ATI LPN
Emergency Pediatric Care Questions
Question 1 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.
Question 2 of 5
You receive a call from the hospital transfer system that a school bus has overturned in a nearby city which is 40 miles away. The transfer center is asking for your advice concerning transfer of these patients to your facility. Which of the following regarding regionalized systems in pediatric emergency mass critical care is accurate?
Correct Answer: C
Rationale: Using public health data for planning improves resource allocation and response in pediatric mass casualty events.
Question 3 of 5
You are working at a small rural hospital. You receive a call from your 911 call center for medical advice regarding a 9-year-old girl who was thrown off of her all-terrain vehicle during an accidental collision. On initial assessment, she has a GCS of 7 with a moderate right-sided scalp hematoma and palpable skull deformity. The child has been intubated for airway protection at the scene. The EMS crew is trying to decide between ground transport and helicopter transport to a level 1 pediatric trauma center for neurosurgical intervention. The pediatric center is 45 minutes away by ground. What factors lead you to recommend helicopter transport vs ground EMS in this patient?
Correct Answer: A
Rationale: GCS <8 indicates severe injury requiring rapid transport to a trauma center; helicopter reduces time significantly.
Question 4 of 5
An advanced life support EMS crew arrives at your facility with a pediatric patient whose chief presentation is anaphylaxis. Throughout the evaluation and transport, they have administered subcutaneous 0.01 mg/kg epinephrine, intravenous 2 mg/kg methylprednisolone, and 1 mg/kg diphenhydramine according to their protocols. Under what form of medical command were these actions taken?
Correct Answer: B
Rationale: Off-line command refers to pre-established protocols guiding EMS actions without real-time physician input.
Question 5 of 5
The nurse is preparing an in-service program on pediatric cardiopulmonary resuscitation. The nurse would include a discussion that cardiopulmonary arrest in infants and children is most likely the result of which of the following?
Correct Answer: B
Rationale: In children, cardiopulmonary arrest most commonly results from respiratory failure rather than primary cardiac issues.