CEN PEDIATRICS FINAL EXAM 2024 ACTUAL EXAM
COMPLETE 200 QUESTIONS WITH DETAILED
VERIFIED ANSWERS (100% CORRECT ANSWERS)
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Emergency medical services rush a girl, age 4, to the emergency department. The
child was at her day care center when she developed sudden-onset wheezing after
eating cookies to celebrate another child's birthday. During the ambulance ride to
the hospital, the child demonstrated flushed skin, and her blood pressure was lower
than expected. Which disorder should you suspect?
A. Foreign body aspiration
B. Anaphylactic reaction
C. Asthma exacerbation
D. Acute viral illness - (answers)An anaphylactic reaction produces wheezing,
flushed skin, and hypotension because of vasodilation. Although foreign body
aspiration and asthma exacerbation may cause wheezing, they do not typically
cause skin flushing and hypotension. An acute viral illness is not associated with
such an abrupt onset. Expect to counsel the child's caregivers to have the child
undergo allergy testing because the cookies may have contained an ingredient that
led to her anaphylaxis.
Alyssa, age 4, is brought to the emergency department by her parents, who inform
you that Alyssa has had a bad cough for the past 5 days. They also inform you that
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Alyssa has asthma. You observe that Alyssa is quiet and pale. What is your first
priority in triage for Alyssa?
A. Assess the work of breathing.
B. Obtain a temperature.
C. Measure oxygen saturation.
D. Measure the blood pressure. - (answers)At this time, based on Alyssa's history
and signs and symptoms, the priority is assessing the work of breathing to
determine her level of respiratory distress. Assessing the work of breathing is one
of the three components of the Pediatric Assessment Triangle. Expect to perform
all of the other assessments, but they are not the initial priority.
Which parameter is part of the secondary survey?
A. Work of breathing
B. General appearance
C. Circulation to the skin
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D. Vital signs - (answers)Vital signs are an important part of the secondary survey.
The Pediatric Assessment Triangle, which is completed on the child's presentation
to the emergency department, uses three physiologic parameters to evaluate the
severity of illness and injury: general appearance, work of breathing, and
circulation to the skin.
f 52 to 92 mm Hg, and weight of 3 kg.
What is the most common cause of status epilepticus in pediatric patients?
A. Trauma
B. Anoxia
C. Febrile illness
D. Infection - (answers)Febrile illness is by far the most common cause of status
epilepticus in pediatric patients. However, status epilepticus may also be a
manifestation of anoxia, infection, trauma, ingestion, or metabolic disorder.
Which viral illness is potentially life threatening in very young infants?
A. Croup
B. Pertussis
C. Epiglottitis
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D. Bronchiolitis - (answers)Bronchiolitis is a viral illness that causes
expiratory obstruction,
air trapping, and
thick, copious mucous,
resulting in varying degrees of respiratory distress.
It can be life threatening in very young infants and in high-risk patients, such as
those who have a congenital heart defect, a chronic lung disease, human
immunodeficiency virus (HIV) infection, or chromosomal abnormalities.
what is Croup - (answers)a common viral illness of young pediatric patients, but it
is rarely life threatening.
Pertussis and epiglottitis are - (answers)bacterial infections that are preventable
with immunization.
Which abnormality should you expect to find in a cold-stressed neonate? -
(answers)Hypoglycemia
Cold stress may precipitate hypoglycemia but does not cause hypercalcemia,
hypocalcemia, or hypokalemia.