ATI LPN
Emergency Care Pediatrics Questions
Question 1 of 5
An adolescent with chronic asthma, who has been hospitalized several times during the winter with severe asthmatic exacerbations, confides, 'I wish I could stay here in the hospital because every time that I go home, I get sick again!' The pediatric nurse's best response is:
Correct Answer: B
Rationale: The goal with asthma should be to manage it at home to prevent future attacks. An asthma action plan should be developed while in the hospital, and continued by the patient and the doctor to avoid future exacerbations.
Question 2 of 5
Which of the following agents would be the best induction agent when intubating an asthmatic in severe respiratory distress?
Correct Answer: C
Rationale: Ketamine is preferred in asthma due to its bronchodilatory effects and hemodynamic stability, aiding intubation in respiratory distress.
Question 3 of 5
An 11-month-old girl is brought to the Emergency Department for evaluation of fussiness and fever. She was taken to her primary care physician who diagnosed her with acute otitis media and started her on oral antibiotics. The patient has not been taking much in the way of oral fluids and has not eaten for the past day. She has had decreased wet diapers over the past 24 hours. Initial vital signs are as follows: temperature 102°F, heart rate 240 beats/minute, respiratory rate 45 breaths/minute, blood pressure 90/50 mm Hg, and oxygen saturation 99% on room air. You administer a 20 ml/kg bolus and acetaminophen, but the heart rate remains at 240 beats/minute. A 12-lead electrocardiogram is obtained. What is the most appropriate next intervention?
Correct Answer: C
Rationale: Persistent tachycardia at 240 bpm in an infant suggests supraventricular tachycardia (SVT). Adenosine 0.1 mg/kg is the first-line treatment per PALS.
Question 4 of 5
A 4-year-old boy is brought to the ED by EMS after he was found altered, minimally responsive with cool and clammy extremities. His heart rate is 45 beats/minute, and blood pressure is 50/20 mmHg. He is awake and has a pulse on your examination. The paramedics placed an IV and administered 0.01 mg/kg epinephrine without response. The strip from EMS is shown below. What is the next treatment of choice?
Correct Answer: A
Rationale: Symptomatic bradycardia unresponsive to epinephrine requires atropine 0.02 mg/kg IV (minimum 0.1 mg) per PALS.
Question 5 of 5
Which of the following medical equipment is required on an advanced life support (ALS) ambulance compared to a basic life support (BLS) ambulance?
Correct Answer: C
Rationale: ALS ambulances require advanced equipment like intraosseous needles for rapid vascular access, unlike BLS.