SWIFT RIVER
SWIFT RIVER PEDIATRICS EXAM VERSION 3 (NEW
2025/ 2026 UPDATE) QUESTIONS & ANSWERS|
GRADE A| 100% CORRECT (VERIFIED SOLUTIONS)
1. Michael Houston: Initial Assessment: Physiological: Gas
Exchange
Physiological: Fluid and Electrolyte
Physiological: Comfort
Physiological: Nutrition
Health Promotion: Client Education
Psychosocial: Stress and Coping
2. Bridgette Allen: Initial Assessment: Physiological: gas exchange
Physiological: Perfusion
Physiological: Fluid and Electrolyte
Physiological: Nutrition
3. Jack Hammond: Scenario: Physiological: Gas Exchange
Physiological: Fluid and Electrolyte
Physiological: Comfort
Physiological: Nutrition
Health Promotion: Client Education Psychosocial: Stress and Coping
4. 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
5. 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
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6. Jack Hammond: Robitussin Children's cough syrup every 6 hrs
PRN cough
7. Jack Hammond: Medicate Jack for pain
Obtain a prescription for a portable chest xray
Increase the oxygen flow rate to 3 liters/min
8. 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
9. 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)
10. 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
11. 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)
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