ATI LPN
Emergency Pediatric Care Questions
Question 1 of 5
A 6-year-old boy presents to the Emergency Department for an urticarial rash, wheezing, and vomiting after trading lunches with another child at school. The patient has a known allergy to peanuts. What is the most appropriate initial dose of epinephrine for this patient?
Correct Answer: B
Rationale: For anaphylaxis, the standard initial dose of epinephrine is 0.01 mg/kg intramuscularly (IM), typically using a 1:1000 solution, up to a maximum of 0.3-0.5 mg in children. IM administration in the anterolateral thigh is preferred for rapid absorption. Subcutaneous (SC) or intravenous (IV) routes are not recommended as initial management.
Question 2 of 5
When compared to the adult airway anatomy, the pediatric airway is as follows:
Correct Answer: A
Rationale: The pediatric airway is more anterior and superior, with a larger tongue and floppy epiglottis, complicating intubation.
Question 3 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 4 of 5
You receive a call from the hospital transfer system that a school bus has overturned in a nearby city which is 40 miles away. The transfer center is asking for your advice concerning transfer of these patients to your facility. Which of the following regarding regionalized systems in pediatric emergency mass critical care is accurate?
Correct Answer: C
Rationale: Using public health data for planning improves resource allocation and response in pediatric mass casualty events.
Question 5 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.