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A 5-year-old child presents with hives, swelling of the lips and face, and
stridor that developed about an hour after eating lunch. The child has no
known allergies. Which of the following is the priority intervention?
A. Administer intramuscular epinephrine
B. Auscultate bilateral breath sounds
C. Insert an intravenous catheter
D. Administer inhaled albuterol - Answer - A. Administer intramuscular
epinephrine
An adolescent is awaiting ICU admission for pneumonia. During
reassessment, which of the following findings would be most indicative that
respiratory failure is developing?
A. SpO2 of 94 % on room air
B. Widened pulse pressure
C. Extreme lethargy
D. Flash capillary refill - Answer - A. SpO2 of 94 % on room air
A 3-year-old has a two-day history of runny nose, low-grade fever, and a
"barky" cough at night. The child is awake and alert with noted stridor. Pulse
oximetry is 96% on room air. Which of the following interventions would be
the most appropriated for this child?
A. Delivery of humidified oxygen by nasal cannula
B. Administration of nebulized epinephrine
C. Suctioning secretions from the oropharynx
D. Administration of albuterol with a spacer - Answer - B. Administration of
nebulized epinephrine
A pregnant 18-year-old woman arrives at the emergency department about
ready to deliver a full-term infant. She states that she noticed a large
amount of dark green fluid the last time she went to the bathroom. During
the delivery, the nurse should prepare to:
A. Dry and arm the infant as soon as is it delivered.
, B. Stimulate and ventilate the infant immediately after delivery.
C. Suction the mouth and nose of the infant while on the perineum.
D. Administer blow-by oxygen and rub the back immediately after delivery. -
Answer - C. Suction the mouth and nose of the infant while on the perineum.
A 14-year-old patient had a reduction of a temporomandibular joint
dislocation in the ED. Which of the following should be included in the
discharge instructions?
A. Practice yawning three to four times a day
B. Resume eating a regular diet later today
C. Apply hot packs to the joint area for pain control
D. Use a nonsteroidal anti-inflammatory for pain control - Answer - D. Use a
nonsteroidal anti-inflammatory for pain control
A 9-month-old infant is crying loudly through the nursing assessment, and
the caregiver is becoming distraught. The nurse should ask the caregiver to:
A. Read a story to the infant.
B. Offer the infant a pacifier.
C. Return when the infant is consoled.
D. Ignore the infant's behavior. - Answer - B. Offer the infant a pacifier.
Which of the following parameters would indicate that appropriate post
resuscitation interventions were successfully carried out in the pediatric
patient?
A. Pulse oximetry reading of 96%
B. Temperature of 99.8°F (37.6°C)
C. Capillary refill of < 1 second
D. Capnography reading of 60 mm Hg - Answer - A. Pulse oximetry reading of
96%
An unresponsive 2-year-old child was found by his mother with a bottle
labeled "Elavil 50 mg" by his side. Which piece of information is important to
obtain from his mother?
A. The size of the medication bottle.
B. The expiration date of the medication.
C. The number of pills left in the bottle.
D. The person for whom the medication was prescribe. - Answer - C. The
number of pills left in the bottle.
A 6- week-old infant is pale, has marked substernal retractions, expiratory
grunting, and poor muscle tone. The emergency nurse should first:
A. Obtain intravenous access.
B. Apply a pulse oximeter.
C. Prepare a chest x-ray.