Paramedic Chapter 43 Exam Questions
and Answers 100% Verified
While assessing the airway of a 3-year-old girl who is unresponsive, you hear a snoring
sound during each of her slow, shallow breaths. You should: - Answer-manually
maneuver her head and reassess her breathing status.
You and your partner arrive at the scene shortly after a 2-year-old child experienced an
apparent seizure. The child's father tells you that his son's entire body began shaking
and that the episode lasted less than 5 minutes. Your assessment of the child reveals
that he is conscious, is crying, and has hot, moist skin. His heart rate is 160 beats/min,
and his respirations are 40 breaths/min. You should: - Answer-keep the child cool and
transport him to the hospital for physician evaluation.
You are assessing a 10-year-old child with a wide-complex tachycardia, but cannot
decide whether electrical or pharmacologic therapy is the most appropriate initial
treatment approach. Which of the following interventions would pose the GREATEST
potential for harm? - Answer-Starting an IV line and administering amiodarone followed
by procainamide
You are providing high-flow oxygen to a 3-year-old boy with severe respiratory distress.
When you reassess him, you note that he is pale and his respiratory rate has decreased
from 30 breaths/min to 12 breaths/min. You should: - Answer-assist his ventilations with
a bag-mask device.
You receive a call for a "sick child." When you arrive at the scene, the child's mother
tells you that her 5-year-old son has had vomiting and diarrhea for the past day and will
not eat or drink anything. On exam, the child's level of consciousness appears
consistent with his age. His skin is cool and pale, he is tachypneic, his capillary refill
time is 4 seconds, and his heart rate is 150 beats/min. The MOST appropriate treatment
for this child involves: - Answer-administering supplemental oxygen, keeping the child
warm, assessing his blood glucose level, transporting, and establishing vascular access
en route.
Your primary survey of an unresponsive 5-year-old, 40-pound child reveals that he is
apneic and pulseless. CPR is initiated and the cardiac monitor is applied, which reveals
ventricular fibrillation. You should: - Answer-defibrillate with 40 joules and immediately
resume CPR.
, A 12-year-old boy presents with marked respiratory distress; hot, moist skin; and
anxiety. He is sitting with his chin thrust forward and has inspiratory stridor. According to
the child's grandmother, his symptoms began suddenly about 30 minutes ago. You
should be MOST suspicious for: - Answer-bacterial epiglottitis
A 15-year-old child can be difficult to treat for all of the following reasons, EXCEPT: -
Answer-stranger anxiety.
A 2-year-old girl fell approximately 12 feet from a second-story window, landing on her
head. Your primary survey reveals that she is unresponsive; has slow, irregular
respirations; and has blood draining from her mouth and nose. A rapid exam of her
body does not reveal any gross injuries or bleeding. You should: - Answer-open her
airway with the jaw-thrust maneuver, suction her mouth and nose, insert an oral airway,
and assist her ventilations with a bag-mask device.
A 9-year-old, 55-pound girl presents with generalized hives, marked facial swelling, and
loud inspiratory stridor. She is conscious but appears sleepy. You can MOST rapidly
improve this child's condition by: - Answer-administering epinephrine IM.
A normal respiratory rate in a child: - Answer-may be observed if the child has been
breathing rapidly with increased work of breathing and is becoming fatigued.
Any child with unexplained hyperpnea should be suspected of having _________
toxicity. - Answer-Salicylate.
Assessment of a child in a cold environment would MOST likely yield: - Answer-delayed
capillary refill.
Common signs and symptoms of meningitis in young children include all of the
following, EXCEPT: - Answer-nuchal rigidity.
Failure of a child's SpO2 to increase despite high-flow oxygen is MOST indicative of: -
Answer-congenital heart disease.
First-degree heart block in children: - Answer-is typically asymptomatic and does not
require special treatment.
If an infant or small child swallowed a rigid foreign body, he or she would MOST likely
experience respiratory distress because: - Answer-the esophageal foreign body can
compress the relatively pliable trachea.
If an initial cardioversion attempt is unsuccessful in a 33-pound child, you should repeat
the procedure using ___ joules: - Answer-30
Immediate treatment for a conscious child with anaphylaxis includes: - Answer-
epinephrine IM.
and Answers 100% Verified
While assessing the airway of a 3-year-old girl who is unresponsive, you hear a snoring
sound during each of her slow, shallow breaths. You should: - Answer-manually
maneuver her head and reassess her breathing status.
You and your partner arrive at the scene shortly after a 2-year-old child experienced an
apparent seizure. The child's father tells you that his son's entire body began shaking
and that the episode lasted less than 5 minutes. Your assessment of the child reveals
that he is conscious, is crying, and has hot, moist skin. His heart rate is 160 beats/min,
and his respirations are 40 breaths/min. You should: - Answer-keep the child cool and
transport him to the hospital for physician evaluation.
You are assessing a 10-year-old child with a wide-complex tachycardia, but cannot
decide whether electrical or pharmacologic therapy is the most appropriate initial
treatment approach. Which of the following interventions would pose the GREATEST
potential for harm? - Answer-Starting an IV line and administering amiodarone followed
by procainamide
You are providing high-flow oxygen to a 3-year-old boy with severe respiratory distress.
When you reassess him, you note that he is pale and his respiratory rate has decreased
from 30 breaths/min to 12 breaths/min. You should: - Answer-assist his ventilations with
a bag-mask device.
You receive a call for a "sick child." When you arrive at the scene, the child's mother
tells you that her 5-year-old son has had vomiting and diarrhea for the past day and will
not eat or drink anything. On exam, the child's level of consciousness appears
consistent with his age. His skin is cool and pale, he is tachypneic, his capillary refill
time is 4 seconds, and his heart rate is 150 beats/min. The MOST appropriate treatment
for this child involves: - Answer-administering supplemental oxygen, keeping the child
warm, assessing his blood glucose level, transporting, and establishing vascular access
en route.
Your primary survey of an unresponsive 5-year-old, 40-pound child reveals that he is
apneic and pulseless. CPR is initiated and the cardiac monitor is applied, which reveals
ventricular fibrillation. You should: - Answer-defibrillate with 40 joules and immediately
resume CPR.
, A 12-year-old boy presents with marked respiratory distress; hot, moist skin; and
anxiety. He is sitting with his chin thrust forward and has inspiratory stridor. According to
the child's grandmother, his symptoms began suddenly about 30 minutes ago. You
should be MOST suspicious for: - Answer-bacterial epiglottitis
A 15-year-old child can be difficult to treat for all of the following reasons, EXCEPT: -
Answer-stranger anxiety.
A 2-year-old girl fell approximately 12 feet from a second-story window, landing on her
head. Your primary survey reveals that she is unresponsive; has slow, irregular
respirations; and has blood draining from her mouth and nose. A rapid exam of her
body does not reveal any gross injuries or bleeding. You should: - Answer-open her
airway with the jaw-thrust maneuver, suction her mouth and nose, insert an oral airway,
and assist her ventilations with a bag-mask device.
A 9-year-old, 55-pound girl presents with generalized hives, marked facial swelling, and
loud inspiratory stridor. She is conscious but appears sleepy. You can MOST rapidly
improve this child's condition by: - Answer-administering epinephrine IM.
A normal respiratory rate in a child: - Answer-may be observed if the child has been
breathing rapidly with increased work of breathing and is becoming fatigued.
Any child with unexplained hyperpnea should be suspected of having _________
toxicity. - Answer-Salicylate.
Assessment of a child in a cold environment would MOST likely yield: - Answer-delayed
capillary refill.
Common signs and symptoms of meningitis in young children include all of the
following, EXCEPT: - Answer-nuchal rigidity.
Failure of a child's SpO2 to increase despite high-flow oxygen is MOST indicative of: -
Answer-congenital heart disease.
First-degree heart block in children: - Answer-is typically asymptomatic and does not
require special treatment.
If an infant or small child swallowed a rigid foreign body, he or she would MOST likely
experience respiratory distress because: - Answer-the esophageal foreign body can
compress the relatively pliable trachea.
If an initial cardioversion attempt is unsuccessful in a 33-pound child, you should repeat
the procedure using ___ joules: - Answer-30
Immediate treatment for a conscious child with anaphylaxis includes: - Answer-
epinephrine IM.
