Care During Pediatric Emergencies

ATI LPN · Care During Pediatric Emergencies

Question 1 of 14

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?

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ATI LPN · Care During Pediatric Emergencies

Question 2 of 14

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 ÃŽÂ¼g/100 mL. The child is prescribed an oral chelating agent. On discharge, the nurse should counsel the parents regarding which of the following?

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ATI LPN · Care During Pediatric Emergencies

Question 3 of 14

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?

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ATI LPN · Care During Pediatric Emergencies

Question 4 of 14

The parents of a 7-month-old boy with a broken arm agree on how the accident happened. Which account would lead the nurse to suspect child abuse?

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ATI LPN · Care During Pediatric Emergencies

Question 5 of 14

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:

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ATI LPN · Care During Pediatric Emergencies

Question 6 of 14

Which of the following challenges will the nurse need to address first for a victim who has arrived in the emergency department?

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ATI LPN · Care During Pediatric Emergencies

Question 7 of 14

Which of the following agents is the best choice for induction when intubating a child in septic shock?

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ATI LPN · Care During Pediatric Emergencies

Question 8 of 14

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?

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ATI LPN · Care During Pediatric Emergencies

Question 9 of 14

Which of the following nursing diagnoses would be appropriate for teaching interventions for a single mother who leaves her toddler unattended in the bathtub?

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ATI LPN · Care During Pediatric Emergencies

Question 10 of 14

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?

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ATI LPN · Care During Pediatric Emergencies

Question 11 of 14

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:

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ATI LPN · Care During Pediatric Emergencies

Question 12 of 14

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?

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ATI LPN · Care During Pediatric Emergencies

Question 13 of 14

A 15-year-old boy is brought to the Emergency Department after sustaining a head injury while riding his bicycle. He was un-helmeted and sustained a loss of consciousness after his fall. EMS transported him after they placed a cervical collar on him and placed him on a backboard. His initial vital signs are as follows: heart rate 45 beats/minute, respiratory rate 11 breaths/minute, blood pressure 80/50 mm Hg, and oxygen saturation 97% on room air. The airway is patent; the patient is breathing well, but has diminished pulses in all 4 extremities. The patient is unable to move any of his extremities during the examination. Packed red blood cells are ordered, and 1 liter of 0.9% normal saline is given without improvement in the blood pressure. The most appropriate vasopressor for this condition is:

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ATI LPN · Care During Pediatric Emergencies

Question 14 of 14

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?

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