Emergency Pediatric Psychiatric Care

ATI LPN · Emergency Pediatric Psychiatric Care

Question 1 of 15

A child is learning to ride a bicycle. He should be instructed to use a(an)

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ATI LPN · Emergency Pediatric Psychiatric Care

Question 2 of 15

A 14-year-old child is brought to the emergency department. His parents state that they think he took 'too many of his pain pills.' The child had been prescribed oxycodone every 4 hours for pain secondary to a bone infection. Which agent would the nurse expect to be administered to counteract the analgesics?

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ATI LPN · Emergency Pediatric Psychiatric Care

Question 3 of 15

Which child in the day-care setting does the nurse identify as having a developmental delay based on the following observations?

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ATI LPN · Emergency Pediatric Psychiatric Care

Question 4 of 15

An 11-year-old patient who was in a severe motor vehicle collision and sustained multiple fractures and a potential traumatic brain injury (TBI) presents to the ED. The GCS is 5. Multiple direct and video laryngoscopy intubation attempts with in-line cervical spine stabilization have been unsuccessful. What is the most appropriate next step for this patient?

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ATI LPN · Emergency Pediatric Psychiatric Care

Question 5 of 15

Your hospital is preparing to obtain a level 1 pediatric trauma center designation and is currently reviewing their resources. Your center admits about 200 injured children below the age of 15 annually. It has one board-certified pediatric surgeon, 24-hour subspecialty coverage for neurosurgery, plastic surgery and PICU. It has a PED, pediatric acute care unit, rehabilitation services, a pediatric social worker and a child-life program. The hospital has a respectable teaching and research program. What additional resources does your center need for a successful designation?

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ATI LPN · Emergency Pediatric Psychiatric Care

Question 6 of 15

You receive a call that a school bus has collided with a tractor-trailer. The estimated number of injured children is 20, with 5 recognized as unstable and including open lower extremity fractures, unresponsive with suspected traumatic brain injury, abdominal injuries of impalement, etc. Which of the following statements regarding field triage of pediatric trauma patients is accurate?

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ATI LPN · Emergency Pediatric Psychiatric Care

Question 7 of 15

When a poison has been ingested by a child, the parents should be instructed to do which of the following first?

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ATI LPN · Emergency Pediatric Psychiatric Care

Question 8 of 15

The incidence of septic shock in children in the United States is greatest in:

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ATI LPN · Emergency Pediatric Psychiatric Care

Question 9 of 15

The nurse is examining a 10-year-old boy with tachypnea and increased work of breathing. Which finding is a late sign that the child is in shock?

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ATI LPN · Emergency Pediatric Psychiatric Care

Question 10 of 15

An 17-year-old with a rash and itching in the groin area is concerned that he has contracted a sexually transmitted disease and does not want his parents to find out. The nurse's best response is:

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ATI LPN · Emergency Pediatric Psychiatric Care

Question 11 of 15

The nurse is caring for a 2-year-old who has been rushed to the clinic immediately after swallowing an unknown number of acetaminophen tablets. Which of the following is the priority intervention?

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ATI LPN · Emergency Pediatric Psychiatric Care

Question 12 of 15

A 4-year-old child presents to the Emergency Department after a seizure at home. He remains confused and combative. A bedside glucose evaluation reveals blood glucose of 25 mg/dl. The patient weighs 20 kg. What is the most appropriate dose of glucose to administer to this patient?

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ATI LPN · Emergency Pediatric Psychiatric Care

Question 13 of 15

A 4-year-old girl has been admitted to the emergency department after accidently ingesting a cleaning product. Which of the following treatments is most likely appropriate in the immediate treatment of the girl's poisoning?

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ATI LPN · Emergency Pediatric Psychiatric Care

Question 14 of 15

Which initial question directed to the parent assists the pediatric nurse in obtaining a patient's health history?

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ATI LPN · Emergency Pediatric Psychiatric Care

Question 15 of 15

A 10-year-old boy with a history of asthma is brought to the Emergency Department for shortness of breath, cough, subjective fever, and rhinorrhea. His mother has been administering albuterol nebulizer treatments at home with little relief. His initial vital signs are as follows: heart rate 110 beats/minute, respiratory rate 15 breaths/minute, blood pressure 100/60 mm Hg, and oxygen saturation 93% on room air. On examination, the patient has intercostal and supra-costal retractions, poor inspiratory effort, and minimal wheezing in both lungs. He has a history of multiple hospitalizations for asthma exacerbation and has been intubated once for respiratory failure because of asthma exacerbation. What is the most appropriate intervention at this time?

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