Emergency Care Pediatrics

ATI LPN · Emergency Care Pediatrics

Question 1 of 15

Which of the following agents would be the best induction agent when intubating an asthmatic in severe respiratory distress?

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ATI LPN · Emergency Care Pediatrics

Question 2 of 15

A 4-year-old boy is brought to the ED by EMS after he was found altered, minimally responsive with cool and clammy extremities. His heart rate is 45 beats/minute, and blood pressure is 50/20 mmHg. He is awake and has a pulse on your examination. The paramedics placed an IV and administered 0.01 mg/kg epinephrine without response. The strip from EMS is shown below. What is the next treatment of choice?

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ATI LPN · Emergency Care Pediatrics

Question 3 of 15

A mother brings her two-year-old child to the pediatric office for a sick visit. The child is seen regularly at the office and was last seen at her well-child visit two months ago. Based on this information, which is the most appropriate action by the nurse?

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ATI LPN · Emergency Care Pediatrics

Question 4 of 15

Assessment of a child reveals a tension pneumothorax. The nurse would prepare the child for which of the following?

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ATI LPN · Emergency Care Pediatrics

Question 5 of 15

A nurse is caring for a stable toddler diagnosed with accidental poisoning due to the ingestion of cleaning solution. What must be included in teaching parents about how to protect a toddler from accidental poisoning?

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ATI LPN · Emergency Care Pediatrics

Question 6 of 15

An adolescent with chronic asthma, who has been hospitalized several times during the winter with severe asthmatic exacerbations, confides, 'I wish I could stay here in the hospital because every time that I go home, I get sick again!' The pediatric nurse's best response is:

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ATI LPN · Emergency Care Pediatrics

Question 7 of 15

An 11-month-old girl is brought to the Emergency Department for evaluation of fussiness and fever. She was taken to her primary care physician who diagnosed her with acute otitis media and started her on oral antibiotics. The patient has not been taking much in the way of oral fluids and has not eaten for the past day. She has had decreased wet diapers over the past 24 hours. Initial vital signs are as follows: temperature 102Â°F, heart rate 240 beats/minute, respiratory rate 45 breaths/minute, blood pressure 90/50 mm Hg, and oxygen saturation 99% on room air. You administer a 20 ml/kg bolus and acetaminophen, but the heart rate remains at 240 beats/minute. A 12-lead electrocardiogram is obtained. What is the most appropriate next intervention?

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ATI LPN · Emergency Care Pediatrics

Question 8 of 15

A 13-year-old boy has had a near-drowning experience. The nurse notices he has labored breathing and a cough. Which of the following is the priority intervention?

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ATI LPN · Emergency Care Pediatrics

Question 9 of 15

A 4-year-old girl is brought to the emergency room following ingestion of large amounts of acetaminophen (Tylenol). Which of the following interventions does the nurse expect?

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ATI LPN · Emergency Care Pediatrics

Question 10 of 15

Which of the following medical equipment is required on an advanced life support (ALS) ambulance compared to a basic life support (BLS) ambulance?

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ATI LPN · Emergency Care Pediatrics

Question 11 of 15

A 4-year-old child has been transferred to your Emergency Department from a rural hospital for an epidural hematoma. He was intubated for airway protection and ventilated en route to your hospital. On arrival, his initial vitals are as follows: heart rate 110 beats/minute, respiratory rate 16 breaths/minute, blood pressure 110/60 mm Hg, and oxygen saturation 85% on 100% FiO2. You notice the tube is quite deep in the patient's mouth. Approximately how many centimeters deep the ET tube should be?

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ATI LPN · Emergency Care Pediatrics

Question 12 of 15

A 2-year-old boy is in respiratory distress. Which nursing assessment finding would suggest the child aspirated a foreign body?

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ATI LPN · Emergency Care Pediatrics

Question 13 of 15

In your role as medical director, you are performing a quality improvement project on pain management. You are reviewing charts evaluating for factors associated with inadequate pain management in pediatric trauma patients. What factors would you expect are associated with suboptimal pain control in pediatric trauma patients?

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ATI LPN · Emergency Care Pediatrics

Question 14 of 15

When developing the plan of care for a 10-month-old infant in septic shock, which of the following would the nurse most likely include?

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ATI LPN · Emergency Care Pediatrics

Question 15 of 15

In the pediatric emergency department, the nurse must prioritize patient care. Which patient should the nurse assess first?

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