Question: The nurse is providing care to a 4-year-old child with a broken arm suffered in a fall. Which intervention will the nurse perform?

Answer Options: A – Administering analgesics to reduce pain B – Administering adenosine for cardioversion C – Using a defibrillator to regulate the heart rate D – Encouraging vagal maneuvers to reduce heart rate

Answer: A – Administering analgesics to reduce pain

Question: A 5-year-old child experiences profound bradycardia. What action will the nurse take first?

Answer Options: A – Use warming blankets. B – Provide oxygen at 100%. C – Administer atropine as prescribed. D – Administer epinephrine as prescribed.

Answer: B – Provide oxygen at 100%.

Question: What intervention is most appropriate to help maintain a patent airway in an infant experiencing a respiratory emergency?

Answer Options: A – Neck hyperextension B – Jaw-thrust maneuver C – Head tilt-chin lift technique D – Small towel under shoulders

Answer: D – Small towel under shoulders

Question: A 1-day-old newborn has periodic breathing. What should the nurse do?

Answer Options: A – Place the newborn in a prone position to improve breathing. B – Administer oxygen and prepare for possible respiratory support. C – Document normal periodic breathing and provide routine follow-up. D – Notify the pediatrician immediately about the abnormal breathing pattern.

Answer: C – Document normal periodic breathing and provide routine follow-up.

Question: An 8-month-old child with croup shows signs of respiratory distress. Select all that apply.

Answer Options: A – Stridor B – Nasal flaring C – Barking cough D – Intercostal retractions E – Quiet, shallow breathing

Answer: A, B, D, E – Stridor; Nasal flaring; Intercostal retractions; Quiet, shallow breathing

Question: A near-drown 7-year-old child with absent pulse. Priority intervention?

Answer Options: A – Upper respiratory suctioning B – Administration of 100% oxygen C – Initiation of chest compressions D – Initiation of heimlich maneuver

Answer: C – Initiation of chest compressions

Question: Which intervention helps prevent barotrauma when ventilating a 3-year-old with a bag-valve mask?

Answer Options: A – Delivering 1 breath every 3 to 5 seconds B – Choosing the correct size for the face mask C – Setting the flow rate at exactly 10 L/minute D – Maintaining the airway in the open position

Answer: B – Choosing the correct size for the face mask

Question: A child weighing 51 lb (23.1 kg) requires defibrillation. Initial joules?

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

Answer: A – 46 Joules

Question: Priority goal 1 day after tracheostomy?

Answer Options: A – Maintain a patent airway. B – Relieve anxiety about breathing. C – Keep the secretions moist with saline. D – Teach the client about tracheostomy care.

Answer: A – Maintain a patent airway.

Question: A 3-year-old with iron poisoning. Expected treatment?

Answer Options: A – Naloxone B – Syrup of ipecac C – Activated charcoal D – Whole bowel irrigation

Answer: D – Whole bowel irrigation