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3 Months Free Update
3 Months Free Update
3 Months Free Update
Which therapy is expected in the management of persistent pulmonary hypertension of the newborn (PPHN)?
A 6-year-old patient with ARDS has been mechanically ventilated for 10 days. The patient is being assessed for readiness to wean. The patient will open his eyes spontaneously but not to command. The pupils are equal and reactive but the patient is restless, sleeping only for short intervals. A nurse suspects the patient is demonstrating signs of:
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 nurse managing a patient with carbon monoxide poisoning should consider the possibility of an inaccurate:
A child ventilated with PEEP of 10 cm H?O exhibits acute decreases in O? saturation, HR, BP, and systemic perfusion. A nurse should notify the physician and prepare for:
A stat abdominal x-ray reveals free air and a large loculated fluid collection presumed to be blood. The priority of care should be:
The primary function of an institutional ethics committee in the critical care area is to:
A 2-month-old with ventricular septal defect (VSD) and CHF should be managed with:
A child presents with new-onset right-sided weakness, slurred speech, and headache. Which chronic condition most likely predisposes the child to this presentation?
A patient on peritoneal dialysis has high blood glucose. Most likely cause is:
A child has a fever, moderate hypertension, petechiae, decreased urinary output, and bloody diarrhea. A nurse should suspect:
A 3-year-old near-drowning child who is intubated and mechanically ventilated exhibits increased peak inspiratory pressures and decreased O? saturation. Stat chest x-ray reveals diffuse pulmonary infiltrates. No improvement is exhibited after an increase in FiO?. The nurse should suspect:
A medical team recommends a tracheostomy for an infant with spinal muscular atrophy. The parent states, “I just want to make sure my child has the best life.” The nurse should:
During an exchange transfusion for sickle cell crisis, the patient becomes anxious and reports tingling and numbness around the mouth. The nurse should administer:
A 6-year-old child is admitted following ingestion of an unidentified substance. Assessment reveals:
BP: 120/84
HR: 190
RR: 44
ECG: Sinus rhythm with occasional PVCs
Dilated pupils
Dry mucous membranes
Disorientation
Urinary retention
These findings are consistent with ingestion of:
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?
A pediatric patient is admitted with severe sepsis and multi-organ dysfunction syndrome (MODS). Which of the following treatments should a nurse anticipate initially?
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?
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:
CSF analysis shows: glucose 36 mg/dL, protein 110 mg/dL, and WBCs (PMNs) 1,000/microliters. These findings are indicative of:
Following resuscitation of a 2-year-old near-drowning patient, which of the following changes is indicative of a poor neurologic outcome?
A 15-year-old patient with a history of anxiety is experiencing palpitations, dizziness, nausea, diaphoresis, and tachypnea. This is most likely:
For a 20-kg child experiencing abdominal hemorrhaging, a nurse should expect to administer a fluid bolus of:
A 13-year-old with systemic lupus erythematosus has hypotension, CVP of 15 mm Hg, cool extremities, gallop rhythm, and coarse breath sounds. What treatment is expected?
A child with hepatic failure received volume replacement. Following this therapy, laboratory tests reveal:
PT: 14 sec
PTT: 40 sec
Hct: 36%
Albumin: 3.5 g/dL
Before the patient undergoes a closed liver biopsy, further replacement should include:
A patient has been declared brain dead. A nurse would like the family to consider organ donation but has never requested this from a family before. The best initial action by the nurse is to:
During ablation of a child's marrow in preparation for bone marrow transplantation, a nurse should monitor for which of the following complications?
A school-aged patient who was admitted with an acute asthma exacerbation has improved and is now ready for transfer to the floor. In preparation for discharge, the nurse should evaluate:
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?
What is the best method to ensure parents of a child with a new tracheostomy are adequately prepared for home care?
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?
A 14-year-old post-MVC receives massive transfusion. Later, the abdomen is rigid. Which finding suggests abdominal compartment syndrome?
An infant has hypovolemic shock from severe diarrhea. Which of the following assessments demonstrates adequate tissue perfusion following fluid resuscitation?
Capillary Refill
Urine Output
CVP
BP
a. 2 sec
0.5 ml/kg/hr
2 mm Hg
84/50
b. 3 sec
0.5 ml/kg/hr
6 mm Hg
72/44
c. 3 sec
1.2 ml/kg/hr
4 mm Hg
72/48
d. 2 sec
1.2 ml/kg/hr
8 mm Hg
80/54
A 6-month-old patient presents with bronchiolitis and respiratory distress. Upon admission, the patient has mild retractions, scattered crackles, copious secretions, diarrhea with significant diaper dermatitis, and weight/height/head circumference less than the 5th percentile. The patient's vital signs are:
BP: 80/45
HR: 150
RR: 42
Temp: 98.8°F (37.1°C)
SpO?: 96% on 4L heated high flow nasal cannula
A nurse should consider that the patient:
A transgender adolescent requests to be addressed by preferred name/pronouns, different from medical record. What is the best response?
The family member of a patient who is receiving mechanical ventilation is to be taught suctioning. When developing a teaching plan, the nurse should first:
A school-age child is admitted in acute respiratory failure requiring mechanical ventilation. Endotracheal aspirate Gram staining is positive for an acid-fast bacillus. The nurse’s initial action should be to:
One day after a spinal fusion, a child is tachycardic and febrile with decreased bilateral breath sounds. SaO? is 92% on 2 L/min and FVC is 10 mL/kg. These symptoms most likely indicate:
TESTED 18 Jul 2025