ATI LPN
Emergency Pediatric Psychiatric Care Questions
Question 1 of 5
An 11-year-old patient who was in a severe motor vehicle collision and sustained multiple fractures and a potential traumatic brain injury (TBI) presents to the ED. The GCS is 5. Multiple direct and video laryngoscopy intubation attempts with in-line cervical spine stabilization have been unsuccessful. What is the most appropriate next step for this patient?
Correct Answer: A
Rationale: In a failed airway with severe trauma and low GCS, surgical cricothyrotomy is the definitive step in children over 8-10 years.
Question 2 of 5
Your hospital is preparing to obtain a level 1 pediatric trauma center designation and is currently reviewing their resources. Your center admits about 200 injured children below the age of 15 annually. It has one board-certified pediatric surgeon, 24-hour subspecialty coverage for neurosurgery, plastic surgery and PICU. It has a PED, pediatric acute care unit, rehabilitation services, a pediatric social worker and a child-life program. The hospital has a respectable teaching and research program. What additional resources does your center need for a successful designation?
Correct Answer: A
Rationale: Level 1 pediatric trauma centers require 24/7 orthopedic surgery coverage for comprehensive trauma care.
Question 3 of 5
When a poison has been ingested by a child, the parents should be instructed to do which of the following first?
Correct Answer: B
Rationale: Calling the poison control center first ensures expert guidance is received before taking action, as inducing vomiting or other interventions may worsen the situation depending on the poison.
Question 4 of 5
A 4-year-old girl has been admitted to the emergency department after accidently ingesting a cleaning product. Which of the following treatments is most likely appropriate in the immediate treatment of the girl's poisoning?
Correct Answer: B
Rationale: Activated charcoal is commonly used to adsorb ingested toxins and prevent further absorption, making it a likely immediate treatment.
Question 5 of 5
A 14-year-old child is brought to the emergency department. His parents state that they think he took 'too many of his pain pills.' The child had been prescribed oxycodone every 4 hours for pain secondary to a bone infection. Which agent would the nurse expect to be administered to counteract the analgesics?
Correct Answer: B
Rationale: Naloxone is the antidote for opioid overdose, such as with oxycodone, to reverse respiratory depression.