Download Swift River Pediatrics Latest Exam 2025-2026 With Correct Verified Answers and more Exams Nursing in PDF only on Docsity!
Swift River Pediatrics Latest Exam 2025- 2026
With Correct Verified Answers
Elijah Williams - correct answer>>Educational- Increased Health- normal LOC- normal Pain Level- normal Psychological needs- normal Safety- normal Elijah Williams - correct answer>>Knowledge deficit Elijah Williams- Scenario 1 - correct answer>>Ask the child and/or parent to verify name/DOB Ask the child to remove his shoes Obtain a height and weight for the child Provide the parent with a urine sample cup Show the child and the parent to the room Elijah Williams- Scenario 2 - correct answer>>Allow the child and parent to go to the restroom Gather a health history from the mother Obtain vital signs Explain when the dr will arrive to the room Take the urine sample to the lab Elijah Williams- Scenario 3 - correct answer>>Gather the materials needed for the vision screening Conduct the vision screening with the child in the hallway Ask the child and mother to return to the room Prepare the educational materials Prepare the vaccines ordered Elijah Williams- Scenario 4 - correct answer>>Evaluate the mother's understanding of the material Explain the child will be getting the MMRV, DTaP, and IPV Assist the child into the correct position, obtaining assistance from other staff if needed Administer the vaccines Allow the mother to comfort the child as needed
Elijah Williams- Scenario 5 - correct answer>>Ensure the child is not having a reaction Provide documentation to the mother regarding today's vaccines Remind the mother to call if she has any further questions or concerns Provide the child with a sticker, with the mother's permission Ask the mother to schedule the 5-year-old checkup before leaving Baby Strickland - correct answer>>Alteration in thermoregulation Hypoglycemia Ineffectual breathing pattern Baby Strickland - correct answer>>Educational- increased Health- increased LOC- normal Pain- normal Psych- normal Safety- increased Baby Strickland- Scenario 1 - correct answer>>Obtain heel stick blood glucose level Feed baby 1/2 ounce formula Notify lab for confirmation blood glucose level Recheck blood glucose in 45 minutes Continue to monitor Baby Strickland- Scenario 2 - correct answer>>Position baby in trendelenburg Suction excessive secretions via bulb syringe and NG tube Place under oxy hood at 40% Initiate IV D5 1/4 NS at 6ml/hour Reassess respiratory system Baby Strickland- Scenario 3 - correct answer>>Assess vital signs Wrap baby in warm blanket and put hat on baby's head Reassess temp in 15 minutes Place baby in radiant warmer Educate parents on neonatal heat loss Baby Strickland- Scenario 4 - correct answer>>Place infant in isolation radiant warmer Obtain ordered blood cultures Initiate IV Ampicillin per MD order Reassess blood glucose OG feed infant 15 ml infant formula
Document findings Madelyn Harrison- Scenario 4 - correct answer>>Knock quietly and enter the room Ask Madelyn if it is OK to sit with her for a bit Listen to Madelyn's concerns about her health conditions and frustrations. Provide age appropriate information to Madelyn about the need to control her diabetes and blood pressure Assess knowledge gained through teach back from Madelyn regarding plan of care Madelyn Harrison- Scenario 5 - correct answer>>Check basic life support - airway, breathing, circulation Check for potential injuries to patient Assess blood pressure, pulse, oxygen saturation while still on the floor Assist back to the bed, complete an assessment Complete an incident form Paula Smith - correct answer>>Educational- increased Health- increased LOC- normal Pain- normal Psych- increased Safety- increased Paula Smith - correct answer>>Alteration in nutrition, less than body requirements Ineffectual health management Alteration in self esteem Ineffectual coping Paula Smith Scenario 1 - correct answer>>Introduce self, ask Paula to tell you about herself, including self-esteem and body image Perform a basic physical assessment and document findings Ask Paula to write down a 24-hour food recall, and exercise routine Talk with Paula about the findings and the need for counseling and nutritional support Refer Paula to a nutritionist and psychiatrist Paula Smith Scenario 2 - correct answer>>Perform a baseline physical assessment including weight, height, and BMI Inform Paula that all meals and snacks will be supervised Talk with Paula about the need for continuous supervision for 30 minutes after each meal.
Talk with Paula about the routine of the unit, and the schedule for meals Document findings and teaching in Paula's chart Paula Smith Scenario 3 - correct answer>>Provide Paula with a menu to choose foods Sit with Paula as she eats her food Directly observe for 30 minutes after eating Talk with Paula about her feelings, including self-esteem and body image Document Results Paula Smith Scenario 4 - correct answer>>Ask Paula why she felt the need to exercise in her room unsupervised Talk with Paula about the need for supervised exercising, and the rules of the unit Encourage Paula to notify you when she has an urge to exercise Reassure Paula that the staff are there to help her get better Document the behavior for the psychiatrist's review Paula Smith Scenario 5 - correct answer>>Ensure the safety of Paula and others present in the day room With assistance from staff, take Paula to the treatment room to clean and dress her wounds Ask Paula if she can identify the trigger for this self-destructive event Conduct debriefing with other patients in day room who witnessed event. Take Paula back to the day room and stay with her Zoe Glover - correct answer>>Educational- increased Health- increased LOC- normal Pain- increased Psych- normal Safety- increased Zoe Glover - correct answer>>Acute discomfort Potential for falls Zoe Glover Scenario 1 - correct answer>>Introduce yourself to Zoe and her parent Verify Zoe's arm band and ask the parents for her name and DOB Transfer Zoe from the stretcher to the bed Ensure the patient's personal belongings are moved to the new room Perform initial assessment of the patient
Administer promethazine 12.5 mg IV for nausea Consult for surgery Mark Quinn Scenario 2 - correct answer>>Turn off suction Assess bowel sounds - minimal to absent in all 4 quadrants Assess proper placement and patency of NG tube Turn on suction Notify Physician of continuing nausea and absent bowel sounds Mark Quinn Scenario 3 - correct answer>>Gather supplies and prepare for dressing change Put on clean gloves and take off old dressing, discard in red biohazard bag Wash hands, and put on sterile gloves Clean surgical site with sterile water and apply antibiotic ointment Place new dressing over wound and secure Mark Quinn Scenario 4 - correct answer>>Turn off suction Mark has been tolerating PO fluids for the last 4 hours with no nausea Elevate head of bed Have Mark take deep breath and blow out Efficiently pull out NG tube and document procedure Mark Quinn Scenario 5 - correct answer>>Report any signs of infection such as redness, increased drainage, fever Teach Mark and parents about no lifting, straining, jumping, or running Teach Mark and parents soft diet with limited fiber for 2 weeks Take stool softener nightly for next week Provide follow up doctor appointment and time Hannah Johnson - correct answer>>Educational- Increased Health- increased Pain- increased Safety- increased Hannah Johnson - correct answer>>Decreased effectiveness of breathing pattern Dehydration Infection Knowledge deficit Potential for injury Growth and development
Hannah Johnson Scenario 1 - correct answer>>Apply Therapeutic Communication/ Active Listening Educate Hannah regarding insulin Allow Hannah to practice with doll Allow Hannah to return demonstration Evaluate teaching Hannah Johnson Scenario 2 - correct answer>>Provide carbohydrate education (CHO) for patient and parents Provide quick reference tool for CHO You demonstrate using reference tool Patient and parents identify appropriate substitution Document education Hannah Johnson Scenario 3 - correct answer>>Assess patient Perform bedside blood glucose test (CBG result 56) Obtain carbohydrate snack Retake beside blood glucose test in 30 minutes ( CBG results 94) Document nursing actions Hannah Johnson Scenario 4 - correct answer>>Wash and glove hands Assess abdomen area (findings-rash) Notify physician of findings Administer PO benadryl Notify parents of antibiotic allergic reaction Hannah Johnson Scenario 5 - correct answer>>Ask Hannah what she means by being "different" Ask Hannah what she knows about type 1 diabetes Explain to Hannah that she can resume normal activities at home and school Have Hannah talk about her fears related to normal activities at home and school Provide further information to Hannah about activities and type 1 diabetes Baby Harris - correct answer>>Educational- increased Health- increased LOC- increased Pain- increased Psych- increased Safety- increased
Health- increased LOC- normal Pain- increased Psych- normal Safety- increased Amanda Blaire - correct answer>>Acute discomfort Alteration in mobility Alteration in skin integrity Potential for infection Knowledge deficit Amanda Blaire Scenario 1 - correct answer>>Assess for pain and administer pain medication if needed Instruct patient about the position change and what position will be achieved Have Amanda use grab bar over bed to assist with turning from left side to right side Inspect skin for signs of breakdown Use pillows to position Amanda in proper alignment Amanda Blaire Scenario 2 - correct answer>>Assess toes for pain, pallor, paresthesia, paralysis, and pulse Assess traction setting to ensure proper alignment Reposition Amanda to more comfortable side Look up pain medication administration schedule and administer if can be given Reassess pain level in 30 minutes and document findings Amanda Blaire Scenario 3 - correct answer>>Wash hands Don clean gloves and remove old dressing, dispose of dressing in red bag Wash hands, put on sterile gloves Apply prescribed medication around pin site in a circular motion from inside out Redress pin site, wash hands Amanda Blaire Scenario 4 - correct answer>>Explain crutch walking to Amanda Measure and adjust crutches to Amanda's height Have Amanda balance on the crutches first Help Amanda crutch walk in the room Document teaching and demonstration Amanda Blaire Scenario 5 - correct answer>>Observe Amanda walking with crutches appropriately
Provide prescriptions for antibiotics and pain medications Provide written and oral discharge instructions Ask Amanda and parents if they have any further questions Discharge Amanda to home in a wheelchair Janeya Stone - correct answer>>Educational- increased Health- increased LOC- increased Pain- increased Psych- normal Safety- increased Janeya Stone - correct answer>>Acute discomfort Ineffectual cerebral tissue perfusion Potential for infection Knowledge deficit Potential for injury Janeya Stone Scenario 1 - correct answer>>Visually inspect Janeya's appearance, posture, and behavior. Auscultate heart, bowel, and breath sounds and assess heart and respiratory rates. Take Janeya's temporal artery temperature. Measure Janeya's head circumference. Take Janeya's blood pressure using the electronic blood pressure machine. Janeya Stone Scenario 2 - correct answer>>Assemble intravenous equipment including tape, the IV needle, the t-shaped connector, a syringe with saline, and IV cap device. Apply topical local anesthetic cream to the insertion site. Insert IV cannula into selected vein in the anesthetized area Assess the IV for blood return and patency. Secure the IV with a transparent plastic dressing, tape, and an IV board. Janeya Stone Scenario 3 - correct answer>>Janeya's father will carry her into the pre- operative area and the pre-operative check list will be reviewed. Janeya will receive sedation via oral syringe while sitting in her father's lap and cuddled until the sedation takes effect When almost asleep, Janeya will be positioned on the operating room table and prepared for surgery. Inhalation anesthesia will be administered via face mask and a supplementary intravenous line is inserted.
Jack Hammond Scenario 2 - correct answer>>Upon entering room, don mask, put on gloves and wash hands Identify Jack using name, date of birth, and scan armband and medication Assess for allergies to Ciprofloxacin Administer Ciprofloxacin via IVPB Remove mask and wash hands on exit from room Jack Hammond Scenario 3 - correct answer>>Don mask and wash hands on entering the room Position the bed to a comfortable height Perform Chest physiotherapy with postural drainage Assist Jack to a comfortable position Reassess respiratory rate, cough, and lung sounds Jack Hammond Scenario 4 - correct answer>>Assess bowel sounds with stethoscope Palpate the abdomen for abnormal findings or masses Percuss the abdomen Administer prescribed laxative Document findings and results of laxative Jack Hammond Scenario 5 - correct answer>>Review with Jack his food preferences Review with Jack and parents the need for high fat, high calories foods with increased fluids Have Jack and parents demonstrate understanding of use of pancreatic enzymes with each meal and snack through verbal teach back Teach Jack and parents signs or symptoms of GI upset or infection to report to healthcare provide Document findings in the health care record Penelope Nguyen - correct answer>>Educational- increased Health- increased LOC- normal Pain- increased Psychological- increased Safety- increased Penelope Nguyen - correct answer>>Acute discomfort Potential for alteration in electrolyte imbalance Potential for infection Potential for falls
Penelope Nguyen Scenario 1 - correct answer>>Introduce yourself to the patient and her father Check rate of IV fluids Assess vital signs and ask about pain level Perform a shift assessment Ask if the patient or parent needs anything at the moment Penelope Nguyen Scenario 2 - correct answer>>BUN 36 mg/dL WBC 26,000/ μl Hgb 10.1 g/dL Glucose 125 mg/dL Blood Type O+ Penelope Nguyen Scenario 3 - correct answer>>Perform hand hygiene Assess the IV pump to see the error Correct the error and Flush the IV line to ensure patenc Re-start the IV pump at the prescribed rate Verify safety protocols are in place Penelope Nguyen Scenario 4 - correct answer>>Administer pain medication Gather supplies needed for dressing change Don PPE before performing the dressing change Provide the father with the needed PP Perform the dressing change per the policy Penelope Nguyen Scenario 5 - correct answer>>Assess for the parent's willingness to learn Teach the patient and parent the care needed for the injury using the written material Evaluate the learning and assess for further learning needs Provide the patient with the written material Document the education Suzanne Williams - correct answer>>Educational- increased Health- increased LOC- normal Pain- increased Psychological- normal Safety- increased
Notify Respiratory Therapy for breathing treatment
