A 6-year-old presents with a homemade splint on the left arm after falling off of a bicycle. Which of the following should be the nurse's PRIORITY? correct answersAssess the neurovascular status
A 12-year-old presents with low-grade fever and diffuse abdominal pain which increases with coughing....
A 6-year-old presents with a homemade splint on the left arm after falling off of a bicycle. Which of the
following should be the nurse's PRIORITY? correct answersAssess the neurovascular status
A 12-year-old presents with low-grade fever and diffuse abdominal pain which increases with coughing.
These symptoms suggest correct answersappendicitis
When assessing an infant with coarctation of the aorta, a nurse should expect to find correct
answersabsent or diminished femoral pulses
Continuous monitoring of a child's ETCO2 during cardiac arrest reveals 8 mmHg. This indicates that CPR
is correct answersineffective and adjustments need to be made to compressions
Abdominal pain can be a characteristic of which respiratory diagnosis? correct answerspneumonia
Which of the following is the NEXT step for a newborn with a heart rate of 80 beats/min after initial
drying and suctioning? correct answersInitiate ventilations
Following a diagnosis of hyphema, discharge instructions to the care giver should include correct
answersre-bleeding may occur
Which of the following is the treatment of choice for a lethargic neonate with narrow complex
tachycardia and a heart rate of 230 beats/min? correct answerscardioversion
A child presents with a fever, sore throat, and general malaise approximately 48 hours after a camping
trip. It would be a PRIORITY for the nurse to correct answersexamine the child for open wounds.
Which of the following is a common sign of meningococcal meningitis? correct answerspetechiae
,A patient is receiving intravenous potassium replacement. The nurse suspects hyperkalemia based on
which the following: correct answerspeaked T waves
The nurse should anticipate notifying the proper authorities for which of the following patients? correct
answers6-year-old with positive gonorrhea
Which of the following is MOST indicative of compartment syndrome? correct answerspain out of
proportion to the severity of the injury
A 16-year-old is brought to the Emergency Department by friends following a seizure. They report it
lasted about two minutes and broke up the party. The priority diagnostic test is: correct answersa urine
drug screen.
9-month-old presents to the Emergency Department with a mid-shaft tibia fracture. Which of the
following statements from the parent might indicate history of non-accidental trauma (NAT). correct
answersPatient was riding a tricycle and fell off
A 12-month-old presents with a 2-day history of nausea and vomiting. Vital signs include:
BP 80/60 mm HgHR 56 beats/minRR 12 breaths/min
The child is limp and ashen. Which of the following is the PRIORITY intervention? correct answersmanual
ventilations
A 6-year-old presents with a sudden onset of fever, chills, and macular rash of the palms, wrist, ankles,
and soles of the feet. The child was recently on a camping trip. The nurse suspects correct answersRocky
Mountain Spotted Fever
An 18-month-old patient presents to the Emergency Department with upper respiratory symptoms and
wheezing. Chest x-ray reveals a radiopaque object in the left lower lobe. The nurse prepares the patient
for a: correct answersRigid bronchoscopy
A 2-year-old is crying and clinging to the mother in triage. Which of the following pain scales is MOST
appropriate for the nurse to use when assessing the child? correct answersFLACC
, A 2-month-old presents with irritability and is inconsolable. Which finding would lead the emergency
nurse to suspect shaken baby syndrome? correct answersBilateral retinal hemorrhages
A child arrives by ambulance following a witnessed seizure. As the nurse is preparing to start a peripheral
IV, the child begins to have generalized seizure activity. Which medication can be given intranasally to
control the seizure? correct answersmidazolam (Versed)
An infant presents to the emergency department with feeding intolerance after 3 days of cold-like
symptoms. Upon assessment, the patient is found to have an altered mental status, sunken fontanels,
and decreased muscle tone. Vital signs are as follows:
BP 66/30 mmHgHR 198 beats/minRR 50 breaths/minT (rectal) 97.3˚ F (36.3˚ C)
The PRIORITY intervention is to correct answersadminister antibiotics.
A nurse is caring for a 3-year-old that has a decrease in hearing and pain to right ear. Upon exam, the
nurse notes impacted cerumen. The nurse should question an order for irrigation if the caregiver
mentions a history of correct answerstympanic membrane rupture.
A 16-year-old presents after running a cross country match. The patient is extremely fatigued with
muscle pain and reports nausea and dark urine. The nurse should expect a diagnosis of correct
answersrhabdomyolysis
What is the PRIORITY intervention for a 4-year-old child who has a fever, muffled voice and pallor?
correct answersKeep the patient calm
A preschool child presents for possible sexual abuse. The MOST appropriate guideline when obtaining a
history is to correct answersdetermine what terms the child uses for the genital and anal areas
A 9-year-old presents with a leg that is red and swollen around what appear to be two fang marks.
Capillary refill in the toes is within normal limits and a pedal pulse can be palpated. The patient's vital
signs include:
BP 90/60 mmHgHR 100 beats/minRR 24 breaths/min
Which of the following is the PRIORITY intervention? correct answersMonitor for hypotension or shock
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