ATI LPN
Emergency Pediatric Psychiatric Care Questions
Question 1 of 5
An 17-year-old with a rash and itching in the groin area is concerned that he has contracted a sexually transmitted disease and does not want his parents to find out. The nurse's best response is:
Correct Answer: B
Rationale: Confidentiality laws often protect the privacy of minors seeking treatment for sexually transmitted diseases, allowing them to consent to their own treatment without parental involvement in many jurisdictions.
Question 2 of 5
Which initial question directed to the parent assists the pediatric nurse in obtaining a patient's health history?
Correct Answer: C
Rationale: SAMPLE history starts out by asking about Signs and Symptoms, then Allergies, Medications, Past history, Last food or drink consumed and Events leading up to the illness or chief complaint. Asking why they are here will give the RN a broad idea which they may then focus on and get more specific information.
Question 3 of 5
A 4-year-old child presents to the Emergency Department after a seizure at home. He remains confused and combative. A bedside glucose evaluation reveals blood glucose of 25 mg/dl. The patient weighs 20 kg. What is the most appropriate dose of glucose to administer to this patient?
Correct Answer: D
Rationale: For hypoglycemia in children, D25 (25% dextrose) at 2-4 ml/kg is commonly used. For a 20 kg child, 40 ml of D25 (2 ml/kg) provides 10 g of glucose, which is appropriate to correct hypoglycemia effectively and safely.
Question 4 of 5
A 10-year-old boy with a history of asthma is brought to the Emergency Department for shortness of breath, cough, subjective fever, and rhinorrhea. His mother has been administering albuterol nebulizer treatments at home with little relief. His initial vital signs are as follows: heart rate 110 beats/minute, respiratory rate 15 breaths/minute, blood pressure 100/60 mm Hg, and oxygen saturation 93% on room air. On examination, the patient has intercostal and supra-costal retractions, poor inspiratory effort, and minimal wheezing in both lungs. He has a history of multiple hospitalizations for asthma exacerbation and has been intubated once for respiratory failure because of asthma exacerbation. What is the most appropriate intervention at this time?
Correct Answer: C
Rationale: Given severe distress (retractions, poor effort, history of intubation), noninvasive ventilation (e.g., BiPAP) is appropriate to support breathing and avoid intubation.
Question 5 of 5
The incidence of septic shock in children in the United States is greatest in:
Correct Answer: A
Rationale: Infants have the highest incidence of septic shock due to immature immune systems and higher infection rates.