If an infant’s breathing is significantly compromised, should oral intake be forced before the breathing problem is addressed?
6 Pediatric Emergency Practice Cases Online Quiz Questions
Use this free practice quiz with 20 questions to review 6 Pediatric Emergency Practice Cases, test your knowledge, and prepare for your next test or exam.
Which three components are assessed in the Pediatric Assessment Triangle (PAT)?
- A
Appearance, work of breathing, and circulation to the skin
- B
Airway, blood pressure, temperature, and pain
- C
Heart rate, oxygen saturation, glucose, and exposure
What assessment sequence follows the rapid visual assessment to identify and address life threats?
A child may maintain blood pressure despite worsening .
A quieter infant with reduced responsiveness after a period of respiratory distress is necessarily improving.
- A
True
- B
False
A febrile, vomiting toddler is unusually sleepy, pale, cool-handed, and has a fast weak peripheral pulse with delayed capillary refill. Blood pressure is not low. Which interpretation is best?
- A
Shock is unlikely because the blood pressure is not low.
- B
Shock is possible; the perfusion findings and altered behavior are concerning.
- C
The findings indicate only fluid loss and exclude other causes.
When feasible and consistent with safety and local policy, what kind of opportunity can help an adolescent share information during an assessment?
Select pediatric equipment and medication doses by measured or carefully estimated , according to protocol.
An 8-year-old struck by a vehicle has cool skin, fast labored breathing, and a small bleeding thigh wound. What is the most appropriate interpretation of the wound when considering possible blood loss?
- A
The small wound establishes that blood loss is minor.
- B
The wound rules out internal injury as a cause of poor perfusion.
- C
The external wound may be only one part of the injury; assess for internal injury as well.
For a child injured in a collision, which actions or considerations belong in the initial trauma response? Select all that apply.
- A
Control external bleeding promptly.
- B
Maintain spinal motion restriction when indicated, while prioritizing airway and breathing.
- C
Delay airway and breathing assessment until a head-to-toe examination is complete.
- D
Keep the child warm.
- E
Assess for significant internal injury when the mechanism and physiology warrant it.
After an intervention for a pediatric emergency, what should be reassessed, and how should the findings affect ongoing care?
A sleepy toddler with fever, vomiting, cool hands, weak pulses, and delayed capillary refill has a blood pressure that is not low. What is the best initial approach?
- A
Call for help and begin ABCDE assessment while supporting oxygenation and ventilation as needed.
- B
Wait for hypotension before starting assessment or seeking help.
- C
Assume infection is the only possible cause and treat without reassessment.
Which practices support a coordinated pediatric emergency team response? Select all that apply.
- A
Call for help early.
- B
Assign roles within the team.
- C
Involve the caregiver when possible.
- D
Use adult-sized equipment and doses regardless of the child’s weight.
- E
Delay selecting equipment until after the emergency has resolved.
From the doorway, a child has abnormal work of breathing but no obvious change in appearance or circulation to the skin. What is the significance of this finding in the Pediatric Assessment Triangle (PAT)?
- A
An abnormality in any one component raises concern and warrants further assessment.
- B
The finding is not concerning unless all three PAT components are abnormal.
- C
The finding rules out an emergency because appearance and skin circulation are normal.
- D
The finding alone establishes a specific diagnosis.
True or false: Reassessment after every intervention is part of treatment because it shows whether the child’s condition is improving or worsening.
- A
True
- B
False
During an ABCDE assessment, a child develops an immediately dangerous breathing problem before the examination is complete. What should the team do?
- A
Treat an immediately dangerous problem as soon as it is found
- B
Finish the entire examination before treating any problem
- C
Wait for blood pressure to become abnormal before intervening
- D
Complete exposure before assessing airway and breathing
A frightened 15-year-old with breathing difficulty has a caregiver present. Which approach best supports cooperation and dignity while gathering information?
- A
Direct all questions to the caregiver because the patient is under 18
- B
Avoid explaining the examination so the patient remains calm
- C
Explain each step and involve the adolescent; offer private discussion when feasible and appropriate
- D
Speak with the adolescent privately in every situation, regardless of safety or local policy
A child has cool skin, weak peripheral pulses, delayed capillary refill, and unusual sleepiness, but blood pressure is not low. What is the name of the shock state that may be present before hypotension appears?
A 5-month-old with rapid breathing and retractions becomes quieter and less responsive. Which interpretation is most appropriate?
- A
The infant is improving if chest retractions become less visible, regardless of responsiveness
- B
Worsening fatigue or reduced responsiveness can indicate respiratory failure, even if visible effort lessens
- C
Respiratory failure is unlikely unless the infant's lips are blue
- D
Feeding should be forced to assess hydration before breathing is addressed
A 6-year-old’s heart rate appears high when compared with adult reference values. Which two considerations should guide interpretation of this measurement? Enter both factors joined by “and.”