ATI LPN
Care During Pediatric Emergencies Questions
Question 1 of 5
Which of the following agents is the best choice for induction when intubating a child in septic shock?
Correct Answer: C
Rationale: Ketamine is ideal in septic shock for its hemodynamic stability, supporting blood pressure in critically ill children.
Question 2 of 5
You have just intubated a 5-year-old girl for acute respiratory failure due to multifocal pneumonia. The chest radiograph confirmed placement of the endotracheal tube. About 15 minutes later, you hear alarm bells and notice the blood pressure is 50/20 mm Hg, and the pulse oximeter shows 85% on FiO2 100%. Which of the following is a possible cause of the patient's current condition?
Correct Answer: D
Rationale: Post-intubation hypotension and desaturation can result from tube dislodgement, mucus plugging, or pneumothorax—all are plausible.
Question 3 of 5
You are responsible for the online medical control EMS phone during your work shift and receive a phone call from a prehospital provider who is called in by a minor with no adult or legal guardian available to accompany this minor. In which of the following situations does the minor need consent for treatment from a legal guardian/parent?
Correct Answer: D
Rationale: Minors typically need parental consent unless emancipated (A), deemed mature (B), or seeking STD treatment (C). D requires consent.
Question 4 of 5
You are reviewing the protocols implemented during your department's care for pediatric trauma patients. You would like to standardize the process your ambulance crews use to determine which facility to go to. You have one local level 2 pediatric trauma center that is relatively distant from your area and one local and much closer adult trauma center. What is of paramount importance when you recommend patient transport?
Correct Answer: C
Rationale: High mechanism injuries require rapid transport to the nearest suitable trauma center, balancing proximity and capability.
Question 5 of 5
A 3-year-old girl had a near-drowning incident when she fell into a wading pool. Which intervention would be of the highest priority?
Correct Answer: C
Rationale: Ensuring airway patency is the highest priority in a near-drowning incident to restore oxygenation.