Exact2Pass
Which of the following interventions is most effective in preventing pulmonary vasospasm in an infant with persistent pulmonary hypertension of the newborn (PPHN)?
A stat abdominal x-ray reveals free air and a large loculated fluid collection presumed to be blood. The priority of care should be:
A child with ALL presents 1 week after chemo, fatigued and hypothermic. Initial expected nursing intervention?
A 16-year-old patient is unresponsive after a motor vehicle collision. The parents speak another language. While performing the secondary survey, what should the nurse do next?
A teenage patient has an abrasion on her right forearm after a fall from a bicycle 3 days ago. The arm is cool, pale, and tight, capillary refill is greater than 5 seconds, and movement of her fingers is limited. Which of the following should a nurse anticipate as the initial treatment?
A 17-year-old on home peritoneal dialysis has new-onset fever and abdominal pain. Dialysate WBC is 185. What order should the nurse anticipate?
A 14-year-old post-MVC receives massive transfusion. Later, the abdomen is rigid. Which finding suggests abdominal compartment syndrome?
The family of a patient with trauma believes that the patient is in pain and requests that a neighbor, a therapeutic touch practitioner, be allowed to see the patient. Unit policy allows visits by immediate family only. Which of the following is the most important consideration in a nurse’s decision about facilitating the visit?
A nurse just completed their first-year evaluation and indicates a long-term goal to be a Chief Nursing Officer (CNO). The mentor should recommend the nurse:
An infant presents with poor feeding and a blood glucose level of 50 mg/dL. A nurse should assess for which of the following symptoms?
A 12-year-old presents with behavior changes and new-onset tonic-clonic seizures. Likely brain tumor location?
A 4-day-old infant presents with lethargy, vomiting, acidosis, and has a seizure upon arrival. What is the most likely diagnosis?
A young patient is admitted from the PACU to the ICU with complications following surgery. The parents are angry and confused as they were originally told by the surgeon their child was stable and the plan was to transfer the child to a regular room. How should the nurse best address the parents' concerns?
An 8-year-old child is admitted with decreased bowel sounds, nausea, vomiting, and fever. Past medical history includes a bicycle fall 1 day ago. A nurse should suspect which of the following?
In diabetic ketoacidosis (DKA), gluconeogenesis is a compensatory mechanism for a perceived deficiency in:
A 6-year-old child with SIADH was initially treated with a full liquid diet high in sodium. The child is now complaining of headaches, nausea, and muscle cramps. Laboratory results indicate a low sodium level. The revised plan of care should be to:
A child with short bowel syndrome presents with fever, dehydration, and weight loss. To ensure nutrition, the nurse should anticipate:
A child was struck by an automobile 24 hours ago. There is an ICP monitor in place which has a spontaneous rise in ICP to 35 mm Hg. A nurse medicates the patient with analgesia and sedative, but the ICP remains elevated. Which of the following should be the next intervention?
A 2-day-old infant develops a tachycardia of 300. A 12-lead ECG reveals narrow complexes and prominent delta waves. The patient most likely has:
A patient is postoperative day 1 from a laparotomy for appendicitis. Which intervention best prevents surgical wound infection?
In a child with a closed head injury, the presence of which of the following is most commonly associated with significant morbidity or mortality?
A patient is admitted with severe anemia requiring urgent intervention. The parents refuse the transfusion due to religious beliefs. The most appropriate action by the nurse is to:
A 2-month-old with ventricular septal defect (VSD) and CHF should be managed with:
A patient asks the nurse to join in saying bedtime prayers. The nurse is not comfortable with this practice. Which of the following is the nurse’s most appropriate response?
Which therapy is expected in the management of persistent pulmonary hypertension of the newborn (PPHN)?
An infant is admitted with tonic-clonic movement of the lower extremities. The most likely etiology of the seizure is:
Three weeks post-traumatic brain injury, a child has a GCS of 3, no cough or gag, and only agonal respirations. When the family asks about options of care, the nurse should respond:
Family members have been complaining about limited visiting hours. To facilitate a potential change in practice, a nurse should first:
High lead levels present a medical emergency because they are associated with the development of:
Immediately following a heart transplant, a patient has two P waves followed by one QRS segment each cardiac cycle. What is the nurse's next step?
The relationship between the family of a long-term patient and ICU healthcare providers has become strained. A nurse should first:
After a disaster drill, several issues related to notification of personnel and their role in the disaster were revealed. Which action should be done first?
A 6-year-old with WPW syndrome and SVT episodes is admitted. What intervention is anticipated?
In a pediatric patient with viral myocarditis, clinical manifestations of decreased urine output, cool hands and feet, and pulmonary edema are most likely indicative of:
A 9-year-old patient with a history of tachycardia and syncope is connected to a monitor that shows a HR of 190, with regular P-P and R-R intervals. The patient is awake, crying, anxious, and has a BP of 94/60. Which of the following is the initial nursing intervention?
A child with sickle cell anemia develops chest pain, SOB, and tachypnea. What is the most likely diagnosis?
An adolescent is admitted with toxic shock syndrome. In addition to blood cultures, which of the following lab orders should a nurse anticipate?
Multiple blood transfusions have been given to a patient with massive blood loss following a motor vehicle crash. Which of the following electrolyte abnormalities should a nurse anticipate?