Question 1

Which of the following is used as an early indicator of those hospitalized children at risk for deterioration?&#10;A) The SOAP format&#10;B) The SBAR technique&#10;C) PEWS&#10;D) Glasgow Coma Score

Accepted Answer

PEWS, or the Pediatric Early Warning Score, is specifically designed to identify hospitalized children at risk for deterioration. It uses vital signs, behavior, and other clinical indicators to assess a child's condition and predict potential deterioration, allowing for early intervention.

Question 2

Your patient has suspected carbon monoxide poisoning. Which of the following statement is true regarding the SpO₂ goals? A) The SpO₂ should be kept between 88% and 92% until measured carboxyhemoglobin level drops to desired normal range (<15%). B) The SpO₂ should be kept between 88% and 92%. C) Mechanical ventilation should be immediately administered to obtain a SpO₂between92% and 94% D) Ignore SpO₂ and deliver 100% oxygen until measured carboxyhemoglobin level drops to desired normal range (<5%).

Accepted Answer

In cases of carbon monoxide poisoning, the primary treatment involves administering 100% oxygen to the patient to displace carbon monoxide from hemoglobin, thereby increasing the oxygen content in the blood. The goal is to reduce the carboxyhemoglobin levels to less than 5%, which is considered within the normal range. Pulse oximetry (SpO2) readings can be misleading in carbon monoxide poisoning because the device may not differentiate between oxyhemoglobin and carboxyhemoglobin, thus showing falsely elevated oxygen saturation levels. Therefore, the focus is on delivering 100% oxygen rather than targeting specific SpO2 levels.

Question 3

While suctioning an infant the RT notices a significant drop in the patient's heart rate. What is a possible cause?&#10;A) Undiagnosed cardiac abnormality&#10;B) Asthma&#10;C) Vagal stimulation&#10;D) Croup

Accepted Answer

Vagal stimulation can occur during suctioning due to the stimulation of the vagus nerve, which can lead to a significant drop in heart rate.

Question 4

_________________ is/are a color-coded grouping of appropriate sized equipment based on the child's length?&#10;A) Broselow tape&#10;B) PEWS&#10;C) Glasgow Coma Score&#10;D) Pediatric treatment protocols

Accepted Answer

Broselow tape is a color-coded tool that is used to determine the equipment sizes and medication doses based on the child's length, making it easier to provide appropriate emergency care to pediatric patients.

Question 5

How can an infant increase his/her minute ventilation?&#10;A) Increase the volume of their breath.&#10;B) Decrease the depth of their breath.&#10;C) Increase their respiratory rate.&#10;D) Decrease their respiratory rate.

Accepted Answer

An infant can increase their minute ventilation by increasing their respiratory rate.

Question 6

Which of the following is a common cause of respiratory failure in children? A) Fatigue caused by the increased work of breathing B) Undiagnosed cardiac defects C) A decreased PaCO₂ D) Metabolic disorders

Accepted Answer

Fatigue caused by the increased work of breathing is a common cause of respiratory failure in children, as their respiratory muscles tire out, leading to inadequate ventilation.

Question 7

A popular communication tool utilized in the clinical setting is which of the following?&#10;A) The SOAP format&#10;B) The SBAR technique&#10;C) PEWS&#10;D) Glasgow Coma Score

Accepted Answer

The SBAR technique (Situation, Background, Assessment, Recommendation) is a widely used communication tool in clinical settings to ensure clear and concise information exchange among healthcare professionals.

Question 8

You are assisting in the intubation of a newborn patient who weighs 4 kg. What size endotracheal tube should you have available?&#10;A) 2.5.&#10;B) 3.0.&#10;C) 3.5.&#10;D) 4.

Accepted Answer

The correct size endotracheal tube for a newborn weighing 4 kg is 3.0.

Question 9

Early signs of pertussis include which of the following?&#10;1) Runny nose&#10;2) High fever&#10;3) Mild cough&#10;4) Tachycardia&#10;A)1, 2&#10;B)1, 3&#10;C)2, 3, 4&#10;D)1, 2, 3

Accepted Answer

The answer of Early signs of pertussis include which of...

Deck 34: Pediatric Assessment, Protocols, and Pals Management