120 Questions
What is the temperature threshold for considering triaging up to level 2 Pediatric Fever Danger zone for infants 1-3 months old?
100.4 F
What is the name of the sound caused by upper airway obstruction, which is high-pitched in croup and foreign body aspiration?
Stridor
What is the likely cause of bilateral wheezing in a pediatric patient?
Reactive airway disease
What is the reason for the increased susceptibility of infants to respiratory distress and failure?
Less compensatory reserve
What is the effect of audible expiratory grunting on airway pressure?
Increases airway pressure
What is the reason for the increased need for oxygen in infants?
Increased metabolic rate
What is the definition of Pediatric Sepsis Fire Criteria?
Temperature abnormality (< 36°C OR > 38°C) AND any HR/RR abnormality
What is the age range for considering triaging up to level 2 Pediatric Fever Danger zone with a temperature of > 102.2 F?
3-36 months
What is the name of the sound caused by lower airway obstruction?
Wheezing
What is the difference in the way infants breathe compared to adults?
Infants breathe predominantly using abdominal muscles
What is the primary cause of pediatric croup?
Viral respiratory illness
What is the typical age range for pediatric appendicitis?
15-24 years old
What is the characteristic of the cough in pediatric croup?
Barky cough
What is the name of the surgical procedure used to treat pyloric stenosis?
Pyloromyotomy
What is the typical presentation of pediatric intussusception?
Stools mixed with blood and mucus
What is the name of the condition caused by a ligament slipping out of place in the elbow joint?
Nursemaid's Elbow
What is the typical treatment for pediatric croup?
Humidified air and cool mist
What is the primary symptom of pediatric appendicitis?
Periumbilical pain
What is the typical age range for pediatric pyloric stenosis?
3-5 weeks of life
What is the name of the sign indicating peritonitis in pediatric appendicitis?
Rebound tenderness
What is the primary goal of using a 'good HOLD' during IV insertion in pediatric patients?
To minimize pain and comfort the child
What is the purpose of utilizing a Stat-lock and arm board during IV insertion?
To secure the IV device
What is the benefit of using a vein illuminator during IV insertion?
To locate the vein more easily
What is the purpose of using sucrose in pediatric patients under 12 months?
To comfort the child during a stressful procedure
What is the benefit of using a distraction technique during IV insertion?
To reduce the child's focus on the procedure
What is the name of the device that allows healthcare providers to deliver blood or fluids quickly and effectively?
LifeFlow
How much fluid can be delivered using the LifeFlow device in less than 2 minutes?
500 mL
What is the benefit of positioning a child for IV insertion?
To comfort the child and make them feel more in control
What is the purpose of using a child life specialist during IV insertion?
To distract the child and reduce anxiety
What is the purpose of using numbing options during IV insertion?
To reduce pain during the procedure
What is the main reason for the lower elastic recoil in pediatric lungs compared to adult lungs?
Fewer and smaller alveoli
What is the typical age range for pediatric croup?
Under 3 years old
What is the primary cause of pediatric appendicitis?
Obstruction of the appendiceal lumen
What is the characteristic of the vomiting in pediatric pyloric stenosis?
Forceful and projectile
What is the treatment for intussusception that does not respond to air/barium enema?
Surgical intervention
What is the purpose of providing cool mist or humidified air in pediatric croup?
To relieve respiratory distress
What is the name of the sign indicating peritonitis in pediatric appendicitis?
Rebound tenderness
What is the typical presentation of pediatric intussusception?
Sudden onset of symptoms with severe pain
What is the name of the condition characterized by inflammation and edema of the tissue surrounding the vocal cords and trachea?
Croup
What is the typical age range for pediatric pyloric stenosis?
3-5 weeks old
What is the first step in the delivery of a newborn?
Support perineum controlled descent
What is a common complication of endometriosis?
Uterine lining outside actual uterine wall
What is the primary goal of identifying a highly infectious disease?
To isolate patients quickly
What is the purpose of oxytocin 10U IM during delivery?
To induce labor
What is the key to preventing the spread of highly infectious diseases in the healthcare setting?
Strong triage and symptom awareness
What is a primary concern when assessing an older adult in the ED for infection?
Rapid respiratory rate
What is the name of the framework that focuses on four key areas when caring for older adults in the ED?
Age-Friendly 4Ms
What is a common oral health issue in older adults that can contribute to aspiration pneumonia?
All of the above
What is the name of the program that aims to improve care for older adults in hospitals?
NICHE
What is a common indicator of potential elder abuse in the ED?
All of the above
What is the most threatening sign of preeclampsia?
HELLP syndrome
What is the primary goal of the preeclampsia protocol?
To prevent seizures
What is the treatment for eclampsia?
All of the above
What is the purpose of electronic fetal monitoring in preeclampsia?
To monitor fetal heart rate
What is the recommended position for a pregnant woman with eclampsia?
Left lateral position
What is the purpose of the 'Synthesis of information' in the patient handoff report?
To provide an opportunity for the oncoming RN to summarize the patient's condition
What is the main goal of the 'Purposeful Rounds' approach in patient care?
To address the patient's physical and emotional needs
What is the purpose of the 'Building and Empathy' statement in patient communication?
To show understanding and compassion for the patient's feelings
What is the focus of the 'Patient Experience' workflow in healthcare?
Enhancing the patient's experience and satisfaction
What is the main goal of 'Patient Safety in the Emergency Department' initiatives?
To prevent errors and ensure patient safety
What is the most common type of stroke?
Ischemic stroke
In what order should a patient with uncontrolled bleeding be assessed during the Primary Assessment?
C, then A, then B
What is the cause of blocked or narrowed blood vessels in ischemic stroke?
Fatty deposits that build up in blood vessels
What is a transient ischemic attack (TIA) also known as?
Ministroke
What should be done to a severed limb in a trauma patient?
Wrap the part in sterile gauze and place in a plastic bag
What is the time goal for door to attending physician evaluation in stroke?
/= 140 mmHg
What is the purpose of Calcium gluconate in a trauma patient?
To offset the effects of potassium released when a tourniquet is released
What is the importance of identifying the signs and symptoms of stroke immediately?
To prevent permanent damage
What is the focus of the 'Patient Experience' workflow in healthcare?
The Nursing Bundle
What is the purpose of the 'LMNOP' mnemonic in trauma nursing?
To perform a full set of vital signs and other tasks
What is the leading cause of death in individuals ages 1-44 years old?
Trauma
Which of the following is NOT a common etiology of trauma?
Drowning
What is the systolic blood pressure criterion for a trauma patient?
Less than 90 mmHg
Which of the following is an anatomic criterion for a trauma patient?
Penetrating injuries to the head
What is the mechanism of injury criterion for falls in older adults?
Falls > 20 ft or equivalent
Which of the following is a high-risk motor vehicle collision?
Head-on collision with significant passenger space intrusion
Who should be transported to a pediatric-capable trauma center?
Children under 15 years old
What is a significant indication for transportation to a trauma center?
All of the above
What is the focus of the Across the Room Assessment?
Gathering informed observational data
What is the primary goal of the trauma assessment?
To identify and treat life-threatening injuries
What is the primary issue in distributive shock?
Fluid is not getting to where it needs to go
What is the treatment for anaphylactic shock?
Give epinephrine in the thigh (IM) followed by steroids and diphenhydramine
What is the last stage of sepsis?
Septic shock
Who determines the MCI level?
FDNY
What is the purpose of mass decontamination?
To respond to a critical and complex function within mass casualty response
What is the primary goal of Emergency Department Triage?
To decrease morbidity and mortality for all ED patients
What is the purpose of the Emergency Severity Index (ESI)?
To evaluate patient acuity and needed resources
What is the time frame for assigning an acuity level using the Comprehensive Triage?
2-5 minutes
What is the purpose of the Primary Assessment in Emergency Department Triage?
To perform a brief primary assessment on all incoming patients
What is the objective of donning Personal Protective Equipment (PPE) in Infectious Disease and High Consequence Pathogens?
To prevent the spread of infection from patient to healthcare provider
What are the two goals of rapid and streamlined triage in mass casualty incidents?
Speed and safety
What is the primary purpose of the MCI equipment cards during a mass casualty incident?
To organize and prioritize patient triage
What is the difference in the triage approach for pediatric patients compared to adults?
Pediatric patients are triaged using a different approach due to their higher degree of resilience and likelihood of surviving with longer periods of apnea
What was the scenario used in the full-scale exercise to test response components?
Improvised explosive device (IED) scenario in Midtown
What is the purpose of decompressing the Kimmel Core during a mass casualty incident?
To allow for rapid admission of patients to inpatient units
What is the primary focus of the START triage algorithm?
Determining patient acuity and priority
What was the outcome of the full-scale exercise, according to the takeaways?
The triage, decanting, and surgery prioritization needed enhancements
What is the purpose of the roll-up door in the Kimmel ambulance entrance during a mass casualty incident?
To move MCI equipment cards into the triage area
What percentage of patients with 'potentially survivable wounds' could have been saved, according to the exercise?
Up to 1/3
What is the purpose of hands-on mass decontamination training for NYULH staff?
To prepare staff for decontamination procedures during a mass casualty incident
What are the two specific goals of rapid and streamlined triage?
Speed and identifying who needs the most help
What is the name of the triage algorithm used for pediatric patients?
JumpSTART
What is the focus of the full-scale decontamination scenario drill?
Decontamination and decanting
What was the scenario used in the Mass Casualty Incident Full Scale Exercise?
IED scenario in Midtown
What was one of the takeaways from the Mass Casualty Incident Full Scale Exercise?
Need for enhancements to triage, decanting, and surgery prioritization
What is the purpose of moving MCI equipment cards from storage to the triage area during a mass casualty incident?
To prepare for patient arrival
What is the role of the ED Flow Coordinator in a mass casualty incident?
To direct patient flow
What is the purpose of the START algorithm in a mass casualty incident?
To assess patient acuity
What is the benefit of providing hands-on mass decontamination training for NYULH staff?
To increase staff preparedness
What is the purpose of the triage area during a mass casualty incident?
To assess patient acuity
What is the primary objective of the Emergency Department Triage?
To identify patients who need immediate care and treatment
What is the 5-level triage instrument used in Emergency Department Triage?
Emergency Severity Index (ESI)
What is the first decision point in the Emergency Severity Index (ESI) algorithm?
Is the patient dying?
What is the purpose of the Comprehensive Triage in Emergency Department Triage?
To support the Emergency Severity Index (ESI) algorithm
What is the importance of the Primary Assessment in Emergency Department Triage?
To perform a brief primary assessment on all incoming patients
What is the primary issue in distributive shock?
Problem with the pipes (blood vessels) and capillaries
What is the treatment for anaphylactic shock?
Administer epinephrine, then steroids and diphenhydramine
What is the purpose of mass decontamination in a mass casualty incident?
To remove hazardous substances from patients and responders
What is the characteristic of neurogenic shock?
Vasodilation due to loss of sympathetic output
What determines the MCI level in a mass casualty incident?
The FDNY
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