A 3 year-old patient presents following frequent emesis and diarrhea
over the past 12 hours. Which of the following assessment findings
indicate that the patient' body is compensating for the fluid loss? -
ANSWER -A.Increased diastolic blood pressure
B.Bounding peripheral pulses
C.Prolonged capillary refill
D.Increased urine output
You are discharging a patient home who has a history of depression.
Discharge teaching should include which of the following? - ANSWER
-A.Discussing the importance of stopping all current psychiatric
medications.
B.Providing the family a list of behavioral health facilities to call for
follow-up.
C.Explaining that the family should not call authorities for escalations
in the patient's behavior.
D.Ensuring all firearms in the home are locked up with no access
available by the patient.
A child with an electrical injury is seen 1 hour post event. Which of
the following specimen samples would provide visual information
regarding a potential complication of this injury? - ANSWER -A.Serum
B.Urine
,C.Stool
D.Sputum
A 4-year-old patient is being assessed for a foreign body in the nose.
The child is awake and alert and watching a video on the caregivers
phone. Vitals include HR of 110 beats/minute, RR of 26 breaths per
minute, BP of 138/90 mm Hg, and T of 37.3oC (99.3oF) orally. Which of
the following interventions should the nurse perform next? - ANSWER
-A.Check the size of the blood pressure cuff
B.Recheck the temperature rectally
C.Recheck the blood pressure on the other arm
D.Place the patient on cardiac and respiratory monitors
A 10-year-old playing baseball is hit in the chest with a ball. He
immediately demonstrates loss of consciousness with no pulses.
Which of the following is the priority intervention? - ANSWER -
A.Utilize AED/defibrillator
B.Prepare for needle decompression
C.Administer intravenous epinephrine
D.Intubate with endotracheal tube
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? -
ANSWER -A.Obtaining a sterile urine sample
,B.Initiating intravenous access
C.Preparing the patient for ultrasound
D.Scanning the patient's bladder
A caregiver reports their one-month-old has had a yellowish color to
their eyes and skin over the last two weeks. If left untreated, which
body system can this affect? - ANSWER -A.Integumentary
B.Renal
C.Gastrointestinal
D.Neurological
An infant presents to the emergency department with difficulty
breathing. The patient is pale and respirations appear rapid and
shallow. Which location on the torso is the most effective site for
assessing bilateral breath sounds? - ANSWER -A.Bilateral posterior
back
B.Over the epigastrium
C.Bilateral midaxillary
D.Bilateral anterior chest
A 5-year-old presents with sudden onset nausea, vomiting, abdominal
cramping, hives, and hypotension after eating lunch. Which of the
following is the priority intervention? - ANSWER -A.Intramuscular
epinephrine B.Inhaled albuterol
C.Oral diphenhydramine
D.Intravenous ondansetron
, A 3-year-old is assessed for the presence of increasing amounts of
serosanguineous drainage from his left nares over the past 6 hours.
Which of the following foreign bodies is the most likely etiology? -
ANSWER -A.Magnet
B.Button battery
C.Dried bean
D.Fishing weight
Caregivers state an 18-month-old child had a harsh, barky cough,
lowgrade fever, and irritability throughout the night. On assessment
this morning, the child appears alert, is interactive, their present
cough is quiet, and their temperature is 98.8°F (37.1°C) axillary. Which
of the following diagnoses is the highest probablity for this child? -
ANSWER -A.Asthma
B.Croup
C.Epiglottitis
D.Pneumonia
A 12-year-old female patient arrives awake and alert with an acute
onset of abdominal pain on the right side, nausea, vomiting, and
vaginal spotting. On palpation, the pain is localized to the right side
and there is tenderness to the breasts. Which of the following
laboratory tests is the priority for this patient? - ANSWER -A.Human
chorionic gonadotropin B.Complete blood count
C.Vaginal cultures
D.Bedside glucose level
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