ATI LPN · Pediatrics Nursing · Emergency Pediatric Care Quizlet
Full Question & Rationale Repository
Showing all 5 practice questions with expert explanatory rationales.
Which of the following is correct regarding the scope of activities and responsibilities of the medical director for the emergency medical services system?
Expert Explanatory Rationale
Correct Answer: The medical director is responsible for educating the team, including team interactions and procedures, as well as the implementation of simulations as needed.
You receive a call from the 911 call center regarding ongoing resuscitation efforts for a pediatric trauma. The patient and his family were in a MVC rollover on a rural highway. Resuscitation efforts have been in progress for 45 minutes on a pulseless 3-year-old boy with diffuse abdominal bruising who appeared to have been an unrestrained backseat passenger and who was ejected from the vehicle in which he had been riding. The patient's location is 90 minutes from the nearest facility. What are your recommendations for the EMS crew?
Expert Explanatory Rationale
Correct Answer: Terminate resuscitation.
A pediatric ED nurse, who is caring for a 12-year-old patient with septic shock, perceives a potential complication of fluid resuscitation upon noting:
Expert Explanatory Rationale
Correct Answer: Rales and rhonchi by auscultation
Which of the following is least likely to be present in a child with respiratory distress?
Expert Explanatory Rationale
Correct Answer: Speaking in full sentences
You receive a call from an ambulance crew who was dispatched to a respiratory distress call from a caregiver. Upon arrival, the crew found an underweight, syndromic child with agonal breathing and exhibiting a pulse rate of 42 beats/minute. No legal guardians were present. But the child has a medical facility bracelet that states 'Do Not Resuscitate.' The provider calling you is asking for advice on advanced airway placement. What should you recommend?
Expert Explanatory Rationale
Correct Answer: Respect facility bracelet stating DNR.
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