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PEPP Final
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Perguntas do quiz (51)
1A 7-year-old boy has difficulty breathing and is wheezing. Vital signs are BP 94/62, HR 128, and RR 32. What initial management should be performed?
- AOpen the airway with the jaw-thrust maneuver.
- BInitiate bag-mask ventilation.
- CPlace the patient in the Trendelenburg position.
- DApply oxygen by non-rebreather mask.
2A 4-month old infant who has had vomiting and diarrhea for the past 36 hours is lethargic, has a weak cry, and has mottled skin color. Vital signs are BP 62/46, HR 172, and RR 48. What do the signs and symptoms suggest?
- ARespiratory arrest.
- BBacterial meningitis.
- CCardiogenic abnormality.
- DHypovolemic shock.
3What is the priority treatment for a child who is seizing?
- AOpen the airway.
- BObtain a history.
- CProtect the cervical spine.
- DInsert an oropharyngeal airway.
4What should be included in the treatment of thermal burns to the chest, abdomen, and legs?
- AApply burn cream to burned areas.
- BAdminister 100% oxygen.
- CApply wet dressings to the burned areas.
- DPlace the patient in the shock position.
5A 2-year-old boy, who is alert and crying, has multiple lacerations and a deformed lower leg after being hit by a car. Additional assessment reveals that he has warm, dry, pink skin and bruising on the lateral right lower chest. What is the significance of the bruising to the right side of his chest?
- AThe ribs are pliable, which makes organs more susceptible to underlying damage.
- BThe chest wall muscles absorb the energy of impact and protect underlying organs from injury.
- CRib fractures may be present because the chest wall is thin.
- DThe intercostal muscles may be damaged because they are not well developed.
6A 9-year-old patient fell down a steep incline after he rolled over the handlebars of his bicycle. He was not wearing a helmet and has begun vomiting. How should you manage this patient?
- AElevate his head to 90 degrees.
- BBegin suctioning the airway.
- CInsert an oropharyngeal airway.
- DOpen the airway with a head-tilt/chin-lift maneuver.
7Which of the following patients may have injuries that suggest maltreatment?
- AA 4-year-old with bilateral bruises to the shins.
- BA 6-year-old with bruises throughout the back.
- CAn 8-year-old with a laceration on the face.
- DA 10-year-old with several abrasions on the forearm.
8The history provided by the caregiver of which of the following patients is inconsistent with the injury?
- AA 9-month-old infant with a bump on the head from falling out of a highchair reaching for a toy.
- BA 2½-year-old girl with a facial laceration from pulling a toaster off a counter.
- CA 2-year-old boy with several small, healing circular burns from running into a lit cigarette.
- DA 4-year-old boy with a wrist deformity from falling off a swing set at the park.
9A newborn who was just delivered at home has cyanosis of the hands and feet, has a strong cry, and is moving her extremities vigorously. Vital signs are HR 164 and RR 52. What is the first step in managing this patient?
- ADry her and then wrap her in a blanket.
- BVentilate her with a bag-mask device.
- CGive high-flow oxygen by nonrebreather mask.
- DMaintain her airway using the jaw-thrust maneuver.
10What is the best way to obtain information about the medical history of a 6-year-old girl who is on a ventilator and has a tracheostomy?
- AAsk the caregivers.
- BAsk the home health agency.
- CContact the hospital where she is usually admitted.
- DContact her physician.
11In what position should the child in mild respiratory distress be placed?
- ALeft lateral recumbent.
- BPosition of comfort.
- CSupine with feet up.
- DOn his or her right side.
12An 8-year-old boy has been sick for 3 days. He has been experiencing nausea and diarrhea that has become progressively worse. He is semi-responsive with pale and diaphoretic skin. It is difficult to obtain a BP. Other vital signs are HR 54 and RR 10. What type of shock is this patient experiencing?
- ACardiogenic.
- BHypovolemic.
- CSeptic.
- DNeurogenic.
13An unrestrained 4-year-old girl was ejected during a two-vehicle motor vehicle collision. She is crying vigorously while moving her upper extremities. Her lower extremities appear deformed. What is the appropriate initial management of this patient?
- AInitiate cervical spine immobilization.
- BInitiate immobilization of the lower extremities.
- CVentilate her with a bag-mask device.
- DCover her with a blanket to keep her warm.
14What is the most common cause of pediatric seizures?
- AFever.
- BHead trauma.
- CEpilepsy.
- DBrain cancer.
15When is it appropriate to use an AED in a witnessed pediatric cardiac arrest?
- AAfter 4 minutes of CPR.
- BAs soon as possible.
- COnce the patient is in the ambulance.
- DWhen the ambulance is en route to the hospital.
16A 7-year-old boy was having difficulty breathing during his physical education class. He
appears tired and has audible wheezing. His vital signs are BP 98/66, HR 124 beats/min, and RR 32 breaths/min. What should the treatment of this patient include?- APreparing equipment for orotracheal intubation.
- BInitiating bag-mask ventilation at 12 breaths per minute.
- CAdministering a nebulized beta-agonist medication.
- DAdministering IV epinephrine 1:10,000.
17What is the first step in caring for a patient with a tracheostomy tube who is having difficulty breathing?
- ASuction the tracheostomy tube.
- BRemove the tracheostomy tube.
- CAdminister a nebulizer treatment with a beta-agonist medication.
- DPlace a mask over the mouth and initiate bag-mask ventilation.
18A 3-month-old infant is found unresponsive in his crib and has cool, mottled skin. His vital signs are HR 50 and RR 6. What is the initial treatment for this patient?
- AEstablish IV access and administer an IV fluid bolus of 20 mL/kg.
- BEstablish IV access and administer 0.01 mg/kg IV epinephrine 1:10,000.
- CPerform chest compressions and ventilate with a bag-mask device.
- DInitiate bag-mask ventilation and then reassess his skin color and heart rate.
19Which of the following is an indication for insertion of an intraosseous needle?
- AYou are unable to obtain peripheral access within 90 seconds in a 2-year-old child in impending arrest.
- BYou have just arrived on scene to find a 3-month-old infant who has pink skin color and is lethargic following a seizure.
- CYou have attempted all peripheral access sites in a 7-year-old child in respiratory failure.
- DThe transport time is longer than 10 minutes for a 4-year-old boy in hypovolemic shock.
20A 4-year-old boy fell down a 15-foot embankment and landed on packed dirt. He is unresponsive and has pale, cool skin and a capillary refill time of 4 seconds. Additional
assessment reveals a 2 cm laceration on the left side of the forehead with minimal bleeding and a distended abdomen. His vital signs are BP 78/56, HR 146, and RR 48. What are the initial management steps for this patient?- AAdminister oxygen by nasal cannula, followed by a detailed physical exam before transport.
- BManage blood loss from the forehead, establish IV access and give a slow infusion of fluids, and prepare for transport.
- CAdminister oxygen by nonrebreather mask, establish intraosseous access and give a
10 mL/kg bolus, and place him in a high Fowler's position. - DMaintain cervical spine stabilization, establish IV access and give a 20 mL/kg bolus, complete the spinal immobilization, and initiate transport.
21What is the dysrhythmia for a 3-year-old with a heart rate of 180 beats/min, a narrow QRS complex, and a variable R-R interval called?
- ASupraventricular tachycardia.
- BSinus tachycardia.
- CVentricular tachycardia.
- DPulseless electrical activity (PEA).
22What is the initial airway management of a child who is seizing and has gurgling
respirations?- ASuction the oropharynx.
- BInsert an endotracheal tube.
- CInsert an oropharyngeal airway.
- DAdminister bag-mask ventilation.
23A 3-year-old boy reportedly fell down a flight of stairs and has a swollen, deformed right
forearm. You also note several small, healing, circular burns on his arms and back. He appears quiet and withdrawn. What is the treatment of this patient?- ASplint the forearm.
- BEstablish IV access.
- CCover the burns.
- DContact law enforcement.
24What is the best way to repair a break in a central line catheter?
- APlace a piece of silk tape horizontally over the break.
- BRemove the catheter.
- CIrrigate the catheter.
- DClamp the catheter with a hemostat and gauze.
25What is a contraindication to straightening the head and neck of a trauma patient during spinal immobilization?
- AResistance to movement.
- BMultiple facial injuries.
- CDilated pupils
- DSevere headache.
26A 4-year-old semi-responsive boy has had difficulty breathing and a fever for 3 days. Vital signs are BP 60/40, HR 128, and RR 10. What initial management should be performed?
- AOpen the airway and maintain cervical spine immobilization.
- BOpen the airway and ventilate with a bag-mask device.
- CPlace the patient in the Trendelenburg position.
- DApply oxygen by nonrebreather mask at 15 L/min.
27A 12-year-old boy was shot in the abdomen during a hunting accident. He has altered mental status and his skin is cool and clammy. Vital signs are BP 64/46, weak HR 142, and RR 38. What do the signs and symptoms suggest?
- ATension pneumothorax.
- BNeurogenic shock.
- CCardiac tamponade.
- DHypovolemic shock.
28What is the priority treatment for a child with altered mental status?
- AOpen the airway.
- BObtain a history.
- CProtect the cervical spine.
- DObtain a blood glucose.
29A 4-year-old boy is screaming and crying after he fell into a campfire. He has partial- and full-thickness burns on both arms. Vital signs are HR 140, BP 100/70, and RR 40. What should be done first in the treatment of thermal burns?
- AApply burn cream to burned areas.
- BRemove any clothing that is still smoldering.
- CApply moist dressings to all of the burned areas.
- DPlace the patient in the shock position.
30A 4-year-old boy is screaming and crying after he fell into a campfire. He has partial- and full-thickness burns on both arms. Vital signs are HR 140, BP 100/70, and RR 40. What should be done first in the treatment of thermal burns?
- AApply burn cream to burned areas.
- BRemove any clothing that is still smoldering.
- CApply moist dressings to all of the burned areas.
- DPlace the patient in the shock position.
31A 7-year-old semi-conscious patient rolled off of a 4-foot embankment when he fell off of his father's all-terrain vehicle. He was not wearing a helmet and has begun vomiting. How should you manage this patient?
- AElevate his head to 90 degrees.
- BBegin suctioning the airway.
- CInsert a nasopharyngeal airway.
- DPerform a finger sweep maneuver.
32A 2-year-old boy, who is alert and crying, has multiple lacerations and a deformed forearm after he was ejected from a vehicle. Additional assessment reveals that he has cool, moist, pale skin and bruising on the lateral right lower chest. What is the
significance of the bruising to the right side of his chest?- AThe ribs are pliable, which makes organs more susceptible to underlying damage.
- BThe chest wall muscles absorb the energy of impact and protect underlying organs
from injury. - CRib fractures may be present because the chest wall is thin.
- DThe intercostal muscles may be damaged because they are not well developed.
33A 7-year-old semi-conscious patient rolled off of a 4-foot embankment when he fell off of his father's all-terrain vehicle. He was not wearing a helmet and has begun vomiting. How should you manage this patient?
- AElevate his head to 90 degrees.
- BBegin suctioning the airway.
- CInsert a nasopharyngeal airway.
- DPerform a finger sweep maneuver.
34Which of the following patients may have injuries that suggest maltreatment?
- AA 12-year-old with bilateral bruises to the shins
- BA 3-year-old with multiple bruises behind the ears.
- CAn 8-year-old with a laceration on the face.
- DA 4-year-old with several abrasions on the hands and forearms.
35The history provided by the caregiver of which of the following patients is inconsistent with the injury?
- AAn 11-month-old infant with a bump on the head from falling out of a highchair at a restaurant reaching for the waiter.
- BA 2-year-old boy with circumferential burns to his feet and lower legs, from taking a hot bath.
- CA 3-year-old girl with a facial laceration from pulling a toaster off a counter.
- DA 4-year-old boy with a wrist deformity from falling off a swing set at the park.
36A newborn who was just delivered at home has cyanosis of the hands and feet, a weak cry, and vigorous movement of the extremities. Vital signs are HR 86 and RR 52. What is
the most important step in managing this patient?- ADry her and then wrap her in a blanket.
- BVentilate her with a bag-mask device.
- CGive high-flow oxygen by a blow-by device.
- DMaintain her airway using the jaw-thrust maneuver.
37What is the best way to obtain information about the medical history of a 6-year-old girl who is on a ventilator and has a tracheostomy?
- AAsk the patient's parents.
- BAsk the home health nurse.
- CContact the nearest hospital.
- DContact her pulmonologist.
38In what position should the child in mild respiratory distress be placed?
- AProne position.
- BPosition of comfort.
- CSupine with feet up.
- DOn his or her right side.
39A 2-year-old girl has been having respiratory distress for about an hour. She has crackles noted in her lower lobes and her lips are cyanotic. She is semi-responsive with pale and
diaphoretic skin. It is difficult to obtain a BP. Other vital signs are HR 270 and RR 60. What type of shock is this patient experiencing?- ACardiogenic.
- BHypovolemic
- CSeptic
- DNeurogenic
40An 8-year-old girl fell from a tree house that is approximately 10 feet from the ground. She is screaming and crying due to a deformity of her right lower leg. What is the
appropriate initial management of this patient?- AInitiate cervical spine immobilization.
- BInitiate immobilization of the extremity.
- CConsider preparing the AED and applying pads.
- DCover her with a blanket and apply heat packs.
41After a seizure, patients are in a lethargic and confused state. What is this state
known as?- APostictal.
- BHyperglycemic.
- CEpileptic.
- DGrand mal.
42What is the appropriate compression depth in a 6-month-old child in cardiac arrest?
- A1 inch
- B1.5 inches
- C2 inches
- D2.5 inches
43A 2-year-old girl has been sick for 2 days. On arrival, she has a barklike cough and is extremely lethargic. Her vital signs are BP 66/P, HR 90, and RR 58. What should the treatment include for this patient?
- AAdministering a nebulized beta-agonist medication.
- BInitiating bag-mask ventilation at 12 beats per minute.
- CPerforming deep suction utilizing soft suction tubing.
- DAdministering nebulized epinephrine 1:1,000.
44A 3-year-old boy with a tracheostomy is cyanotic and anxious after a recent
tracheostomy change by a new home health nurse. After suctioning and attempting to ventilate with a bag, what should the provider consider?- ASuction the oropharynx.
- BReplace the tracheostomy tube.
- CAdminister a nebulizer treatment with a beta-agonist medication.
- DAdminister a nebulizer treatment with epinephrine 1:1,000.
45After delivery of an unresponsive female newborn, you note she has central cyanosis and vital signs of HR 50 and RR 6. What is your initial treatment?
- AEstablish IV access and administer an IV fluid bolus of 20 mL/kg.
- BEstablish IV access and administer 0.01 mg/kg IV epinephrine 1:10,000.
- CPerform chest compressions and ventilate with a bag-mask device.
- DInitiate bag-mask ventilation and then reassess skin color and heart rate.
46Which of the following would NOT be considered an approved site for intraosseous insertion?
- ADistal femur.
- BProximal tibia.
- CSternum.
- DHumerus.
47A 12-year-old boy fell off of his dirt bike. He is unresponsive with pale, cool skin and has a capillary refill time of 4 seconds. Additional assessment reveals a deformed right forearm and a distended abdomen. His vital signs are BP 78/56, HR 146, and RR 48. What are the initial management steps for this patient?
- AAdminister oxygen by nasal cannula, followed by a detailed physical exam before transport.
- BStabilize the forearm, establish IV access and give a slow infusion of fluids, and prepare for transport.
- CAdminister oxygen by nonrebreather mask, establish intraosseous access and give a 10 mL/kg bolus, and place him in a high Fowler's position.
- DMaintain cervical spine stabilization, establish IV access and give a 20 mL/kg bolus, complete the spinal immobilization, and initiate transport.
48What is the dysrhythmia for a 16-year-old with a heart rate of 180 beats/min, a narrow QRS complex, and a nonvariable RR interval?
- ASupraventricular tachycardia.
- BSinus tachycardia.
- CVentricular tachycardia.
- DPulseless electrical activity (PEA).
49What is the initial airway management of an unrestrained child in a motor vehicle collision who has blood and broken teeth noted in the airway along with gurgling
respirations?- ASuction the oropharynx.
- BInsert an endotracheal tube.
- CInsert an oropharyngeal airway.
- DAdminister bag-mask ventilation.
50An 18-month-old boy reportedly fell down a flight of stairs and has a swollen, deformed right forearm. You also note several small, healing, circular bruises on his legs and back. What is the initial treatment of this patient?
- ASplint the forearm.
- BEstablish IV access.
- CCover the burns.
- DContact law enforcement.
51What is a contraindication to straightening the head and neck of a trauma patient during spinal immobilization?
- ASevere pain on movement.
- BMultiple facial injuries.
- CUnilateral dilated or sluggish pupils.
- DSevere headache.
Informações
- Descrição
- paramedic Pediatrics Quiz sobre PEPP Final, criado por Jake Anderson em 23-08-2023.
- Autor
- Jake Anderson
- Idioma
- English
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- Criado em 23 ago 2023 · atualizado em 24 ago 2023
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