N165 | Sherpath Week 1 Questions With Complete Solutions
A 10-year-old, tearful patient presents to the emergency
department with a burn on the left foot. The nurse notes a partial
thickness burn and erythema. After vitals are assessed and the
child is provided with comfort measures, which are the next
appropriate actions to take? Select all that apply.
a) Monitor the surface of the injury
b) Assess range of motion in all extremities
c) Obtain information on past hospitalizations
d) Carefully monitor the patient's temperature
e) Pain management primarily through nonpharmacologic
measures Correct Answers a) Monitor the surface of the injury
b) Assess range of motion in all extremities
c) Obtain information on past hospitalizations
d) Carefully monitor the patient's temperature
A 12-month-old infant is brought into the emergency department
with difficulty breathing. Which action would the nurse perform
first?
a) Take the infant's temperature immediately
b) Observe the infant for respiratory rate and effort
c) Obtain a pulse oximetry measurement on the infant
d) Undress the infant to observe if any accessory muscles are
being utilized for breathing Correct Answers b) Observe the
infant for respiratory rate and effort
--> perform as many initial observations as possible without
touching the child so that the assessments can reflect the child's
baseline, or resting condition
,A 15-year-old boy has been admitted to the emergency
department and is recovering from ethanol intoxication. When
questioned about his behavior, the adolescent becomes upset,
fearful, and anxious. What should the nurse do in this situation?
Select all that apply.
a) Ensure the child's privacy is maintained
b) Encourage the child to discuss emotions
c) Contact authorities to report the child's alcohol use
d) Remind the child of the dangers of drinking ethanol
e) The nurse should justify the necessity of providing treatment
for an impeding alcohol problem Correct Answers a) Ensure
the child's privacy is maintained
b) Encourage the child to discuss emotions
A 2-year-old child comes to the emergency department with a
substantial acetaminophen overdose. Which drug-specific
medication should the nurse anticipate administering to this
patient?
a) Naloxone
b) N-acetylcysteine
c) Activated charcoal
d) Diluted oil of wintergreen Correct Answers b) N-
acetylcysteine
--> antidote for significant acetaminophen ingestion
A 3-year-old child is brought to the emergency department
unconscious, and the nurse notes a very abnormal skin color.
Based on this observation, which factors must be addressed
,immediately since they indicate a great threat to the child's life?
Select all that apply.
a) Hypertension
b) Hypoventilating
c) Abdominal distention
d) Respiratory distress or failure
e) Inadequate tissue perfusion (shock) Correct Answers d)
Respiratory distress or failure
e) Inadequate tissue perfusion (shock)
A 4-year-old child is seen in the ER with a black widow spider
bite to the lower back with reports of abdominal pain and
muscle spasms. Which interventions would the nurse perform?
Select all that apply.
a) Administer antivenin
b) Administer antihistamines
c) Administer muscle relaxant
d) Clean the wound with antiseptic
e) Use cool compresses on the wound
f) Apply a paste of water and baking soda Correct Answers a)
Administer antivenin
c) Administer muscle relaxant
d) Clean the wound with antiseptic
e) Use cool compresses on the wound
A 4-year-old patient is afraid of a blood pressure cuff and the
nurse would like to find a way to help decrease the child's fear.
Which actions can the nurse take to help comfort to the child?
Select all that apply.
, a) Show the child the blood pressure equipment.
b) Permit the child to handle the blood pressure equipment.
c) Educate the child on the purpose of blood pressure readings.
d) Wait until the child is less stressed to take her blood pressure.
e) Allow the child to apply the blood pressure cuff to a family
members arm to demonstrate it's not painful. Correct Answers
b) Permit the child to handle the blood pressure equipment.
e) Allow the child to apply the blood pressure cuff to a family
members arm to demonstrate it's not painful.
A 4-year-old patient starts expressing fear whenever she needs
to get her blood drawn. Which action can a nurse take to help
the pediatric patient cope during an uncomfortable procedure?
Select all that apply.
a) Assess the child's fears.
b) Perform procedures early during the day.
c) Avoid procedures until the child is comfortable.
d) Allow the parents to participate in the procedure.
e) Instruct the patient in performing breathing exercises. Correct
Answers d) Allow the parents to participate in the procedure.
e) Instruct the patient in performing breathing exercises.
A 5-year-old child presents to the emergency department and
begins to exhibit neurological side effects after ingesting an
unknown poison at home. Which action should the nurse take
after assessing that the airway is stable?
a) Gastric lavage
b) Administer naloxone
A 10-year-old, tearful patient presents to the emergency
department with a burn on the left foot. The nurse notes a partial
thickness burn and erythema. After vitals are assessed and the
child is provided with comfort measures, which are the next
appropriate actions to take? Select all that apply.
a) Monitor the surface of the injury
b) Assess range of motion in all extremities
c) Obtain information on past hospitalizations
d) Carefully monitor the patient's temperature
e) Pain management primarily through nonpharmacologic
measures Correct Answers a) Monitor the surface of the injury
b) Assess range of motion in all extremities
c) Obtain information on past hospitalizations
d) Carefully monitor the patient's temperature
A 12-month-old infant is brought into the emergency department
with difficulty breathing. Which action would the nurse perform
first?
a) Take the infant's temperature immediately
b) Observe the infant for respiratory rate and effort
c) Obtain a pulse oximetry measurement on the infant
d) Undress the infant to observe if any accessory muscles are
being utilized for breathing Correct Answers b) Observe the
infant for respiratory rate and effort
--> perform as many initial observations as possible without
touching the child so that the assessments can reflect the child's
baseline, or resting condition
,A 15-year-old boy has been admitted to the emergency
department and is recovering from ethanol intoxication. When
questioned about his behavior, the adolescent becomes upset,
fearful, and anxious. What should the nurse do in this situation?
Select all that apply.
a) Ensure the child's privacy is maintained
b) Encourage the child to discuss emotions
c) Contact authorities to report the child's alcohol use
d) Remind the child of the dangers of drinking ethanol
e) The nurse should justify the necessity of providing treatment
for an impeding alcohol problem Correct Answers a) Ensure
the child's privacy is maintained
b) Encourage the child to discuss emotions
A 2-year-old child comes to the emergency department with a
substantial acetaminophen overdose. Which drug-specific
medication should the nurse anticipate administering to this
patient?
a) Naloxone
b) N-acetylcysteine
c) Activated charcoal
d) Diluted oil of wintergreen Correct Answers b) N-
acetylcysteine
--> antidote for significant acetaminophen ingestion
A 3-year-old child is brought to the emergency department
unconscious, and the nurse notes a very abnormal skin color.
Based on this observation, which factors must be addressed
,immediately since they indicate a great threat to the child's life?
Select all that apply.
a) Hypertension
b) Hypoventilating
c) Abdominal distention
d) Respiratory distress or failure
e) Inadequate tissue perfusion (shock) Correct Answers d)
Respiratory distress or failure
e) Inadequate tissue perfusion (shock)
A 4-year-old child is seen in the ER with a black widow spider
bite to the lower back with reports of abdominal pain and
muscle spasms. Which interventions would the nurse perform?
Select all that apply.
a) Administer antivenin
b) Administer antihistamines
c) Administer muscle relaxant
d) Clean the wound with antiseptic
e) Use cool compresses on the wound
f) Apply a paste of water and baking soda Correct Answers a)
Administer antivenin
c) Administer muscle relaxant
d) Clean the wound with antiseptic
e) Use cool compresses on the wound
A 4-year-old patient is afraid of a blood pressure cuff and the
nurse would like to find a way to help decrease the child's fear.
Which actions can the nurse take to help comfort to the child?
Select all that apply.
, a) Show the child the blood pressure equipment.
b) Permit the child to handle the blood pressure equipment.
c) Educate the child on the purpose of blood pressure readings.
d) Wait until the child is less stressed to take her blood pressure.
e) Allow the child to apply the blood pressure cuff to a family
members arm to demonstrate it's not painful. Correct Answers
b) Permit the child to handle the blood pressure equipment.
e) Allow the child to apply the blood pressure cuff to a family
members arm to demonstrate it's not painful.
A 4-year-old patient starts expressing fear whenever she needs
to get her blood drawn. Which action can a nurse take to help
the pediatric patient cope during an uncomfortable procedure?
Select all that apply.
a) Assess the child's fears.
b) Perform procedures early during the day.
c) Avoid procedures until the child is comfortable.
d) Allow the parents to participate in the procedure.
e) Instruct the patient in performing breathing exercises. Correct
Answers d) Allow the parents to participate in the procedure.
e) Instruct the patient in performing breathing exercises.
A 5-year-old child presents to the emergency department and
begins to exhibit neurological side effects after ingesting an
unknown poison at home. Which action should the nurse take
after assessing that the airway is stable?
a) Gastric lavage
b) Administer naloxone
