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?

Questions 15

ATI LPN

ATI LPN Test Bank

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.

Access More Questions!

ATI LPN Basic


$89/ 30 days

ATI LPN Premium


$150/ 90 days

Similar Questions