ATI LPN
Emergency Pediatric Care Questions
Question 1 of 5
A 38-week newborn is delivered via spontaneous vaginal delivery in the emergency department. The amniotic fluid is dark and cloudy. You evaluate the infant under the warmer and note gasping, pale color, and a heart rate of 75 beats/minute. The best initial step is:
Correct Answer: B
Rationale: Per NRP guidelines, a newborn with poor tone and HR <100 bpm requires positive pressure ventilation (e.g., bag-mask) as the initial step.
Question 2 of 5
You are working at a small rural hospital. You receive a call from your 911 call center for medical advice regarding a 9-year-old girl who was thrown off of her all-terrain vehicle during an accidental collision. On initial assessment, she has a GCS of 7 with a moderate right-sided scalp hematoma and palpable skull deformity. The child has been intubated for airway protection at the scene. The EMS crew is trying to decide between ground transport and helicopter transport to a level 1 pediatric trauma center for neurosurgical intervention. The pediatric center is 45 minutes away by ground. What factors lead you to recommend helicopter transport vs ground EMS in this patient?
Correct Answer: A
Rationale: GCS <8 indicates severe injury requiring rapid transport to a trauma center; helicopter reduces time significantly.
Question 3 of 5
An advanced life support EMS crew arrives at your facility with a pediatric patient whose chief presentation is anaphylaxis. Throughout the evaluation and transport, they have administered subcutaneous 0.01 mg/kg epinephrine, intravenous 2 mg/kg methylprednisolone, and 1 mg/kg diphenhydramine according to their protocols. Under what form of medical command were these actions taken?
Correct Answer: B
Rationale: Off-line command refers to pre-established protocols guiding EMS actions without real-time physician input.
Question 4 of 5
The nurse is preparing an in-service program on pediatric cardiopulmonary resuscitation. The nurse would include a discussion that cardiopulmonary arrest in infants and children is most likely the result of which of the following?
Correct Answer: B
Rationale: In children, cardiopulmonary arrest most commonly results from respiratory failure rather than primary cardiac issues.
Question 5 of 5
The nurse is assessing the neurologic status of an 11-month-old girl. Which finding would be cause for concern?
Correct Answer: D
Rationale: A sluggish pupillary reaction indicates potential neurologic impairment and warrants immediate concern.