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Prehospital Emergency Care Practice Test: Basics of Pediatrics
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EMT (Emergency Medical Technician) services for pediatric patients may include assessing, stabilizing, and transporting them safely.  Some common pediatric emergencies include: Respiratory distress Circulation and shock Seizures and neurological emergencies Allergic reactions and anaphylaxis Traumatic injuries Dehydration  When assessing a child, EMTs should consider: Behavior changes, Vomiting/diarrhea, Urinary frequency, Medication/Allergies, and Medical history.  If the child's condition is urgent, EMTs should focus on the basics: circulation, airway, and breathing.  Pediatric... Show more
Prehospital Emergency Care Practice Test: Basics of Pediatrics
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25 Questions

1. You have been called to a local daycare facility for a sick child. At the scene, panicked daycare workers inform you that the 4-year-old child was lethargic all morning and wanted to sleep. After resting for several minutes, she began to 'shake all over.' This lasted for approximately 30 seconds. Your assessment reveals the patient to be responsive to painful stimuli and breathing adequately. Her airway is open and her radial pulse is strong and bounding. Her skin is hot and moist to the touch, with no signs of cyanosis. You are told that the patient has no medical history. En route to the hospital, the patient's mental status improves. Based on this presentation and information, you assume that the seizure occurred secondary to:
2. A 6-year-old male has a decreased level of consciousness. His mother states that the family does not have health insurance, so they did not take him to the hospital last week when he started vomiting and had copious amounts of diarrhea. She reports that he has not had anything to eat or drink since then. The patient has snoring respirations that are rapid and inadequate. His radial pulse cannot be located, and his carotid pulse is rapid and weak. His capillary refill is 5 seconds and his skin is cool to the touch. What would your first intervention in caring for this child be?
3. You have been called to a lower-income housing complex for a 1½-year-old child who is short of breath and has a fever. When assessing this patient, which technique would be appropriate?
4. You are assessing a 2½-year-old female who was involved in a minor car accident. She is currently alert and oriented. While you are assessing her for possible injuries, which assessment procedure would be considered appropriate?
5. The EMT is correctly assessing a child's apical pulse when he:
6. The mother of a 2-year-old has called EMS because her son has an axillary temperature of 103.2°F. On scene, your assessment reveals the boy to be confused and lethargic, with a rectal temperature of 104.1°F. When caring for this child, you would:
7. You are assessing the pupils of a 5-year-old who fell off a bed while playing. Which of the statement would be most appropriate prior to performing this assessment?
8. You have arrived at a residence to find a 6-month-old girl in her crib in cardiac arrest. Quick assessment reveals no rigor mortis or lividity. The mother states that she put the baby to bed at 9 p.m. last night and awoke at 3 a.m. to find her in her present state. What would your first action be?
9. You have been called for a 2-week-old baby who is sick. Assessment reveals him to have a fever and rhonchi that is audible with a stethoscope over the lungs. Which of the additional assessment findings would be most concerning to you given the age of this patient?
10. What would be the most appropriate instructions to give a new EMT with whom you are working regarding the ventilation of an unresponsive and apneic 3-year-old boy?
11. What is the best location for assessing breath sounds in the pediatric patient?
12. A 7-year-old child was riding his bike downhill and struck a parked car. He was thrown from the bike, impacting his head and back on the roadway. Presently, the patient is alert, oriented, and complaining of a severe headache. His airway is open and his breathing is adequate. A radial pulse is rapid and easily palpated, and his skin is cool and moist. After taking manual spine motion restriction of the head and neck, the EMT should:
13. A 2-month-old presents with labored breathing, fever, and coughing. Auscultation of the lungs reveals significant wheezing bilaterally. Based on this presentation, an EMT would recognize that the patient most likely has:
14. You are assessing a 6-year-old girl with possible pneumonia. She has labored breathing and a fever of 102°F. When you are assessing and classifying her respiratory status, which finding would provide the strongest evidence that she is in respiratory failure?
15. You have arrived at the emergency department with a young child whom you believe is the victim of child abuse. To which person would it be best to report your suspicion?
16. As you assess a very sick 3-year-old patient with a fever, rash, and sore neck, you suddenly suspect he might have meningitis. Your immediate action would be to:
17. The EMT is correctly assessing breath sounds on a 3-year-old male when he:
18. A 14-year-old female with a history of congenital heart disease and evidence of reaching puberty is in cardiac arrest. Which instruction would you give other EMTs on scene?
19. A 7-year-old with a fever of 101.3°F and shortness of breath has a patent airway, but tachypneic respirations. His heart rate is 132 beats/min, respirations are 28 breaths/min, and blood pressure is 94/60 mmHg, with an SpO2 of 96% on room air. Crackles and wheezes are noted in the base of the right lung only. Given this presentation, you would suspect and treat the patient for:
20. The mother of a 3-year-old boy has called 911 because her son has a low-grade fever and difficulty breathing. On scene, the mother tells you that she is a licensed practical nurse (LPN), and that she suspects her son is suffering from croup. Which statement made by the mother would reinforce this suspicion?
21. You have been called for a 4-year-old female who is short of breath. Her mother informs you that she has had a fever and runny nose for two days and today began to have difficulty breathing. Furthermore, the mother is having a difficult time waking her daughter up. You find the girl lying in bed with snoring respirations despite use of the head-tilt, chin-lift airway maneuver. Your assessment reveals her to be responsive to painful stimuli and breathing at 12 times per minute with minimal chest and abdominal rise and fall. Her skin is warm to the touch with cyanosis around the lips. Your partner informs you that her heart rate is 124 beats per minute. What is your immediate action in caring for this child?
22. You have been called to a home by neighbors because they are concerned for the welfare of the children inside. On scene, you find two children left by themselves. They are playing in a filthy room with no light or heat. They are dirty and have insect bites all over their bodies. One is in a soiled diaper and has hard stool caked to the buttocks. The EMT would best recognize this situation as one of:
23. You have been asked to speak to a group of new mothers regarding the emergency treatment of a fever. During your presentation, one of the mothers asks you which temperature would cause a child to seize. Your response would be:
24. When providing care to the pediatric patient who has been injured or ill, the most important aspect of care normally revolves around:
25. On scene, a 6-year-old male who is short of breath will not allow EMRs to place a nonrebreather face mask on his face. Assessment indicates moderate respiratory distress with the following vital signs: pulse, 124 beats/min; respirations, 24 breaths/min; blood pressure, 98/56 mmHg; and SpO2, 92%. At this time, you try: