Chp 25 EMR

1. When providing care to an injured preschooler, which of the following is important to keep in mind?

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Preschoolers can understand complex sentences.

Preschoolers' fears correspond to the severity of the injury.

Preschoolers may feel that they caused the injury.

Preschoolers readily cooperate with strangers.

Preschoolers may feel that they caused the injury.

2. When assessing an injured child, which of the following is the most appropriate?

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Use as much careful observation as possible to carry out the primary assessment.

Use touch to convey a warm and caring attitude to the child.

Refrain from interacting with the parents when gathering information.

Perform a head-to-toe assessment for a child who is agitated.

Use as much careful observation as possible to carry out the primary assessment.

3. You are using the Pediatric Assessment Triangle. At which time would you complete this assessment?

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After checking the patient's breathing and pulse.

During the scene size-up.

After obtaining the SAMPLE history.

After beginning the physical exam.

During the scene size-up.

4. Which of the following is least appropriate to use to assess a child's LOC?

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AVPU scale

Pupil assessment

Evidence of spontaneous movement

Vital signs

Vital signs

5. Which of the following patients would be considered a child when using an automated external defibrillator (AED) on a patient?

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13-year-old-boy

11-year-old-girl

9-year-old-boy

7-year-old-girl

7-year-old-girl

6. You are to provide care to a child who is having difficulty breathing. Which of the following would lead you to suspect that the child has a partial airway obstruction? Select all that apply.

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Drooling

Frequent Coughing

Retractions

Loss of consciousness

Cyanosis

Drooling

Frequent Coughing

Retractions

7. Which of the following is the most important to keep in mind when caring for a child compared with an adult?

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A child's tongue often is smaller than that of an adult.

The epiglottis is higher in children than in adults.

Younger children breathe at a slower rate than adults.

Children breathe more deeply than adults.

The epiglottis is higher in children than in adults.

8. Which of the following is the most appropriate when caring for a child who is developing shock?

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Having the child assume a sitting-up position

Covering the child with a light blanket

Administering ventilations immediately

Using back blows and chest thrusts

Covering the child with a light blanket

9. As you shine a penlight into a child's eye to assess the pupil response, which of the following would you expect to observe?

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Constriction before the light is applied

Dilation when the light is applied

Constriction when the light is applied

No change when the light is applied

Constriction when the light is applied

10. When attempting to open the airway of a child, you do not tilt the head as far back as that for an adult because:

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The smaller tongue will fall back more easily.

The smaller airway will become obstructed more readily.

The shorter trachea will become blocked due to the bending.

Breathing through the nose will become the major way to inhale.

The shorter trachea will become blocked due to the bending.

11. Which of the following should be avoided when providing care to a child with epiglottitis?

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Keeping the child calm

Examining the throat

Using the tripod position

Monitoring for voice changes

Examining the throat

12. You are called to the home where a child had a febrile seizure. Which temperature reading, as reported by the parents, would be an indicator of this condition?

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100.6℉

101.4℉

101.8℉

103.8℉

103.8℉

13. Which of the following is a possible cause of seizures? Select all that apply.

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Head Trauma

Common Cold

Hypoxia

Low blood glucose

Respiratory distress

Head Trauma

Hypoxia

Low blood glucose

Respiratory distress

14. You arrive at a family's home to provide care for a child who has a fever. The child's temperature is 103.4℉. Which of the following would you do first?

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Call for assistance from more advanced medical personnel.

Begin attempts to rapidly cool the child's body.

Apply extra blankets and clothing to prevent chilling.

Apply rubbing alcohol to the child's body to cool it.

Call for assistance from more advanced medical personnel.

15. You arrive on the scene and suspect that the patient, a child, is a victim of child abuse. Which of the following is a priority?

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Confronting the caregivers about the child's injuries

Obtaining a thorough history of events from the child

Providing care for the child's injuries

Removing the child from the abusive situation

Providing care for the child's injuries