Nursing Care of Children Alternate Item
Format Quiz
A charge nurse is planning to utilize a nurse from the hospital's float pool. Which of the
following are disadvantages to float pools? Select all that apply.
Select one or more:
a. Float pool nurses receive a higher rate of pay and typically no benefits.
b. Float pools result in a lack of continuity of client care.
c. Float pool nurses have the flexibility to choose when they want to work.
d. Float pools are adequate for filling intermittent staffing holes.
e. Float pools are not a solution to the long term staffing shortages. - ANS-b. Float pools
result in a lack of continuity of client care
e. Float pools are not a solution to the long term staffing shortages.
Float pools result in a lack of client continuity because nurses who work in the float pool
are typically crossed trained on multiple units, therefore, would not receive the same
client care assignment as before.
Float pools are adequate for filling intermittent staffing holes, but like agency or registry
staff, is not an answer to the ongoing need to alter staffing according to census.
A nurse is working in the Emergency Department (ED). In which order should the
following clients be triaged?
A. 30 year old male reporting shortness of breath.
B. 18 year old male with a possible fractured tibia.
C. 24 year old female with a swollen and bruised ankle.
D. 40 year old female with high fever and productive cough.
Select one:
a. A, D, B, C
, b. A, B, D, C
c. C, B, A, D
d. B, C, A, D - ANS-a. A, D, B, C
A. Shortness of breath is considered an emergent triage category and implies that a
condition exists that poses an immediate threat to life or limb. This client would be seen
first.
D. High fever and productive cough would raise suspicion of pneumonia. New onset of
pneumonia is considered an urgent triage category. This implies that the client should
be treated quickly, as long as respiratory failure does not appear imminent.
B. A possible fractured tibia is considered an urgent triage category. This implies that
the client should be treated quickly.
C. A swollen and bruised ankle is considered non-urgent. The client can generally wait
for several hours without a significant risk of clinical deterioration.
A nurse is caring for an infant prescribed digoxin. The client's apical heart rate is 88
beats per minute. Which of the following interventions should the nurse take? Select all
that apply.
Select one or more:
a. Notify the physician.
b. Obtain a rhythm strip to assess for heart block.
c. Administer the medication as ordered.
d. Withhold the medication.
e. Call an emergency code for the arrest team. - ANS-a. Notify the physician.
b. Obtain a rhythm strip to assess for heart block.
d. Withhold the medication.
A heart rate less than 90 bpm is a sign of digoxin toxicity in an infant. Digoxin slows the
heart rate by slowing conduction through the AV node. The infant's cardiac rhythm
should be assessed for heart block.
A client is prescribed iron dextran intramuscularly using the Z-track method. Place the
following steps in the order the nurse should take them to administer this medication.
Format Quiz
A charge nurse is planning to utilize a nurse from the hospital's float pool. Which of the
following are disadvantages to float pools? Select all that apply.
Select one or more:
a. Float pool nurses receive a higher rate of pay and typically no benefits.
b. Float pools result in a lack of continuity of client care.
c. Float pool nurses have the flexibility to choose when they want to work.
d. Float pools are adequate for filling intermittent staffing holes.
e. Float pools are not a solution to the long term staffing shortages. - ANS-b. Float pools
result in a lack of continuity of client care
e. Float pools are not a solution to the long term staffing shortages.
Float pools result in a lack of client continuity because nurses who work in the float pool
are typically crossed trained on multiple units, therefore, would not receive the same
client care assignment as before.
Float pools are adequate for filling intermittent staffing holes, but like agency or registry
staff, is not an answer to the ongoing need to alter staffing according to census.
A nurse is working in the Emergency Department (ED). In which order should the
following clients be triaged?
A. 30 year old male reporting shortness of breath.
B. 18 year old male with a possible fractured tibia.
C. 24 year old female with a swollen and bruised ankle.
D. 40 year old female with high fever and productive cough.
Select one:
a. A, D, B, C
, b. A, B, D, C
c. C, B, A, D
d. B, C, A, D - ANS-a. A, D, B, C
A. Shortness of breath is considered an emergent triage category and implies that a
condition exists that poses an immediate threat to life or limb. This client would be seen
first.
D. High fever and productive cough would raise suspicion of pneumonia. New onset of
pneumonia is considered an urgent triage category. This implies that the client should
be treated quickly, as long as respiratory failure does not appear imminent.
B. A possible fractured tibia is considered an urgent triage category. This implies that
the client should be treated quickly.
C. A swollen and bruised ankle is considered non-urgent. The client can generally wait
for several hours without a significant risk of clinical deterioration.
A nurse is caring for an infant prescribed digoxin. The client's apical heart rate is 88
beats per minute. Which of the following interventions should the nurse take? Select all
that apply.
Select one or more:
a. Notify the physician.
b. Obtain a rhythm strip to assess for heart block.
c. Administer the medication as ordered.
d. Withhold the medication.
e. Call an emergency code for the arrest team. - ANS-a. Notify the physician.
b. Obtain a rhythm strip to assess for heart block.
d. Withhold the medication.
A heart rate less than 90 bpm is a sign of digoxin toxicity in an infant. Digoxin slows the
heart rate by slowing conduction through the AV node. The infant's cardiac rhythm
should be assessed for heart block.
A client is prescribed iron dextran intramuscularly using the Z-track method. Place the
following steps in the order the nurse should take them to administer this medication.
