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ATI LPN · Pediatrics Nursing · Care During Pediatric Emergencies

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

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?

A. Defibrillation 4 J/kg

B. Intubate the patient

C. Give epinephrine 0.01 mg/kg IV/IO

D. Defibrillation 2 J/kg

Expert Explanatory Rationale

Correct Answer: Give epinephrine 0.01 mg/kg IV/IO

Question 2 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 ÃŽÂ¼g/100 mL. The child is prescribed an oral chelating agent. On discharge, the nurse should counsel the parents regarding which of the following?

A. Putting child safety locks on kitchen cabinets

B. Placing house plants out of reach of children

C. Putting medicine away where children cannot reach it

D. Removal or covering of flaking paint on the walls of the home

Expert Explanatory Rationale

Correct Answer: Removal or covering of flaking paint on the walls of the home

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?

A. Inserting a nasogastric tube to decompress stomach

B. Assuring the child stays still during an X-ray

C. Suctioning the upper airway to ensure airway patency

D. Covering the child with warming blankets

Expert Explanatory Rationale

Correct Answer: Suctioning the upper airway to ensure airway patency

Question 4 of 5

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?

A. He was climbing out of his crib and fell.'

B. The gate was open and he fell down three steps.'

C. Mom turned and he fell from changing table.'

D. He fell out of a shopping cart in the store.'

Expert Explanatory Rationale

Correct Answer: Mom turned and he fell from changing table.'

Question 5 of 5

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:

A. The reaction is severe enough that they should bring the child to an emergency department

B. They should delay future immunizations until the child is seen by an allergist

C. This is a mild reaction, and teaches them how to manage it

D. This is an appropriate reaction, and instructs them to do nothing

Expert Explanatory Rationale

Correct Answer: This is a mild reaction, and teaches them how to manage it

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