In the pediatric emergency department, the nurse must prioritize patient care. Which patient should the nurse assess first?

The 1-month-old infant who has developed colic and is crying.

The 14-year-old adolescent whose mother suspects her child is sexually active.

The 2-year-old toddler who was bitten by another child at the day-care center.

The 6-year-old school-aged child who was hit by a car while riding a bicycle.

Answer and Explanation

The Correct Answer is D

Choice A reason: While colic can be distressing, it is not life-threatening and does not require immediate assessment over more critical conditions.
Choice B reason: Suspicions of sexual activity in an adolescent are a concern but do not constitute an emergency that requires immediate assessment.
Choice C reason: A bite from another child, although potentially serious, is less urgent than a trauma case and can be assessed after more critical patients.
Choice D reason: This is the correct choice. A child hit by a car may have life-threatening injuries and requires immediate assessment and intervention.

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Correct Answer is A

Explanation

Choice A reason: This is the correct choice. Thick pulmonary secretions are a hallmark of cystic fibrosis and must be addressed in the care plan.
Choice B reason: While cystic fibrosis can affect various glands, the primary concern is the respiratory system.
Choice C reason: Elevated levels of chloride, not potassium, are found in the sweat of individuals with cystic fibrosis.
Choice D reason: Cystic fibrosis is an autosomal recessive disorder, not dominant. This is important for genetic counseling and understanding the inheritance pattern.

A. Note the frequency of drooling. B. Observe the appearance of oral mucosa. C. Assess patterns of speech. D. Determine the ability to chew and swallow.

Correct Answer is D

Explanation

Choice A reason: While noting the frequency of drooling is important, it is not the most critical assessment.
Choice B reason: Observing the appearance of oral mucosa is less critical than assessing the ability to swallow.
Choice C reason: Assessing speech patterns is important but secondary to swallowing ability in terms of immediate safety.
Choice D reason: This is the correct choice. The ability to chew and swallow is crucial for preventing aspiration and maintaining nutrition.

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In the pediatric emergency department, the nurse must prioritize patient care. Which patient should the nurse assess first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Betty is a 9-year-old girl diagnosed with cystic fibrosis. Which of the following must you, as the nurse, keep in mind when developing a care plan for the child?

Correct Answer is A

Explanation

The nurse observes that a client with Parkinson’s disease (PD) has a mask-like face. Which follow-up assessment is most important for the nurse to implement?

Correct Answer is D

Explanation

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Immunization of children with Haemophilus influenzae type B (Hib) vaccine decreases the incidence of which of the following conditions?

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