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A 4-day-old who is brought to the emergency department with
the parental complaint of "not acting right" is found to be
hypoglycemic. The appropriate glucose concentration to
administer to this neonate is which of the following? -
ANSWER -D10
D10 is the preferred concentration for neonates to
protect their fragile
vasculature.
A 16-year-old is noted to have external rotation and shortening
of the left lower extremity and pain with palpation of the pelvis
after being ejected from a motorcycle. Which of the following
assessment findings is most concerning for a potentially life-
threatening condition? - ANSWER -Bony crepitus and
instability with gentle anteroposterior compression
Bony crepitus and instability to palpation of the pelvis are
common findings in patients with unstable pelvic fractures.
,Unstable pelvic fractures may be associated with injury to
major blood vessels and contribute to hypovolemic shock.
The neurosurgeon has decided to perform an invasive
procedure in the emergency department to monitor the
intracranial pressure on a 5-year-old patient. The family does
not speak English and has identified their religion as Muslim.
Which of the following interventions is most supportive of the
family? - ANSWER -Dedicate a healthcare team member with a
qualified interpreter to be with the family during the procedure.
Providing the option for family presence with an assigned
team member to
facilitate communication is most supportive of the family
in this situation.
A 6 year-old child presents to the emergency department with
caregivers who report a cough with nasal congestion and pink-
eye that started 2 days ago. They have been treating with an
over-the-counter medicine without relief. Today they noticed a
raised red rash on the face and papules in the mouth. You
suspect which of the following? - ANSWER -Rubeola On
presentation the child starts with cough, nasal inflammation
(coryza) and a non-purulent conjunctivitis.
After 2-4 days a rash begins as erythematous macules and
papules on the face
that spreads to the torso and
extremities.
, A fertilizer silo exploded during a school tour of a working
farm. The children are able to manage their own secretions but
are all incontinent and salivating with excess tearing. Which of
the following is the priority intervention? - ANSWER removal of
clothing and decontamination
Decontamination of nerve agents requires removal of clothing
and flushing the
skin with copious amounts of soap
and water
The emergency nurse is caring for a patient with significant
facial trauma and a
suspected globe rupture. Which of the following medication
orders would the
nurse question? - ANSWER -
Succinylcholine
Succinylcholine may increase intraocular pressure and should
be avoided.
A toddler has a chemical eye injury. Which of the following is
the priority intervention? - ANSWER -Copious eye irrigation
with an isotonic solution
Normal saline or Ringer's lactate solution are both
acceptable for irrigation.