NUR 651 Primary Care and Health Promotion of Children
|| || || || || || || || ||
and Adolescent Clients Pediatrics Final Exam, MCQ with
|| || || || || || || ||
answers
Which of the following best describes the general initial approach to an unconscious
|| || || || || || || || || || || || ||
patient in the emergency department?|| || || ||
Apply the ABCDE (Airway, Breathing, Circulation, Disability, Exposure) assessment
|| || || || || || || ||
|| || ||
What is the primary concern when a toddler presents to the emergency department
|| || || || || || || || || || || || ||
with a high fever and lethargy?
|| || || || ||
Bacterial meningitis ||
|| || ||
When following the ABCs for treating a critically ill patient, which is the correct order
|| || || || || || || || || || || || || || ||
of action? ||
Assess airway first, then breathing, then circulation
|| || || || || ||
|| || ||
When a patient presents with respiratory distress, what is the most important initial
|| || || || || || || || || || || || ||
intervention?
Provide supplemental oxygen || ||
|| || ||
,For a patient with severe trauma and multiple suspected internal injuries, which
|| || || || || || || || || || || ||
diagnostic test is routinely used quickly at bedside? || || || || || || ||
Focused Assessment with Sonography in Trauma (FAST)
|| || || || || ||
|| || ||
A patient presents with confusion, muscle weakness, and cardiac arrhythmias. Which
|| || || || || || || || || || ||
electrolyte disturbance should be suspected? || || || ||
Hyperkalemia
|| || ||
Which of the following is the most appropriate first step for a patient with suspected
|| || || || || || || || || || || || || || ||
heat stroke? ||
Rapid cooling with ice packs|| || || ||
|| || ||
A patient presents with sudden, painless loss of vision in one eye. What is the most
|| || || || || || || || || || || || || || || ||
likely diagnosis? ||
Retinal detachment ||
|| || ||
A patient presents with severe abdominal pain, vomiting, and rigid abdomen. What is
|| || || || || || || || || || || || ||
the most likely emergency condition?
|| || || ||
Bowel perforation ||
|| || ||
,A patient presents with fever, hypotension, and confusion. What is the most likely
|| || || || || || || || || || || || ||
diagnosis?
Sepsis
|| || ||
What is the most important first step in managing an open fracture in the emergency
|| || || || || || || || || || || || || || ||
setting?
Cover wound with sterile dressing and start antibiotics
|| || || || || || ||
|| || ||
When establishing intravenous (IV) access is difficult in shock, what is considered an
|| || || || || || || || || || || || ||
appropriate emergency alternative? || ||
Intraosseous vascular access || ||
|| || ||
What is the primary purpose of applying direct pressure to a bleeding wound in the
|| || || || || || || || || || || || || || ||
field?
To stop the flow of blood by compressing the vessels
|| || || || || || || || ||
|| || ||
Which of the following actions is most appropriate when managing a patient with
|| || || || || || || || || || || || ||
acute suicidal ideation in the emergency department?
|| || || || || ||
Immediate psychiatric evaluation and safety precautions
|| || || || ||
, || || ||
A patient is brought in after ingesting an unknown substance and is unresponsive.
|| || || || || || || || || || || || ||
What is the most important initial intervention?
|| || || || || ||
Secure airway and provide supportive care
|| || || || ||
|| || ||
A female patient is found to have high fasting blood glucose and an elevated HbA1c.
|| || || || || || || || || || || || || || ||
What lifestyle intervention is essential in the initial management of her diabetes?
|| || || || || || || || || || ||
Weight loss through improved diet and exercise
|| || || || || ||
|| || ||
In a patient presenting with multiple nonspecific symptoms, such as fatigue and
|| || || || || || || || || || || ||
headache, which initial step best demonstrates systematic clinical reasoning?
|| || || || || || || ||
Taking a thorough medical history
|| || || ||
|| || ||
A patient presents with an itchy, red, scaly rash on the flexor surfaces of the arms.
|| || || || || || || || || || || || || || || ||
Which of the following is the most likely diagnosis?
|| || || || || || || ||
Atopic dermatitis (eczema) || ||
|| || ||
A young adult presents with fatigue and pallor. Laboratory evaluation reveals
|| || || || || || || || || || ||
microcytic, hypochromic anemia. What is the most likely cause?
|| || || || || || || ||
|| || || || || || || || ||
and Adolescent Clients Pediatrics Final Exam, MCQ with
|| || || || || || || ||
answers
Which of the following best describes the general initial approach to an unconscious
|| || || || || || || || || || || || ||
patient in the emergency department?|| || || ||
Apply the ABCDE (Airway, Breathing, Circulation, Disability, Exposure) assessment
|| || || || || || || ||
|| || ||
What is the primary concern when a toddler presents to the emergency department
|| || || || || || || || || || || || ||
with a high fever and lethargy?
|| || || || ||
Bacterial meningitis ||
|| || ||
When following the ABCs for treating a critically ill patient, which is the correct order
|| || || || || || || || || || || || || || ||
of action? ||
Assess airway first, then breathing, then circulation
|| || || || || ||
|| || ||
When a patient presents with respiratory distress, what is the most important initial
|| || || || || || || || || || || || ||
intervention?
Provide supplemental oxygen || ||
|| || ||
,For a patient with severe trauma and multiple suspected internal injuries, which
|| || || || || || || || || || || ||
diagnostic test is routinely used quickly at bedside? || || || || || || ||
Focused Assessment with Sonography in Trauma (FAST)
|| || || || || ||
|| || ||
A patient presents with confusion, muscle weakness, and cardiac arrhythmias. Which
|| || || || || || || || || || ||
electrolyte disturbance should be suspected? || || || ||
Hyperkalemia
|| || ||
Which of the following is the most appropriate first step for a patient with suspected
|| || || || || || || || || || || || || || ||
heat stroke? ||
Rapid cooling with ice packs|| || || ||
|| || ||
A patient presents with sudden, painless loss of vision in one eye. What is the most
|| || || || || || || || || || || || || || || ||
likely diagnosis? ||
Retinal detachment ||
|| || ||
A patient presents with severe abdominal pain, vomiting, and rigid abdomen. What is
|| || || || || || || || || || || || ||
the most likely emergency condition?
|| || || ||
Bowel perforation ||
|| || ||
,A patient presents with fever, hypotension, and confusion. What is the most likely
|| || || || || || || || || || || || ||
diagnosis?
Sepsis
|| || ||
What is the most important first step in managing an open fracture in the emergency
|| || || || || || || || || || || || || || ||
setting?
Cover wound with sterile dressing and start antibiotics
|| || || || || || ||
|| || ||
When establishing intravenous (IV) access is difficult in shock, what is considered an
|| || || || || || || || || || || || ||
appropriate emergency alternative? || ||
Intraosseous vascular access || ||
|| || ||
What is the primary purpose of applying direct pressure to a bleeding wound in the
|| || || || || || || || || || || || || || ||
field?
To stop the flow of blood by compressing the vessels
|| || || || || || || || ||
|| || ||
Which of the following actions is most appropriate when managing a patient with
|| || || || || || || || || || || || ||
acute suicidal ideation in the emergency department?
|| || || || || ||
Immediate psychiatric evaluation and safety precautions
|| || || || ||
, || || ||
A patient is brought in after ingesting an unknown substance and is unresponsive.
|| || || || || || || || || || || || ||
What is the most important initial intervention?
|| || || || || ||
Secure airway and provide supportive care
|| || || || ||
|| || ||
A female patient is found to have high fasting blood glucose and an elevated HbA1c.
|| || || || || || || || || || || || || || ||
What lifestyle intervention is essential in the initial management of her diabetes?
|| || || || || || || || || || ||
Weight loss through improved diet and exercise
|| || || || || ||
|| || ||
In a patient presenting with multiple nonspecific symptoms, such as fatigue and
|| || || || || || || || || || || ||
headache, which initial step best demonstrates systematic clinical reasoning?
|| || || || || || || ||
Taking a thorough medical history
|| || || ||
|| || ||
A patient presents with an itchy, red, scaly rash on the flexor surfaces of the arms.
|| || || || || || || || || || || || || || || ||
Which of the following is the most likely diagnosis?
|| || || || || || || ||
Atopic dermatitis (eczema) || ||
|| || ||
A young adult presents with fatigue and pallor. Laboratory evaluation reveals
|| || || || || || || || || || ||
microcytic, hypochromic anemia. What is the most likely cause?
|| || || || || || || ||
