ATI LPN
Emergency Care Pediatrics Questions
Question 1 of 5
In the pediatric emergency department, the nurse must prioritize patient care. Which patient should the nurse assess first?
Correct Answer: D
Rationale: A child hit by a car requires immediate assessment and intervention due to the potential for severe trauma, making this the highest priority over non-life-threatening conditions like colic, suspected sexual activity, or a bite.
Question 2 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 3 of 5
A 4-year-old child has been transferred to your Emergency Department from a rural hospital for an epidural hematoma. He was intubated for airway protection and ventilated en route to your hospital. On arrival, his initial vitals are as follows: heart rate 110 beats/minute, respiratory rate 16 breaths/minute, blood pressure 110/60 mm Hg, and oxygen saturation 85% on 100% FiO2. You notice the tube is quite deep in the patient's mouth. Approximately how many centimeters deep the ET tube should be?
Correct Answer: C
Rationale: The depth of an endotracheal tube in children is estimated as (age / 2) + 12 cm at the lips. For a 4-year-old, this is (4 / 2) + 12 = 14 cm, making 14 cm the appropriate depth.
Question 4 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 5 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.