ATI LPN
Emergency Care Pediatrics Questions
Question 1 of 5
A 4-year-old boy is brought to the ED by EMS after he was found altered, minimally responsive with cool and clammy extremities. His heart rate is 45 beats/minute, and blood pressure is 50/20 mmHg. He is awake and has a pulse on your examination. The paramedics placed an IV and administered 0.01 mg/kg epinephrine without response. The strip from EMS is shown below. What is the next treatment of choice?
Correct Answer: A
Rationale: Symptomatic bradycardia unresponsive to epinephrine requires atropine 0.02 mg/kg IV (minimum 0.1 mg) per PALS.
Question 2 of 5
In your role as medical director, you are performing a quality improvement project on pain management. You are reviewing charts evaluating for factors associated with inadequate pain management in pediatric trauma patients. What factors would you expect are associated with suboptimal pain control in pediatric trauma patients?
Correct Answer: D
Rationale: Undocumented pain scores are strongly linked to inadequate pain management, as assessment drives treatment.
Question 3 of 5
Assessment of a child reveals a tension pneumothorax. The nurse would prepare the child for which of the following?
Correct Answer: A
Rationale: A needle thoracotomy is the immediate treatment for tension pneumothorax to relieve pressure and restore lung function.
Question 4 of 5
A nurse is caring for a stable toddler diagnosed with accidental poisoning due to the ingestion of cleaning solution. What must be included in teaching parents about how to protect a toddler from accidental poisoning?
Correct Answer: D
Rationale: Keeping cleaning solutions locked up is the most effective way to prevent access and accidental poisoning by toddlers.
Question 5 of 5
A 13-year-old boy has had a near-drowning experience. The nurse notices he has labored breathing and a cough. Which of the following is the priority intervention?
Correct Answer: C
Rationale: Administering 100% oxygen addresses the immediate need to improve oxygenation in a near-drowning patient with respiratory distress.