ATI LPN
Care During Pediatric Emergencies Questions
Question 1 of 5
Which of the following challenges will the nurse need to address first for a victim who has arrived in the emergency department?
Correct Answer: D
Rationale: Addressing hypoxia first is critical as it directly impacts tissue oxygenation, aligning with the ABC priority of airway and breathing.
Question 2 of 5
A 6-month-old male is at his well-child checkup. The nurse weighs him, and his mother asks if his weight is normal for his age. The nurse's best response is:
Correct Answer: A
Rationale: By 6 months, most infants have doubled their birth weight, and some may have tripled it, making this the most accurate and specific response.
Question 3 of 5
A child is admitted to the hospital unit with physical injuries. The nurse is taking the child's history. Which statement by the parent would arouse suspicion of abuse?
Correct Answer: D
Rationale: This statement may arouse suspicion because it suggests negligence, as the caregiver left the baby unattended in a potentially dangerous situation, unlike the other plausible accidents involving siblings or environmental factors.
Question 4 of 5
After receiving an immunization, a child develops swelling and tenderness at the injection site, a low-grade fever, and malaise. The pediatric ED nurse informs the child's parents that:
Correct Answer: C
Rationale: This reaction is moderate and can be managed with Tylenol and Benadryl. Swelling, tenderness, low-grade fever, and malaise are common mild reactions to immunizations that do not require emergency care or delaying future vaccinations.
Question 5 of 5
A 5-year-old child is brought to the Emergency Department by ambulance. The patient is pulseless, apneic, and unresponsive. All basic life support (BLS) maneuvers are being done. The patient is placed on the monitor, and the following rhythm is obtained. What is the most appropriate next intervention?
Correct Answer: C
Rationale: Assuming a shockable rhythm (e.g., VF/VT) since the rhythm isn't specified but implied by defibrillation options, the next step after BLS is epinephrine 0.01 mg/kg IV/IO in pediatric cardiac arrest per PALS guidelines, followed by defibrillation if needed. Epinephrine is prioritized in this context.