An 8-year-old child on the pediatric unit recovering from severe persistent asthma is on the cardiac monitor. The nurse hears an alarm, and noted the leads on the child are on. The nurse checked for responsiveness, and the child is not responding to tactile response. What are the nurse's next actions?

Maintain the child's airway

Call for help, then check for a pulse

Start chest compression

Inform the physician that the child has no pulse

Answer and Explanation

The Correct Answer is B

A. Maintaining the child's airway is critical, but it should follow after calling for help and checking for a pulse to assess the need for resuscitation.
B. Calling for help ensures additional support arrives while checking for a pulse determines the need for initiating CPR if the child is pulseless.
C. Starting chest compressions is necessary if the child is confirmed to be pulseless after checking for a pulse.
D. Informing the physician is important, but immediate resuscitative actions take priority to ensure the child's survival.

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Correct Answer is B

Explanation

A. Mixing enzyme crystals with a small amount of acidic food like applesauce is appropriate.
B. Enzymes should be given immediately before or during meals and snacks to help with digestion, not between meals.
C. Pancreatic enzymes generally have few adverse effects if used as directed.
D. The enzymes aid in the digestion of fats, proteins, and carbohydrates, which is essential for children with cystic fibrosis.

A. Place the child in an upright position. B. Transport the child to radiology for a throat x-ray. C. Visualize the epiglottis with a tongue depressor. D. Obtain a throat culture.

Correct Answer is A

Explanation

A. Placing the child in an upright position helps to maintain an open airway and ease breathing, which is crucial in suspected cases of epiglottitis.
B. Transporting the child to radiology for a throat x-ray could exacerbate the condition by increasing anxiety and causing airway obstruction.
C. Visualizing the epiglottis with a tongue depressor can cause a reflex laryngospasm and complete airway obstruction, which is dangerous in epiglottitis.
D. Obtaining a throat culture is contraindicated as it can provoke laryngospasm and worsen airway obstruction.

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Naxlex Comprehensive Predictor Exams

A nurse is teaching the mother of a 5-year-old child who has cystic fibrosis about pancreatic enzymes. The nurse should understand that further teaching is necessary when the mother states which of the following?

Correct Answer is B

Explanation

A nurse is planning care for a child who has suspected epiglottitis. Which of the following actions should the nurse take?

Correct Answer is A

Explanation

A nurse in an emergency department is caring for an adolescent following a suicide attempt. After reviewing the client's history, the nurse should determine that which of the following is the priority risk factor for suicide completion?

A nurse is teaching a parent of a 6-month-old infant about car seat safety. Which of the following statements by the parent indicates an understanding of the teaching?

A nurse is monitoring an infant who is 3 months old and has sneezing, coughing, nasal congestion, intermittent fever, and apneic spells. These nurse should recognize these findings are associated with which of the following diagnoses?

Which measure would be most effective in aiding bronchodilation in a child with laryngotracheobronchitis (Croup)?

A nurse is monitoring a child for manifestations of hemorrhage following a tonsillectomy. Which of the following findings is a manifestation of this postoperative complication?

A parent tells a nurse that her toddler drinks a quart of milk a day and has a poor appetite for solid foods. The nurse should explain that the toddler is at risk for which of the following disorders?

A nurse is providing teaching to the parents of a child who has streptococcal pharyngitis about ways to prevent disease transmission. Which of the following responses by the parents indicates an understanding of the teaching?

A home health nurse is teaching a child's parents about endotracheal suctioning. Which of the following statements should the nurse include in the teaching?