Pediatric Emergency Nursing PICO Questions

Pediatric Emergency Nursing PICO Questions Related

Review Pediatric Emergency Nursing PICO Questions related questions and content

Which is the most appropriate nursing intervention for the newborn who is jittery and twitching and has a high-pitched cry?

  • A. Monitor blood pressure closely.
  • B. Obtain urine sample to detect glycosuria.
  • C. Obtain serum glucose and serum calcium levels.
  • D. Administer oral glucose or, if newborn refuses to suck, IV dextrose.
Correct Answer: C

Rationale: The most appropriate nursing intervention for the jittery and twitching newborn with a high-pitched cry is to obtain serum glucose and serum calcium levels (Option C). These symptoms are indicative of possible hypoglycemia or hypocalcemia, which are common issues for newborns. Monitoring glucose and calcium levels will help identify and address any imbalances that may be causing these symptoms. Administering glucose (Option D) may be necessary if hypoglycemia is confirmed, but it should be based on the results of blood tests. Monitoring blood pressure (Option A) and obtaining a urine sample to detect glycosuria (Option B) are not the priority interventions in this scenario compared to assessing serum glucose and calcium levels.

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A nurse is performing an otoscopic exam on a school-age child. Which direction should the nurse pull the pinna for this age of child?

  • A. Up and back
  • B. Down and back
  • C. Straight back
  • D. Straight up
Correct Answer: A

Rationale: When performing an otoscopic exam on a school-age child, the nurse should pull the pinna (outer ear) of the child in an upward and backward direction. This technique helps to straighten the ear canal, allowing for better visualization and easier insertion of the otoscope to examine the ear canal and eardrum. Pulling the pinna in the wrong direction could potentially cause discomfort to the child or obstruct the view of the ear canal. Therefore, pulling the pinna up and back is the correct direction for this age group.

A 2 years old girl presents with blue discoloration of nails and lips. On examination she is cyanosed and clubbed, heart auscultation reveals a short systolic murmur at left upper sternal border. The most likely diagnosis is?

  • A. VSD
  • B. Tetralogy of Fallot
  • C. Tricuspid atresia
  • D. Trunchus arteriosus
Correct Answer: B

Rationale: Tetralogy of Fallot typically causes cyanosis, clubbing, and a systolic murmur due to right-to-left shunting.

A 9-mo-old infant is recently diagnosed with bilateral retinoblastoma; examination under anesthesia reveals bilateral multifocal involvement of the retina. An important next step in the management is

  • A. radiotherapy of both eyes
  • B. retinal examination of 1st degree relatives
  • C. orbital ultrasonography
  • D. bilateral enucleation
Correct Answer: B

Rationale: Retinal examination of first-degree relatives is crucial to identify hereditary forms of retinoblastoma.

Small round blue cell tumors refer to all the following EXCEPT

  • A. non-Hodgkin lymphoma
  • B. osteosarcoma
  • C. Ewing sarcoma
  • D. rhabdomyosarcoma
Correct Answer: B

Rationale: Osteosarcoma does not typically fall under the category of small round blue cell tumors.

The clue to need help by age of 24 months, if the child

  • A. speech is not understood by familiar listeners
  • B. speech is not understood by unfamiliar listeners
  • C. has not begun to ask questions (using where, what, why)
  • D. is not using short sentences (e.g., 'Daddy went bye-bye')
Correct Answer: D

Rationale: By 24 months, children should begin using short sentences.

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