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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 are treating a 9-year-old male who is short of breath and has a history of asthma. At the scene, he presents in severe respiratory distress, with intercostal retractions, lethargy, and expiratory wheezing. His pulse is 136 beats/min, respirations are 32 breaths/min, and SpO2 is 95%. You have assisted the patient with his albuterol MDI and are transporting him emergently to the hospital. As you reassess the patient, which finding is most concerning?
2. Another EMT tells you that he had a call the previous shift in which he thought a 5-year-old boy might be the victim of abuse, since he had bruises on both upper legs and chest. However, the EMT did not communicate this suspicion to anyone or transport the patient. What would your best response be?
3. What would be a primary concern for an 11-year-old female with a prolonged asthmatic episode lasting several days and a low-grade temperature?
4. When assessing a 3-year-old child for possible injuries after the child fell down a flight of stairs, which finding would raise the EMT's suspicion that the child may be a victim of physical abuse?
5. You have been called to an apartment for a child who is sick. As you approach the 4-year-old boy, you note that he is sitting upright in his mother's arms with his chin thrust forward. He has a sickly appearance and is drooling. His airway appears open and his breathing is adequate. His radial pulse is strong and his skin is hot to the touch. Which intervention would be most appropriate in the care of this patient first?
6. Which disease or illness would you suspect when confronted with a pediatric patient exhibiting an acute onset of respiratory distress and an audible inspiratory stridor sound, but no cough?
7. 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?
8. After you obtain a refusal at a residence in a neighborhood, a couple approaches the ambulance and inform you that they have concerns that a 6-year-old child who lives in a home two doors away may be physically abused. They state that they heard the child crying and what sounded like physical abuse occurring. In this situation, you would:
9. You are transporting a critically ill 4-year-old patient. Regarding the panicked and upset mother, you would:
10. You are assessing a 5-year-old boy who complains of arm pain after falling down three steps. As you physically assess the patient, he tries to bite your hands. His mother is at his side. Which statement by you is appropriate to make regarding the behavior of biting?
11. A mother asks you what causes her son to get bronchiolitis. You would inform her that this infection is caused by:
12. The increased pliability of the child's ribs makes him more prone to:
13. 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:
14. A 5-year-old male is drooling with stridorous respirations and has a fever of 104°F. Which statement made by the patient would concern the EMT most?
15. 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?
16. After placing a small rock in her mouth, a 7-month-old girl begins to choke. You are on scene within minutes and find her unresponsive in her mother's arms. You attempt to provide ventilations with the bag-valve mask, but are unsuccessful after two attempts. What would your next action be?
17. What is the best location for assessing breath sounds in the pediatric patient?
18. 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:
19. You have been called for a 7-year-old girl who has vomited once and complains of abdominal pain. When you are performing the secondary assessment and obtaining a medical history, which action by you would be considered most appropriate?
20. Pediatric injury prevention programs are an important aspect of child health care because:
21. You are determining the PGCS score for a 28-month-old female who was stung by a bee while playing in the backyard. You note that the patient is alert. When asked, she tells you that she was stung on the bottom of her foot. At this point in time her GCS score would be:
22. Your partner informs you that the 3-year-old boy you have been called to care for is breathing 26 times per minute. As a knowledgeable EMT, you would recognize this to be:
23. Assessment of an alert and oriented 9-year-old child with a history of asthma reveals him to be breathing 20 times per minute with adequate chest rise and fall. You also note that he exhibits nasal flaring and has slight retractions of the intercostal muscles. His heart rate is 100 beats per minute and his blood pressure is 102/64 mmHg. On room air, he has a pulse oximeter reading of 98%. The EMT would recognize:
24. A 6-year-old male is in severe respiratory distress with inspiratory stridor. He has pale, moist skin, with cyanosis noted around his mouth. The patient is very lethargic and cannot hold his head up. His mother is panicked and reports that he has a history of asthma. Breath sounds are diminished and his vital signs are pulse, 162 beats/min; respirations, 40 breaths/min; blood pressure, 122/66 mmHg; and SpO2, 81%. What would your immediate action be?
25. You are called to a home for a 7-year-old female with a suspected upper respiratory infection. As you assess the patient, you note a bruise to her right upper arm. As you continue to assess and care for this child, you should:

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