ATI LPN
Emergency Pediatric Care Questions
Question 1 of 5
In an emergency, what is the legal stance on administering blood transfusions to a minor against parental objections based on religious beliefs?
Correct Answer: C
Rationale: In life-threatening emergencies, especially involving minors, courts can intervene and issue orders to administer necessary medical treatments, including blood transfusions, despite parental objections based on religious beliefs. This ensures the child's right to life and health is protected.
Question 2 of 5
Which of the following are symptoms of a malfunction?
Correct Answer: B
Rationale: These symptoms show increased intracranial pressure. Changes in heart rate and respiration would be a late sign. The other choices are not indicative of ICP.
Question 3 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 4 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 5 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.