ATI LPN
LPN Pediatrics Questions
Question 1 of 5
Physical abuse of a 4-year-old child should be suspected if you observe:
Correct Answer: A
Rationale: Purple and yellow bruises on protected areas like the thighs are concerning as they indicate bruises in various stages of healing, which is a red flag for physical abuse. Bruises on the anterior tibial area or a child clinging to a parent are not specific signs of physical abuse. Siblings watching you is unrelated to the suspicion of physical abuse in this scenario.
Question 2 of 5
You are dispatched to a residence where an 8-year-old boy was pulled from a swimming pool. When you arrive, a neighbor is performing rescue breathing on the child. After confirming that the child is not breathing, you should:
Correct Answer: B
Rationale: In cases of drowning, it is crucial to assess for a carotid pulse for no more than 10 seconds to determine if chest compressions are needed. This quick assessment helps determine the next steps in providing appropriate care to the patient. Performing chest compressions without confirming the need may not be beneficial and could potentially harm the patient if unnecessary.
Question 3 of 5
You arrive at a residence shortly after a 4-year-old boy experienced an apparent febrile seizure. The child is alert and crying. His skin is flushed, hot, and moist. His mother tells you that the seizure lasted about 2 minutes. You should:
Correct Answer: A
Rationale: After a febrile seizure, the recommended course of action is to provide supportive care and transport the child to a medical facility. Supportive care may include ensuring a safe environment, monitoring the child, and seeking medical evaluation to determine the underlying cause of the seizure and appropriate management.
Question 4 of 5
When performing CPR on an infant with suspected sudden infant death syndrome (SIDS), an important aspect to consider is:
Correct Answer: B
Rationale: When dealing with a suspected case of SIDS, it is crucial to carefully inspect the environment in which the infant was found. This inspection can provide valuable information that may help determine the cause and support further investigation into the incident. By examining the surroundings, potential hazards or clues related to the sudden event may be identified, aiding in understanding the circumstances and potentially preventing similar incidents in the future.
Question 5 of 5
Which of the following statements regarding pediatric anatomy is correct?
Correct Answer: B
Rationale: In pediatric nursing, understanding pediatric anatomy is crucial for providing safe and effective care to children. The correct answer is B) The occiput is proportionately larger when compared to an adult. This statement is correct because infants and young children have proportionately larger heads compared to their body size, with the occiput being prominent. This anatomical feature is important to consider when positioning and assessing infants and young children. Option A) The child's trachea is more rigid and less prone to collapse is incorrect. In reality, a child's trachea is softer and more flexible, making them more susceptible to collapse, especially in cases of respiratory distress. Option C) Airway obstruction is common in children due to their large uvula is incorrect. Airway obstruction in children is more commonly associated with factors such as swollen tonsils, adenoids, or foreign body aspiration rather than the size of the uvula. Option D) Relative to the overall size of the airway, a child's epiglottis is smaller is incorrect. In children, the epiglottis is relatively larger compared to the size of the airway, serving to protect the delicate structures of the lower respiratory tract during swallowing. Understanding pediatric anatomy is essential for pediatric nurses to provide appropriate care, anticipate potential issues, and intervene effectively in pediatric emergencies. By knowing these anatomical differences, nurses can better assess, plan, and implement care for pediatric patients.