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.

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)

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

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

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.

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

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.

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

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

The answer of A 10-year-old girl is brought to the...

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

Exam 34: Emergency Care of the Child