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Which of the following patients is at greatest risk for developing sepsis?  

An 8 year old female with DM type 1 presents with a 3 day history of abdominal pain and vomiting. She was treated in the ED one week ago for hypoglycemia. Examination reveals rapid breathing, dry mucus membranes, and poor peripheral perfusion. Appropriate management would include all of the following EXCEPT:

 A father brings his 2 year old son to the ED. He reports that the boy spent several hours in the garage with him while he was repairing the car. On questioning, the father states that over the course of the afternoon, the child seemed more sleepier than usual, then became lethargic, vomited, and seemed like he was “drunk”. On the way to the hospital he began having seizures. In the ED, the boy was given a dose of lorazepam (Ativan) to stop the seizures and was endotracheally intubated because of respiratory depression. His initial laboratory results are: Sodium: 138 mEg/L Potassium: 4.9 mEq/L Chloride 100 mEq/L Bicarbonate 6 mEq/L Glucose 120 mg/dL BUN 10 mg/dL Calcium 5.5 mEq/L   Of the following, the MOST likely cause of this child’s clinical condition is ingestion of

A mother brings her 6 year old son to the ED today. During the history taking, she states that his academic performance has declined during the last year. His teacher notices him “staring into space” frequently throughout the day. Sometimes, he seems “off in his own world.” He doesn’t answer questions often in class. You order an EEG that reveals a 3-Hz generalized spike-and-wave pattern that can be triggered by hyperventilation. What seizure type do you think this patient is likely to have?  

A 3 year old child presents with 24 hours of episodes of inconsolable crying. His parents state that his sleep/awake pattern is altered and he seems uncharacteristically “out of it” at times. Physical exam shows fluctuation in attention and being arousable, with diffuse hyperreflexia. Emergent head CT shows no abnormalities. Laboratory testing documents markedly elevated serum transaminases. Of the following, the MOST likely cause for the child’s mental status change is:  

For the patient in question # 120: Following treatment of ventricular tachycardia, an ECG was obtained on the scene. What did the ECG most likely show?

Match the type of line with the appropriate fact or definition:

Knowing the risk of morbidity and mortality for patients with Marfans the ACPNP will prescribe which of the following medications to prevent sudden death?

You are the provider for an intubated patient in the pediatric intensive care unit. You have obtained a bedside anterior/posterior chest radiograph to confirm endotracheal tube placement. Based on your knowledge of proper instrumentation placement in pediatrics, which of the following statements is true:

Which of the following is the central factor responsible for respiratory distress syndrome in the premature newborn?