Question 1

What should be the emergency department nurse's next action when a 6-year-old child has a systolic blood pressure of 58 mm Hg?

Accepted Answer

A)  Alert the physician about the systolic blood pressure. 
B)  Comfort the child and assess respiratory rate. 
C)  Assess the child's responsiveness to the environment. 
D)  Alert the physician that the child may need intravenous fluids. 
A)  Alert the physician about the systolic blood pressure. 
B)  Comfort the child and assess respiratory rate. 
C)  Assess the child's responsiveness to the environment. 
D)  Alert the physician that the child may need intravenous fluids.

Question 2

What may cause hypovolemic shock in children? Select all that apply.

Accepted Answer

A)  Hyperthermia 
B)  Burns 
C)  Vomiting or diarrhea 
D)  Hemorrhage 
E)  Skin abscess that cultures positive for methicillin-resistant Staphylococcus aureus (MRS
A)  
A)  Hyperthermia 
B)  Burns 
C)  Vomiting or diarrhea 
D)  Hemorrhage 
E)  Skin abscess that cultures positive for methicillin-resistant Staphylococcus aureus (MRS
A)

Question 3

Which is the most critical element of pediatric emergency care?

Accepted Answer

A)  Airway management 
B)  Prevention of neurologic impairment 
C)  Maintaining adequate circulation 
D)  Supporting the child's family 
A)  Airway management 
B)  Prevention of neurologic impairment 
C)  Maintaining adequate circulation 
D)  Supporting the child's family

Question 4

An emergency department nurse is making a general appearance assessment on a preschool child just admitted to the emergency department.Which general assessment findings indicate the child "looks bad"? Select all that apply.

Accepted Answer

A)  Color pale 
B)  Capillary refill less than 2 seconds 
C)  Unwilling to separate from parents 
D)  Cold extremities 
E)  Lethargic 
A)  Color pale 
B)  Capillary refill less than 2 seconds 
C)  Unwilling to separate from parents 
D)  Cold extremities 
E)  Lethargic

Question 5

Which action should the nurse working in the emergency department implement in order to decrease fear in a 2-year-old child?

Accepted Answer

A)  Keep the child physically restrained during nursing care. 
B)  Allow the child to hold a favorite toy or blanket. 
C)  Direct the parents to remain outside the treatment room. 
D)  Let the child decide whether to sit up or lie down for procedures. 
A)  Keep the child physically restrained during nursing care. 
B)  Allow the child to hold a favorite toy or blanket. 
C)  Direct the parents to remain outside the treatment room. 
D)  Let the child decide whether to sit up or lie down for procedures.

Question 6

What is the leading cause of unintentional death in children younger than 19 years of age in the United States?

Accepted Answer

A)  Drowning 
B)  Airway obstruction 
C)  Pedestrian injury 
D)  Motor vehicle injuries 
A)  Drowning 
B)  Airway obstruction 
C)  Pedestrian injury 
D)  Motor vehicle injuries

Question 7

Which nursing action facilitates care being provided to a child in an emergency situation?

Accepted Answer

A)  Encourage the family to remain in the waiting room. 
B)  Include parents as partners in providing care for the child. 
C)  Always reassure the child and family. 
D)  Give explanations using professional terminology. 
A)  Encourage the family to remain in the waiting room. 
B)  Include parents as partners in providing care for the child. 
C)  Always reassure the child and family. 
D)  Give explanations using professional terminology.

Question 8

What is the goal of the initial intervention for a child in cardiopulmonary arrest?

Accepted Answer

A)  Establishing a patent airway 
B)  Determining a pulse rate 
C)  Removing clothing 
D)  Reassuring the parents 
A)  Establishing a patent airway 
B)  Determining a pulse rate 
C)  Removing clothing 
D)  Reassuring the parents

Question 9

A 10-year-old girl is brought to the emergency department manifesting the following physical symptoms: sweating,nausea,headache,abdominal cramps,cool moist skin,and an elevated temperature.The child's mother reports that since this was the first warm day of summer,they spent most of the day at the beach.This patient is experiencing ___________.

Accepted Answer

heat exhaustion
This child is experienci

Question 10

A child is brought to the emergency department.When he is called to triage,which vital sign should be measured first?

Accepted Answer

A)  Temperature 
B)  Heart rate 
C)  Respiratory rate 
D)  Blood pressure 
A)  Temperature 
B)  Heart rate 
C)  Respiratory rate 
D)  Blood pressure

Exam 34: Emergency Care of the Child

What should be the emergency department nurse's next action when a 6-year-old child has a systolic blood pressure of 58 mm Hg?

What may cause hypovolemic shock in children? Select all that apply.

Which is the most critical element of pediatric emergency care?

An emergency department nurse is making a general appearance assessment on a preschool child just admitted to the emergency department.Which general assessment findings indicate the child "looks bad"? Select all that apply.

Which action should the nurse working in the emergency department implement in order to decrease fear in a 2-year-old child?

What is the leading cause of unintentional death in children younger than 19 years of age in the United States?

Which nursing action facilitates care being provided to a child in an emergency situation?

What is the goal of the initial intervention for a child in cardiopulmonary arrest?

A child is brought to the emergency department.When he is called to triage,which vital sign should be measured first?

Foundations of Maternity, Women’s Health, and Child Health Nursing

The Nurse’s Role in Maternity, Women’s Health, and Pediatric Nursing

The Childbearing and Child-Rearing Family

Communicating With Children and Families

Health Promotion for the Developing Child

Health Promotion for the Infant

Health Promotion during Early Childhood

Health Promotion for the School-Age Child

Health Promotion for the Adolescent

Hereditary and Environmental Influences on Development

Reproductive Anatomy and Physiology

Conception and Prenatal Development

Adaptations to Pregnancy

Nutrition for Childbearing

Prenatal Diagnostic Tests

Giving Birth

Intrapartum Fetal Surveillance

Pain Management for Childbirth

Nursing Care during Obstetric Procedures

Postpartum Adaptations

The Normal Newborn: Adaptation and Assessment

The Normal Newborn: Nursing Care

Newborn Feeding

The Childbearing Family With Special Needs

Pregnancy-Related Complications

Concurrent Disorders During Pregnancy

The Woman With an Intrapartum Complication

The Woman With a Postpartum Complication

The High-Risk Newborn: Problems Related to Gestational Age and Development

The High Risk Newborn: Acquired and Congenital Conditions

Management of Fertility and Infertility

Women’s Health Care

Physical Assessment of Children

The Ill Child in the Hospital and Other Care Settings

The Child With a Chronic Condition or Terminal Illness

Principles and Procedures for Nursing Care of Children

Medication Administration and Safety for Infants and Children

Pain Management for Children

The Child With a Fluid and Electrolyte Alteration

The Child With an Infectious Disease

The Child With an Immunologic Alteration

The Child With a Gastrointestinal Alteration

The Child With a Genitourinary Alteration

The Child With a Respiratory Alteration

The Child With a Cardiovascular Alteration

The Child With a Hematologic Alteration

The Child With Cancer

The Child With an Alteration in Tissue Integrity

The Child With a Musculoskeletal Alteration

The Child With an Endocrine or Metabolic Alteration

The Child With a Neurologic Alteration

Psychosocial Problems in Children and Families

The Child With a Developmental Disability

The Child With a Sensory Alteration

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