Question: A 7-year-old in respiratory distress needs chest x-ray. Nursing intervention?

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 submerged in pool arrives at ED. Most important assessment?

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

Answer: A – Airway

Question: A 2-year-old with vomiting and diarrhea for 48 hours. Risk of which shock?

Answer Options: A – Septic B – Cardiogenic C – Distributive D – Hypovolemic

Answer: D – Hypovolemic

Question: Child injured in MVC. Initial action based on pediatric emergency care?

Answer Options: A – Assess carotid pulse for 10 to 20 seconds B – Prepare to use defibrillation for asystole C – Apply cardiac monitor D – Use jaw-thrust technique

Answer: D – Use the jaw-thrust technique

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 cares for a child injured in a motor vehicle collision. Based on the principles of emergency pediatric care, the nurse will initiate which action?

Answer Options: A – Assessing the carotid pulse for 10 to 20 seconds B – Preparing to use defibrillation to treat asystole C – Applying a cardiac monitor to determine heart rate D – Using the jaw-thrust technique to position the airway

Answer: D – Using the jaw-thrust technique to position the airway

Question: Which action will provide the best verification that a child’s endotracheal (ET) tube is correctly positioned?

Answer Options: A – Mark the tracheal tube at the child’s lip. B – Auscultate for abdominal breath sounds. C – Inspect for water vapor in the tracheal tube. D – Watch for a yellow display on a CO2 monitor.

Answer: D — Watch for a yellow display on a CO2 monitor.

Question: During a teaching session for new mothers, the nurse reviews factors that can place an infant at risk for airway occlusion. Which of the following factors does the nurse include in the teaching?

Answer Options: A – Their prominent occiput B – Inflexibility of their neck cartilage. C – Placing the infant on neutral or “sniff” position D – All the above

Answer: A — Their prominent occiput.

Question: A 9-year-old child who has fallen from a second-story window is brought to the emergency department. Which assessment is the priority?

Answer Options: A – monitoring oxygen saturation levels B – evaluating pupils for equality and reactivity C – asking the child if they know where they are D – using the appropriate pain assessment scale

Answer: A — monitoring oxygen saturation levels

Question: A nurse is planning care for a client who ingested a large amount of acetylsalicylic acid. Which of the following actions should the nurse take?

Answer Options: A – Administer N-acetyl cysteine. B – Induce vomiting with syrup of ipecac. C – Initiate chelation therapy with deferoxamine. D – Perform gastric lavage with activated charcoal.

Answer: D — Perform gastric lavage with activated charcoal.