of life -- need to be seen in about 10 minutes)
3.Urgent (Need to be seen in about 30-60 hours)
4. Semi Urgent (need to be seen in about about 1-2 hours)
5. Non-urgent (need to be seen in about 2-3 hours) - (correct Answer) - Different levels of Emergency
Severity Index
Smaller
Increase risk for multiple injuries
Elastic connective tissue
Multiple organs in close proximity
Very pliable skeletons
Less fat
Less fluid
Increased surface area to body volume in an infant leads to increases in fluid and heat loss. - (correct
Answer) - Differences for children in emergency
C. Check Level of Consciousness - (correct Answer) - A 9month old has arrived in the ER after a trauma.
Which of the following actions will the nurse take after assessing the ABC status?
A. Assess metabolic demands
B. Maintain core temperature
C. Check Level of Consciousness
D. Assess Vital Signs
B. Establish IV access - (correct Answer) - A 12 yr old boy is brought into the ER with a broken leg and is
showing signs and symptoms of shock. Which of the following actions should the nurse do next after
providing 100% O2 by mask?
A. Check circulation of toes of the affected leg.
B. Establish IV access
C. Provide oral analgesics as ordered.
D. Position the boy on his back with the head elevated.
Trauma
Near drowning
Burns
Injury d/t falls, accidents, sports
Acute illness
,Respiratory issues - (correct Answer) - Why children come to the ER
1. Birth defects
2. short pregnancy
3. SIDS
4. Pregnancy Complications
5. Pregnancy problems - (correct Answer) - Ranking of mortality causes of death for children under 1
1. Accidental
2. Birth Defects
3. CANCER
4. Homicide
5. Heart Disease - (correct Answer) - Ranking of mortality causes of death for children 1-4
1. Accidental
2. CANCER
3. Birth Defects
4. Homicide
5. Heart Disease - (correct Answer) - Ranking of mortality causes of death for children 5-9
1. Accidental
2. CANCER
3. Suicide
4. Homicide
5. Birth
Defects - (correct Answer) - Ranking of mortality causes of death for children 10-14
1. Accidental
2. Suicide
3. Homicide
4. CANCER
5. Heart Disease - (correct Answer) - Ranking of mortality causes of death for children 15-24
, suffocation (infants), MVA, drowning, fires, falls, pedestrian, firearm suicide, accidental ingestions -
(correct Answer) - Most preventable causes of pediatric mortality
Kids can lose their volume very quickly -- Need to get an IV in !!! - (correct Answer) - First things to
consider for pediatric emergency
Emergency Severity Index - (correct Answer) - How to triage children in emergency room
A five level system to categorize patients based on level of emergency and services that will be required.
- (correct Answer) - Emergency Severity Index
1. Resuscitation
2. Emergent (potential threat for loss of life -- need to be seen in about 10 minutes)
3.Urgent (Need to be seen in about 30-60 hours)
4. Semi Urgent (need to be seen in about about 1-2 hours)
5. Non-urgent (need to be seen in about 2-3 hours) - (correct Answer) - Different levels of Emergency
Severity Index
Smaller
Increase risk for multiple injuries
Elastic connective tissue
Multiple organs in close proximity
Very pliable skeletons
Less fat
Less fluid
Increased surface area to body volume in an infant leads to increases in fluid and heat loss. - (correct
Answer) - Differences for children in emergency
