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AM6-year-
oldMpresentsMwithMaMhomemadeMsplintMonMtheMleftMarmMafterMfallingMoffMofMaMbicy
cle.MWhichMofMtheMfollowingMshouldMbeMtheMnurse'sMPRIORITY?M-
MAnswerMAssessMtheMneurovascularMstatus
AM12-year-oldMpresentsMwithMlow-
gradeMfeverMandMdiffuseMabdominalMpainMwhichMincreasesMwithMcoughing.MTheseMsymp
tomsMsuggestM-MAnswerMappendicitis
WhenMassessingManMinfantMwithMcoarctationMofMtheMaorta,MaMnurseMshouldMexpectMto
MfindM-MAnswerMabsentMorMdiminishedMfemoralMpulses
ContinuousMmonitoringMofMaMchild'sMETCO2MduringMcardiacMarrestMrevealsM8MmmHg.MT
hisMindicatesMthatMCPRMisM-
MAnswerMineffectiveMandMadjustmentsMneedMtoMbeMmadeMtoMcompressions
AbdominalMpainMcanMbeMaMcharacteristicMofMwhichMrespiratoryMdiagnosis?M-
MAnswerMpneumonia
WhichMofMtheMfollowingMisMtheMNEXTMstepMforMaMnewbornMwithMaMheartMrateMofM8
0Mbeats/minMafterMinitialMdryingMandMsuctioning?M-MAnswerMInitiateMventilations
FollowingMaMdiagnosisMofMhyphema,MdischargeMinstructionsMtoMtheMcareMgiverMshouldMi
ncludeM-MAnswerMre-bleedingMmayMoccur
WhichMofMtheMfollowingMisMtheMtreatmentMofMchoiceMforMaMlethargicMneonateMwithMn
arrowMcomplexMtachycardiaMandMaMheartMrateMofM230Mbeats/min?M-
MAnswerMcardioversion
AMchildMpresentsMwithMaMfever,MsoreMthroat,MandMgeneralMmalaiseMapproximatelyM48M
hoursMafterMaMcampingMtrip.MItMwouldMbeMaMPRIORITYMforMtheMnurseMtoM-
MAnswerMexamineMtheMchildMforMopenMwounds.
,WhichMofMtheMfollowingMisMaMcommonMsignMofMmeningococcalMmeningitis?M-
MAnswerMpetechiae
AMpatientMisMreceivingMintravenousMpotassiumMreplacement.MTheMnurseMsuspectsMhyperk
alemiaMbasedMonMwhichMtheMfollowing:M-MAnswerMpeakedMTMwaves
TheMnurseMshouldManticipateMnotifyingMtheMproperMauthoritiesMforMwhichMofMtheMfollo
wingMpatients?M-MAnswerM6-year-oldMwithMpositiveMgonorrhea
WhichMofMtheMfollowingMisMMOSTMindicativeMofMcompartmentMsyndrome?M-
MAnswerMpainMoutMofMproportionMtoMtheMseverityMofMtheMinjury
AM16-year-
oldMisMbroughtMtoMtheMEmergencyMDepartmentMbyMfriendsMfollowingMaMseizure.MThey
MreportMitMlastedMaboutMtwoMminutesMandMbrokeMupMtheMparty.MTheMpriorityMdiagno
sticMtestMis:M-MAnswerMaMurineMdrugMscreen.
9-month-oldMpresentsMtoMtheMEmergencyMDepartmentMwithMaMmid-
shaftMtibiaMfracture.MWhichMofMtheMfollowingMstatementsMfromMtheMparentMmightMindi
cateMhistoryMofMnon-accidentalMtraumaM(NAT).M-
MAnswerMPatientMwasMridingMaMtricycleMandMfellMoff
AM12-month-oldMpresentsMwithMaM2-
dayMhistoryMofMnauseaMandMvomiting.MVitalMsignsMinclude:
BPM80/60MmmMHgHRM56Mbeats/minRRM12Mbreaths/min
TheMchildMisMlimpMandMashen.MWhichMofMtheMfollowingMisMtheMPRIORITYMintervention?
M-MAnswerMmanualMventilations
AM6-year-
oldMpresentsMwithMaMsuddenMonsetMofMfever,Mchills,MandMmacularMrashMofMtheMpalms
,Mwrist,Mankles,MandMsolesMofMtheMfeet.MTheMchildMwasMrecentlyMonMaMcampingMtrip.
MTheMnurseMsuspectsM-MAnswerMRockyMMountainMSpottedMFever
AnM18-month-
oldMpatientMpresentsMtoMtheMEmergencyMDepartmentMwithMupperMrespiratoryMsymptoms
MandMwheezing.MChestMx-
rayMrevealsMaMradiopaqueMobjectMinMtheMleftMlowerMlobe.MTheMnurseMpreparesMtheMp
atientMforMa:M-MAnswerMRigidMbronchoscopy
, AM2-year-
oldMisMcryingMandMclingingMtoMtheMmotherMinMtriage.MWhichMofMtheMfollowingMpainM
scalesMisMMOSTMappropriateMforMtheMnurseMtoMuseMwhenMassessingMtheMchild?M-
MAnswerMFLACC
AM2-month-
oldMpresentsMwithMirritabilityMandMisMinconsolable.MWhichMfindingMwouldMleadMtheMem
ergencyMnurseMtoMsuspectMshakenMbabyMsyndrome?M-
MAnswerMBilateralMretinalMhemorrhages
AMchildMarrivesMbyMambulanceMfollowingMaMwitnessedMseizure.MAsMtheMnurseMisMprepa
ringMtoMstartMaMperipheralMIV,MtheMchildMbeginsMtoMhaveMgeneralizedMseizureMactivity.
MWhichMmedicationMcanMbeMgivenMintranasallyMtoMcontrolMtheMseizure?M-
MAnswerMmidazolamM(Versed)
AnMinfantMpresentsMtoMtheMemergencyMdepartmentMwithMfeedingMintoleranceMafterM3M
daysMofMcold-
likeMsymptoms.MUponMassessment,MtheMpatientMisMfoundMtoMhaveManMalteredMmental
Mstatus,MsunkenMfontanels,MandMdecreasedMmuscleMtone.MVitalMsignsMareMasMfollows:
BPM66/30MmmHgHRM198Mbeats/minRRM50Mbreaths/minTM(rectal)M97.3˚MFM(36.3˚MC)
TheMPRIORITYMinterventionMisMtoM-MAnswerMadministerMantibiotics.
AMnurseMisMcaringMforMaM3-year-
oldMthatMhasMaMdecreaseMinMhearingMandMpainMtoMrightMear.MUponMexam,MtheMnurs
eMnotesMimpactedMcerumen.MTheMnurseMshouldMquestionManMorderMforMirrigationMifMt
heMcaregiverMmentionsMaMhistoryMofM-MAnswerMtympanicMmembraneMrupture.
AM16-year-
oldMpresentsMafterMrunningMaMcrossMcountryMmatch.MTheMpatientMisMextremelyMfatigue
dMwithMmuscleMpainMandMreportsMnauseaMandMdarkMurine.MTheMnurseMshouldMexpect
MaMdiagnosisMofM-MAnswerMrhabdomyolysis
WhatMisMtheMPRIORITYMinterventionMforMaM4-year-
oldMchildMwhoMhasMaMfever,MmuffledMvoiceMandMpallor?M-
MAnswerMKeepMtheMpatientMcalm