Ch30 Practice Questions Pt.2 Flashcards
When assessing a 3-year-old child for possible injuries after the mother’s boyfriend said the child fell down a flight of stairs, which of the following findings would raise your suspicion that the child may be a victim of physical abuse?
A) The child cries when you palpate his arm.
B) Several bruises are located on the child’s knees and shins.
C) The child has a broken clavicle.
D) Circumferential bruising is apparent on the child’s arm.
When assessing a 3-year-old child for possible injuries after the mother’s boyfriend said the child fell down a flight of stairs, which of the following findings would raise your suspicion that the child may be a victim of physical abuse?
A) The child cries when you palpate his arm.
B) Several bruises are located on the child’s knees and shins.
C) The child has a broken clavicle.
D) Circumferential bruising is apparent on the child’s arm.
Ans: D
Complexity: Moderate Ahead: Common Pediatric Illnesses and Injuries Subject: Chapter 30 Title: Pediatric Emergencies Feedback: 698 Objective: 30-8
Which of the following statements is most appropriate concerning dealing with caregivers and children during a medical emergency?
A) “I try to include caregivers in all that I do with their child so that the child and the caregivers are more comfortable.”
B) “It is best to separate caregivers from the child so that proper assessment and care can be given.”
C) “I include caregivers in the care until I get the information I need; then I remove the child and continue the assessment in the first-aid room.”
D) “I tell caregivers that everything will be okay so that they are calm, and I am better able to help their child.”
Which of the following statements is most appropriate concerning dealing with caregivers and children during a medical emergency?
A) “I try to include caregivers in all that I do with their child so that the child and the caregivers are more comfortable.”
B) “It is best to separate caregivers from the child so that proper assessment and care can be given.”
C) “I include caregivers in the care until I get the information I need; then I remove the child and continue the assessment in the first-aid room.”
D) “I tell caregivers that everything will be okay so that they are calm, and I am better able to help their child.”
Ans: A
Complexity: Easy Ahead: Assessment of the Pediatric Patient Subject: Chapter 30 Title: Pediatric Emergencies Feedback: 699 Objective: 30-10
The American Academy of Pediatrics recommends the use of the Pediatric Triangle to quickly determine if a child is “sick or not sick.” This method allows rescuers to quickly assess all of the following about the patient except his/her:
A) circulation.
B) breathing.
C) history of illness or injury.
D) appearance.
The American Academy of Pediatrics recommends the use of the Pediatric Triangle to quickly determine if a child is “sick or not sick.” This method allows rescuers to quickly assess all of the following about the patient except his/her: A) circulation. B) breathing. C) history of illness or injury. D) appearance.
Ans: C
Complexity: Easy Ahead: Assessment of the Pediatric Patient Subject: Chapter 30 Title: Pediatric Emergencies Feedback: 700 Objective: 30-11
Which of the following behaviors would an OEC technician recognize as uncharacteristic of a conscious and stable 2-year-old boy who fell and hurt his hand?
A) He cries any time you touch him.
B) He does not cry or protest when you take him from his mother to assess him.
C) He becomes upset when you lift his shirt to assess his abdomen.
D) He does not tell you where the pain is when you ask.
Which of the following behaviors would an OEC technician recognize as uncharacteristic of a conscious and stable 2-year-old boy who fell and hurt his hand?
A) He cries any time you touch him.
B) He does not cry or protest when you take him from his mother to assess him.
C) He becomes upset when you lift his shirt to assess his abdomen.
D) He does not tell you where the pain is when you ask.
Ans: B
Complexity: Easy Ahead: Assessment of the Pediatric Patient Subject: Chapter 30 Title: Pediatric Emergencies Feedback: 701 Objective: 30-2
While following the Pediatric Triangle of assessment, you observe an infant and note that she is paradoxically irritable. This sign is often indicative that the child is:
A) very ill.
B) a victim of neglect.
C) not seriously ill.
D) hungry.
While following the Pediatric Triangle of assessment, you observe an infant and note that she is paradoxically irritable. This sign is often indicative that the child is: A) very ill. B) a victim of neglect. C) not seriously ill. D) hungry.
Ans: A
Complexity: Easy Ahead: Assessment of the Pediatric Patient Subject: Chapter 30 Title: Pediatric Emergencies Feedback: 701 Objective: 30-11
When seen in a child, the “tripod” and “sniffing” positions are usually signs of:
A) respiratory distress.
B) an infection of the brain.
C) hypovolemia.
D) a neck or spine injury.
When seen in a child, the “tripod” and “sniffing” positions are usually signs of: A) respiratory distress. B) an infection of the brain. C) hypovolemia. D) a neck or spine injury.
Ans: A
Complexity: Moderate Ahead: Assessment of the Pediatric Patient Subject: Chapter 30 Title: Pediatric Emergencies Feedback: 701 Objective: 30-5
You are assessing an infant who has been ill and has had a fever for the past two days. As you approach the infant, you note that she has grunting respirations. Based on your OEC training, you determine that grunting is:
A) a soothing mechanism for a sick child.
B) a symptom of severe respiratory disease.
C) a symptom of significant dehydration.
D) often normal in a child with a cold.
You are assessing an infant who has been ill and has had a fever for the past two days. As you approach the infant, you note that she has grunting respirations. Based on your OEC training, you determine that grunting is:
A) a soothing mechanism for a sick child.
B) a symptom of severe respiratory disease.
C) a symptom of significant dehydration.
D) often normal in a child with a cold.
Ans: B
Complexity: Easy Ahead: Assessment of the Pediatric Patient Subject: Chapter 30 Title: Pediatric Emergencies Feedback: 702 Objective: 30-7
You must assess the pupils of a 5-year-old boy who fell. Which of the following statements would be most appropriate for you to make before performing the assessment?
A) “I am going to look into your pupils with my light.”
B) “I am going to use this light to look into your eyes.”
C) “I need to test your visual acuity by shining a light in your eyes.”
D) “Open your eyes so that I can look into them.”
You must assess the pupils of a 5-year-old boy who fell. Which of the following statements would be most appropriate for you to make before performing the assessment?
A) “I am going to look into your pupils with my light.”
B) “I am going to use this light to look into your eyes.”
C) “I need to test your visual acuity by shining a light in your eyes.”
D) “Open your eyes so that I can look into them.”
Ans: B
Complexity: Easy Ahead: Assessment of the Pediatric Patient Subject: Chapter 30 Title: Pediatric Emergencies Feedback: 703 Objective: 30-9
You are assessing a 2½-year-old child who was involved in a minor car collision. She is currently alert and oriented. While you are assessing her for possible injuries, which of the following actions would be considered most appropriate?
A) Assess the child, starting at her head and moving to her feet.
B) Allow the child to hold a favorite toy during the assessment.
C) Be stern with the child and provide strict instructions on what you expect from her.
D) Examine possible painful sites first.
You are assessing a 2½-year-old child who was involved in a minor car collision. She is currently alert and oriented. While you are assessing her for possible injuries, which of the following actions would be considered most appropriate?
A) Assess the child, starting at her head and moving to her feet.
B) Allow the child to hold a favorite toy during the assessment.
C) Be stern with the child and provide strict instructions on what you expect from her.
D) Examine possible painful sites first.
Ans: B
Complexity: Easy Ahead: Assessment of the Pediatric Patient Subject: Chapter 30 Title: Pediatric Emergencies Feedback: 704 Objective: 30-9
You have been called to care for an unattended 6-year-old girl who has vomited once and is complaining of mild abdominal pain. When you are performing the physical assessment and obtaining a SAMPLE history, which of the following approaches would be considered most appropriate?
A) Never involve the caregiver in the SAMPLE questions.
B) Standing above her and smiling while you ask questions
C) Allowing her to play with your stethoscope before listening to her lungs
D) Using “baby talk” when asking her questions about her pain
You have been called to care for an unattended 6-year-old girl who has vomited once and is complaining of mild abdominal pain. When you are performing the physical assessment and obtaining a SAMPLE history, which of the following approaches would be considered most appropriate?
A) Never involve the caregiver in the SAMPLE questions.
B) Standing above her and smiling while you ask questions
C) Allowing her to play with your stethoscope before listening to her lungs
D) Using “baby talk” when asking her questions about her pain
Ans: C
Complexity: Easy Ahead: Assessment of the Pediatric Patient Subject: Chapter 30 Title: Pediatric Emergencies Feedback: 704 Objective: 30-4
When assessing a 3-year-old child with a respiratory illness, which of the following assessment findings would be least concerning to you?
A) Retractions observed above the clavicles
B) Paradoxical breathing
C) Patient in the tripod position
D) A respiratory rate of 28 breaths per minute
When assessing a 3-year-old child with a respiratory illness, which of the following assessment findings would be least concerning to you?
A) Retractions observed above the clavicles
B) Paradoxical breathing
C) Patient in the tripod position
D) A respiratory rate of 28 breaths per minute
Ans: D
Complexity: Moderate Ahead: Assessment of the Pediatric Patient Subject: Chapter 30 Title: Pediatric Emergencies Feedback: 705 [Table 30-2] Objective: 30-5
Which of the following instructions would you give an OEC technician who is preparing to assess a stable 9-month-old boy with a rash?
A) “Keep the baby calm; do not touch him during the assessment.”
B) “Start at the head and slowly work your way to the feet.”
C) “Have the mother hold him as you do the assessment.”
D) “Make sure that you do not undress the baby for the assessment.”
Which of the following instructions would you give an OEC technician who is preparing to assess a stable 9-month-old boy with a rash?
A) “Keep the baby calm; do not touch him during the assessment.”
B) “Start at the head and slowly work your way to the feet.”
C) “Have the mother hold him as you do the assessment.”
D) “Make sure that you do not undress the baby for the assessment.”
Ans: C
Complexity: Easy Ahead: Assessment of the Pediatric Patient Subject: Chapter 30 Title: Pediatric Emergencies Feedback: 709 [Table 30-3] Objective: 30-9
You are treating a child who has a minor head laceration that is bleeding profusely. Which of the following statements would show your partner that you understand bleeding in children?
A) “This is a minor head laceration, so we don’t need to worry.”
B) “Children have a smaller blood volume than adults, so this rate of bleeding is serious.”
C) “As long as the child’s vital signs are stable, we don’t have to worry.”
D) “Children have great compensating mechanisms, so bleeding from the head isn’t serious.”
You are treating a child who has a minor head laceration that is bleeding profusely. Which of the following statements would show your partner that you understand bleeding in children?
A) “This is a minor head laceration, so we don’t need to worry.”
B) “Children have a smaller blood volume than adults, so this rate of bleeding is serious.”
C) “As long as the child’s vital signs are stable, we don’t have to worry.”
D) “Children have great compensating mechanisms, so bleeding from the head isn’t serious.”
Ans: B
Complexity: Easy Ahead: Management of Pediatric Emergencies Subject: Chapter 30 Title: Pediatric Emergencies Feedback: 709 Objective: 30-1
Which of the following statements regarding the treatment of a pediatric patient in a prehospital setting is true?
A) You must determine the exact illness in order to provide the most appropriate treatment.
B) If the primary assessment of a sick pediatric patient reveals no deficits to the ABCDs, the patient is stable
and will not deteriorate.
C) If a child looks sick and is not getting better with care, assume that the child is getting worse.
D) You will get early warning if the child is going into shock because a child’s vital signs change early.
Which of the following statements regarding the treatment of a pediatric patient in a prehospital setting is true?
A) You must determine the exact illness in order to provide the most appropriate treatment.
B) If the primary assessment of a sick pediatric patient reveals no deficits to the ABCDs, the patient is stable and will not deteriorate.
C) If a child looks sick and is not getting better with care, assume that the child is getting worse.
D) You will get early warning if the child is going into shock because a child’s vital signs change early.
Ans: C
Complexity: Easy Ahead: Management of Pediatric Emergencies Subject: Chapter 30 Title: Pediatric Emergencies Feedback: 711 Objective: 30-9
You are immobilizing a 4-year-old boy on a long spine board. Which of the following actions would be appropriate when performing this intervention?
A) Avoid applying the chest strap across the patient’s thorax.
B) Place padding between the patient’s shoulders and the spine board.
C) Secure the patient’s chest and legs to the board after the head has been secured.
D) Place a pillow under the patient’s neck to keep the airway open.
You are immobilizing a 4-year-old boy on a long spine board. Which of the following actions would be appropriate when performing this intervention?
A) Avoid applying the chest strap across the patient’s thorax.
B) Place padding between the patient’s shoulders and the spine board.
C) Secure the patient’s chest and legs to the board after the head has been secured.
D) Place a pillow under the patient’s neck to keep the airway open.
Ans: B
Complexity: Easy Ahead: Management of Pediatric Emergencies Subject: Chapter 30 Title: Pediatric Emergencies Feedback: 711 Objective: 30-10
