LATEST UPDATED NU 225 PEDIATRIC -
COMPLETE PEDIATRIC SIMULATION|
COMPLETE EXAM WITH CORRECT
ANSWERS AND RATIONALES. A+
GUARANTEED SUCCESS
Section 1: Simulation 1 - Eva Madison (Respiratory
Illness with Dehydration)
Pre-Simulation Preparation
1. Eva Madison is a 4-year-old female (weight 16 kg,
height 102 cm) who presents to the pediatric
emergency department with fever, cough,
rhinorrhea, and decreased oral intake for 2 days.
2. Eva's mother reports that Eva has had a fever up to
39.5 degrees Celsius (103.1 degrees Fahrenheit), has
been fussy and less active, and has had only a few
wet diapers in the past 24 hours.
,3. Eva has no significant past medical history.
Immunizations are up to date. No known drug
allergies.
4. Vital signs on admission: temperature 39.2
degrees Celsius, heart rate 140 beats per minute,
respiratory rate 32 breaths per minute, blood
pressure 98/60 mm Hg, oxygen saturation 94% on
room air.
5. Physical examination findings: clear rhinorrhea,
mild conjunctival injection, erythematous oropharynx
without exudates, clear breath sounds bilaterally, no
retractions or nasal flaring.
6. The student should calculate maintenance IV fluid
rate using the 4-2-1 rule: 4 mL per kg for first 10 kg
(40 mL) + 2 mL per kg for next 10 kg (2 x 6 = 12 mL) =
52 mL per hour.
7. The student should calculate fluid bolus for
dehydration: 20 mL per kg of 0.9% normal saline =
320 mL over 15-20 minutes.
, 8. The student should calculate acetaminophen dose:
15 mg per kg = 240 mg orally every 4-6 hours as
needed.
9. The student should calculate ibuprofen dose: 10
mg per kg = 160 mg orally every 6 hours as needed.
10. The student should anticipate diagnostic studies:
rapid influenza test, respiratory viral panel, urinalysis
and urine culture, basic metabolic panel.
Simulation Scenario Progression
11. Upon entering the room, the student finds Eva
sitting on her mother's lap, clinging to her mother,
appearing tired and fussy.
12. The student introduces themselves to Eva and her
mother, explains the purpose of the assessment, and
obtains consent.
13. The student performs a head-to-toe assessment,
noting the vital signs and physical findings listed
above.
COMPLETE PEDIATRIC SIMULATION|
COMPLETE EXAM WITH CORRECT
ANSWERS AND RATIONALES. A+
GUARANTEED SUCCESS
Section 1: Simulation 1 - Eva Madison (Respiratory
Illness with Dehydration)
Pre-Simulation Preparation
1. Eva Madison is a 4-year-old female (weight 16 kg,
height 102 cm) who presents to the pediatric
emergency department with fever, cough,
rhinorrhea, and decreased oral intake for 2 days.
2. Eva's mother reports that Eva has had a fever up to
39.5 degrees Celsius (103.1 degrees Fahrenheit), has
been fussy and less active, and has had only a few
wet diapers in the past 24 hours.
,3. Eva has no significant past medical history.
Immunizations are up to date. No known drug
allergies.
4. Vital signs on admission: temperature 39.2
degrees Celsius, heart rate 140 beats per minute,
respiratory rate 32 breaths per minute, blood
pressure 98/60 mm Hg, oxygen saturation 94% on
room air.
5. Physical examination findings: clear rhinorrhea,
mild conjunctival injection, erythematous oropharynx
without exudates, clear breath sounds bilaterally, no
retractions or nasal flaring.
6. The student should calculate maintenance IV fluid
rate using the 4-2-1 rule: 4 mL per kg for first 10 kg
(40 mL) + 2 mL per kg for next 10 kg (2 x 6 = 12 mL) =
52 mL per hour.
7. The student should calculate fluid bolus for
dehydration: 20 mL per kg of 0.9% normal saline =
320 mL over 15-20 minutes.
, 8. The student should calculate acetaminophen dose:
15 mg per kg = 240 mg orally every 4-6 hours as
needed.
9. The student should calculate ibuprofen dose: 10
mg per kg = 160 mg orally every 6 hours as needed.
10. The student should anticipate diagnostic studies:
rapid influenza test, respiratory viral panel, urinalysis
and urine culture, basic metabolic panel.
Simulation Scenario Progression
11. Upon entering the room, the student finds Eva
sitting on her mother's lap, clinging to her mother,
appearing tired and fussy.
12. The student introduces themselves to Eva and her
mother, explains the purpose of the assessment, and
obtains consent.
13. The student performs a head-to-toe assessment,
noting the vital signs and physical findings listed
above.
