ATI LPN
LPN Pediatrics Questions
Question 1 of 5
Why is a prolapsed umbilical cord dangerous?
Correct Answer: C
Rationale: A prolapsed umbilical cord is dangerous because the baby's head may compress the cord, cutting off its supply of oxygen. This compression can lead to oxygen deprivation, potentially causing significant harm to the baby. Immediate medical intervention is crucial in such cases to prevent adverse outcomes.
Question 2 of 5
A 9-year-old girl was struck by a car while crossing the street. Your assessment reveals a large contusion over the left upper quadrant of her abdomen and signs of shock. Which of the following organs is MOST likely injured?
Correct Answer: D
Rationale: The presence of a large contusion over the left upper quadrant of the abdomen, along with signs of shock, points towards a likely injury to the spleen, especially following trauma. The spleen is located in the left upper quadrant of the abdomen and is susceptible to injury due to its position and vulnerability to blunt trauma.
Question 3 of 5
A 3-year-old child has a sudden onset of respiratory distress. The mother denies any recent illnesses or fever. You should suspect:
Correct Answer: B
Rationale: In a 3-year-old child with a sudden onset of respiratory distress and no recent illnesses or fever, the likely cause is a foreign body airway obstruction. Foreign body obstruction can lead to sudden respiratory distress without other preceding symptoms. It is crucial to consider this possibility and act promptly to clear the airway in such cases to prevent serious complications.
Question 4 of 5
What is the purpose of the pediatric assessment triangle?
Correct Answer: D
Rationale: The correct answer is D) Form a general impression of the child without touching them. The purpose of the pediatric assessment triangle is to quickly and effectively assess a child's overall condition without the need for physical contact. By observing the child's appearance, work of breathing, and circulation to the skin, healthcare providers can rapidly determine if the child is in distress and requires immediate intervention. Option A) Detect immediate life threats through a quick hands-on assessment is incorrect because the pediatric assessment triangle is specifically designed to assess the child visually without the need for hands-on intervention initially. Option B) Identify if the child has a medical condition or a traumatic injury is incorrect because the pediatric assessment triangle focuses on assessing the child's general appearance, respiratory effort, and circulation status to determine the need for urgent care, rather than identifying specific medical conditions or injuries. Option C) Determine if the child's problem is respiratory or circulatory in nature is incorrect because while the pediatric assessment triangle helps to identify if the child is in distress, it does not specifically differentiate between respiratory or circulatory issues. In an educational context, understanding the pediatric assessment triangle is crucial for nurses working in pediatric settings to quickly and efficiently assess the condition of a child in an emergency situation. It helps prioritize care and guide interventions based on the child's overall presentation.
Question 5 of 5
You are dispatched to a residence for a 4-year-old female who is sick. Your assessment reveals that she has increased work of breathing and is making a high-pitched sound during inhalation. Her mother tells you that she has been running a high fever for the past 24 hours. Your MOST immediate concern should be:
Correct Answer: C
Rationale: In a child with increased work of breathing, a high-pitched sound during inhalation, and a high fever, upper airway obstruction should be suspected. The child's condition may require immediate ventilation assistance to ensure adequate oxygenation and ventilation. Therefore, the most immediate concern in this scenario is to assess the need for ventilation assistance.