ATI LPN
Emergency Pediatric Care Quizlet Questions
Question 1 of 5
A 2-year-old child presents with high fever, drooling, and mild respiratory distress. He is ill-appearing. The mother states they do not believe in immunizations. The child's neck radiograph is most likely to reveal:
Correct Answer: B
Rationale: Epiglottitis (unvaccinated, fever, drooling) typically shows a thumbprint sign on lateral neck X-ray.
Question 2 of 5
You receive a call from an ambulance crew who was dispatched to a respiratory distress call from a caregiver. Upon arrival, the crew found an underweight, syndromic child with agonal breathing and exhibiting a pulse rate of 42 beats/minute. No legal guardians were present. But the child has a medical facility bracelet that states 'Do Not Resuscitate.' The provider calling you is asking for advice on advanced airway placement. What should you recommend?
Correct Answer: A
Rationale: A DNR bracelet indicates a legal directive to withhold resuscitation, which must be respected unless contradicted by guardians.
Question 3 of 5
You receive a call from the 911 call center regarding ongoing resuscitation efforts for a pediatric trauma. The patient and his family were in a MVC rollover on a rural highway. Resuscitation efforts have been in progress for 45 minutes on a pulseless 3-year-old boy with diffuse abdominal bruising who appeared to have been an unrestrained backseat passenger and who was ejected from the vehicle in which he had been riding. The patient's location is 90 minutes from the nearest facility. What are your recommendations for the EMS crew?
Correct Answer: B
Rationale: Prolonged resuscitation (>30-45 min) without ROSC in traumatic arrest, especially with severe injuries, justifies termination per guidelines.
Question 4 of 5
Which medication is used for symptomatic bradycardia unresponsive to ventilation and oxygenation?
Correct Answer: A
Rationale: Atropine is the first-line medication for symptomatic bradycardia in children when ventilation and oxygenation fail to improve heart rate.
Question 5 of 5
When assessing a child with a traumatic injury, which of the following would be the priority assessment?
Correct Answer: A
Rationale: Airway patency is the top priority in trauma assessment per the ABCs (Airway, Breathing, Circulation).