4 Pediatric Shock Online Quiz Questions

True or false: Warm skin, bounding pulses, and brisk capillary refill can occur in early distributive shock.

True or false: In initial stabilization, give oxygen for hypoxemia or significant respiratory compromise.

A child has an age-normal blood pressure but is tachycardic and irritable, with weak peripheral pulses, delayed capillary refill, and falling urine output. Which interpretation best fits these findings?

Using the common PALS screening threshold for children aged 1–10, what is the systolic blood pressure cutoff for hypotension in a 6-year-old? Enter the cutoff in mm Hg.

A child in shock develops crackles and worsening respiratory distress. What is the most appropriate response to the possibility of cardiogenic shock or fluid overload?

Which findings or practices belong in an assessment of a child’s perfusion? Select all that apply.

For septic shock, what is the lower end of the isotonic crystalloid aliquot range described in the material? Enter the volume in mL/kg.

Which principles should guide fluid boluses for a child with septic shock? Select all that apply.

A child with septic shock remains hypoperfused after fluid treatment, and further fluid may be unsafe. What should happen next?

During initial stabilization, a bedside glucose check shows hypoglycemia. Which action is indicated?

A lactate test is being arranged for a child with suspected septic shock. How should the test affect resuscitation?

A child with a suspected infection is tachycardic and irritable, has weak peripheral pulses and delayed capillary refill, and has produced less urine. The blood pressure is still normal for age. Describe how you would interpret these findings and outline the immediate stabilization and treatment priorities.

True or false: In a child being assessed for shock, capillary refill longer than about 2 seconds can indicate impaired perfusion, but should be interpreted alongside other findings.

A child with a suspected infection has warm skin, bounding pulses, and brisk capillary refill. Which interpretation is most appropriate?

A child has a normal blood pressure but is increasingly irritable, tachycardic, and has weak peripheral pulses and cool, mottled skin. What is the best interpretation?

A critically ill child needs prompt vascular access, but IV access cannot be obtained. What access type should be used?

Which laboratory measure is mentioned as an investigation to obtain in suspected sepsis, provided it does not delay resuscitation?

A 7-year-old has a systolic blood pressure of 82 mm Hg. Using the common PALS screening threshold for children aged 1–10, does this meet the threshold for hypotension? The threshold is below $70 + 2 \times \text{age in years}$ mm Hg.