Author: Anonymous

A 5-year-old with a chronic tracheostomy develops acute oxygen desaturation to 70% with increased secretions and inability to pass a suction catheter. Which intervention should be performed first?

A 3-year-old presents with multiple fractures in various stages of healing on skeletal survey, bilateral retinal hemorrhages, and inconsistent caregiver explanations for the injuries. Which immediate action is most appropriate?

An 8-year-old with a tunneled central venous catheter (CVC) develops fever, rigors, and two separate blood cultures positive for Staphylococcus aureus. Which intervention is most appropriate?

A 16-year-old with major depressive disorder is being started on fluoxetine. Which FDA black box warning is most critical to discuss with the patient and family before initiating treatment?

An 8-year-old with known Crohn disease presents with crampy abdominal pain, bloody diarrhea, and 4 lb weight loss over 2 weeks. Which physical examination finding most suggests active disease flare?

Which laboratory finding in a pediatric oncology patient most warrants immediate intervention?

A community health nurse is assessing a neighborhood with high rates of asthma in children. Which intervention should the nurse prioritize?

A 7-year-old is brought in following a high-speed motor vehicle accident. Which finding identified on the primary survey is most immediately life-threatening and requires immediate intervention?

A 5-year-old presents with tea-colored urine, periorbital edema, and hypertension, occurring 3 weeks after a documented streptococcal throat infection. Which diagnosis is most likely?

A 4-month-old presents with vomiting, profound hypotonia, failure to thrive, and progressive respiratory failure. Labs reveal elevated creatine kinase. Echocardiogram shows severe hypertrophic cardiomyopathy. Newborn screen showed elevated glycogen levels. Which diagnosis is most likely?