Question 1

Which code should the nurse call for a fire in a patient care area?&#10;A) Code red&#10;B) Code blue&#10;C) Code pink&#10;D) Code grey&#10;

Accepted Answer

A code red is typically used for a fire or smoke emergency in a hospital or healthcare facility. This code alerts all staff members to take immediate action to evacuate patients and contain the fire, while also providing information on the location of the fire so that appropriate emergency response teams can be dispatched.

Question 2

Which action by the nurse is appropriate when using the &#34;R&#34; of the SBAR system?&#10;A) Identifying the reason for the phone call&#10;B) Giving the patient's presenting complaint&#10;C) Providing the most recent vital signs&#10;D) Asking if the provider will be coming to assess the patient&#10;

Accepted Answer

The "R" in SBAR stands for "Recommendation," where the nurse suggests what action should be taken or asks for specific guidance, such as whether the provider will come to assess the patient.

Question 3

Which medications should the nurse be prepared to administer when providing care to a child who is experiencing shock? (Select all that apply.)&#10;A) Cefazolin&#10;B) Epinephrine&#10;C) Insulin&#10;D) Hydrocortisone&#10;E) Diazepam&#10;

Accepted Answer

Cefazolin&#10;Epinephrine&#10;Hydrocortisone

Question 4

Which should the nurse monitor when assisting with the rapid assessment of body systems to assess a child's cardiovascular system?&#10;A) Presence of petechiae&#10;B) Retinal hemorrhage&#10;C) Paradoxical breathing&#10;D) Abnormal heart sounds&#10;

Accepted Answer

The nurse should monitor for abnormal heart sounds when assessing a child's cardiovascular system. The presence of petechiae and retinal hemorrhage are not specific to the cardiovascular system and paradoxical breathing is related to the respiratory system.

Question 5

Which nursing actions are appropriate when attempting to stabilize a pediatric patient who is experiencing shock? (Select all that apply.)&#10;A) Placing the child in a prone position&#10;B) Preparing for intubation and mechanical ventilation&#10;C) Protecting the child's vascular access line&#10;D) Administering prescribed antianxiety medications&#10;E) Using color-coded resuscitative tape to obtain accurate height and weight&#10;

Accepted Answer

Preparing for intubation and mechanical ventilation (B) is crucial in managing airway and breathing in shock. Protecting the child's vascular access line (C) ensures that medications and fluids can be administered effectively. Using color-coded resuscitative tape (E) helps in quickly determining the appropriate equipment sizes and medication dosages based on the child's height and weight.

Question 6

Which code should the nurse call for a pediatric patient who is not breathing?&#10;A) Code red&#10;B) Code blue&#10;C) Code pink&#10;D) Code grey&#10;

Accepted Answer

Code blue is used to indicate a medical emergency or cardiac arrest in a hospital setting. It initiates a coordinated response team to provide resuscitative efforts to the patient.

Question 7

Which should the nurse include when assessing the central nervous system (CNS)of a child who is acutely ill? (Select all that apply.)&#10;A) Irritability&#10;B) Lethargy&#10;C) Hypoventilation&#10;D) Vomiting&#10;E) Seizures&#10;

Accepted Answer

Irritability and lethargy are both indicators of altered mental status, which can be a sign of CNS dysfunction. Seizures are also a clear sign of CNS involvement. Hypoventilation and vomiting are not specifically related to the CNS and may be more indicative of other organ systems or metabolic imbalances.

Question 8

Which action by the nurse is appropriate when using the &#34;B&#34; of the SBAR system?&#10;A) Identifying the reason for the phone call&#10;B) Giving the patient's presenting complaint&#10;C) Providing the most recent vital signs&#10;D) Asking if the provider will be coming to assess the patient&#10;

Accepted Answer

The "B" in SBAR stands for "background" and refers to providing the patient's presenting complaint or reason for the contact. This information helps provide context for the provider who will be receiving the information. Identifying the reason for the phone call (A) is also important, but it falls under the "S" for situation category. Providing vital signs (C) would fall under the "A" for assessment category, and asking if the provider will be coming to assess the patient (D) falls under the "R" for recommendation category.

Question 9

Which action by the nurse is appropriate when using the &#34;S&#34; of the SBAR system?&#10;A) Identifying the reason for the phone call&#10;B) Giving the patient's presenting complaint&#10;C) Providing the most recent vital signs&#10;D) Asking if the provider will be coming to assess the patient&#10;

Accepted Answer

Identifying the reason for the phone call is the appropriate action when using the "S" of the SBAR system.

Question 10

Which code should the nurse call if a newborn is missing from the nursery?&#10;A) Code red&#10;B) Code blue&#10;C) Code pink&#10;D) Code grey&#10;

Accepted Answer

Code pink is the code specifically used for a missing infant or child. It alerts all staff in the hospital to begin searching for the child and restricts access to hospital exits until the child is found. Code red typically refers to a fire or hazardous materials incident, code blue often means a medical emergency or cardiac arrest, and code grey usually denotes a security threat or combative person.

Question 11

Which guideline should the nurse include in the education provided to the parents of pediatric patients regarding the implementation of the rapid response team?&#10;A) The team should be activated for customer service issues.&#10;B) The team should be activated when an immediate care conference is required.&#10;C) The team can be activated only by the family,but the nurse can assist with this process.&#10;D) The team can be activated for signs and symptoms indicating the child is deteriorating,such as trouble breathing.&#10;

Accepted Answer

The answer of Which guideline should the nurse include in...

Question 12

Which information should the nurse include in the handoff communication with the receiving unit when a child is transferred to a higher level of care? (Select all that apply.)&#10;A) The child's nickname in order to enhance comfort when on the new unit&#10;B) The date of admission and the diagnosis&#10;C) A comprehensive history of the hospital stay up until the transfer&#10;D) Any medical interventions that were attempted to stabilize the child prior to the transfer&#10;E) The family members who are approved to receive information about the child via telephone&#10;

Accepted Answer

The answer of Which information should the nurse include in...

Question 13

Which should the nurse monitor when assisting with the rapid assessment of body systems to assess a child's integumentary system?&#10;A) Presence of petechiae&#10;B) Retinal hemorrhage&#10;C) Paradoxical breathing&#10;D) Abnormal heart sounds&#10;

Accepted Answer

The answer of Which should the nurse monitor when assisting...

Question 14

Which is a responsibility of the nurse when implementing safety precautions for pediatric patients each shift?&#10;A) Checking that the bedside equipment is functional and the right size&#10;B) Verifying a dose of insulin with another nurse prior to administration&#10;C) Using the 10 rights of medication administration with each drug given&#10;D) Verifying the patient prior to administering a prescribed treatment&#10;

Accepted Answer

The answer of Which is a responsibility of the nurse...

Question 15

In which position should the nurse place a child who is experiencing a medical emergency in order to use color-coded resuscitative response tape?&#10;A) Supine&#10;B) Prone&#10;C) Side-lying&#10;D) Trendelenburg&#10;

Accepted Answer

The answer of In which position should the nurse place...

Question 16

Which nursing action exemplifies safe practice when providing care to pediatric patients?&#10;A) Using therapeutic play for teaching&#10;B) Allowing the parents to remain at the bedside as long as they wish&#10;C) Implementing the rapid response team for a child who is experiencing complications&#10;D) Scheduling a child life specialist for a patient who is on contact precautions&#10;

Accepted Answer

The answer of Which nursing action exemplifies safe practice when...

Question 17

For which patient scenario should the nurse activate the rapid response team?&#10;A) An infant who requires an IV catheter for antibiotic administration&#10;B) A toddler-aged patient who is experiencing separation anxiety&#10;C) A preschool-aged patient who requires a procedure with the implementation of restraints&#10;D) A school-aged patient who has a grand mal seizure in the playroom&#10;

Accepted Answer

The answer of For which patient scenario should the nurse...

Question 18

Which nursing action exemplifies the therapeutic communication required when a child is moved to a higher level of care in an acute care facility?&#10;A) Asking the provider on call to communicate why the child was transferred to intensive care&#10;B) Calling the hospital social worker to communicate with the parents during the transfer process&#10;C) Talking to the family in a calm,matter-of-fact manner,explaining each step of the transfer process&#10;D) Instructing the family to go to the waiting room until a provider is available to update them on their child&#10;

Accepted Answer

The answer of Which nursing action exemplifies the therapeutic communication...

Question 19

The nurse witnesses a child collapsing in the cafeteria.Which is the priority action by the nurse?&#10;A) Calling for help&#10;B) Determining unresponsiveness&#10;C) Performing chest compressions&#10;D) Giving a resuscitative breath&#10;

Accepted Answer

The answer of The nurse witnesses a child collapsing in...

Question 20

Which action by the nurse is appropriate when using the &#34;A&#34; of the SBAR system?&#10;A) Identifying the reason for the phone call&#10;B) Giving the patient's presenting complaint&#10;C) Providing the most recent vital signs&#10;D) Asking if the provider will be coming to assess the patient&#10;

Accepted Answer

The answer of Which action by the nurse is appropriate...

Deck 27: Acutely Ill Children and Their Needs