ATI LPN
Emergency Pediatric Care Quizlet Questions
Question 1 of 5
A home care nurse provides health education to parents regarding the care of their toddler. Which of the following precautions should the nurse suggest the parents take to protect the toddler from drowning?
Correct Answer: C
Rationale: Avoiding unattended baths is a practical and direct precaution to prevent drowning in toddlers.
Question 2 of 5
A 3-year-old child with croup has the following vital signs: heart rate 90, respiratory rate 48, blood pressure 100/52, and temperature 98.8°F (37.1°C). The parents ask the nurse if these vital signs are normal. The nurse's best response is:
Correct Answer: A
Rationale: A respiratory rate of 48 is high for a 3-year-old, indicating that the croup is affecting his breathing. A heart rate of 90, blood pressure of 100/52, and temperature of 98.8°F (37.1°C) are within normal ranges for a 3-year-old.
Question 3 of 5
When developing a plan of care for a hospitalized child, the nurse knows that children in which age group are most likely to view illness as a punishment for misdeeds?
Correct Answer: C
Rationale: Preschool-age children often engage in magical thinking and may view illness as a punishment for misdeeds, unlike infants (who lack cognitive ability), school-age children (who understand biological causes), or adolescents (who think more complexly).
Question 4 of 5
A pediatric ED nurse, who is caring for a 12-year-old patient with septic shock, perceives a potential complication of fluid resuscitation upon noting:
Correct Answer: D
Rationale: Pulmonary edema should be monitored for closely as in septic shock, fluids can third space and leak into the lungs causing hypoxia and respiratory distress. The pt should receive additional fluids less rapidly and the practitioner may choose to move on to vasopressor therapy.
Question 5 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.