Assessment
A 2-month-old infant with RSV is using intercostal muscles to breathe. What is this assessment finding called?
What are retractions?
A child with asthma is wheezing and speaking only one word at a time. What is the nurse's priority?
What is assess airway/breathing and administer rescue treatment.
Parents ask how to reduce the risk of SIDS. Name one teaching point.
What is (possible answers):
Back to sleep
Firm mattress
No loose blankets
No stuffed animals
Convert:
44 pounds = _____ kg
What is 20 kg?
Name two priority nursing interventions for an infant receiving phototherapy.
What is (possible answers)?
- eye protection
- frequent feeds
- monitor temperature
- monitor hydration
- reposition every 2 hours
A 4-week-old has projectile vomiting after every feeding. What additional assessment finding would you expect?
What is a olive-shaped mass in the RUQ?
or
What are signs of dehydration/weight loss?
A toddler is actively having a seizure. What is the FIRST nursing action?
What is protect the child from injury (maintain airway and safety).
Parents ask why they should finish the entire course of antibiotics for otitis media.
What is Prevent recurrence, complications, and antibiotic resistance?
Medication ordered: 100 mg
Available: 50 mg/mL
How many mL?
What is 2 mL?
This childhood emergency causes a barking cough.
What is croup?
A 5-year-old with suspected meningitis is admitted. Name three assessment findings that concern the nurse.
What is ... (possible answers)
Fever
Nuchal rigidity
Photophobia
Altered mental status
Headache
Positive Kernig/Brudzinski
A child with burns arrives in the ED. What assessment has the highest priority?
What is airway?
A parent asks why a child with cystic fibrosis needs pancreatic enzymes.
What is To improve digestion and absorption of nutrients?
Medication ordered: 15 mg
Available: 5 mg/mL
How many mL?
What is 3 mL?
What is the most common complication of repeated AOM (acute otitis media)?
What is hearing loss?
A toddler with dehydration has a capillary refill of 4 seconds. What does this indicate?
What is poor perfusion?
A 3-year-old suddenly develops stridor while eating grapes. What is the priority nursing action?
What is assess for airway obstruction/choking and intervene appropriately.
Parents ask the child's nurse, "what is the purpose of outlining the edges of cellulitis with a marker?"
What is to monitor the possible spread or improvement of infection?
A child weighs 11 kg.
Medication ordered: 20 mg/kg/day
How many mg/day?
What is 220 mg/day?
A child with diabetes tells the school nurse, "I feel shaky." What should the nurse do first?
What is check blood glucose?
or
What is provide a fast-acting carbohydrate if hypoglycemia is strongly suspected per school protocol?
A child with leukemia develops petechiae and bruising. Which laboratory value would the nurse expect to be low?
What are platelets?
Who should the nurse assess first?
Child with asthma and SpO₂ 89%
Child with otitis media and fever
Child with vomiting for one day
Child with arm pain after falling
Who is child with asthma and SpO₂ 89%
Parents ask what they should report immediately after chemotherapy.
What is a fever or signs of infection?
IV fluids are ordered at 480 mL/day.
How many mL/hr?
what is 20 mL/hr?
A teenager develops fever, photophobia, severe headache, and nuchal rigidity after returning from summer camp.
What is meningococcal meningitis?