A caregiver presents to the emergency department with an 18-month-old and reports the child is not
using their left arm after playing a game with an older sibling. The child is alert and curious, with
regular, even respirations, and skin color is appropriate. - CORRECT ANSWER-✔✔✅Sick
A 12-year-old restrained, back -seat passenger involved in a motor vehicle crash is noted to have
hypotension, tachycardia, and contusions and discoloration across the lap area. On exam a splenic
rupture is suspected. Which of the following diagnoses should be suspected as a companion injury
with these findings and associated mechanism of injury? - CORRECT ANSWER-✔✔✅Pneumothorax
4-year-old presents with vomiting, lethargy, frequent urination, weight loss, and dry mucous
membranes. Vital signs reveal deep respirations at 44 breaths per minute, BP of 70/44 mm Hg, and HR
of 144 beats per minute. Which of the following laboratory values would be most expected in this
child? - CORRECT ANSWER-✔✔✅Low pH level
You are discharging a patient home who has a history of depression. Discharge teaching should
include which of the following? - CORRECT ANSWER-✔✔✅Ensuring all firearms in the home are
locked in a safe place with no access by the patient
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? - CORRECT ANSWER-✔✔✅Preparing the patient for ultrasound
Which of the following is a first-line treatment for atopic dermatitis? - CORRECT ANSWER-✔✔✅Skin
Hydration therapy
page 202
A 2-year-old child is seen with acute respiratory distress after playing alone. Caregiver statements
indicate the child was found playing with irregular, ½ - ¾ inch sized pieces of a game. Which of the
, following assessment findings would most likely be expected for this situation? - CORRECT ANSWER-
✔✔✅Audible wheeing and retractions
page 118
The nurse is triaging an infant brought to the emergency department by their caregiver. Which finding
by the nurse leads the infant to be placed in isolation? - CORRECT ANSWER-✔✔✅Purpuric rash
A child was found unresponsive under the monkey bars during recess and arrives with the following
assessment: eyes open only with supraorbital pressure stimulus, no verbal response is elicited, and
withdraws arms and legs when a swab is inserted in the nose. Which of the following is the priority
intervention for this child? - CORRECT ANSWER-✔✔✅Prepare for immediate intubation
A 6-week-old is brought to the emergency department by the caregivers for poor feeding, listlessness,
and fever. Assessment reveals a crying infant, HR 160 beats/minute, RR 52 breaths/minute, rectal
temperature of 96.0 F (35.5 C), and a bulging anterior fontanel. Capillary refill is 4 seconds. Based on
these findings what is the most likely diagnostic test the nurse should anticipate? - CORRECT ANSWER-
✔✔✅Lumbar puncture
The neurosurgeon has decided to perform an invasive procedure in the emergency department to
monitor the intracranial pressure on a 5-year-old patient. The family does not speak the local
language. Which of the following interventions is most supportive of the family during the procedure?
- CORRECT ANSWER-✔✔✅Dedicating a healthcare team member witha qualified interpreter to be
with the family
The caregivers of a 6-year-old report the child developed a cough with nasal congestion and "pink-
eye" that started two days ago. Today they noticed a raised, red rash on the face, and grey papules in
the mouth. Which of the following is the priority intervention for this patient? - CORRECT ANSWER-
✔✔✅Place in airborne percautions
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? - CORRECT ANSWER-✔✔✅Necrotizing
enterocolitis
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