Question 1

Which of the following methods can be used to establish an endotracheal tube size for a child younger than 2 years of age?

Accepted Answer

A)  The endotracheal tube size is matched to the infant's age. 
B)  Take the child's age, add 16, and divide by 4. 
C)  Measure the length of the child's little finger and divide by 2. 
D)  Only one size is available; thus, no method is needed. 
A)  The endotracheal tube size is matched to the infant's age. 
B)  Take the child's age, add 16, and divide by 4. 
C)  Measure the length of the child's little finger and divide by 2. 
D)  Only one size is available; thus, no method is needed.

Question 2

The normal cerebral perfusion pressure in an infant is

Accepted Answer

A)  50 mm Hg. 
B)  40 to 60 mm Hg. 
C)  unknown. 
D)  60 mm Hg. 
A)  50 mm Hg. 
B)  40 to 60 mm Hg. 
C)  unknown. 
D)  60 mm Hg.

Question 3

A 4-year-old child is admitted to the critical care unit with fever,chills,headache,vomiting,lethargy,photophobia,and nuchal rigidity.Nursing management for this patient would include

Accepted Answer

A)  measuring and documenting head circumference. 
B)  allowing the patient's siblings to visit. 
C)  isolating the patient during initial antibiotic treatment and for 24 hours thereafter. 
D)  administering anticonvulsant medications every 6 hours. 
A)  measuring and documenting head circumference. 
B)  allowing the patient's siblings to visit. 
C)  isolating the patient during initial antibiotic treatment and for 24 hours thereafter. 
D)  administering anticonvulsant medications every 6 hours.

Question 4

The patient is a 1-month-old infant with stable supraventricular tachycardia (SVT)at a rate of 250 beats/min.She weighs 6 kg.How much adenosine should be given?

Accepted Answer

A)  0.05 mg rapid IV push 
B)  0.1 mg rapid IV push 
C)  0.6 mg rapid IV push 
D)  0.5 mg rapid IV push 
A)  0.05 mg rapid IV push 
B)  0.1 mg rapid IV push 
C)  0.6 mg rapid IV push 
D)  0.5 mg rapid IV push

Question 5

A 4-year-old child is admitted to the critical care unit with fever,chills,headache,vomiting,lethargy,photophobia,and nuchal rigidity.Based on these clinical manifestations,what is the anticipated diagnosis?

Accepted Answer

A)  Status epilepticus 
B)  Bacterial meningitis 
C)  Head trauma 
D)  Septic shock 
A)  Status epilepticus 
B)  Bacterial meningitis 
C)  Head trauma 
D)  Septic shock

Exam 40: The Pediatric Patient

Which of the following methods can be used to establish an endotracheal tube size for a child younger than 2 years of age?

The normal cerebral perfusion pressure in an infant is

A 4-year-old child is admitted to the critical care unit with fever,chills,headache,vomiting,lethargy,photophobia,and nuchal rigidity.Nursing management for this patient would include

The patient is a 1-month-old infant with stable supraventricular tachycardia (SVT)at a rate of 250 beats/min.She weighs 6 kg.How much adenosine should be given?

A 4-year-old child is admitted to the critical care unit with fever,chills,headache,vomiting,lethargy,photophobia,and nuchal rigidity.Based on these clinical manifestations,what is the anticipated diagnosis?

Critical Care Nursing Practice

Ethical Issues

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Genetics and Genomics in Critical Care

Patient and Family Education

Psychosocial and Spiritual Alterations and Management

Sleep Alterations and Management

Nutrition Alterations and Management

Pain and Pain Management

Sedation,Agitation,Delirium: Assessment and Management

End-Of-Life Issues

Cardiovascular Anatomy and Physiology

Cardiovascular Clinical Assessment

Cardiovascular Diagnostic Procedures

Cardiovascular Disorders

Cardiovascular Therapeutic Management

Pulmonary Anatomy and Physiology

Pulmonary Clinical Assessment

Pulmonary Diagnostic Procedures

Pulmonary Disorders

Pulmonary Therapeutic Management

Neurologic Anatomy and Physiology

Neurologic Clinical Assessment and Diagnostic Procedures

Neurologic Disorders and Therapeutic Management

Kidney Anatomy and Physiology

Kidney Clinical Assessment and Diagnostic Procedures

Kidney Disorders and Therapeutic Management

Gastrointestinal Anatomy and Physiology

Gastrointestinal Clinical Assessment and Diagnostic Procedures

Gastrointestinal Disorders and Therapeutic Management

Endocrine Anatomy and Physiology

Endocrine Clinical Assessment and Diagnostic Procedures

Endocrine Disorders and Therapeutic Management

Trauma

Shock,sepsis,and Multiple Organ Dysfunction Syndrome

Burns

Organ Donation and Transplantation

Hematologic Disorders and Oncologic Emergencies

The Obstetric Patient

The Older Adult Patient

The Perianesthesia Patient

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