Question: A client has blood loss following an automobile accident. The blood pressure on admission to the emergency department is 80/40 mm Hg. What is the primary goal for the care of the client at this time?

Answer Options: A – Preserve renal function. B – Prevent hypostatic pneumonia. C – Maintain adequate vascular tone D – Achieve adequate tissue perfusion.

Answer: D — Achieve adequate tissue perfusion.

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

Answer Options: A – “Is your child currently taking any medications?” B – “Is your child allergic to any medications or drugs?” C – “Has your child been diagnosed with any chronic disorders?” D – “Can you provide details on how the bicycle accident happened?”

Answer: D — “Can you provide details on how the bicycle accident happened?”

Question: A preschooler was rescued 4 minutes after falling in the family’s pond and brought to the Pediatric Emergency Room. The child is coughing and suspected swallowing copious amount of water. Which of the following interventions is appropriate?

Answer Options: A – Provide 10% oxygen mask B – Initiate chest compressions C – Suction the contaminated fluid out with a Yankauer tube. D – None of the above

Answer: D — None of the above.

Question: The parents bring their 3-year-old child to the emergency department after the toddler ingested some of the parent’s morphine liquid prescription. Which nursing assessment is the priority?

Answer Options: A – Obtaining a complete set of vital signs B – Noting the child’s pulse rate and quality C – Auscultating lung fields for signs of edema D – Evaluating the child’s mental status, skin moisture, and skin color

Answer: A — Obtaining a complete set of vital signs.

Question: A child experiencing shock has received three boluses of normal saline solution. Which assessment will the nurse make to determine if the child is responding to the fluids?

Answer Options: A – Neurologic status B – Amount of urine output C – Heart and respiratory rates D – Peripheral and central pulses

Answer: C — Heart and respiratory rates.

Question: A 5-year-old child is brought to the emergency department with reports of headache and dizziness. The child is alert and their trunk color is appropriate for their ethnicity. An electrocardiogram (ECG) demonstrates a heart rate of 230 beats/min, with abnormal P-waves. Which intervention will the nurse perform first to address this heart rhythm?

Answer Options: A – Administer adenosine. B – Prepare to defibrillate. C – Perform vagal maneuver. D – Prepare for cardioversion.

Answer: C — Perform vagal maneuver.

Question: The nurse is teaching cardiopulmonary resuscitation (CPR) for infants to a group of parents. The parents return-demonstrate the skill for two-person CPR using an infant manikin. Which action indicates the proper technique?

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

Answer: B — Giving 2 breaths followed by 15 compressions.

Question: A child weighing 51 lb (23.1 kg) requires defibrillation. How many joules would the nurse expect to give initially?

Answer Options: A – 46 Joules B – 92 Joules C – 102 Joules D – 204 Joules

Answer: A — 46 Joules.

Question: The nurse is caring for a 7-year-old child experiencing respiratory distress who is scheduled to have a chest radiograph. Which intervention will the nurse include in the child’s plan of care?

Answer Options: A – Accompany the child to continue observation. B – Administer a sedative to help calm the child. C – Assist the child to lie still during the chest radiograph. D – Inform the child that they might hear a loud banging noise.

Answer: A — Accompany the child to continue observation.

Question: A child is found submerged in the family’s backyard pool. The child is pulled from the water and 9-1-1 is called. Upon arrival to the emergency department, the nurse does a quick assessment of the child. What is most important for the nurse to assess?

Answer Options: A – Airway B – Cardiac status C – Neurologic status D – Circulatory status

Answer: A — Airway.