ATI LPN
Emergency Pediatric Care Questions
Question 1 of 5
You are working at a small rural hospital. You receive a call from your 911 call center for medical advice regarding a 9-year-old girl who was thrown off of her all-terrain vehicle during an accidental collision. On initial assessment, she has a GCS of 7 with a moderate right-sided scalp hematoma and palpable skull deformity. The child has been intubated for airway protection at the scene. The EMS crew is trying to decide between ground transport and helicopter transport to a level 1 pediatric trauma center for neurosurgical intervention. The pediatric center is 45 minutes away by ground. What factors lead you to recommend helicopter transport vs ground EMS in this patient?
Correct Answer: A
Rationale: GCS <8 indicates severe injury requiring rapid transport to a trauma center; helicopter reduces time significantly.
Question 2 of 5
The nurse is preparing an in-service program on pediatric cardiopulmonary resuscitation. The nurse would include a discussion that cardiopulmonary arrest in infants and children is most likely the result of which of the following?
Correct Answer: B
Rationale: In children, cardiopulmonary arrest most commonly results from respiratory failure rather than primary cardiac issues.
Question 3 of 5
The nurse is assessing the neurologic status of an 11-month-old girl. Which finding would be cause for concern?
Correct Answer: D
Rationale: A sluggish pupillary reaction indicates potential neurologic impairment and warrants immediate concern.
Question 4 of 5
The nurse has performed an across-the-room assessment of an 8-year-old child and has classified her as emergent. Which of the following signs and symptoms has the nurse seen?
Correct Answer: D
Rationale: Blue lips (cyanosis) indicate severe hypoxia, classifying the child as emergent requiring immediate intervention.
Question 5 of 5
After assessing a child's airway, breathing, and circulation (ABCs), which of the following would the nurse do next?
Correct Answer: C
Rationale: Assessing level of consciousness follows ABCs to evaluate neurological status and guide further interventions.