A 3 year-old patient presents following frequent emesis and diarrhea over the past 12 hours. Which of the
c c c c c c c c c c c c c c c c c c
following assessment findings indicate that the patient' body is compensating for the fluid loss? - correct
c c c c c c c c c c c c c c c c
answer A.Increased diastolic blood pressure
c c c c
B.Bounding peripheral pulses c c
C.Prolonged capillary refill c c
D.Increased urine output c c
You are discharging a patient home who has a history of depression. Discharge teaching should include which
c c c c c c c c c c c c c c c c c
of the following? - correct answer A.Discussing the importance of stopping all current psychiatric medications.
c c c c c c c c c c c c c c
B.Providing the family a list of behavioral health facilities to call for follow-up.
c c c c c c c c c c c c
C.Explaining that the family should not call authorities for escalations in the patient's behavior.
c c c c c c c c c c c c c
D.Ensuring all firearms in the home are locked up with no access available by the patient.
c c c c c c c c c c c c c c c
A child with an electrical injury is seen 1 hour post event. Which of the following specimen samples would
c c c c c c c c c c c c c c c c c c c
provide visual information regarding a potential complication of this injury? - correct answer A.Serum
c c c c c c c c c c c c c
,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
c c c c c c c c c c c c c c c c c c c c c c
video on the caregivers phone. Vitals include HR of 110 beats/minute, RR of 26 breaths per minute, BP of
c c c c c c c c c c c c c c c c c c c
138/90 mm Hg, and T of 37.3oC (99.3oF) orally. Which of the following interventions should the nurse perform
c c c c c c c c c c c c c c c c c c
next? - correct answer A.Check the size of the blood pressure cuff
c c c c c c c c c c c
B.Recheck the temperature rectally c c c
C.Recheck the blood pressure on the other armc c c c c c c
D.Place the patient on cardiac and respiratory monitors
c c c c c c c
A 10-year-old playing baseball is hit in the chest with a ball. He immediately demonstrates loss of
c c c c c c c c c c c c c c c c c
consciousness with no pulses. Which of the following is the priority intervention? - correct answer A.Utilize
c c c c c c c c c c c c c c c c
AED/defibrillator
B.Prepare for needle decompression c c c
C.Administer intravenous epinephrine c c
D.Intubate with endotracheal tube c c c
The triage nurse is assessing a 14 year old male who was brought in by ambulance. The patient reports he was
c c c c c c c c c c c c c c c c c c c c c
playing his video games at home when he had a sudden onset of groin pain that was so severe he became
c c c c c c c c c c c c c c c c c c c c c
nauseated and vomited. Further assessment reveals a swollen scrotum. What is the priority intervention for
c c c c c c c c c c c c c c c
this patient? - correct answer A.Obtaining a sterile urine sample
c c c c c c c c c
B.Initiating intravenous access c c
C.Preparing the patient for ultrasound c c c c
D.Scanning the patient's bladder c c c
A caregiver reports their one-month-old has had a yellowish color to their eyes and skin over the last two
c c c c c c c c c c c c c c c c c c c
weeks. If left untreated, which body system can this affect? - correct answer A.Integumentary
c c c c c c c c c c c c c
B.Renal
C.Gastrointestinal
D.Neurological
, An infant presents to the emergency department with difficulty breathing. The patient is pale and respirations
c c c c c c c c c c c c c c c c
appear rapid and shallow. Which location on the torso is the most effective site for assessing bilateral breath
c c c c c c c c c c c c c c c c c c
sounds? - correct answer A.Bilateral posterior back c c c c c c
B.Over the epigastrium c c
C.Bilateral midaxillary c
D.Bilateral anterior chest c c
A 5-year-old presents with sudden onset nausea, vomiting, abdominal cramping, hives, and hypotension after
c c c c c c c c c c c c c c
eating lunch. Which of the following is the priority intervention? - correct answer A.Intramuscular
c c c c c c c c c c c c c c
epinephrine
B.Inhaled albuterol c
C.Oral diphenhydramine c
D.Intravenous ondansetron c
A 3-year-old is assessed for the presence of increasing amounts of serosanguineous drainage from his left
c c c c c c c c c c c c c c c c
nares over the past 6 hours. Which of the following foreign bodies is the most likely etiology? - correct answer
c c c c c c c c c c c c c c c c c c c c
A.Magnet
B.Button battery c
C.Dried bean c
D.Fishing weight c
Caregivers state an 18-month-old child had a harsh, barky cough, low-grade fever, and irritability throughout
c c c c c c c c c c c c c c c
the night. On assessment this morning, the child appears alert, is interactive, their present cough is quiet, and
c c c c c c c c c c c c c c c c c c
their temperature is 98.8°F (37.1°C) axillary. Which of the following diagnoses is the highest probablity for this
c c c c c c c c c c c c c c c c c
child? - correct answer A.Asthma
c c c c
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,
c c c c c c c c c c c c c c c c c c c
nausea, vomiting, and vaginal spotting. On palpation, the pain is localized to the right side and there is
c c c c c c c c c c c c c c c c c c
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