ECCO Exam Questions with 100% Correct Answers
A neonate presents to the emergency department with irritability, weak cry, and hypotonia.
Which of the following is a priority intervention? - ANSWERSSerum blood glucose
Head compterized tomography scan
Prostaglandin infusion
Toxin Screening
Which of the following pathologic processes would most likely be attributed to a primary
diagnosis of cystic fibrosis? - ANSWERSHypernatremia
*Constipation
Obesity
Epiglottitis
A nurse begins making multiple errors in clinical decisions regarding the care of patients in the
pediatric emergency department. The nurse has worked many consecutive shifts caring for
severely ill and injured children and mentioned to a co-worker that they are not sleeping and
feel anxious about coming to work. What condition may this nurse be experiencing? -
ANSWERSNurse traumatization
Pediatric Traumatization
Direct Traumatization
,*Vicarious Traumatization
A 14-year-old patient with Down syndrome presents with an abnormal gait, head tilted to the
left, decreased sensation to the extremities, and urinary incontinence. The patient has no
history of trauma. Which of the following diagnostics is the priority for this patient? -
ANSWERSLumbar Spine MRI
Complete Neurologic Exam
Urinalysis by Straight Catheter
*Cervical Spine Radiograph
The caregivers of a 6-year-old report the child developed a cough with nasal congestion and
"pink-eye" that started two days ago. Today they noticed a raised, red rash on the face, and grey
papules in the mouth. Which of the following is the priority intervention for this patient? -
ANSWERSObtain a nasopharyngeal swab
*Airborne Isolation
Contact Isolation
Fingerstick Glucose
A 12-year-old is being prepped for surgical intervention of acute appendicitis. Which of the
following intravenous medication orders should the nurse question? - ANSWERSMorphine
,Acetaminophen
Hydromorphone
*Ketorolac
A child with an injury to the lower cervical spine with spinal cord involvment would most likely
demonstrate which of the following findings during assessment? - ANSWERSIncreased rectal
tone
Increased urinary outcomes
Decreased end-tidal CO2
*Decreased Respiratory effort
An adolescent is awaiting ICU admission for pneumonia. During reassessment, which of the
following findings would be most indicative that respiratory failure is developing? -
ANSWERSSpO2 of 94 % on room air
Widened Pulse Pressure
*Extreme Lethargy
Flash Capillary Refill
A pediatric resuscitation has ended with the death of the child. Coroner notification has not
been made yet. In dealing with the family of this child, how can the nurse facilitate their
, grieving process until legally required notification has been made? - ANSWERSDefer all
questions to the provider
Allow family member to hold the pt
*Provide simple, Straight forward information
Begin Memory making activities
Parents with an infant requiring multiple laboratory tests, radiographic studies, and invasive
procedures appear to be distressed and withdrawn. Which of the following interventions would
best ensure a sense of comfort and control for these parents? - ANSWERS*Providing frequent
updates and re-educating them on the care that is being provided
Taking the child to the radiographic studies while the parents rest in the room
Ensuring adequate lighting and keeping the door closed to provide privacy
Answering questions only when the parents ask them in order to reduce information overload
Return of spontaneous circulation has been confirmed in a 5-year-old following
cardiopulmonary arrest after a 5-day history of vomiting and diarrhea. Vital signs are BP 72/60
mm Hg, HR 140 beats/minute, RR assisted at 30 breaths/minute via definitive airway, SpO2 97%,
and T 36.8°C (98.4°F) rectally. Which of the following would be the priority intervention at this
time? - ANSWERSObtain a 12-lead electrocardiogram
Administer maintenance fluids
Obtain a chest radiograph
A neonate presents to the emergency department with irritability, weak cry, and hypotonia.
Which of the following is a priority intervention? - ANSWERSSerum blood glucose
Head compterized tomography scan
Prostaglandin infusion
Toxin Screening
Which of the following pathologic processes would most likely be attributed to a primary
diagnosis of cystic fibrosis? - ANSWERSHypernatremia
*Constipation
Obesity
Epiglottitis
A nurse begins making multiple errors in clinical decisions regarding the care of patients in the
pediatric emergency department. The nurse has worked many consecutive shifts caring for
severely ill and injured children and mentioned to a co-worker that they are not sleeping and
feel anxious about coming to work. What condition may this nurse be experiencing? -
ANSWERSNurse traumatization
Pediatric Traumatization
Direct Traumatization
,*Vicarious Traumatization
A 14-year-old patient with Down syndrome presents with an abnormal gait, head tilted to the
left, decreased sensation to the extremities, and urinary incontinence. The patient has no
history of trauma. Which of the following diagnostics is the priority for this patient? -
ANSWERSLumbar Spine MRI
Complete Neurologic Exam
Urinalysis by Straight Catheter
*Cervical Spine Radiograph
The caregivers of a 6-year-old report the child developed a cough with nasal congestion and
"pink-eye" that started two days ago. Today they noticed a raised, red rash on the face, and grey
papules in the mouth. Which of the following is the priority intervention for this patient? -
ANSWERSObtain a nasopharyngeal swab
*Airborne Isolation
Contact Isolation
Fingerstick Glucose
A 12-year-old is being prepped for surgical intervention of acute appendicitis. Which of the
following intravenous medication orders should the nurse question? - ANSWERSMorphine
,Acetaminophen
Hydromorphone
*Ketorolac
A child with an injury to the lower cervical spine with spinal cord involvment would most likely
demonstrate which of the following findings during assessment? - ANSWERSIncreased rectal
tone
Increased urinary outcomes
Decreased end-tidal CO2
*Decreased Respiratory effort
An adolescent is awaiting ICU admission for pneumonia. During reassessment, which of the
following findings would be most indicative that respiratory failure is developing? -
ANSWERSSpO2 of 94 % on room air
Widened Pulse Pressure
*Extreme Lethargy
Flash Capillary Refill
A pediatric resuscitation has ended with the death of the child. Coroner notification has not
been made yet. In dealing with the family of this child, how can the nurse facilitate their
, grieving process until legally required notification has been made? - ANSWERSDefer all
questions to the provider
Allow family member to hold the pt
*Provide simple, Straight forward information
Begin Memory making activities
Parents with an infant requiring multiple laboratory tests, radiographic studies, and invasive
procedures appear to be distressed and withdrawn. Which of the following interventions would
best ensure a sense of comfort and control for these parents? - ANSWERS*Providing frequent
updates and re-educating them on the care that is being provided
Taking the child to the radiographic studies while the parents rest in the room
Ensuring adequate lighting and keeping the door closed to provide privacy
Answering questions only when the parents ask them in order to reduce information overload
Return of spontaneous circulation has been confirmed in a 5-year-old following
cardiopulmonary arrest after a 5-day history of vomiting and diarrhea. Vital signs are BP 72/60
mm Hg, HR 140 beats/minute, RR assisted at 30 breaths/minute via definitive airway, SpO2 97%,
and T 36.8°C (98.4°F) rectally. Which of the following would be the priority intervention at this
time? - ANSWERSObtain a 12-lead electrocardiogram
Administer maintenance fluids
Obtain a chest radiograph
