alice is rushed to the emergency department during an acute severe prolonged asthma attack and is unresponsive to usual treatment the condition is ref
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Nursing Elites

ATI LPN

Pediatric ATI Proctored Test

1. Alice is rushed to the emergency department during an acute, severe prolonged asthma attack and is unresponsive to usual treatment. The condition is referred to as which of the following?

Correct answer: A

Rationale: Status asthmaticus is a life-threatening condition characterized by a severe and prolonged asthma attack that does not respond to standard treatments. It requires immediate medical intervention to prevent respiratory failure and potential fatality. Reactive airway disease, intrinsic asthma, and extrinsic asthma do not specifically denote the severity and unresponsiveness to treatment seen in status asthmaticus.

2. Which of the following signs or symptoms is more common in children than adults following an isolated head injury?

Correct answer: C

Rationale: Nausea and vomiting are more common in children than adults following an isolated head injury. Children often present with gastrointestinal symptoms like nausea and vomiting after a head injury due to differences in physiological responses compared to adults.

3. A nurse provides medication instructions to a first-time mother. Which statement made by the mother indicates a need for further instructions?

Correct answer: A

Rationale: Mixing medication in baby food is not recommended as it can alter the taste and the child may refuse food.

4. Upon assessing a newborn immediately after delivery, you note that the infant is breathing spontaneously and has a heart rate of 80 beats/min. What is the MOST appropriate initial management for this newborn?

Correct answer: B

Rationale: In a newborn with a heart rate below 100 beats/min, the most appropriate initial management is to initiate positive-pressure ventilations. This helps support the newborn's respiratory effort and oxygenation in the setting of a low heart rate, ensuring adequate oxygen supply to vital organs. Assessing the skin condition and color, starting chest compressions, or providing blow-by oxygen are not the priority in this scenario where respiratory support is crucial.

5. Which of the following statements regarding febrile seizures in children is correct?

Correct answer: D

Rationale: The correct answer is D. Febrile seizures in children typically last less than 15 minutes and often do not have a postictal phase, meaning there is usually no prolonged recovery period or confusion after the seizure. They are commonly associated with the rapid rise in body temperature at the onset of a fever, rather than the duration of the fever itself. Choices A, B, and C are incorrect because febrile seizures can occur even after a child has had a fever for longer than 24 hours, they can be caused by viral or bacterial meningitis, and they do not have a typical pattern of occurring on the first day of a fever.

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