Pediatric Clinical Quiz

What is NOT included in your safety check when you come into your patient's room?

• Suction

• Overhead light is turned on

• Bag valve mask

• Emergency Medication Sheet

• Alarm Parameters set appropriately

Your patient has a Bivona size 4.0 tracheostomy. What must you ensure is always at the bedside for this patient's safety?

• Extra trachs: Bivona 4.0 and Bivona 3.5

• Extra trach Bivona 3.5

• Extra trachs: Bivona 4.0 and Bivona 4.5

• Extra trach Bivona 4.0

The mother of your 7-year-old patient who has a history of severe developmental mental delay and is nonverbal, asks if the patient can receive some pain medication. You should assess the patient's level of pain using which pain scale?

• Wong-Baker Faces scale

• Visual analogue scale

• 0-10 numeric pain scale

• FLACC scale

You are caring for a 10 day-old infant who was born at 32 weeks gestation. You received in handoff report that the patient has occasional episodes of bradycardia that resolve with stimulation. What should settings should be set on the monitor for this patient's HR?

• High: 200

  Low: 90

• High: 270

  Low: 70

• High: 100

  Low: 50

• High: 90

  Low: 80

Your 12 year old patient is waiting for a ORIF procedure to correct his right femur fracture after a MVA. What signs/symptoms are important to look for during your neurovascular assessments of the RLE? Select all that apply.

• Pallor

• Pain

• Pulselessness

• Paresthesia

• Paralysis

Your 6 year old patient is admitted for dehydration and is receiving continuous IV fluids. You know you must assess the IV site at least every hour. What are signs of infiltration? Select all that apply.

• Patient complains of a salty taste when IV is flushed with NS

• Swelling around the site

• Pain or tenderness around the site

• Cool skin temperature around the site

Brandon is a 3 year old with a diagnosis of osteomyelitis and is receiving IV antibiotics through a PICC line. Which of the following is NOT a CLABSI prevention intervention?

• Daily bath and linen change

• Change IV tubing every 4 days

• Change the central line dressing every 5 days and as needed

• Perform hand hygiene and wear gloves whenever touching/

  accessing the line

Amy is a 9 year old with a history of syndrome of inappropriate antidiuretic hormone secretion (SIADH). Upon reviewing Amy's BMP results that were just drawn, the RN immediately notifies the provider regarding which abnormal value?

• K 3.4

• CO2 22

• Glucose 71

• Na 117

You receive handoff report from the night shift nurse at 0700 on the following patients:

1. 9 month old with a history of prematurity and diagnosis of RSV bronchiolitis that required increased high flow nasal cannula settings at 0530

2. 5 year old with a diagnosis of pyelonephritis on IV antibiotics who received Tylenol at 0615 for a fever of 103.5

3. 14 year old with a history of scoliosis who is day 2 post op spinal fusion that requesting pain medication

Which patient would you see FIRST?

• 14 year old requesting pain medication

• 5 year old with a fever of 103.5

• 9 month old with respiratory distress

The RN and student nurse are beginning their morning assessment of a 14 month old patient. The RN corrects the student nurse regarding which of the following actions?

• Taking an axillary temperature

• Assessing capillary refill

• Taking the BP on the extremity that has a PICC line

• Putting the crib rails up when stepping away from the patient