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ATI LPN · Pediatrics Nursing · Emergency Pediatric Psychiatric Care

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

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

A. Helmet
B. Knee pads
C. Light
D. Wrist guard

Expert Explanatory Rationale

Correct Answer: Helmet

Question 2 of 5

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?

A. Atropine
B. Naloxone
C. Lidocaine
D. Ketamine

Expert Explanatory Rationale

Correct Answer: Naloxone

Question 3 of 5

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

A. A 5-year-old who is unable to zip his own jacket.
B. A 2-year-old who cannot recite her phone number.
C. A 6-year-old who is unable to sit still for a short story.
D. A 2-year-old who is unable to cut with scissors.

Expert Explanatory Rationale

Correct Answer: A 6-year-old who is unable to sit still for a short story.

Question 4 of 5

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?

A. Surgical cricothyrotomy
B. Needle cricothyrotomy
C. Insertion of LMA
D. Continue to use bag-valve mask

Expert Explanatory Rationale

Correct Answer: Surgical cricothyrotomy

Question 5 of 5

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?

A. 24/7 coverage by orthopedic surgery
B. More than four pediatric emergency medicine physicians.
C. More than a five-bed pediatric ICU.
D. An additional board-certified pediatric surgeon.

Expert Explanatory Rationale

Correct Answer: 24/7 coverage by orthopedic surgery

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