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ATI LPN · Pediatrics Nursing · Emergency Pediatric Care Quizlet

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

Which of the following is correct regarding the scope of activities and responsibilities of the medical director for the emergency medical services system?

A. Medical licensure in any jurisdiction is adequate, in order to function as a medical director.
B. The medical director is responsible for educating the team, including team interactions and procedures, as well as the implementation of simulations as needed.
C. Safety and quality improvements are under the purview of individual ambulance units.
D. The medical director is solely responsible for the introduction of new technologies or treatments in the emergency department.

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.

Question 2 of 5

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?

A. Continue resuscitation measures and transport to the nearest facility.
B. Terminate resuscitation.
C. Discuss the likelihood of a poor outcome or death with family members in order to decide a further plan of care.
D. Continue one more additional round of ATLS, and if no ROSC or return of spontaneous circulation, terminate care.

Expert Explanatory Rationale

Correct Answer: Terminate resuscitation.

Question 3 of 5

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:

A. A heart rate of 50 beats/min
B. A temperature of 102°F (38.8°C)
C. Complaints of leg pain
D. Rales and rhonchi by auscultation

Expert Explanatory Rationale

Correct Answer: Rales and rhonchi by auscultation

Question 4 of 5

Which of the following is least likely to be present in a child with respiratory distress?

A. Use of accessory muscles and tripod position
B. Speaking in 1- to 2-word sentences
C. Muffled voice
D. Speaking in full sentences

Expert Explanatory Rationale

Correct Answer: Speaking in full sentences

Question 5 of 5

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?

A. Respect facility bracelet stating DNR.
B. Ask for the wishes of the caregiver while attempting to reach the legal guardian.
C. Start resuscitation efforts including airway protection and ventilation.
D. Provide blow-by oxygen and chin lift while transporting the subject to the nearest pediatric facility.

Expert Explanatory Rationale

Correct Answer: Respect facility bracelet stating DNR.

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