**The PEDS Edge: Pediatric Nursing Mastery Certification*, Exams of Nursing

**The PEDS Edge: Pediatric Nursing Mastery Certification*

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2025/2026

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**The PEDS Edge: Pediatric Nursing
Mastery Certification**
1. A 6-month-old infant is brought to the emergency department with stridor, barking cough, and
respiratory distress that worsens at night. The child is afebrile. What is the priority intervention?
A) Administer racemic epinephrine nebulizer
B) Obtain a lateral neck x-ray
C) Prepare for intubation
D) Give dexamethasone 0.6 mg/kg PO
💫RATIONALE✔️✔️: This presentation is croup (laryngotracheobronchitis). Racemic epinephrine reduces
airway edema rapidly for moderate to severe stridor at rest. Dexamethasone is also given but
epinephrine is first for acute distress.
💫ANSWER✔️✔️: A) Administer racemic epinephrine nebulizer
---
2. A 2-year-old with a history of febrile seizures presents with a temperature of 40°C (104°F) and a
generalized tonic-clonic seizure lasting 4 minutes. The seizure stops spontaneously. What is the priority
action?
A) Administer rectal diazepam 0.5 mg/kg
B) Obtain a stat CT scan of the head
C) Assess airway, breathing, and circulation
D) Give acetaminophen 15 mg/kg PR
💫RATIONALE✔️✔️: After a febrile seizure that has stopped, the priority is post-ictal assessment of
airway, breathing, and oxygenation. Antipyretics do not prevent recurrence. Further workup depends on
clinical picture.
💫ANSWER✔️✔️: C) Assess airway, breathing, and circulation
---
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**The PEDS Edge: Pediatric Nursing

Mastery Certification**

  1. A 6-month-old infant is brought to the emergency department with stridor, barking cough, and respiratory distress that worsens at night. The child is afebrile. What is the priority intervention? A) Administer racemic epinephrine nebulizer B) Obtain a lateral neck x-ray C) Prepare for intubation D) Give dexamethasone 0.6 mg/kg PO 💫RATIONALE✔️ ✔️ : This presentation is croup (laryngotracheobronchitis). Racemic epinephrine reduces airway edema rapidly for moderate to severe stridor at rest. Dexamethasone is also given but epinephrine is first for acute distress. 💫ANSWER✔️ ✔️ : A) Administer racemic epinephrine nebulizer
  1. A 2-year-old with a history of febrile seizures presents with a temperature of 40°C (104°F) and a generalized tonic-clonic seizure lasting 4 minutes. The seizure stops spontaneously. What is the priority action? A) Administer rectal diazepam 0.5 mg/kg B) Obtain a stat CT scan of the head C) Assess airway, breathing, and circulation D) Give acetaminophen 15 mg/kg PR 💫RATIONALE✔️ ✔️ : After a febrile seizure that has stopped, the priority is post-ictal assessment of airway, breathing, and oxygenation. Antipyretics do not prevent recurrence. Further workup depends on clinical picture. 💫ANSWER✔️ ✔️ : C) Assess airway, breathing, and circulation
  1. A 4-year-old with acute lymphoblastic leukemia (ALL) has a platelet count of 10,000/mm³. The child is active and playing. Which activity should the nurse prohibit? A) Playing with building blocks B) Riding a tricycle C) Drawing with crayons D) Looking at picture books 💫RATIONALE✔️ ✔️ : With severe thrombocytopenia (<20,000), the child is at risk for bleeding from trauma. Riding a tricycle poses fall risk. Low-risk activities (blocks, drawing, books) are safe. 💫ANSWER✔️ ✔️ : B) Riding a tricycle
  1. A 3-month-old infant with a fever of 38.5°C (101.3°F) is brought to the clinic. The infant is irritable but consolable. Immunizations are up to date. What is the most appropriate management? A) Admit for sepsis workup B) Obtain blood, urine, and CSF cultures C) Reassure parents and treat fever with acetaminophen D) Prescribe oral antibiotics and discharge 💫RATIONALE✔️ ✔️ : A 3-month-old with fever without source requires full sepsis evaluation (blood, urine, CSF) and admission for empiric antibiotics due to risk of serious bacterial infection. Age <3 months is high risk. 💫ANSWER✔️ ✔️ : B) Obtain blood, urine, and CSF cultures
  1. A 7-year-old with status asthmaticus is on continuous albuterol nebulizers. The child develops a heart rate of 160 bpm and a fine tremor. What is the priority action? A) Stop the albuterol immediately B) Switch to levalbuterol C) Continue albuterol; these are expected side effects D) Administer propranolol 0.5 mg/kg 💫RATIONALE✔️ ✔️ : Tachycardia and tremor are common beta-agonist side effects. In status asthmaticus, they are not an indication to stop therapy. Continue and monitor.

C) Mild upper respiratory infection with runny nose D) Current antibiotic therapy for otitis media 💫RATIONALE✔️ ✔️ : A true contraindication to DTaP is encephalopathy or seizure within 7 days of a previous dose. Minor illness with low-grade fever is not a contraindication. 💫ANSWER✔️ ✔️ : B) History of a seizure after a previous DTaP

  1. A 5-year-old is admitted with nephrotic syndrome. The nurse notes generalized edema, periorbital swelling, and ascites. Which laboratory finding is expected? A) Serum albumin 2.0 g/dL (normal 3.5-5.5) B) Hemoglobin 15 g/dL C) Serum sodium 150 mEq/L D) Blood urea nitrogen 5 mg/dL 💫RATIONALE✔️ ✔️ : Nephrotic syndrome causes massive proteinuria leading to hypoalbuminemia (albumin <2.5). Edema results from decreased oncotic pressure. Hemoglobin may be elevated due to hemoconcentration, but hypoalbuminemia is diagnostic. 💫ANSWER✔️ ✔️ : A) Serum albumin 2.0 g/dL
  1. A 3-year-old with respiratory syncytial virus (RSV) bronchiolitis has an oxygen saturation of 88% on room air, nasal flaring, and grunting. What is the priority intervention? A) Administer a bronchodilator neb B) Suction the nares with bulb suction C) Apply oxygen via nasal cannula at 2 L/min D) Position the child supine for a chest x-ray 💫RATIONALE✔️ ✔️ : Hypoxia (SpO2 <90%) with retractions and grunting requires supplemental oxygen. Nasal suctioning may help but oxygen is priority. Bronchodilators are not routinely effective in RSV bronchiolitis. 💫ANSWER✔️ ✔️ : C) Apply oxygen via nasal cannula at 2 L/min
  1. A 9-month-old infant with a ventricular septal defect (VSD) is in heart failure. The infant is receiving digoxin and furosemide. The nurse notes a heart rate of 80 bpm in an awake infant. What is the priority action? A) Administer the next dose of digoxin B) Hold the digoxin and check the serum level C) Notify the provider of bradycardia D) Increase the furosemide dose 💫RATIONALE✔️ ✔️ : Normal heart rate for a 9-month-old awake is 100-150 bpm. 80 bpm is bradycardia and may indicate digoxin toxicity. Hold digoxin, check level, notify provider. 💫ANSWER✔️ ✔️ : B) Hold the digoxin and check the serum level
  1. A 15-year-old with anorexia nervosa has a BMI of 16 kg/m², heart rate of 42 bpm, and blood pressure of 85/45 mmHg. What is the priority action? A) Initiate a behavioral contract for weight gain B) Transfer to a medical unit for cardiac monitoring C) Start oral refeeding at 1,500 calories/day D) Administer fluoxetine 20 mg daily 💫RATIONALE✔️ ✔️ : Bradycardia (HR <50) and hypotension in anorexia nervosa indicate severe malnutrition with risk of cardiac arrest. Immediate medical admission for cardiac monitoring is required. Do not refeed aggressively without monitoring. 💫ANSWER✔️ ✔️ : B) Transfer to a medical unit for cardiac monitoring
  1. A 6-year-old with sickle cell disease presents with fever of 39.5°C (103°F), chest pain, and cough. What is the priority action? A) Administer acetaminophen 15 mg/kg PO B) Obtain a chest x-ray C) Admit for IV antibiotics and hydration D) Give a transfusion of packed red blood cells
  1. A 3-year-old with acute gastroenteritis has had 8 episodes of diarrhea and 3 episodes of vomiting in the past 24 hours. The child is alert, has dry mucous membranes, and a capillary refill of 3 seconds. What is the priority intervention? A) Administer an antiemetic (ondansetron) B) Start IV fluids with normal saline bolus C) Encourage oral rehydration solution (Pedialyte) D) Give loperamide 0.1 mg/kg 💫RATIONALE✔️ ✔️ : Dry mucous membranes and cap refill 3 seconds indicate moderate dehydration. Oral rehydration is first-line if the child can tolerate. Ondansetron can facilitate oral rehydration. But priority is to rehydrate; IV if oral fails. Cap refill 3 seconds is borderline moderate; attempt oral first. 💫ANSWER✔️ ✔️ : C) Encourage oral rehydration solution (Pedialyte)
  1. A 12-year-old with asthma is prescribed an albuterol metered-dose inhaler (MDI) with a spacer. The nurse observes the child using the inhaler. Which action requires correction? A) Shaking the inhaler before use B) Exhaling fully before actuating the inhaler C) Inhaling slowly over 3-5 seconds D) Actuating the inhaler at the end of inhalation 💫RATIONALE✔️ ✔️ : The inhaler should be actuated at the BEGINNING of a slow inhalation (or early in inspiration). Actuating at the end of inhalation results in medication deposition in the mouth/throat, not lungs. 💫ANSWER✔️ ✔️ : D) Actuating the inhaler at the end of inhalation
  1. A newborn is 24 hours old and has not passed meconium. The abdomen is distended and the infant vomits bilious material. What is the priority action? A) Encourage breastfeeding B) Perform a rectal stimulation C) Obtain an abdominal x-ray D) Notify the provider of possible Hirschsprung disease

💫RATIONALE✔️ ✔️ : Failure to pass meconium in first 24-48 hours with bilious vomiting and distention suggests Hirschsprung disease or intestinal obstruction. Notify provider immediately for surgical evaluation. 💫ANSWER✔️ ✔️ : D) Notify the provider of possible Hirschsprung disease

  1. A 5-year-old with acute lymphoblastic leukemia (ALL) is receiving induction chemotherapy. The child has a fever of 38.5°C (101.3°F) and an absolute neutrophil count (ANC) of 100/mm³. What is the priority action? A) Administer acetaminophen and discharge B) Obtain blood cultures and start broad-spectrum IV antibiotics C) Give granulocyte colony-stimulating factor (G-CSF) D) Transfuse neutrophils 💫RATIONALE✔️ ✔️ : Febrile neutropenia (ANC <500) is a medical emergency. Obtain blood cultures and start empiric IV antibiotics immediately (within 1 hour). Do not wait for cultures. G-CSF is adjunctive, not emergent. 💫ANSWER✔️ ✔️ : B) Obtain blood cultures and start broad-spectrum IV antibiotics
  1. A 2-year-old presents with stridor, drooling, and tripod positioning. The child has a fever of 39°C (102.2°F) and appears toxic. What is the priority action? A) Inspect the throat with a tongue depressor B) Obtain a lateral neck x-ray C) Prepare for intubation in the operating room D) Administer racemic epinephrine nebulizer 💫RATIONALE✔️ ✔️ : Stridor, drooling, tripod, and toxic appearance in a child suggest epiglottitis (now rare due to Hib vaccine). Do NOT examine the throat (can cause laryngospasm). Immediate ENT/anesthesia for controlled intubation. 💫ANSWER✔️ ✔️ : C) Prepare for intubation in the operating room

💫RATIONALE✔️ ✔️ : Chest physiotherapy (postural drainage, percussion, vibration) is the standard airway clearance technique for CF to mobilize thick secretions. Albuterol is adjunctive but not primary. 💫ANSWER✔️ ✔️ : A) Postural drainage and percussion (chest physiotherapy)

  1. A 7-year-old with acute post-streptococcal glomerulonephritis (APSGN) has a blood pressure of 1 40/95 mmHg, periorbital edema, and oliguria. What is the priority intervention? A) Restrict fluid intake to insensible losses B) Administer furosemide 1 mg/kg IV C) Start a low-sodium, low-potassium diet D) Administer lisinopril 0.1 mg/kg 💫RATIONALE✔️ ✔️ : Oliguria with hypertension in APSGN indicates fluid overload. Furosemide (loop diuretic) reduces intravascular volume and lowers BP. Antihypertensives are second-line if diuretics fail. 💫ANSWER✔️ ✔️ : B) Administer furosemide 1 mg/kg IV
  1. A 2-year-old with Kawasaki disease is in the acute phase. The child has a fever of 39.5°C (103°F), bilateral conjunctivitis, cracked lips, and a polymorphous rash. What is the priority treatment? A) Aspirin 80 mg/kg/day divided into 4 doses B) IVIG 2 g/kg as a single dose C) Prednisolone 2 mg/kg/day D) Acetaminophen 15 mg/kg PRN 💫RATIONALE✔️ ✔️ : IVIG (intravenous immunoglobulin) given within 10 days of fever onset reduces the risk of coronary artery aneurysms, the most serious complication of Kawasaki disease. High-dose aspirin is also given but IVIG is priority. 💫ANSWER✔️ ✔️ : B) IVIG 2 g/kg as a single dose
  1. A 6-week-old infant is brought to the emergency department with lethargy, poor feeding, and a bulging fontanel. The infant was born full-term and was healthy until 2 days ago. What is the priority diagnostic test?

A) Blood culture B) Lumbar puncture C) CT scan of the head D) Urinalysis 💫RATIONALE✔️ ✔️ : Lethargy, poor feeding, and bulging fontanel in an infant suggest meningitis. Lumbar puncture for CSF analysis is essential to confirm diagnosis and guide antibiotics. Do not delay antibiotics if LP is delayed. 💫ANSWER✔️ ✔️ : B) Lumbar puncture

  1. A 14-year-old with major depressive disorder is started on fluoxetine 10 mg daily. The nurse teaches the parents about which potential adverse effect that requires immediate notification? A) Nausea and headache B) Worsening depression or suicidal ideation C) Weight gain D) Sexual dysfunction 💫RATIONALE✔️ ✔️ : SSRIs carry a black box warning for increased risk of suicidal ideation and behavior in children and adolescents, especially in the first few weeks of treatment. Parents must monitor for worsening depression, agitation, or suicidal thoughts. 💫ANSWER✔️ ✔️ : B) Worsening depression or suicidal ideation
  1. A 9-month-old infant with a fever of 40°C (104°F) has a generalized tonic-clonic seizure lasting 2 minutes. The seizure stops spontaneously. The infant is now sleepy but arousable. What is the priority action? A) Administer rectal diazepam 0.5 mg/kg B) Notify the provider of a complex febrile seizure C) Obtain a CT scan of the head D) Give acetaminophen 15 mg/kg PR 💫RATIONALE✔️ ✔️ : A febrile seizure in an infant with fever >40°C that lasts <15 minutes and is generalized is a simple febrile seizure. Post-ictal sleepiness is normal. Antipyretics do not prevent recurrence. No further workup needed if child returns to baseline.

D) 420 mg 💫RATIONALE✔️ ✔️ : 80 mg/kg/day x 14 kg = 1,120 mg/day. Divided BID = 1,120 / 2 = 560 mg per dose. 💫ANSWER✔️ ✔️ : A) 560 mg

  1. A 12-year-old with type 1 diabetes is found unconscious. The blood glucose meter reads "LO" (below 20 mg/dL). The child has an IV line. What is the priority action? A) Administer glucagon 0.5 mg IM B) Give 15 g of oral glucose (4 oz juice) C) Push 25 mL of 50% dextrose (D50) IV D) Start an insulin drip at 0.1 units/kg/hr 💫RATIONALE✔️ ✔️ : Severe hypoglycemia with unconsciousness and IV access requires IV dextrose. For a 12 - year-old, D50 25 mL is appropriate (adult dose). Glucagon IM if no IV access. Do not give oral anything to unconscious patient. 💫ANSWER✔️ ✔️ : C) Push 25 mL of 50% dextrose (D 50 ) IV
  1. A 4-year-old is admitted with dehydration from gastroenteritis. The child has received 2 boluses of 20 mL/kg normal saline. The child is now alert, with moist mucous membranes, urine output 2 mL/kg/hr, and HR 110 bpm. What is the next action? A) Administer a third bolus B) Start maintenance IV fluids C) Discontinue IV fluids and encourage oral intake D) Check serum electrolytes 💫RATIONALE✔️ ✔️ : The child is rehydrated (alert, moist mucous membranes, adequate urine output). Transition to oral rehydration or maintenance IV fluids depending on ability to tolerate oral. Not fully oral yet; start maintenance IV. 💫ANSWER✔️ ✔️ : B) Start maintenance IV fluids
  1. A 2-month-old infant is brought to the clinic for a well-child visit. The nurse notes that the infant does not track a bright red object past midline and has not yet smiled socially. What is the priority action? A) Reassure the parents that this is normal for age B) Refer for developmental and ophthalmologic evaluation C) Schedule a follow-up visit in 2 months D) Administer the 2-month vaccines and reassess at 4 months 💫RATIONALE✔️ ✔️ : By 2 months, infants should track objects past midline and begin social smiling. Failure to do so may indicate visual impairment or developmental delay. Refer for further evaluation. 💫ANSWER✔️ ✔️ : B) Refer for developmental and ophthalmologic evaluation
  1. A 10-year-old with a history of seizures is on phenytoin. The nurse notes nystagmus, ataxia, and slurred speech. What is the priority action? A) Administer the next scheduled dose B) Hold the next dose and request a phenytoin level C) Increase the dose for breakthrough seizures D) Give diazepam 0.2 mg/kg IV 💫RATIONALE✔️ ✔️ : Nystagmus, ataxia, and dysarthria are signs of phenytoin toxicity (therapeutic level 10 - 20 mcg/mL). Hold the next dose and check the level. Notify provider. 💫ANSWER✔️ ✔️ : B) Hold the next dose and request a phenytoin level
  1. A 3-year-old with a history of asthma is brought to the ED with respiratory distress. The child is sitting upright, using accessory muscles, and has a silent chest on auscultation. What is the priority action? A) Albuterol nebulizer B) Heliox therapy C) Prepare for intubation D) IV magnesium sulfate

B) Bracing with a thoracolumbosacral orthosis (TLSO) C) Surgical spinal fusion D) Physical therapy for core strengthening 💫RATIONALE✔️ ✔️ : For a 14-year-old with a Cobb angle between 25-40 degrees and remaining growth, bracing is indicated to prevent progression. Observation for <25°, surgery for >45°. 💫ANSWER✔️ ✔️ : B) Bracing with a thoracolumbosacral orthosis (TLSO)

  1. A newborn has an Apgar score of 4 at 1 minute (HR 100, slow irregular breathing, some flexion, no response to stimulation, blue extremities). What is the priority action? A) Administer positive pressure ventilation B) Provide tactile stimulation and oxygen C) Intubate the newborn D) Give epinephrine 0.1 mg/kg 💫RATIONALE✔️ ✔️ : Apgar 4 indicates moderate depression. Positive pressure ventilation is indicated if HR <100 or apnea despite stimulation. HR 100 with irregular breathing requires PPV. Stimulation alone is insufficient. 💫ANSWER✔️ ✔️ : A) Administer positive pressure ventilation
  1. A 5-year-old with acute lymphoblastic leukemia (ALL) is in remission and receiving maintenance chemotherapy. The child's absolute neutrophil count (ANC) is 800/mm³. The parent asks if the child can attend kindergarten. What is the best response? A) "Yes, as long as there are no sick children in the class." B) "No, your child should avoid school until the ANC is >1,500." C) "Yes, but avoid crowded places and children with fevers." D) "No, your child must remain on homebound instruction." 💫RATIONALE✔️ ✔️ : With ANC 800 (moderate neutropenia, >500), the child can attend school but should avoid known sick contacts and practice hand hygiene. Strict isolation is for ANC <500. 💫ANSWER✔️ ✔️ : C) "Yes, but avoid crowded places and children with fevers."
  1. A 4-week-old infant with projectile vomiting is found to have hypertrophic pyloric stenosis. Which electrolyte abnormality is expected? A) Hypernatremia, hypokalemia, metabolic alkalosis B) Hyponatremia, hypokalemia, metabolic alkalosis C) Hypernatremia, hyperkalemia, metabolic acidosis D) Hyponatremia, hyperkalemia, metabolic acidosis 💫RATIONALE✔️ ✔️ : Pyloric stenosis causes loss of gastric acid (HCl) and fluid, leading to hypochloremic metabolic alkalosis, hypokalemia, and paradoxical aciduria. Hyponatremia may occur from fluid loss. 💫ANSWER✔️ ✔️ : B) Hyponatremia, hypokalemia, metabolic alkalosis
  1. A 9-year-old with a peanut allergy accidentally ingested a peanut butter cookie. The child develops stridor, diffuse hives, and vomiting. What is the priority action? A) Administer diphenhydramine 1 mg/kg IM B) Give epinephrine 0.3 mg IM (1:1000) C) Start an IV line with normal saline D) Apply oxygen at 6 L/min via mask 💫RATIONALE✔️ ✔️ : Stridor indicates anaphylaxis with airway compromise. Epinephrine IM (0.3 mg for child >30 kg) is first-line, life-saving. Do not delay for antihistamines or IV access. 💫ANSWER✔️ ✔️ : B) Give epinephrine 0.3 mg IM (1:1000)
  1. A 2-year-old with a history of febrile seizures has a temperature of 39.8°C (103.6°F) from otitis media. The parent asks about giving antipyretics to prevent seizures. What is the best response? A) "Antipyretics can prevent febrile seizures if given at the first sign of fever." B) "Antipyretics reduce fever but do not prevent febrile seizures." C) "Give ibuprofen and acetaminophen alternating every 4 hours for 48 hours." D) "Only rectal diazepam can prevent febrile seizures."

A) Hydrops fetalis B) Vesicular rash on the palms and soles C) Hepatosplenomegaly and snuffles D) Asymptomatic carrier state 💫RATIONALE✔️ ✔️ : Congenital syphilis presents with hepatosplenomegaly, rhinitis ("snuffles"), rash on palms/soles, and bone changes. Asymptomatic at birth is also possible, but symptomatic includes these findings. 💫ANSWER✔️ ✔️ : C) Hepatosplenomegaly and snuffles

  1. A 6-year-old with a new diagnosis of type 1 diabetes has a blood glucose of 280 mg/dL. The child's insulin orders are: insulin aspart (rapid-acting) with meals based on carbs and correction. The child is about to eat lunch (45g carbs). Insulin-to-carb ratio is 1:15. Correction factor is 1:50 over 150. What is the total insulin dose? A) 3 units B) 4 units C) 5 units D) 6 units 💫RATIONALE✔️ ✔️ : Carb dose: 45g / 15 = 3 units. Correction: (280-150)=130 / 50 = 2.6 rounds to 3 units. Total = 3+3 = 6 units. 💫ANSWER✔️ ✔️ : D) 6 units
  1. A 10-year-old with a history of ADHD is taking methylphenidate LA 20 mg daily. The child reports chest pain and palpitations. What is the priority action? A) Administer the next dose as scheduled B) Hold the medication and notify the provider C) Give ibuprofen 10 mg/kg for chest pain D) Reassure the child that this is a common side effect 💫RATIONALE✔️ ✔️ : Chest pain in a child on stimulants warrants evaluation for cardiac side effects (tachycardia, dysrhythmia, or rarely cardiomyopathy). Hold the medication and notify provider. Do not dismiss.

💫ANSWER✔️ ✔️ : B) Hold the medication and notify the provider

  1. A 2-month-old infant is admitted with pertussis (whooping cough). The infant is in the paroxysmal stage with coughing spells followed by post-tussive emesis and apnea. What is the priority intervention? A) Administer erythromycin 40 mg/kg/day B) Provide respiratory support and suctioning C) Place the infant in respiratory isolation (droplet precautions) D) Administer pertussis immune globulin 💫RATIONALE✔️ ✔️ : Pertussis in infants <6 months often causes apnea and respiratory failure. Supportive care (oxygen, suction, monitoring, intubation if needed) is priority. Erythromycin is given but supportive care is first. Droplet precautions are needed but not the immediate life-saving action. 💫ANSWER✔️ ✔️ : B) Provide respiratory support and suctioning
  1. A 5-year-old with a history of severe peanut allergy is in the school cafeteria. The child accidentally ate a cookie containing peanut butter. Within 2 minutes, the child has stridor, wheezing, and diffuse urticaria. The school nurse has epinephrine auto-injector (0.15 mg) available. What is the priority action? A) Call 911 first B) Administer epinephrine auto-injector C) Give oral diphenhydramine 25 mg D) Place the child in the recovery position 💫RATIONALE✔️ ✔️ : Anaphylaxis with stridor is life-threatening. Epinephrine is first-line and must be given immediately. Call 911 after or have someone else call. Do not delay for antihistamines. 💫ANSWER✔️ ✔️ : B) Administer epinephrine auto-injector
  1. A 3-day-old newborn is jaundiced (Kernicterus risk). The total bilirubin is 22 mg/dL, and the direct bilirubin is 1 mg/dL. The newborn is term and otherwise healthy. What is the priority treatment? A) Exchange transfusion