ATI LPN
Care During Pediatric Emergencies Questions
Question 1 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 2 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 3 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.
Question 4 of 5
A 3-year-old boy has been brought to the doctor's office with symptoms of anorexia and abdominal pain. A blood test reveals a lead level of 20 μg/100 mL. The child is prescribed an oral chelating agent. On discharge, the nurse should counsel the parents regarding which of the following?
Correct Answer: D
Rationale: Lead poisoning in children often results from ingesting flaking lead-based paint, so removing or covering it is critical.
Question 5 of 5
Which of the following nursing diagnoses would be appropriate for teaching interventions for a single mother who leaves her toddler unattended in the bathtub?
Correct Answer: D
Rationale: Leaving a toddler unattended in the bathtub poses a significant risk for drowning, making 'Risk for Suffocation' the most appropriate diagnosis.