ATI LPN
Emergency Pediatric Care Quizlet Questions
Question 1 of 5
When developing a plan of care for a hospitalized child, the nurse knows that children in which age group are most likely to view illness as a punishment for misdeeds?
Correct Answer: C
Rationale: Preschool-age children often engage in magical thinking and may view illness as a punishment for misdeeds, unlike infants (who lack cognitive ability), school-age children (who understand biological causes), or adolescents (who think more complexly).
Question 2 of 5
A 4-year-old girl arrives to the ED in acute respiratory distress. You determine that she requires endotracheal intubation and mechanical ventilation. What is the most appropriate cuffed endotracheal tube size for this patient?
Correct Answer: C
Rationale: For a 4-year-old, the formula for cuffed endotracheal tube size is (age in years / 4) + 3.5, which equals 4.5 mm. This size is appropriate for a 4-year-old to ensure adequate ventilation while minimizing trauma.
Question 3 of 5
Which of the following is least likely to be present in a child with respiratory distress?
Correct Answer: D
Rationale: Children in respiratory distress typically show signs like accessory muscle use, short sentences, or stridor. Speaking in full sentences indicates minimal distress, making it the least likely.
Question 4 of 5
A 7-year-old boy comes to the Emergency Department with a 1-week history of diffuse abdominal pain, weight loss, nausea, and vomiting. He also admits to polyuria and polydipsia, worsening over the past few days. His vital signs are as follows: heart rate 150 beats/minute, respiratory rate 30 breaths/minute, blood pressure 90/50 mm Hg, and oxygen saturation 99% on room air. A bedside glucose is 520 mg/dl. He appears lethargic and has dry mucous membranes. Which of the following is the most appropriate initial management after IV access has been obtained?
Correct Answer: C
Rationale: In diabetic ketoacidosis (DKA), initial management is fluid resuscitation with normal saline 20 ml/kg to address dehydration before insulin therapy.
Question 5 of 5
A 2-year-old child presents with high fever, drooling, and mild respiratory distress. He is ill-appearing. The mother states they do not believe in immunizations. The child's neck radiograph is most likely to reveal:
Correct Answer: B
Rationale: Epiglottitis (unvaccinated, fever, drooling) typically shows a thumbprint sign on lateral neck X-ray.