ATI LPN
ATI Pediatrics Proctored Test Questions
Question 1 of 5
When assessing a 5-year-old boy with major trauma, his blood pressure is 70/40 mm Hg, and his pulse rate is 140 beats/min and weak. The child's blood pressure:
Correct Answer: A
Rationale: In a 5-year-old boy with major trauma, a blood pressure of 70/40 mm Hg and a pulse rate of 140 beats/min, and weak, indicate decompensated shock. This presentation signifies inadequate perfusion, leading to compensatory mechanisms being overwhelmed, resulting in decompensated shock.
Choice B is incorrect as the vital signs suggest the body is unable to adequately compensate for the trauma.
Choice C is incorrect as the vital signs are more indicative of shock rather than increased intracranial pressure.
Choice D is incorrect as such low blood pressure is not appropriate for a child of this age and indicates a critical condition.
Question 2 of 5
When assessing a 30-year-old female in labor, what should the EMT do?
Correct Answer: D
Rationale: During the assessment of a 30-year-old female in labor, the EMT should be aware that delivery is imminent if she is crowning. Crowning indicates that the baby's head is visible at the vaginal opening, signaling that the birth is progressing rapidly and the baby will soon be delivered. This is a critical moment that requires preparedness for the birth process and ensuring a safe delivery environment.
Choice A is incorrect because asking the mother when she is expecting to deliver is not relevant when the baby's head is visible at the vaginal opening.
Choice B is incorrect as obtaining the patient's medical history is essential for providing appropriate care.
Choice C is incorrect because determining the stage of labor by examining the patient is important but recognizing crowning indicates that delivery is imminent and requires immediate action.
Question 3 of 5
Your assessment of a newborn reveals cyanosis to the chest and face and a heart rate of 90 beats/min. What should you do first?
Correct Answer: C
Rationale: In a newborn with cyanosis to the chest and face and a heart rate of 90 beats/min, the priority action is to begin artificial ventilations. A heart rate below 100 beats/min with cyanosis indicates a need for immediate respiratory support to improve oxygenation. Drying the infant briskly or suctioning the mouth may be necessary later but are not the initial priority. Chest compressions are not indicated as the heart rate is above 60 beats/min.
Question 4 of 5
How should you assist with the delivery of the baby's head?
Correct Answer: B
Rationale:
To assist with the delivery of the baby's head, the correct technique involves placing your fingers on the bony part of the skull and applying gentle pressure. This method helps guide the baby's head through the birth canal safely and effectively.
Choices A, C, and D are incorrect. Grasping and pulling the baby's head, rotating the head, or placing the palm of your hand against the back of the baby's skull can potentially cause harm or complications during delivery.
Question 5 of 5
A 3-year-old boy is found to be in cardiopulmonary arrest. As you begin one-rescuer CPR, your partner prepares the AED. What is the appropriate compression to ventilation ratio for this child?
Correct Answer: B
Rationale: The correct compression to ventilation ratio for a single rescuer performing CPR on a child is 30:2. This ratio ensures adequate circulation and oxygenation during CPR. 30 compressions help maintain blood flow, while 2 rescue breaths provide oxygenation.
Choice A (3:01) is incorrect as it does not follow the standard CPR guidelines for children.
Choice C (15:2) is incorrect as it is the ratio used for adult CPR.
Choice D (5:1) is incorrect as it is not the recommended ratio for child CPR.