ATI LPN
Emergency Pediatric Psychiatric Care Questions
Question 1 of 5
The nurse is examining a 10-year-old boy with tachypnea and increased work of breathing. Which finding is a late sign that the child is in shock?
Correct Answer: B
Rationale: Delayed capillary refill with cool extremities is a late sign of shock indicating poor perfusion.
Question 2 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 3 of 5
Which child in the day-care setting does the nurse identify as having a developmental delay based on the following observations?
Correct Answer: C
Rationale: A 6-year-old should be able to sit still for a short story, and difficulty doing so may indicate a developmental delay. The other options are within normal developmental expectations: a 5-year-old may struggle with zippers, a 2-year-old isn't expected to recite a phone number or cut with scissors. (Note: Original question was multiple-answer; restructured to single-answer focusing on one child, with 'E' shifted to 'D' in original context handled separately below). Additional correct answer from original: An 18-month-old unable to phrase sentences also indicates delay, but here we focus on one for single-answer format.)
Question 4 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 5 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.