Pediatric Emergency Nursing Quiz #7

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| By Louise

Louise

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Quizzes Created: 3 | Total Attempts: 3,664

Questions: 5 | Attempts: 554 | Updated: Mar 22, 2023

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Pediatric Emergency Nursing Quiz #7 - Quiz

Test your knowledge by taking the 7th quiz in the series!

Questions and Answers

1.

An 8 year old is being evaluated in the ER for suspected appendicitis. The physician has then lie on their left side and extend the hip, eliciting pain in the RLQ. What is this test called?
- A.
  
  Kernig's Sign
- B.
  
  Rovsing's Sign
- C.
  
  Brudzinski's Sign
- D.
  
  Psoas Sign
Correct Answer
D. Psoas Sign

Explanation
Kernig's and Bruszinski's signs are used to evaluate for Meningitis. Rovsing's sign also is a test for appendicitis, but is done by applying deep palpation to the RLQ, causing pain.

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2.

A 10-year-old is accidentally shot in the forearm by a small caliber firearm. The wound enters the dorsum of the forearm and exits on the ventral side. The patient is ambulatory and has minor pain at the site. What test is likely needed for evaluation of the injury?
- A.
  
  CT scan of arm
- B.
  
  MRI of arm
- C.
  
  Arteriogram
- D.
  
  Ultrasound of arm
Correct Answer
C. Arteriogram

Explanation
An arteriogram is needed to assess the vascular supply in the arm after a gunshot wound to ensure that no injury to the ulnar and radial artery has occurred.

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3.

A 5-year-old girl has a fever, headache, and complaints of a stiff neck. The physician suspects bacterial meningitis. What is the best test culture site to detect the bacteria?
- A.
  
  Lumbar puncture
- B.
  
  Clean catch urine
- C.
  
  Nasal swab
- D.
  
  Blood Culture
Correct Answer
A. Lumbar puncture

Explanation
Lumbar puncture is the method of choice for detecting the bacteria causing bacterial meningitis and sending a sample for culture, as meningitis infects the meninges and bacteria is present in the cerebrospinal fluid.

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1
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4.

A 14-year-old boy with leukemia is receiving an IV infusion of packed red blood cells. The client reports that he is feeling anxious and short of breath even though his respiratory rate is 24. What should the nurse do in this situation?
- A.
  
  Give a dose of diphenhydramine
- B.
  
  Give a dose of acetominophen
- C.
  
  Stop infusion and notify physician
- D.
  
  Give a dose of ibuprofen
Correct Answer
C. Stop infusion and notify pHysician

Explanation
Anxiety and the sensation of breathlessness are signs of possible anaphylactic shock, a reaction to the packed red blood cells, so the nurse should stop the infusion immediately and notify the physician.

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5.

A patient is experiencing dizziness, shortness of breath, lightheadedness, and nausea caused by encephalitis. Which of the following descriptions most accurately describes the patient's condition?
- A.
  
  Metabolic acidosis
- B.
  
  Respiratory alkalosis
- C.
  
  Metabolic alkalosis
- D.
  
  Respiratory acidosis
Correct Answer
B. Respiratory alkalosis

Explanation
Respiratory alkalosis results from hyperventilation, during which extra CO2 is excreted, causing a decrease in carbonic acid (H2CO3) concentration in the plasma. Symptoms include tachycardia, arrhythmias, lightheadedness, nausea, and vomiting.

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Current Version
Mar 22, 2023

Quiz Edited by
ProProfs Editorial Team
Jul 22, 2017

Quiz Created by
Louise

Pediatric Emergency Nursing Quiz #7

An 8 year old is being evaluated in the ER for suspected appendicitis. The physician has then lie on their left side and extend the hip, eliciting pain in the RLQ. What is this test called?

A 10-year-old is accidentally shot in the forearm by a small caliber firearm. The wound enters the dorsum of the forearm and exits on the ventral side. The patient is ambulatory and has minor pain at the site. What test is likely needed for evaluation of the injury?

A 5-year-old girl has a fever, headache, and complaints of a stiff neck. The physician suspects bacterial meningitis. What is the best test culture site to detect the bacteria?

A 14-year-old boy with leukemia is receiving an IV infusion of packed red blood cells. The client reports that he is feeling anxious and short of breath even though his respiratory rate is 24. What should the nurse do in this situation?

A patient is experiencing dizziness, shortness of breath, lightheadedness, and nausea caused by encephalitis. Which of the following descriptions most accurately describes the patient's condition?