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In which of the following situations may IO access be used?
A. An extremity with signs of infection
B. An extremity with signs of a crush injury
C. An extremity with a previous unsuccessful IO attempt
D. An extremity with slow a capillary refill time - ANSWER✔✔ D. An extremity
with slow a capillary refill time
A 2-week-old infant is being evaluated for irritability and poor feeding. His blood
pressure is 55/40 mm Hg, and capillary refill time is 5 seconds. Which statement
best describes your assessment of this infant's blood pressure?
A. It represents compensated shock.
B. It is hypertensive.
C. It is hypotensive.
D. It is normal. - ANSWER✔✔ C. It is hypotensive.
You are caring for patients in the emergency department. Which 2-year-old child
requires immediate intervention?
A. A child who is grunting
B. A child with an SpO2 of 95% on room air
C. A child with a systolic blood pressure of 92 mm Hg
D. A child with a temperature of 37.4°C (99.3°F) - ANSWER✔✔ A. A child who
is grunting
,A 3-year-old child is having difficulty breathing. What finding would most likely
lead you to suspect an upper airway obstruction in this child?
A. Expiratory breath sounds
B. Decreased expiratory effort
C. Increased inspiratory effort with retractions
D. Normal inspiratory sounds - ANSWER✔✔ C. Increased inspiratory effort with
retractions
A team member is unable to perform an assigned task because it is beyond the
team member's scope of practice. What action should the team member take?
A. Ask for a new task or role
B. Refuse to perform the task
C. Do it anyway
D. Seek expert consultation - ANSWER✔✔ A. Ask for a new task or role
You are the Team Leader during a pediatric resuscitation attempt. What action is
an element of high-quality CPR?
A. Providing a compression depth of one fourth the depth of the chest
B. Providing a compression rate of 80 to 100/min
C. Allowing complete chest wall recoil after each compression
D. Performing pulse checks every minute - ANSWER✔✔ C. Allowing complete
chest wall recoil after each compression
An 8-year-old child is brought to the emergency department by his mother for
difficulty breathing. He has a history of asthma and nut allergies. His mother tells
you that he recently ate a cookie at a family picnic. What condition is most likely
to be present in this child?
A. Disordered control of breathing
, B. Hypovolemic shock
C. Lung tissue disease
D. Upper airway obstruction - ANSWER✔✔ D. Upper airway obstruction
An 8-year-old child is brought to the emergency department by ambulance after
being involved in a motor vehicle collision. What finding would suggest that
immediate intervention is needed?
A. Decreased level of consciousness
B. Systolic blood pressure of 106 mm Hg
C. Temperature of 38.1°C (100.5°F)
D. Warm, moist skin - ANSWER✔✔ A. Decreased level of consciousness
A 6-year-old child is found unresponsive, not breathing, and without a pulse. One
healthcare worker leaves to activate the emergency response system and get the
resuscitation equipment. You and another healthcare provider immediately begin
performing CPR. What compression-to-ventilation ratio do you use?
A. 15:1
B. 30:1
C. 15:2
D. 30:2 - ANSWER✔✔ C. 15:2
A 3-year-old child is in cardiac arrest, and high-quality CPR is in progress. You
are the Team Leader. The first rhythm check reveals the rhythm shown here.
Defibrillation is attempted with a shock dose of 2 J/kg. After shock administration,
what should you say to your team members?
A. "Check for a pulse."
B. "Give epinephrine 0.01 mg/kg."
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