ATI LPN
Emergency Pediatric Care Quizlet Questions
Question 1 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 2 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.
Question 3 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 4 of 5
Which of the following is correct regarding the scope of activities and responsibilities of the medical director for the emergency medical services system?
Correct Answer: B
Rationale: The medical director oversees education, training, and simulations to ensure EMS competency.
Question 5 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.