ATI LPN
Emergency Pediatric Psychiatric Care Questions
Question 1 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 2 of 5
A 10-year-old boy with a history of asthma is brought to the Emergency Department for shortness of breath, cough, subjective fever, and rhinorrhea. His mother has been administering albuterol nebulizer treatments at home with little relief. His initial vital signs are as follows: heart rate 110 beats/minute, respiratory rate 15 breaths/minute, blood pressure 100/60 mm Hg, and oxygen saturation 93% on room air. On examination, the patient has intercostal and supra-costal retractions, poor inspiratory effort, and minimal wheezing in both lungs. He has a history of multiple hospitalizations for asthma exacerbation and has been intubated once for respiratory failure because of asthma exacerbation. What is the most appropriate intervention at this time?
Correct Answer: C
Rationale: Given severe distress (retractions, poor effort, history of intubation), noninvasive ventilation (e.g., BiPAP) is appropriate to support breathing and avoid intubation.
Question 3 of 5
The incidence of septic shock in children in the United States is greatest in:
Correct Answer: A
Rationale: Infants have the highest incidence of septic shock due to immature immune systems and higher infection rates.
Question 4 of 5
An 11-year-old patient who was in a severe motor vehicle collision and sustained multiple fractures and a potential traumatic brain injury (TBI) presents to the ED. The GCS is 5. Multiple direct and video laryngoscopy intubation attempts with in-line cervical spine stabilization have been unsuccessful. What is the most appropriate next step for this patient?
Correct Answer: A
Rationale: In a failed airway with severe trauma and low GCS, surgical cricothyrotomy is the definitive step in children over 8-10 years.
Question 5 of 5
You receive a call that a school bus has collided with a tractor-trailer. The estimated number of injured children is 20, with 5 recognized as unstable and including open lower extremity fractures, unresponsive with suspected traumatic brain injury, abdominal injuries of impalement, etc. Which of the following statements regarding field triage of pediatric trauma patients is accurate?
Correct Answer: D
Rationale: SALT (Sort, Assess, Lifesaving Interventions, Treatment/Transport) is a standardized, effective triage method for mass casualties.