ATI LPN
Emergency Pediatric Care Quizlet Questions
Question 1 of 5
A 3-year-old child with croup has the following vital signs: heart rate 90, respiratory rate 48, blood pressure 100/52, and temperature 98.8°F (37.1°C). The parents ask the nurse if these vital signs are normal. The nurse's best response is:
Correct Answer: A
Rationale: A respiratory rate of 48 is high for a 3-year-old, indicating that the croup is affecting his breathing. A heart rate of 90, blood pressure of 100/52, and temperature of 98.8°F (37.1°C) are within normal ranges for a 3-year-old.
Question 2 of 5
A pediatric ED nurse, who is caring for a 12-year-old patient with septic shock, perceives a potential complication of fluid resuscitation upon noting:
Correct Answer: D
Rationale: Pulmonary edema should be monitored for closely as in septic shock, fluids can third space and leak into the lungs causing hypoxia and respiratory distress. The pt should receive additional fluids less rapidly and the practitioner may choose to move on to vasopressor therapy.
Question 3 of 5
A 4-year-old girl arrives to the ED in acute respiratory distress. You determine that she requires endotracheal intubation and mechanical ventilation. What is the most appropriate cuffed endotracheal tube size for this patient?
Correct Answer: C
Rationale: For a 4-year-old, the formula for cuffed endotracheal tube size is (age in years / 4) + 3.5, which equals 4.5 mm. This size is appropriate for a 4-year-old to ensure adequate ventilation while minimizing trauma.
Question 4 of 5
Which of the following is least likely to be present in a child with respiratory distress?
Correct Answer: D
Rationale: Children in respiratory distress typically show signs like accessory muscle use, short sentences, or stridor. Speaking in full sentences indicates minimal distress, making it the least likely.
Question 5 of 5
A 7-year-old boy comes to the Emergency Department with a 1-week history of diffuse abdominal pain, weight loss, nausea, and vomiting. He also admits to polyuria and polydipsia, worsening over the past few days. His vital signs are as follows: heart rate 150 beats/minute, respiratory rate 30 breaths/minute, blood pressure 90/50 mm Hg, and oxygen saturation 99% on room air. A bedside glucose is 520 mg/dl. He appears lethargic and has dry mucous membranes. Which of the following is the most appropriate initial management after IV access has been obtained?
Correct Answer: C
Rationale: In diabetic ketoacidosis (DKA), initial management is fluid resuscitation with normal saline 20 ml/kg to address dehydration before insulin therapy.