NANCY CAROLINE EMERGENCY CARE IN
THE STREETS TESTBANK QUESTIONS
AND ANSWERS 2024 [PEDIATRIC
EMERGENCIES, ENDOCRINE EMERGENCIES,
OBSTETRICS, NEONATAL CARE, CARDIAC ARREST,
CHAPTER 19, ENVIRONMENTAL EMERGENCIES,
RESPIRATORY EMERGENCIES]
PEDIATRIC EMERGENCIES
Most children begin to develop stranger anxiety between ___ and ___ months of
age.
6,12
For a hypovolemic child who weighs 30 lbs, how much IV fluid should initially be
administered?
270 ml
Bradydysrhythmias in pediatric patients most frequently result from
________________.
hypoxia
Which of the following presentations is the most severe asthma attack?
A 6 year old who is sleepy, using accessory muscles and has a silent chest
Which of the following statements regarding chest trauma in children is correct?
Children are more prone to intrathoracic trauma due to compression forces.
Your patient is a 10-year-old boy with a history of asthma. He is found seated on
the edge of his chair, appears anxious, and speaks in two-word phrases. His
,parents report worsened respiratory distress over the past 20 minutes, and he
does not have his rescue inhaler. His respiratory rate is 50 with a pulse of 130.
Breath sounds are decreased with scattered wheezing throughout all lung fields.
He suddenly becomes drowsy, his respiratory rate decreases to 12, and no
wheezes are heard on reassessment. Which of the following best explains the
significance of the change in your patient's status?
He is fatigued from accessory muscle use.
What is the most appropriate initial treatment for the patient in question 6?
Ventilate BVM
A 10-month-old infant presents with an acute onset of increased work of
breathing. According to the infant's mother, the child was crawling around in the
living room prior to the event and was fine 10 minutes earlier. Your assessment
reveals that the infant appears alert to his surroundings, has loud inspiratory
stridor, and pink skin. You should:
Avoid agitating the infant, offer supplemental oxygen, and transport
A 2-year-old girl fell approximately 12 feet from a second-story window, landing
on her head. Your primary assessment reveals that she is unresponsive; has
slow, irregular respirations; and has blood draining from her mouth and nose. A
rapid scan of her body does not reveal any gross injuries or bleeding. You
should:
open her airway with the jaw-thrust maneuver, suction her mouth and nose, insert an
oral airway, and assist her ventilations with a bag-mask device.
A 4-year-old boy is found unresponsive by his mother. When you begin your
assessment, the child's mother tells you that her son apparently ingested some
of her antihypertensive medication. The child has poor perfusion and is breathing
poorly. As you are assisting the child's ventilations with high-flow oxygen, your
partner informs you that the child's heart rate is 50 beats/min and weak and that
the cardiac monitor reveals sinus bradycardia. You should:
initiate one-rescuer CPR while your partner attempts to establish vascular access.
,While administering albuterol to a 7-year-old boy having an asthma attack, you
notice that he appears to have difficulty keeping his eyes open and holding his
head up. What should you do?
Ventilate with a BVM
A 6-year-old girl who has been running a fever for the past 2 days presents with
lethargy and tachycardia. Her heart rate is 170 beats/min and varies with activity.
Her skin is cool and clammy, and her capillary refill time is 4 seconds. The
cardiac monitor reveals a narrow complex tachycardia with a rate that varies
between 150 and 170 beats/min. After applying high-flow oxygen, you should:
Establish IV access, administer fluids, and transport.
A 9-year-old, 55-pound girl presents with generalized hives, marked facial
swelling, and loud inspiratory stridor. She is conscious but appears sleepy. You
can MOST rapidly improve this child's condition by:
administering 0.25 mg of epinephrine IM.
A child's vocal cords can be difficult to visualize during intubation because:
the epiglottis is floppy and U-shaped.
Diffuse rales, rhonchi, and wheezing in an infant:
are typical signs of lower airway inflammation.
If a 2-year-old child with a foreign body airway obstruction becomes
unresponsive, you should:
perform chest compressions.
In children, complex partial seizures would MOST likely manifest with:
focal motor jerking with loss of consciousness.
In contrast to adults, young children are more prone to liver and spleen injuries
because the organs:
extend well below the rib cage.
The MOST appropriate vagal maneuver for an infant involves:
holding ice packs firmly to the face.
The preferred initial pharmacologic agent for pediatric bradycardia is:
epinephrine.
To maintain a neutral airway position in an unresponsive infant, you should:
, place a towel roll under the shoulders.
You are dispatched to a residence at 6:15 AM for an unconscious 3-month-old
infant who is not breathing. Upon arrival at the scene, you find the father
performing CPR on the infant. The infant's mother is sitting on the couch, crying.
Your assessment reveals that the child is apneic and pulseless. His skin is pale
and cold, and there is gross lividity to his chest. You should:
recognize that the infant has been deceased for an extended period of time.
You are transporting an unresponsive intubated 4-year-old child. An IO catheter
is in place, and you are ventilating the child at an age-appropriate rate. Suddenly,
the child becomes cyanotic and experiences a significant drop in her heart rate
and oxygen saturation, and loss of a capnographic waveform. You attempt to
auscultate her lung sounds but are unable to hear over the drone of the engine.
You should:
extubate immediately and ventilate with a bag-mask device.
An 8-year-old child is in ventricular tachycardia. He has a weak pulse; a
decreased level of consciousness; and cool, pale skin. You should:
perform synchronized cardioversion at 1 j/kg.
The mother of a 2-year-old girl reports that the child has had a fever for the past 2
days and that she screams every time she tries to pick her up. You note that the
child is grabbing both sides of her head. These findings are MOST suggestive of:
meningitis
Which of the following represents the low normal systolic blood pressure for a 6-
year-old child?
82 mm HG
A 6-year-old boy fell off his bike and injured himself. His mother tells you that he
was wearing a helmet at the time of the incident. The boy is sitting next to his
mother on the couch, holding his left arm against his chest. He is conscious and
alert, but appears scared. You do not see any obvious bleeding or other injuries.
You should:
kneel down beside him and ask him what his name is.
A child with respiratory failure would MOST likely present with:
