ATI LPN
Care During Pediatric Emergencies Questions
Question 1 of 5
A 6-month-old male is at his well-child checkup. The nurse weighs him, and his mother asks if his weight is normal for his age. The nurse's best response is:
Correct Answer: A
Rationale: By 6 months, most infants have doubled their birth weight, and some may have tripled it, making this the most accurate and specific response.
Question 2 of 5
After receiving an immunization, a child develops swelling and tenderness at the injection site, a low-grade fever, and malaise. The pediatric ED nurse informs the child's parents that:
Correct Answer: C
Rationale: This reaction is moderate and can be managed with Tylenol and Benadryl. Swelling, tenderness, low-grade fever, and malaise are common mild reactions to immunizations that do not require emergency care or delaying future vaccinations.
Question 3 of 5
A 5-year-old child is brought to the Emergency Department by ambulance. The patient is pulseless, apneic, and unresponsive. All basic life support (BLS) maneuvers are being done. The patient is placed on the monitor, and the following rhythm is obtained. What is the most appropriate next intervention?
Correct Answer: C
Rationale: Assuming a shockable rhythm (e.g., VF/VT) since the rhythm isn't specified but implied by defibrillation options, the next step after BLS is epinephrine 0.01 mg/kg IV/IO in pediatric cardiac arrest per PALS guidelines, followed by defibrillation if needed. Epinephrine is prioritized in this context.
Question 4 of 5
Which of the following agents is the best choice for induction when intubating a child in septic shock?
Correct Answer: C
Rationale: Ketamine is ideal in septic shock for its hemodynamic stability, supporting blood pressure in critically ill children.
Question 5 of 5
A 15-year-old boy is brought to the Emergency Department after sustaining a head injury while riding his bicycle. He was un-helmeted and sustained a loss of consciousness after his fall. EMS transported him after they placed a cervical collar on him and placed him on a backboard. His initial vital signs are as follows: heart rate 45 beats/minute, respiratory rate 11 breaths/minute, blood pressure 80/50 mm Hg, and oxygen saturation 97% on room air. The airway is patent; the patient is breathing well, but has diminished pulses in all 4 extremities. The patient is unable to move any of his extremities during the examination. Packed red blood cells are ordered, and 1 liter of 0.9% normal saline is given without improvement in the blood pressure. The most appropriate vasopressor for this condition is:
Correct Answer: A
Rationale: Suspected spinal shock from cervical injury (bradycardia, hypotension, paralysis) requires epinephrine for its vasopressor and inotropic effects.