Author: Anonymous

A case manager reports that an insurer has denied inpatient status for a child admitted with community-acquired pneumonia requiring supplemental oxygen, requesting downgrade to ‘observation’ status. What is the MOST important clinical response?

An NP completes discharge teaching for a child with new-onset asthma. When asked ‘Do you have any questions?’, the father says, ‘No, I understand everything.’ What is the MOST appropriate next step?

A 14-year-old presents to the ED requesting STI testing and treatment for gonorrhea. She asks that her parents not be informed. What is the MOST appropriate response under most state minor consent laws?

A 15-year-old with cystic fibrosis is admitted for a pulmonary exacerbation. During a private interview, she discloses non-adherence to airway clearance due to social stigma. Her parents believe she is fully adherent. What is the MOST appropriate initial response by the NP?

An acute care PNP is managing a ventilated PICU patient when the bedside nurse reports escalating peak airway pressures over the last two hours. The NP is currently performing a procedure on another patient. Which response BEST reflects effective interprofessional team practice?

A 15 kg child is admitted for dehydration. Using the Holliday-Segar method, what is the correct maintenance IV fluid rate?

friends

A 5-year-old child with newly diagnosed ALL is preparing for her first intrathecal chemotherapy procedure. She is extremely anxious and crying inconsolably. Which team member should be engaged FIRST to optimize her procedural experience?

A root cause analysis reveals that nursing staff have been routinely overriding pharmacy verification alerts for a high-alert medication because the alerts fire so frequently they are considered irrelevant. This pattern is BEST described as:

A resident gives a verbal order for vancomycin 10 mg/kg IV. The nurse reads back ’10 mg/kg vancomycin IV.’ The resident confirms ‘Correct.’ Twenty minutes later, a pharmacy review reveals the correct dose was 15 mg/kg based on current guidelines. Which component of closed-loop communication FAILED?