Endo/ integumentary
A five-year-old child brought to the clinic with superficial sores on their leg is diagnosed with impetigo. Which instruction should the nurse give to the parent?
A. Wash the child's leg once a day with soap.
B. Cover the sores with loose gauze.
C. Allow the child to go back to school after 24 hours of treatment.
D. Have the child return to the clinic the next week for follow-up.
What is C.
Impetigo treatment includes washing areas, removing crust, and applying antibiotic ointments. lesions do not need to be covered and follow up only if the lesions have not resolved.
The biggest difference between adult and pediatric medications is
A. Pediatric meds taste better
B. There is no difference between pediatric and adult meds
C. Pediatric medications are weight based
D. Adult meds are weight based
C. What is pediatric medications are weight based weight based?
A nurse begins a packed RBC transfusion for a 5‑year‑old child with iron‑deficiency anemia. After 10 minutes, the child becomes flushed and anxious and develops chills and back pain. What is the priority nursing action?
A. Slow the transfusion rate and reassess the child
B. Stop the transfusion immediately and maintain IV access with normal saline
C. Notify the healthcare provider and prepare to administer acetaminophen
D. Obtain a urine sample to assess for hemoglobinuria
B. These symptoms indicate a possible acute hemolytic transfusion reaction, the most dangerous type. The nurse must stop the transfusion immediately, keep the IV line open with normal saline, and prevent further exposure to the incompatible blood.
What is the highest-grossing film of all time?
Avatar (2009) is the highest-grossing movie of all time, earning $2,923,710,708 worldwide.
A 7‑year‑old child with sickle cell anemia is admitted with severe joint pain, fatigue, and a swollen hand. The nurse notes delayed capillary refill and pallor. Which provider order should the nurse implement first?
A. Apply warm compresses to the affected joints
B. Administer IV morphine as prescribed
C. Begin IV fluids at 1.5 times maintenance
D. Obtain a blood sample for a CBC and reticulocyte count
C. The priority in a vaso‑occlusive crisis is aggressive IV hydration to reduce blood viscosity, improve circulation, and prevent further sickling. This directly addresses the underlying cause of the crisis.
An 8=year old with diabetes is placed on an intermediate-acting insulin and regular acting insulinbefore breakfast and dinner. She will receive a snack of milk and cereal at bedtime. The snack will:
A. Help her gain lost weight.
B. Provide carbohydrates for immediate use.
C. Prevent late night hypoglycemia.
D. Help her stay on her diet.
What is C.
Intermediate insulin peaks in 5-6 hours.
This is the location for immunizations in an infant.
Double Jeopardy: What is the maximum amount you can administer in this muscle?
What is Vastus Lateralis?
Preferred site in neonates and children under walking age but can be used in any age group.
Double Jeopardy
What is 1-3mls?
Adolescence up to 4 mls
Adult- up to 5 mls
A 4‑year‑old child with a history of epilepsy suddenly begins having a tonic‑clonic seizure on the pediatric unit. Which nursing action is the priority?
A. Insert an oral airway to prevent the child from biting their tongue
B. Restrain the child’s arms and legs to prevent injury
C. Turn the child onto their side and ensure the airway is patent
D. Obtain a full set of vital signs immediately
C. The priority during an active seizure is airway protection. Turning the child to the side helps prevent aspiration and keeps the airway open.
What is Eleven’s favorite food in Stranger Things?
What is Eggo Waffles?
Which infant most needs a developmental referal for gross motor delay?
A. The 2-month-old who does not roll over.
B. The 4-month-old who does not sit without support.
C. The 6-month-old who does not crawl.
D. The 9-month-old who does not stand holding on.
What is D. 90% of 9 mo. olds are able to stand holding onto objects.
Manifestations = hyperglycemia (>300), glycosuria, acidosis, kussmaul respirations, fruity acetone breath, weight loss, etc.
What is DKA?
Treatment = ICU admission, cardiac monitoring, IV fluids + regular insulin, NPO
A 2‑year‑old (weight 12 kg) presents with 2 days of vomiting and diarrhea. He is lethargic, has dry mucous membranes, delayed capillary refill, and decreased urine output. You estimate 10% dehydration. His serum sodium is normal.
What is the total fluid requirement for the first 24 hours?
A. 600 mL
B. 1200 mL
C. 1800 mL
D. 2400 mL
What is C. 1800 ml
Total=Deficit + Maintenance
1. Calculate fluid deficit
10% dehydration = 0.10 × body weight (kg) × 1000 mL
0.10×12 kg×1000=1200 mL deficit
2. Calculate maintenance fluids (Holliday–Segar method)
First 10 kg → 100 mL/kg = 1000 mL
Next 2 kg → 50 mL/kg = 100 mL
Maintenance=1100 mL/day
3. Total fluid for first 24 hours
Boards assume replace half the deficit in first 8 hours, the rest over next 16 hours, plus full maintenance.
A 10‑month‑old infant is brought to the emergency department with sudden, intermittent episodes of severe crying, drawing knees to the chest, and vomiting. The nurse notes a sausage‑shaped mass in the right upper quadrant and currant‑jelly stools. Which provider order should the nurse anticipate as the priority treatment?
A. Prepare the infant for emergent surgical bowel resection
B. Administer IV morphine for pain control
C. Prepare the infant for an air or contrast enema reduction
D. Start oral rehydration therapy and observe for 24 hours
C. An air or contrast enema is the first‑line treatment for intussusception and is often both diagnostic and therapeutic, successfully reducing the telescoped bowel in most cases.
What hit Netflix series chronicles a family looking for love and happiness in London high society?
What is Bridgerton?
Double Jeopardy: Who is the anonymous gossip writer?
A 6‑year‑old child returns from the orthopedic clinic with a new long‑leg plaster cast after a tibial fracture. Which nursing action is the priority during the first 24 hours?
A. Encourage the child to insert a pencil into the cast to scratch itchy skin
B. Elevate the affected extremity on pillows and apply ice packs
C. Use a hair dryer on warm to help the cast dry faster
D. Assess the child’s ability to wiggle toes once per shift
B. During the first 24 hours, the priority is reducing swelling to prevent neurovascular compromise. Elevation and ice (over the cast) help decrease edema and protect circulation.
A nurse is teaching the parents of a 6‑year‑old girl diagnosed with central precocious puberty who has begun treatment with leuprolide acetate (a GnRH agonist). Which statement by the parents indicates a correct understanding of the condition and its management?
A. “This medication will help stop early sexual development until she is older.”
B. “We should expect her to begin menstruating within the next few months.”
C. “She will need to avoid physical activity while on this medication.”
D. “This condition will cause permanent infertility in adulthood.”
Double Jeopardy: What age is considered PB?
A. GnRH agonists like leuprolide suppress the pituitary gland, halting early release of LH/FSH. This slows or reverses early sexual development and helps preserve adult height potential.
Double jeopardy:
Before 9yrs in boys
Before 6-7yrs in girls
Your pediatric patient is 20kg and he needs a dose of acetaminophen; this is the total dose of the medication that will be administered.
What is 300mg?
Max dosing per dose for pediatrics is 15 mg/kg/dose
Max Tylenol dosing in peds is generally 75 mg/kg/day
Adults-4000 mg per day.
A 7‑year‑old boy with a history of moderate persistent asthma is brought to the emergency department with severe respiratory distress. He is unable to speak in full sentences, has marked suprasternal and intercostal retractions, and is sitting upright, leaning forward. His respiratory rate is 42/min, heart rate is 148/min, and oxygen saturation is 88% on room air. On auscultation, there is very poor air movement with faint expiratory wheezes. He has already received three back‑to‑back albuterol/ipratropium nebulizers and an oral dose of prednisone from EMS with minimal improvement.
Which of the following is the most appropriate next step in management?
A. Obtain a chest X‑ray to evaluate for pneumonia
B. Administer IV magnesium sulfate
C. Start a leukotriene receptor antagonist
D. Give another round of albuterol/ipratropium nebulizers only
E. Begin noninvasive ventilation (BiPAP) as the next step
What is B. Begin I.V Magnesium. It relaxes the bronchial muscles and improving airflow. (Acts as a smooth muscle relaxant).
Intubation is the last line of treatment for an asthmatic. - hard to ventilate and can make bronchospasms worse Remember: avoidance of triggers and daily management is key.
Who is the first Disney princess with a tattoo?
Who is Pocahontas. But Moana also gets a tattoo in Moana 2.
Juvenile Idiopathic Arthritis is experiencing morning stiffness and joint pain. Which nursing instruction is most appropriate to help reduce symptoms?
A. “Encourage complete rest in the morning to avoid worsening inflammation.”
B. “Apply cold packs to the joints immediately upon waking.”
C. “Have your child take a warm bath or shower each morning to loosen stiff joints.”
D. “Limit physical activity to prevent long‑term joint damage.”
C. Warmth helps relax stiff joints, improves mobility, and reduces morning discomfort. It’s a cornerstone non‑pharmacologic intervention for JIA.
A 7‑year‑old child diagnosed with growth hormone deficiency is starting somatropin (recombinant growth hormone) therapy. Which parent statement indicates a correct understanding of the treatment plan?
A. “We will give the injections in the morning so they match natural hormone cycles.”
B. “We should expect our child to grow several inches within the first week.”
C. “We will need to monitor for signs of increased intracranial pressure while on this medication.”
D. “Once the medication starts working, we can stop the injections after a few months.”
C. Somatropin can cause increased intracranial pressure, so parents must watch for headache, vomiting, vision changes, or early morning nausea.
A nurse is preparing to administer oral amoxicillin to a 3‑year‑old child who weighs 15 kg. The prescribed dose is 20 mg/kg/day divided into two doses. The medication is supplied as 250 mg/5 mL. How many milliliters should the nurse administer per dose?
A. 3 mL
B. 6 mL
C. 10 mL
D. 15 mL
What is B — 6 mL per dose
Many students mistakenly calculate 3 mL, but the correct concentration is:
250 mg per 5 mL → 50 mg per 1 mL 150 mg÷50=3 mL
A toddler is brought to the emergency room after ingesting an unknown amount of drain cleaner. The nurse should expect to assist with which intervention first?
A. Administer an emetic.
B. Securing the airway.
C. Perform gastric lavage.
D. insert an indwelling urinary catheter.
What is B. Drain cleaner almost always contains which causes mouth pharynx, and esophagus burns.
Intubation or emergent tracheostomy may be necessary.
What is the name of the fictional spokesperson Progressive Insurance has had since 2008?
What is Flo.
Nursing care management of a child with bacterial meningitis includes which interventions? select all that apply.
A. Administer Iv antibiotics.
B. IV fluids at 1.5 times maintenance.
C. Decrease environmental stimuli.
D. Neuro checks every 4 hours.
E. Administration of IV anticonvulsants.
What is A, C, D.
Excess fluids can increase ICP. Anticonvulsants are only given if the patient has seuzures.