ATI LPN
Emergency Pediatric Care Quizlet Questions
Question 1 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 2 of 5
Which of the following is least likely to be present in a child with respiratory distress?
Correct Answer: D
Rationale: Children in respiratory distress typically show signs like accessory muscle use, short sentences, or stridor. Speaking in full sentences indicates minimal distress, making it the least likely.
Question 3 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 4 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 5 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.