CHATGPT: Pedia Procedures

Insertion of an intravenous (IV) cannula is done primarily for:
a. Oral rehydration
b. Blood pressure monitoring
c. Fluid and medication administration
d. Diagnostic imaging

c. Fluid and medication administration

The preferred IV cannulation site for children is:
a. Basilic vein
b. Dorsum of non-dominant hand
c. Femoral vein
d. External jugular vein

b. Dorsum of non-dominant hand

The gauge of IV cannula used for newborns is typically:
a. 18G
b. 21G
c. 25G
d. 16G

c. 25G

Which of the following veins should be avoided due to proximity to the brachial artery?
a. Cephalic vein
b. Basilic vein
c. Median cubital vein
d. Saphenous vein

b. Basilic vein

A rare but fatal complication of IV cannulation is:
a. Hematoma
b. Air embolism
c. Bruising
d. Phlebitis

b. Air embolism

Phlebitis, a common IV complication, can be prevented by:
a. Using the largest gauge possible
b. Avoiding aseptic technique
c. Regular site monitoring and secure dressing
d. Leaving the cannula indefinitely

c. Regular site monitoring and secure dressing

Extravasation during IV therapy means:
a. Leakage of blood into tissues
b. IV fluid leaking into surrounding tissue
c. Inflammation of the vein
d. Air in the IV line

b. IV fluid leaking into surrounding tissue

In nasogastric tube (NGT) insertion, the correct length is measured from:
a. Nose to shoulder
b. Nose to earlobe to xiphoid process
c. Nose to umbilicus
d. Nose to chin

b. Nose to earlobe to xiphoid process

A contraindication to nasogastric tube insertion is:
a. Pneumonia
b. Severe midface trauma
c. Fever
d. Constipation

b. Severe midface trauma

Best method to confirm NGT placement is by:
a. Listening for gurgling sound
b. Asking the patient to speak
c. X-ray confirmation or aspirating gastric contents
d. Instilling air and waiting for cough

c. X-ray confirmation or aspirating gastric contents

The peak flow meter is used to:
a. Measure lung capacity
b. Measure Peak Expiratory Flow Rate
c. Measure heart rate
d. Deliver medication

b. Measure Peak Expiratory Flow Rate

A Peak Flow Meter is not typically used in:
a. Children below 5 years old
b. School-age children
c. Adolescents
d. Adults

a. Children below 5 years old

The device that delivers medication directly to the lungs in aerosol form is called:
a. Ambu bag
b. Nebulizer
c. Oxygen hood
d. MDI

b. Nebulizer

A complication of long-term nebulization without cleaning is:
a. Pneumothorax
b. Infection due to poor hygiene
c. Hyperventilation
d. Lung collapse

b. Infection due to poor hygiene

The pulse oximeter measures:
a. Blood glucose and HR
b. Hemoglobin and temperature
c. Oxygen saturation and heart rate
d. Respiratory rate and tidal volume

c. Oxygen saturation and heart rate

Normal oxygen saturation (SpO₂) in a healthy child is:
a. ≥80%
b. ≥85%
c. ≥90%
d. ≥95%

d. ≥95%

A heart rate of >230 bpm in a newborn suggests:
a. Tachypnea
b. Supraventricular tachycardia
c. Bradycardia
d. Respiratory distress

b. Supraventricular tachycardia

An indication for Ambu bag use is:
a. Diaphragmatic hernia
b. Guillain-Barré Syndrome
c. Tracheoesophageal fistula
d. Atelectasis

b. Guillain-Barré Syndrome

Which of the following is a contraindication to using an Ambu bag?
a. Pneumonia
b. Diaphragmatic hernia
c. Asthma
d. Hypoxia

b. Diaphragmatic hernia

During Ambu bagging, correct hand placement includes:
a. Thumb under the chin
b. Ring and little fingers under the angle of the mandible
c. Middle finger on the forehead
d. Index finger under the nose

b. Ring and little fingers under the angle of the mandible

For female urinary catheterization, the ideal position is:
a. Prone
b. Dorsal recumbent
c. Lateral
d. Sitting

b. Dorsal recumbent

A suprapubic catheter is inserted:
a. Through the urethra
b. Through a surgical incision above the pubic symphysis
c. Through the rectum
d. Through the umbilicus

b. Through a surgical incision above the pubic symphysis

Which of the following is NOT an indication for urinary catheter insertion?
a. Bladder irrigation
b. Relief of urinary retention
c. Intravesical chemotherapy
d. Urine specimen collection

c. Intravesical chemotherapy

The ideal site for lumbar puncture in a child is:
a. L1–L2
b. L2–L3
c. L3–L4 or L4–L5
d. L5–S1

c. L3–L4 or L4–L5

In lumbar puncture, the needle should be directed:
a. Downward toward the feet
b. Straight forward
c. Slightly toward the head
d. At a 90° angle

c. Slightly toward the head

The most common complication of lumbar puncture is:
a. Hematoma
b. Headache
c. Apnea
d. Infection

b. Headache

Main indication for endotracheal intubation is:
a. Provide mechanical ventilatory support
b. Obtain aspirate for culture
c. Alleviate laryngospasm
d. Deliver oral medication

a. Provide mechanical ventilatory support

The formula for estimating endotracheal tube size in children over 1 year old is:
a. Age/4 + 3
b. Age/4 + 4
c. Age/2 + 2
d. Age/2 + 3

b. Age/4 + 4

A high-flow oxygen delivery device used for neonates is the:
a. Nasal cannula
b. Nasopharyngeal catheter
c. Oxygen hood
d. Simple mask

c. Oxygen hood

Standard nasal cannula flow rate for older children is:
a. 0.5–1 L/min
b. 1–2 L/min
c. 2–5 L/min
d. 6–8 L/min

c. 2–5 L/min