ATI LPN
Emergency Care Pediatrics Questions
Question 1 of 5
When developing the plan of care for a 10-month-old infant in septic shock, which of the following would the nurse most likely include?
Correct Answer: A
Rationale: IV saline is a first-line intervention in septic shock to restore fluid volume and perfusion.
Question 2 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 3 of 5
A mother brings her two-year-old child to the pediatric office for a sick visit. The child is seen regularly at the office and was last seen at her well-child visit two months ago. Based on this information, which is the most appropriate action by the nurse?
Correct Answer: D
Rationale: The nurse should focus on the current illness reported by the mother, as the child has been regularly seen and assessed, making a comprehensive history or health promotion review less urgent.
Question 4 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 5 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.