PICU AND SURGICAL ORTHOPEDIC NURSING: CRITICAL ASSESSMENT
AND INTERVENTIONS QUESTIONS WITH ACCURATE ANSWERS
How is pain assessed in a nonverbal child using the FLACC scale? correct answer
FLACC scoring: 0-3 mild, 4-6 moderate, 7-10 severe; assess face, legs, activity, cry,
and consolability.
How should a nurse respond to a sudden increase in heart rate? correct answer
Assess for underlying causes such as pain or anxiety and notify the healthcare
team.
How should you respond to a parent who becomes upset and anxious at the
bedside? correct answer Acknowledge the parent's concerns, listen actively,
reassure them, explain the patient's situation clearly, and involve the provider for
additional updates if necessary.
What actions should be taken for a child in respiratory distress? correct answer
Assess vitals and lung sounds, provide O₂, notify provider, and monitor
continuously.
What actions should be taken for a nonverbal child with a FLACC score of 8?
correct answer Notify provider, provide comfort measures, and document the
assessment.
What actions should be taken for a post-op patient with a BP of 78/50 mmHg?
correct answer Assess for bleeding, notify provider, ensure IV patency, and
administer fluids as ordered.
What are the immediate actions for a child in the PICU who suddenly becomes
tachycardic and restless? correct answer Quickly assess the patient, check vital
, signs, evaluate oxygen saturation, ensure adequate oxygen delivery, and notify
the provider if the condition appears unstable.
What are the key signs of respiratory distress in a child? correct answer
Tachypnea, use of accessory muscles, SpO₂ at 90%.
What are the signs of a possible complication in a post-op orthopedic patient?
correct answer Signs include severe pain, swelling, redness, warmth, and changes
in circulation or sensation; these may indicate issues like compartment syndrome
or deep vein thrombosis.
What assessment is necessary for a post-op patient reporting severe pain despite
medication? correct answer Assess pain level, surgical site, vital signs, check for
swelling, circulation, sensation, movement, and signs of complications like
compartment syndrome; notify the provider if pain worsens.
What could a sudden increase in heart rate indicate in a post-op child? correct
answer Pain, hypoxia, fever, or anxiety.
What could sudden hypotension indicate in a post-op patient? correct answer
Possible bleeding or dehydration.
What does the STAR method stand for? correct answer Situation, Task, Action,
Result; used to structure responses in interviews.
What does the STAR tip emphasize in respiratory distress situations? correct
answer Highlight assessment, quick action, team communication, and stabilization
results.
AND INTERVENTIONS QUESTIONS WITH ACCURATE ANSWERS
How is pain assessed in a nonverbal child using the FLACC scale? correct answer
FLACC scoring: 0-3 mild, 4-6 moderate, 7-10 severe; assess face, legs, activity, cry,
and consolability.
How should a nurse respond to a sudden increase in heart rate? correct answer
Assess for underlying causes such as pain or anxiety and notify the healthcare
team.
How should you respond to a parent who becomes upset and anxious at the
bedside? correct answer Acknowledge the parent's concerns, listen actively,
reassure them, explain the patient's situation clearly, and involve the provider for
additional updates if necessary.
What actions should be taken for a child in respiratory distress? correct answer
Assess vitals and lung sounds, provide O₂, notify provider, and monitor
continuously.
What actions should be taken for a nonverbal child with a FLACC score of 8?
correct answer Notify provider, provide comfort measures, and document the
assessment.
What actions should be taken for a post-op patient with a BP of 78/50 mmHg?
correct answer Assess for bleeding, notify provider, ensure IV patency, and
administer fluids as ordered.
What are the immediate actions for a child in the PICU who suddenly becomes
tachycardic and restless? correct answer Quickly assess the patient, check vital
, signs, evaluate oxygen saturation, ensure adequate oxygen delivery, and notify
the provider if the condition appears unstable.
What are the key signs of respiratory distress in a child? correct answer
Tachypnea, use of accessory muscles, SpO₂ at 90%.
What are the signs of a possible complication in a post-op orthopedic patient?
correct answer Signs include severe pain, swelling, redness, warmth, and changes
in circulation or sensation; these may indicate issues like compartment syndrome
or deep vein thrombosis.
What assessment is necessary for a post-op patient reporting severe pain despite
medication? correct answer Assess pain level, surgical site, vital signs, check for
swelling, circulation, sensation, movement, and signs of complications like
compartment syndrome; notify the provider if pain worsens.
What could a sudden increase in heart rate indicate in a post-op child? correct
answer Pain, hypoxia, fever, or anxiety.
What could sudden hypotension indicate in a post-op patient? correct answer
Possible bleeding or dehydration.
What does the STAR method stand for? correct answer Situation, Task, Action,
Result; used to structure responses in interviews.
What does the STAR tip emphasize in respiratory distress situations? correct
answer Highlight assessment, quick action, team communication, and stabilization
results.
