Question 1

Which of the following would be most appropriate to use to help maintain a patent airway in an infant experiencing a respiratory emergency?

Accepted Answer

A)   Neck hyperextension
B)   Head tilt-chin lift technique
C)   Jaw-thrust maneuver
D)   Small towel under shoulders

Question 2

The parents bring their 3-year-old son to the emergency department after having found that he has ingested some of his mother's medicine. Which assessment would be of critical importance for this child?

Accepted Answer

A)   Assessing mental status and skin moisture and color
B)   Evaluating the effectiveness of the child's breathing
C)   Noting the child's pulse rate and quality
D)   Auscultating all lung fields for signs of edema

Question 3

Which intervention would be most helpful in preventing barotrauma when ventilating a 3-year-old girl with a bag-valve-mask?

Accepted Answer

A)   Choosing the correct size bag and face mask
B)   Setting the flow rate at exactly 10 L/minute
C)   Maintaining the airway in the open position
D)   Delivering one breath every 3 to 5 seconds

Question 4

The nurse is providing care to a child who is intubated and the child's condition is deteriorating. Which of the following would the nurse do first?

Accepted Answer

A)   Check if the tracheal tube is obstructed
B)   Assess for displacement of the tracheal tube
C)   Look for signs of a possible pneumothorax
D)   Check the equipment for malfunction

Question 5

A 5-year-old girl is cyanotic, dusky, and anxious when she arrives in the emergency department. Which of the following would be most appropriate?

Accepted Answer

A)   Ventilating the child with a bag-valve-mask
B)   Estimating the child's weight using a Broselow tape
C)   Providing therapy using automated external defibrillation
D)   Using rescue breathing and chest compressions

Question 6

A child is brought to the emergency department with a suspected poisoning. Which of the following would the nurse least likely expect to be used?

Accepted Answer

A)   Gastric lavage
B)   Syrup of ipecac
C)   Activated charcoal
D)   Whole bowel irrigation

Question 7

A child who weighs 53 lbs is receiving fluid volume replacement as part of the treatment for shock. The nurse is evaluating the child's hourly urinary output to determine if the child's condition is improving. Which output would the nurse interpret as most indicative of improvement?

Accepted Answer

A)   12 mL
B)   15 mL
C)   22 mL
D)   30 mL

Question 8

Which measure would be most appropriate for the nurse to do to ensure that a child's endotracheal (ET)  tube is correctly positioned?

Accepted Answer

A)   Auscultate for abdominal breath sounds
B)   Mark the tracheal tube at the child's lip
C)   Watch for a yellow display on a CO2 monitor
D)   Inspect for water vapor in the tracheal tube

Question 9

A child is undergoing rapid sequence intubation and is receiving atropine. The nurse understands that this agent is used to accomplish which of the following?

Accepted Answer

A)   Lessen the vagal effects of intubation
B)   Reduce intracranial pressure
C)   Induce amnesia
D)   Provide short-term paralysis

Question 10

The nurse is caring for a 6-year-old girl who was injured in a bicycle accident. Which question would be most important for the nurse to ask during the health history?

Accepted Answer

A)   "Has she been diagnosed with any chronic disorders?"
B)   "Is your daughter currently taking any medications?"
C)   "Is she allergic to any medications or drugs?"
D)   "Tell me how the bicycle accident happened."

Question 11

A 1-month-old infant admitted to the emergency department in respiratory distress exhibits a regular pattern of breathing followed by brief periods of apnea, then tachypnea for a short time, eventually returning to a normal respiratory rate. The nurse documents this finding as which of the following?

Accepted Answer

A)   Hypoventilation
B)   Hyperventilation
C)   Periodic breathing
D)   Stridor C

Question 12

When caring for an 8-year-old boy injured in an automobile accident, the nurse demonstrates understanding of the principles of Pediatric Advanced Life Support (PALS)  by which action?

Accepted Answer

A)   Assisting ventilation with a bag-valve-mask (BVM)  device
B)   Treating ventricular fibrillation using a defibrillator
C)   Managing compensated shock to prevent decompensated shock
D)   Treating supraventricular tachycardia using cardioversion

Question 13

Which of the following would the nurse do first for a 5-year-old girl with profound bradycardia?

Accepted Answer

A)   Provide oxygen at 100%
B)   Administer epinephrine as ordered
C)   Use warming blankets
D)   Perform gastric lavage

Question 14

The nurse is caring for a 7-year-old boy experiencing respiratory distress who is scheduled to have a chest radiograph. Which of the following would be most important for the nurse to include in the child's plan of care?

Accepted Answer

A)   Administering a sedative to help calm the child
B)   Assisting the child to lie still during the chest radiograph
C)   Accompanying the child to continue observation
D)   Informing the child that he might hear a loud banging noise

Question 15

A 9-year-old girl who has fallen from a second-story window is brought to the emergency department. Which assessment would be a priority?

Accepted Answer

A)   Evaluating pupils for equality and reactivity
B)   Monitoring oxygen saturation levels
C)   Asking the child if she knows where she is
D)   Using the appropriate pain assessment scale

Question 16

A child has a tracheal tube in place and will be receiving medications via this tube. Which of the following medications would the nurse expect to be administered in this manner? Select all answers that apply.

Accepted Answer

A)   Lidocaine
B)   Adenosine
C)   Atropine
D)   Dopamine
E)   EpinephrineF)  Naloxone

Question 17

A child weighing 51 lbs requires defibrillation. How many joules would the nurse expect to give initially?

Accepted Answer

A)   46
B)   92
C)   102
D)   204 A

Question 18

Which of the following would lead the nurse to suspect that a 5-year-old child is experiencing supraventricular tachycardia?

Accepted Answer

A)   Heart rate 160 beats per minute
B)   Flattened P waves
C)   Normal QRS complex
D)   History of fever B

Question 19

As part of their orientation to their pediatric clinical rotation, an instructor is teaching a group of students how to perform cardiopulmonary resuscitation (CPR)  on a child. Two students return demonstrate the skill using an infant manikin. Which of the following indicates the proper technique?

Accepted Answer

A)   Compressing 30 times for every 2 breaths
B)   Placing the heel of the hand on the midsternum
C)   Giving 2 breaths followed by 15 compressions
D)   Using two hands to perform chest compressions

Question 20

The nurse is gathering the necessary equipment for tracheal intubation for a child who is 2 years old. Which tracheal tube size would the nurse obtain?

Accepted Answer

A)   4.5
B)   5
C)   5.5
D)   6

Exam 51: Nursing Care During a Pediatric Emergency

Which of the following would be most appropriate to use to help maintain a patent airway in an infant experiencing a respiratory emergency?

Correct Answer
verified

The parents bring their 3-year-old son to the emergency department after having found that he has ingested some of his mother's medicine. Which assessment would be of critical importance for this child?

Correct Answer
verified

Which intervention would be most helpful in preventing barotrauma when ventilating a 3-year-old girl with a bag-valve-mask?

Correct Answer
verified

The nurse is providing care to a child who is intubated and the child's condition is deteriorating. Which of the following would the nurse do first?

Correct Answer
verified

A 5-year-old girl is cyanotic, dusky, and anxious when she arrives in the emergency department. Which of the following would be most appropriate?

Correct Answer
verified

A child is brought to the emergency department with a suspected poisoning. Which of the following would the nurse least likely expect to be used?

Correct Answer
verified

A child who weighs 53 lbs is receiving fluid volume replacement as part of the treatment for shock. The nurse is evaluating the child's hourly urinary output to determine if the child's condition is improving. Which output would the nurse interpret as most indicative of improvement?

Correct Answer
verified

Which measure would be most appropriate for the nurse to do to ensure that a child's endotracheal (ET) tube is correctly positioned?

Correct Answer
verified

A child is undergoing rapid sequence intubation and is receiving atropine. The nurse understands that this agent is used to accomplish which of the following?

Correct Answer
verified

The nurse is caring for a 6-year-old girl who was injured in a bicycle accident. Which question would be most important for the nurse to ask during the health history?

Correct Answer
verified

Correct Answer
verified
C

When caring for an 8-year-old boy injured in an automobile accident, the nurse demonstrates understanding of the principles of Pediatric Advanced Life Support (PALS) by which action?

Correct Answer
verified

Which of the following would the nurse do first for a 5-year-old girl with profound bradycardia?

Correct Answer
verified

The nurse is caring for a 7-year-old boy experiencing respiratory distress who is scheduled to have a chest radiograph. Which of the following would be most important for the nurse to include in the child's plan of care?

Correct Answer
verified

A 9-year-old girl who has fallen from a second-story window is brought to the emergency department. Which assessment would be a priority?

Correct Answer
verified

A child has a tracheal tube in place and will be receiving medications via this tube. Which of the following medications would the nurse expect to be administered in this manner? Select all answers that apply.

Correct Answer
verified

A child weighing 51 lbs requires defibrillation. How many joules would the nurse expect to give initially?

Correct Answer
verified
A

Which of the following would lead the nurse to suspect that a 5-year-old child is experiencing supraventricular tachycardia?

Correct Answer
verified
B

As part of their orientation to their pediatric clinical rotation, an instructor is teaching a group of students how to perform cardiopulmonary resuscitation (CPR) on a child. Two students return demonstrate the skill using an infant manikin. Which of the following indicates the proper technique?

Correct Answer
verified

The nurse is gathering the necessary equipment for tracheal intubation for a child who is 2 years old. Which tracheal tube size would the nurse obtain?

Correct Answer
verified

Exam 51: Nursing Care During a Pediatric Emergency

Which of the following would be most appropriate to use to help maintain a patent airway in an infant experiencing a respiratory emergency?

Correct AnswerverifiedShow Answer

The parents bring their 3-year-old son to the emergency department after having found that he has ingested some of his mother's medicine. Which assessment would be of critical importance for this child?

Correct AnswerverifiedShow Answer

Which intervention would be most helpful in preventing barotrauma when ventilating a 3-year-old girl with a bag-valve-mask?

Correct AnswerverifiedShow Answer

The nurse is providing care to a child who is intubated and the child's condition is deteriorating. Which of the following would the nurse do first?

Correct AnswerverifiedShow Answer

A 5-year-old girl is cyanotic, dusky, and anxious when she arrives in the emergency department. Which of the following would be most appropriate?

Correct AnswerverifiedShow Answer

A child is brought to the emergency department with a suspected poisoning. Which of the following would the nurse least likely expect to be used?

Correct AnswerverifiedShow Answer

A child who weighs 53 lbs is receiving fluid volume replacement as part of the treatment for shock. The nurse is evaluating the child's hourly urinary output to determine if the child's condition is improving. Which output would the nurse interpret as most indicative of improvement?

Correct AnswerverifiedShow Answer

Which measure would be most appropriate for the nurse to do to ensure that a child's endotracheal (ET) tube is correctly positioned?

Correct AnswerverifiedShow Answer

A child is undergoing rapid sequence intubation and is receiving atropine. The nurse understands that this agent is used to accomplish which of the following?

Correct AnswerverifiedShow Answer

The nurse is caring for a 6-year-old girl who was injured in a bicycle accident. Which question would be most important for the nurse to ask during the health history?

Correct AnswerverifiedShow Answer

Correct AnswerverifiedC

When caring for an 8-year-old boy injured in an automobile accident, the nurse demonstrates understanding of the principles of Pediatric Advanced Life Support (PALS) by which action?

Correct AnswerverifiedShow Answer

Which of the following would the nurse do first for a 5-year-old girl with profound bradycardia?

Correct AnswerverifiedShow Answer

The nurse is caring for a 7-year-old boy experiencing respiratory distress who is scheduled to have a chest radiograph. Which of the following would be most important for the nurse to include in the child's plan of care?

Correct AnswerverifiedShow Answer

A 9-year-old girl who has fallen from a second-story window is brought to the emergency department. Which assessment would be a priority?

Correct AnswerverifiedShow Answer

A child has a tracheal tube in place and will be receiving medications via this tube. Which of the following medications would the nurse expect to be administered in this manner? Select all answers that apply.

Correct AnswerverifiedShow Answer

A child weighing 51 lbs requires defibrillation. How many joules would the nurse expect to give initially?

Correct AnswerverifiedA

Which of the following would lead the nurse to suspect that a 5-year-old child is experiencing supraventricular tachycardia?

Correct AnswerverifiedB

As part of their orientation to their pediatric clinical rotation, an instructor is teaching a group of students how to perform cardiopulmonary resuscitation (CPR) on a child. Two students return demonstrate the skill using an infant manikin. Which of the following indicates the proper technique?

Correct AnswerverifiedShow Answer

The nurse is gathering the necessary equipment for tracheal intubation for a child who is 2 years old. Which tracheal tube size would the nurse obtain?

Correct AnswerverifiedShow Answer

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C

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A

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B

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