ATI LPN
Emergency Pediatric Care Questions
Question 1 of 5
According to developmental theories, which important event is essential in the development of the toddler?
Correct Answer: B
Rationale: Walking is a significant developmental milestone for toddlers, enhancing mobility and autonomy, which is more critical in early development than friendships, self-feeding, or potty-training.
Question 2 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 3 of 5
A 10-year-old child has been struck by a vehicle at unknown speed. He is brought to the ED by paramedics. His initial vital signs are blood pressure 80/40 mm Hg, heart rate 130 beats/minute, respiratory rate 10 breaths/minute, and oxygen saturation 95% on non-rebreather face mask. His eyes open to painful stimuli, he cries to pain and making inappropriate sounds, and he withdraws to painful stimuli. What is his Glasgow coma scale score?
Correct Answer: C
Rationale: GCS: Eyes open to pain (2), verbal response with inappropriate sounds (2), motor withdraws to pain (4). Total = 2 + 2 + 4 = 8.
Question 4 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 5 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.