For which patient scenario should the nurse activate the Rapid Response Team (RRT)?

Questions 56

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Question 1 of 9

For which patient scenario should the nurse activate the Rapid Response Team (RRT)?

Correct Answer: D

Rationale: A grand mal seizure is a medical emergency requiring RRT due to airway and safety risks. IV , anxiety , and restraints are routine.

Question 2 of 9

A 2-year-old with otitis media should be monitored for

Correct Answer: D

Rationale: All D are otitis media signs, per document p45, .

Question 3 of 9

A 1-month-old infant presents with cyanosis and poor feeding. Echocardiogram shows transposition of the great arteries. The next step is:

Correct Answer: C

Rationale: Balloon atrial septostomy stabilizes transposition, per AHA. A-D are secondary.

Question 4 of 9

A mother of a 6-month-old asks what foods to introduce first. The answer is

Correct Answer: B

Rationale: Milled rice, cereal, mashed fruits B are appropriate first foods, per document p9, 8.

Question 5 of 9

Physiological jaundice usually occurs how long after birth?

Correct Answer: B

Rationale: 48 hours B is typical for physiologic jaundice, per document p13, 4.

Question 6 of 9

A 6-month-old with gastroenteritis should receive

Correct Answer: C

Rationale: Oral rehydration C is first-line, per document p59, 9.

Question 7 of 9

A 3-year-old girl presents with fever and a generalized rash. Exam shows posterior auricular lymphadenopathy. Most likely diagnosis is:

Correct Answer: B

Rationale: Rubella features rash and posterior auricular nodes, per CDC. A, C-E differ.

Question 8 of 9

A 3-year-old girl presents with stridor and a barking cough. Symptoms improve with cool mist. Most likely diagnosis is:

Correct Answer: B

Rationale: Croup features barking cough and responds to cool mist, per AAP. A, C-E differ.

Question 9 of 9

The nurse planning a safety program for high school students should understand that most accidental deaths in adolescence are related to:

Correct Answer: C

Rationale: Automobiles (C) are the leading cause of adolescent accidental death due to driving risks. Firearms (A), diving (B), and drowning (D) are less frequent. Document: 'The chief safety hazard for the adolescent is automobiles.'

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