VSim Charlie Snow Complex Pre/Post Sim All Questions
and Answers Complete
A nurse is teaching new parents about preventing the development of food allergies.
Which of the following foods should be avoided in patients younger than 1 year to
prevent the development of a food allergy?
Cow's Milk
The nurse is assessing a patient with an allergic reaction from a food allergen. Which
finding is most concerning?
Wheezing
A nurse is describing to a new nurse how epinephrine works. Which of the following
correctly describes the mechanism of action of epinephrine?
Increases systemic vascular resistance and heart rate.
The nurse is preparing a 6-year-old patient who is experiencing an allergic reaction for
an intramuscular epinephrine injection. Which of the following demonstrates that the
nurse understands developmentally appropriate communication?
I am going to give you some medicine. It may make you feel a little shaky. Your parent
can help hold your hand and your job is to hold your arm still.
The nurse is preparing to administer methylprednisolone to a 6-year-old patient with
anaphylaxis. The patient is allergic to peanuts with no other pertinent medical
conditions. Which of the following is the priority for the nurse to monitor with
administration?
Blood pressure.
A nurse is explaining to a coworker the relationship between anaphylaxis and
distributive shock. The nurse's explanation is based on the knowledge that distributive
shock is caused by which of the following?
Massive systemic vasodilation.
While completing a focused cardiovascular assessment on a 6-year-old patient admitted
with anaphylaxis, the nurse notes that the skin is cool, central and peripheral pulses are
weak, and capillary refill is prolonged. The patient is responsive and anxious, with a
heart rate of 140, respiratory rate of 32, blood pressure of 106/60, and oxygen
saturation of 91%. What is the most appropriate initial intervention to support perfusion?
Administer 20 mL/kg of intravenous (IV) fluid bolus.
The nurse has an order to administer normal saline 20 mL/kg bolus intravenously over
30 minutes. The patient weighs 46.2 pounds. How many mL should the nurse prepare
to administer?
420 (they rounded to 21 kg. 21*20=420)
What would be the highest priority and most appropriate nursing diagnosis for a patient
exhibiting signs of anaphylaxis?
Ineffective airway clearance related to laryngeal edema and bronchospasm.
A 6-year-old patient with anaphylaxis is receiving oxygen via nasal cannula at 2 L/min
with an order to titrate oxygen saturations of greater than 94%. Fifteen minutes later, the
nurse notes that the patient is sleepy, breathing with mouth open at a rate of 32 breaths
per minute, and has oxygen saturations of 89%. Which of the following would be the
best method of delivering oxygen delivery for the patient at this time?
and Answers Complete
A nurse is teaching new parents about preventing the development of food allergies.
Which of the following foods should be avoided in patients younger than 1 year to
prevent the development of a food allergy?
Cow's Milk
The nurse is assessing a patient with an allergic reaction from a food allergen. Which
finding is most concerning?
Wheezing
A nurse is describing to a new nurse how epinephrine works. Which of the following
correctly describes the mechanism of action of epinephrine?
Increases systemic vascular resistance and heart rate.
The nurse is preparing a 6-year-old patient who is experiencing an allergic reaction for
an intramuscular epinephrine injection. Which of the following demonstrates that the
nurse understands developmentally appropriate communication?
I am going to give you some medicine. It may make you feel a little shaky. Your parent
can help hold your hand and your job is to hold your arm still.
The nurse is preparing to administer methylprednisolone to a 6-year-old patient with
anaphylaxis. The patient is allergic to peanuts with no other pertinent medical
conditions. Which of the following is the priority for the nurse to monitor with
administration?
Blood pressure.
A nurse is explaining to a coworker the relationship between anaphylaxis and
distributive shock. The nurse's explanation is based on the knowledge that distributive
shock is caused by which of the following?
Massive systemic vasodilation.
While completing a focused cardiovascular assessment on a 6-year-old patient admitted
with anaphylaxis, the nurse notes that the skin is cool, central and peripheral pulses are
weak, and capillary refill is prolonged. The patient is responsive and anxious, with a
heart rate of 140, respiratory rate of 32, blood pressure of 106/60, and oxygen
saturation of 91%. What is the most appropriate initial intervention to support perfusion?
Administer 20 mL/kg of intravenous (IV) fluid bolus.
The nurse has an order to administer normal saline 20 mL/kg bolus intravenously over
30 minutes. The patient weighs 46.2 pounds. How many mL should the nurse prepare
to administer?
420 (they rounded to 21 kg. 21*20=420)
What would be the highest priority and most appropriate nursing diagnosis for a patient
exhibiting signs of anaphylaxis?
Ineffective airway clearance related to laryngeal edema and bronchospasm.
A 6-year-old patient with anaphylaxis is receiving oxygen via nasal cannula at 2 L/min
with an order to titrate oxygen saturations of greater than 94%. Fifteen minutes later, the
nurse notes that the patient is sleepy, breathing with mouth open at a rate of 32 breaths
per minute, and has oxygen saturations of 89%. Which of the following would be the
best method of delivering oxygen delivery for the patient at this time?
