Question 1

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 2

A 5-year-old child is in cardiopulmonary arrest,and the nursing staff is performing CPR.One of the nurses is doing compressions at the rate of 90 per minute.What action by the charge nurse is best?

Accepted Answer

A)  Take over compressions. 
B)  Tell the nurse to speed up. 
C)  Tell the nurse to slow down. 
D)  Have the nurse compress more deeply. 
A)  Take over compressions. 
B)  Tell the nurse to speed up. 
C)  Tell the nurse to slow down. 
D)  Have the nurse compress more deeply.

Question 3

How should the nurse instruct the mother who calls the emergency department because her 9-year-old child has just fallen on his face and one of his front teeth fell out?

Accepted Answer

A)  Put the tooth back in the child's mouth and call the dentist right away. 
B)  Place the tooth in milk or water and go directly to the emergency department. 
C)  Gently place the tooth in a plastic zippered bag until she makes a dental appointment. 
D)  Clean the tooth and call the dentist for an immediate appointment. 
A)  Put the tooth back in the child's mouth and call the dentist right away. 
B)  Place the tooth in milk or water and go directly to the emergency department. 
C)  Gently place the tooth in a plastic zippered bag until she makes a dental appointment. 
D)  Clean the tooth and call the dentist for an immediate appointment.

Question 4

Which observations made by an emergency department nurse raises the suspicion that a 3-year-old child has been maltreated?

Accepted Answer

A)  The parents are extremely calm in the emergency department. 
B)  The injury is unusual for a child of that age. 
C)  The child does not remember how he got hurt. 
D)  The child was doing something unsafe when the injury occurred. 
A)  The parents are extremely calm in the emergency department. 
B)  The injury is unusual for a child of that age. 
C)  The child does not remember how he got hurt. 
D)  The child was doing something unsafe when the injury occurred.

Question 5

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 abscesses 
A)  Hyperthermia 
B)  Burns 
C)  Vomiting or diarrhea 
D)  Hemorrhage 
E)  Skin abscesses

Question 6

The father of a child in the emergency department is yelling at the physician and nurses.Which action is contraindicated in this situation?

Accepted Answer

A)  Provide a nondefensive response. 
B)  Encourage the father to talk about his feelings. 
C)  Speak in simple, short sentences. 
D)  Tell the father he must wait in the waiting room. 
A)  Provide a nondefensive response. 
B)  Encourage the father to talk about his feelings. 
C)  Speak in simple, short sentences. 
D)  Tell the father he must wait in the waiting room.

Question 7

A 3-year-old is brought to the emergency department by ambulance after her body was found submerged in the family pool.The child has altered mental status and shallow respirations.She did not require resuscitative interventions.Which condition should the nurse monitor for as the priority in this child?

Accepted Answer

A)  Neurologic status 
B)  Hypothermia 
C)  Hypoglycemia 
D)  Hypoxia 
A)  Neurologic status 
B)  Hypothermia 
C)  Hypoglycemia 
D)  Hypoxia

Question 8

What is an appropriate nursing intervention for a 6-month-old infant in the emergency department?

Accepted Answer

A)  Distract the infant with noise or bright lights. 
B)  Avoid warming the infant. 
C)  Remove any pacifiers from the baby. 
D)  Encourage the parent to hold the infant. 
A)  Distract the infant with noise or bright lights. 
B)  Avoid warming the infant. 
C)  Remove any pacifiers from the baby. 
D)  Encourage the parent to hold the infant.

Question 9

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 10

A preschool child in the emergency department has a respiratory rate of 10 breaths per minute.How should the nurse interpret this finding?

Accepted Answer

A)  The child is relaxed. 
B)  Respiratory failure is likely. 
C)  This child is in respiratory distress. 
D)  The child's condition is improving. 
A)  The child is relaxed. 
B)  Respiratory failure is likely. 
C)  This child is in respiratory distress. 
D)  The child's condition is improving.

Exam 34: Emergency Care of the Child

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

A 5-year-old child is in cardiopulmonary arrest,and the nursing staff is performing CPR.One of the nurses is doing compressions at the rate of 90 per minute.What action by the charge nurse is best?

How should the nurse instruct the mother who calls the emergency department because her 9-year-old child has just fallen on his face and one of his front teeth fell out?

Which observations made by an emergency department nurse raises the suspicion that a 3-year-old child has been maltreated?

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

The father of a child in the emergency department is yelling at the physician and nurses.Which action is contraindicated in this situation?

What is an appropriate nursing intervention for a 6-month-old infant in the emergency department?

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?

A preschool child in the emergency department has a respiratory rate of 10 breaths per minute.How should the nurse interpret this finding?

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 HealthCare

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 an Intellectual Disability or Developmental Disability

The Child with a Sensory Alteration

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