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Which of the following signs may signify impending cardiac arrest in a child?


A) Respiratory rate over 60
B) Pulse rate over 120
C) Pulse rate 80 in a 5-year-old
D) Blood pressure of 105 systolic in a school age child

Correct Answer

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Which of the following is an early sign of respiratory distress in an 18-month-old patient?


A) Wheezing
B) Heart rate of 60 beats per minute
C) Drowsiness
D) Respiratory rate of 12 breaths per minute

Correct Answer

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Which of the following should increase your suspicion of child abuse?


A) Indications of alcohol and/or drug abuse in the home
B) Improperly healed fractures, resulting in deformity of extremities
C) Bruises on the back and/or buttocks in various stages of healing
D) All of the above

Correct Answer

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You are assessing a 2-year-old child whose mother states she has had a fever for several hours.Which of the following signs is cause for concern?


A) Crying
B) Absence of nasal flaring with inhalation
C) Grunting at the end of expiration
D) Respiratory rate of 28 breaths per minute

Correct Answer

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Careful assessment and ongoing evaluation of the pediatric patient is critical for which of the following reasons?


A) Childhood injuries and illnesses as a result of abuse or neglect may be missed if the EMT is not thorough.
B) Signs of significant illness and injury may be subtle and easily overlooked.
C) A sick or injured child who initially appeared stable can deteriorate very rapidly.
D) All of the above

Correct Answer

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You are responding to a 6-year-old child with a fever and difficulty breathing.His mother reports that he was playing normally this morning but when he came in for lunch he had spiked a fever.Now,he is sitting up with his mouth open,drooling.Which of the following signs would point to epiglottitis?


A) Loud "seal bark" cough
B) Painful swallowing
C) Low grade fever
D) Some hoarseness

Correct Answer

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For the EMT who has cared for a pediatric patient in tragic circumstances,which of the following would be an appropriate way of dealing with stress accompanying the experience?


A) Get together with others who participated in the care of the child and unwind with some alcoholic beverages.
B) Talk to a compassionate coworker who has had similar experiences in the past.
C) Vent your rage in a letter to the person responsible for the child's circumstances.
D) Put the incident as your social media status and encourage others talk about it.

Correct Answer

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Which of the following is a sign of the MOST severe respiratory distress in a 1-year-old pediatric patient?


A) Wheezing
B) Decreased muscle tone
C) Respiratory rate greater than 60
D) Grunting

Correct Answer

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A bulging fontanelle in a quietly resting child may be an indication of which of the following?


A) Fever
B) Dehydration
C) Normal development
D) Increased intracranial pressure

Correct Answer

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A 3-year-old child who burns both legs and arms has burned approximately ________% of his entire body surface area.


A) 54
B) 45
C) 72
D) 36

Correct Answer

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Which of the following is NOT a normal response of a small child when approached by the EMT?


A) Anxiety
B) Indifference
C) Fear
D) None of the above

Correct Answer

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Which of the following would be an appropriate statement in gaining the cooperation of a 7-year-old pediatric patient during your assessment?


A) "Joey, this is a splint that will help your arm feel better. I promise it won't hurt when I put your arm in it."
B) "Big girls don't cry, Emily. You're a big girl, aren't you?"
C) "I'm sorry Nick, but you can't see Mommy and Daddy until you let me take your blood pressure."
D) "Katie, this is my stethoscope. I can use it to hear what your breathing sounds like. Would you like to look at it for a minute?"

Correct Answer

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You have determined that your patient,a 6-year-old boy,most likely has epiglottitis.He has developed a high fever and appears very ill.You realize that this is a serious illness and you need to handle your patient carefully.You should:


A) check his temperature regularly.
B) not place anything in his mouth.
C) give him ice chips to suck on.
D) have him lie down with his head elevated.

Correct Answer

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Which of the following is NOT a common cause of shock in infants and children?


A) Heart failure
B) Blood loss
C) Infection
D) Dehydration

Correct Answer

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Which of the following is a consideration in airway management in the pediatric patient?


A) Keeping the nose clear of secretions
B) The need to hyperextend the head to achieve an open airway
C) Using blind finger sweeps to clear a foreign body from the airway
D) All of the above

Correct Answer

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All of the following are normal parental reactions to a child suffering from a sudden life-threatening illness or injury except:


A) anger.
B) denial.
C) indifference.
D) guilt.

Correct Answer

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Which of the following is LEAST common in a pedestrian child versus car incident?


A) Spinal injuries
B) Abdominal injuries
C) Upper-extremity injuries
D) Head injuries

Correct Answer

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The anterior fontanelle should be closed between the ages of ________ and ________.


A) 3 months; 6 months
B) 24 months; 36 months
C) 6 months; 10 months
D) 12 months; 18 months

Correct Answer

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Usually the first sign of respiratory distress in infants is:


A) bradycardia.
B) tachycardia.
C) bradypnea.
D) tachypnea.

Correct Answer

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Pop-off valves should be functional when ventilating the pediatric patient:


A) to avoid overinflation of the lungs.
B) to avoid causing a pneumothorax.
C) to avoid barotrauma to the lungs.
D) None of the above

Correct Answer

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