TRAUMA
PEDIATRICS
NEURO
CARDIAC
Anything goes.
100
4. Which sign best indicates the presence of coarctation of the aorta?
A. Clubbing of fingers and toes
B. Generalized cyanosis, especially with crying.
C. Rapid and irregular apical heartbeat
D. Bounding brachial pulses with weak femoral pulses.
What is B. Generalizied cyanosis, esp with crying
100
16 + age / 4
What is ET tube size
100
A mother reports that her school-sge child has been reprimanded for daydreaming during class. This is a new behavior, and the child's grades are dropping. The nurse should suspect which problem?
1. A hearing problem and needs his hearing checked.
2. A learning disability-refer to special services.
3. ADHD-needs medication
4. Absent seisures-needs to see primary care for eval.
4. What is Absent siezures. They are commonly misinterpreted as daydreaming. The child looses awareness but no alsteration in motor activity
100
A two year old is showing signs of shock, A 10 ml/kg bolus of normal saline solution is ordered. The child weighs 20kg. How many millimeters should be administered
1. 20ml
2. 100ml
3. 200ml
4. 2,000ml.
What is #3. 200ml.
correct formula is 10ml/kg x20 kg
100
Molly, with suspected rheumatic fever, is admitted to the pediatric unit. When obtaining the child’s history, the nurse considers which information to be most important?
A. A fever that started 3 days ago
B. Lack of interest in food
C. A recent episode of pharyngitis
D. Vomiting for 2 days
What is recent episode of pharyngitis
200
When caring for a child with spina bifida, which technique should the nurse anticipate as the most important assessment for diagnosing hydrocephalaus?
1. Measue head circumference.
2. Skull x-ray showing a thinning skull
3. Angiography
4. MRI
1.head circurnis most important and is key in infant screening. All the others may be useful in conformation of diagnosis
200
2cm below the tibial tuberosity
What is interosseous insertion site
200
Triad of hypertension, bradycardia and abnormal respirations
What is cushings triad
200
Which finding is expected during an assessment of a child with acyanotic heart defect?
1. Overweight
2 Bradycardia
3. Hepatomegaly
4. Decreased Respiratory rate
What is Hepatomegaly?
It may result for blood backing up into the liver due to the difficulty of entering the right side of the eart.
200
The portion of a child’s body that’s burned is typically estimated according to :
A. Rule of Nines
B. TBSA.
C. dept of injury
D. three-dimensional analysis
TBSA
300
The preferred neurological exams for a trauma patient
Glasgow coma scale and AVPU
300
Which assessment is expected when assessing a child with tetralogy of Fallot?
1. Machinelike mumur
2. Eisenmenger's complex
3. Increasing cyanosis with crying or activity.
4 Higher pressures in the upper extremities than with the lower extremities.
What is increasing cyanosis with crying, activity, or straining as with a bowel movement?
Machine like mumur-patent ductus arteriosus.
Eisenmenger's complex -complication of pulmonary pressure.
Higher pressures in upper extrem-coarctation of the aorta.
300
immediate loss of consciousness followed by lucid period and then unconsciousness
What is Epidural hematoma
300
Which sign is considered a late sign of shock in children?
1. Tachycardia
2. Hypotension
3. Delayed capillary refill.
4. Pale, cool, mottled skin
2. Hypotension.
300
A nurse is caring for a child with Kawasaki disease. Whick symptom should concern the nurse the most?
1. Mild diarrhea
2. Pain in joints
3. Abdominal pain with vomiting
4 Increased erythrocyte sedimentatio rate (ESR)
What is abd pain, vomiting and restlessness are the main symptoms of an acute Myocardial infarction in children.
Mild diarrhea can be tx
pain in joints is expected in subacute phase.
Increased ESR reflects inflammatory process-seen for 2-4 weeks
400
During observation of a child who has undergone cardiac catheterization, the nurse notes significant bleeding from the percutaneous femoral catheterization site? Which action should be taken first?
1. Apply direct, continuous pressure.
2. Assess the pulse and blood pressure
3. Seek the assistance of another nurse
4 Check the pulses in the affected leg.
What is applying pressure. Bleeding must be stopped from a janor vessel to prevent hemorrhage. Vital signs are taken after control of bleeding. Calling for help is important, but pressure must be held while is found.
400
SCIWORA
What is spinal cord injury without radiographic abnormality
400
nonverbal, eyes closed and no motor response
What is GCS =3
400
A 2 yr-old is being monitored after cardiac surgery. Which sign represents a decrease in cardiac output?
1. Hypertension
2. Increased urine output
3. Weak peripheral pulses
4. Capillary refill less than 2 seconds
What is weak peripheral pulses.
Signs of decreased cardiac output include weak peripheral pulses, hypotension, low urine output, delayed capillary refill, and cool extremities.
400
A child is undergoing testing to rule out a diagnosis of Kawasaki disease. Which test result may lead to this diagnosis?
1. Hematuria
2. Elevated luekocyte count
3. Normal or decreased platelet count.
4. Decreased erythrocyte sedimentation.
What is an elevated leukocyte count, increased platelet count, and proteinuria or sterile pyruia.
500
Parkland formula: fluid resusitation in Burn patients.
What is 4ml/kg x's % of body surface area burned. 1st half in 1st 8 hours.
500
steeple sign
What is epiglotitis
500
Which of the following assessments should a nurse watch for with meningitis?
1. flat fontanel
2. Irritability, fever, and vomiting.
3. Jaundice, drowsiness, and refusal to eat
4 Negative Kernig's sign
2. Irritability, fever, and vomiting.
500
Which intervention or drug is recommended initially for preterm neonates to close a patent ductus ateriosus?
1. Indomethacin
2. Prostaglandin E1
3. Surgical Ligation
4. Cardiac Catheterization
What is Indomethacin ( a prostaglandin inhibitor)
500
Criteria for Rheumatic fever
What is Jones Criteria