AEMT Final Exam STUDY GUIDE
Which of the following respiratory diseases is characterized by respiratory distress, high fever, and
drooling?
A. Croup
B. Bronchiolitis
C. Epiglottitis
D. Acute asthma -
✅C. Epiglottitis
Signs of peripheral vasoconstriction in children under 6 ears of age include:
A. Delayed capillary refill
B. cyanotic extremities
C. Bounding radial pulses
D. weak central pulses -
✅A. Delayed capillary refill
At 11:50pm you are dispatched to a residence for a 3 yof with respiratory distress. The childs
mother tells you that her daughter has had symptoms of a cold for the past few days. Your
assessment reveals that the child is tachycardic and has nasal flaring, a low grade feer, and a harsh
cough. You should suspect.
A. Epiglottitis
B. Croup
C. Asthma
D Bronchiolitis -
✅Croup
You have administered 25% dextrose to an 18 month old infant with a documented blood glucose
reading of 35mg/dl. Ten minutes later, you reassess the childs blood glucose level and note that it
reads 75mg/dl. You should:
A Repeat the 25% dextrose at the same dose and reassess
B. Give half of the original dose of 25% dextrose
C. administer the appropriate dose of oral glucose
D. reassess the child to determine if he is symptomatic. -
✅Reassess the child to determine if he is symptomatic
Signs of increased work of breathing in a child include all of the following except:
A. Bradypenea
B. Sternal retractions
C. tracheal tugging
D. preferential positioning -
✅bradypnea
When assessing a conscious 4 yo child in the early stages of respiratory distress, you would expect
the child to exhibit:
A. restless
B. bradypnea
C .central cyanosis.
D poor muscle tone -
1
, ✅restlessness
A 6 year old unresponsive male presents with respiratory distress, profound cyanosis, and a weak
heart rate of 70 beats/ min. You should
A. Give 100% oxygen and attatch an AED
B. assist ventilations with 100% oxygen
C .apply a pediatric nonrebreathing mask
D. administer blow by oxygen and reassess -
✅Assist ventilations with 100% oxygen
The most effective method for delivering the highest concentration of oxygen and adequate tidal
volume is the:
A. Pocket mask with oxygen
B. two rescuer bag mask technique
C. one rescuer bag mask technique
D. nonrebreathing mask -
✅two rescuer bag mask technique
You are assessing an 18 month old female who, according to her mother is not acting right. The
mother tells you that her daughter has been ill recently, but denies vomiting or diarrhea. The child is
lethargic, and her blood glucose level reads 65mg/dl. After administering supplemental oxygen, you
should:
A. give 1-2ml/kg of 50% dextrose
B. give 1-2 tubes of oral glucose
C. give 1-2 g/kg of 25% dextrose
D. transport promptly to the hospital -
✅give 1-2 g/kg of 25% dextrose
When assessing or performing a procedure on a toddler, You should expect him or her to:
A. Remain reserved being restrained
B. localize any areas of pain or discomfort
C. resist separation from his or her parents
D. understand why a procedure is performed -
✅resist separation from his or her parents
A 4-year-old female presents with tachypnea, intercostal retractions, and nasal flaring. Several
minutes after applying 100% oxygen via a pediatric nonrebreathing mask, you note that her
respirations have slowed and her retractions have become less prominent. you should.
A. Recognize that her condition is improving
B. protect her airway with an advanced device
C. begin ventilation with a bag-mask device
D. Apply a nasal cannula and reassess her condition -
✅begin ventilation with a bag mask device.
The nasopharyngeal airway is
A. Not used in children with an altered mental status
B. typically used in children in cardiac arrest
C. Not well tolerated in children with a gag reflex
D. rarely used in infants younger than 1 year of age -
✅rarely used in infants younger than 1 year of age.
2
, In Addition to supplemental oxygen, treatment for a child who is experiencing an acute asthma
attack includes:
A. a beta-1 agonist
B. Epinephrine 1:10,000
C. Albuterol
D. Antibiotic therapy -
✅albuterol
a weak femoral pulse in a 8-month-old infant with a 2 day history of vomiting and diarrhea
indicates.
A. severe hypotension and decompensated shock
B. Compensated shock with decreased perfusion
C. Mild volume depletion and decreased perfusion
D. a need to begin immediate chest compressions. -
✅severe hypotension and decompensated shock.
A 4-year-old male is found unresponsice by his father. When you arrive at the scene, you perform a
primary assessment, which reveals that the child is unresponsive and breathing shallowly. He is also
tachycardic and diaphoretic. You obain a blood glucose reading of 38 mg/dL. Treatment for this
child should include.
A. Oxygen via a nonrebreathing mask and 1 tube of oral glucose
B. 1 mg of glucagon via push, followed by a reassessment
C. assisted ventilation and immediate transport to the hosptial
D. assisted ventilation and 0.5 to 1 g/kg of 50% dextrose IV -
✅assisted ventilation and 0.5 to 1 g/kg of 50% dextrose IV
Abnormalties in normal bone growth and development will most lekely occur in children when:
A. An IO needle punctures the medial tibia
B. a fracture occurs at the epiphyseal plate
C. the diaphysis of the bone is damaged
D. He or she experiences a greenstick fracture -
✅a fracture occurs at the epiphyseal plate.
Which of the following represents the correct formula for estimating the weight, in kilograms, in a
child over 1 year of age?
A. (age{in years}x2)-8
B. (age{in years}x2)+8
C. (age{in years}-2)+4
D. (age{in years}/4)+4 -
✅(age{in years} x 2+8
Which of the following statements regarding shock in pediatric patients is correct?
A. the primary compensatory mechanism for shock in children is increased contractility
B. Children can compensate for shock longer than adults, but deteriorate more quickly
C. Anaphylaxis is the most common form of shock seen in the pediatric population.
D. Hypotension is an earlier sign of shock in children than it is in the adult population -
✅Children can compensate for shock longer than adults but deteriorate more quickly
3
Which of the following respiratory diseases is characterized by respiratory distress, high fever, and
drooling?
A. Croup
B. Bronchiolitis
C. Epiglottitis
D. Acute asthma -
✅C. Epiglottitis
Signs of peripheral vasoconstriction in children under 6 ears of age include:
A. Delayed capillary refill
B. cyanotic extremities
C. Bounding radial pulses
D. weak central pulses -
✅A. Delayed capillary refill
At 11:50pm you are dispatched to a residence for a 3 yof with respiratory distress. The childs
mother tells you that her daughter has had symptoms of a cold for the past few days. Your
assessment reveals that the child is tachycardic and has nasal flaring, a low grade feer, and a harsh
cough. You should suspect.
A. Epiglottitis
B. Croup
C. Asthma
D Bronchiolitis -
✅Croup
You have administered 25% dextrose to an 18 month old infant with a documented blood glucose
reading of 35mg/dl. Ten minutes later, you reassess the childs blood glucose level and note that it
reads 75mg/dl. You should:
A Repeat the 25% dextrose at the same dose and reassess
B. Give half of the original dose of 25% dextrose
C. administer the appropriate dose of oral glucose
D. reassess the child to determine if he is symptomatic. -
✅Reassess the child to determine if he is symptomatic
Signs of increased work of breathing in a child include all of the following except:
A. Bradypenea
B. Sternal retractions
C. tracheal tugging
D. preferential positioning -
✅bradypnea
When assessing a conscious 4 yo child in the early stages of respiratory distress, you would expect
the child to exhibit:
A. restless
B. bradypnea
C .central cyanosis.
D poor muscle tone -
1
, ✅restlessness
A 6 year old unresponsive male presents with respiratory distress, profound cyanosis, and a weak
heart rate of 70 beats/ min. You should
A. Give 100% oxygen and attatch an AED
B. assist ventilations with 100% oxygen
C .apply a pediatric nonrebreathing mask
D. administer blow by oxygen and reassess -
✅Assist ventilations with 100% oxygen
The most effective method for delivering the highest concentration of oxygen and adequate tidal
volume is the:
A. Pocket mask with oxygen
B. two rescuer bag mask technique
C. one rescuer bag mask technique
D. nonrebreathing mask -
✅two rescuer bag mask technique
You are assessing an 18 month old female who, according to her mother is not acting right. The
mother tells you that her daughter has been ill recently, but denies vomiting or diarrhea. The child is
lethargic, and her blood glucose level reads 65mg/dl. After administering supplemental oxygen, you
should:
A. give 1-2ml/kg of 50% dextrose
B. give 1-2 tubes of oral glucose
C. give 1-2 g/kg of 25% dextrose
D. transport promptly to the hospital -
✅give 1-2 g/kg of 25% dextrose
When assessing or performing a procedure on a toddler, You should expect him or her to:
A. Remain reserved being restrained
B. localize any areas of pain or discomfort
C. resist separation from his or her parents
D. understand why a procedure is performed -
✅resist separation from his or her parents
A 4-year-old female presents with tachypnea, intercostal retractions, and nasal flaring. Several
minutes after applying 100% oxygen via a pediatric nonrebreathing mask, you note that her
respirations have slowed and her retractions have become less prominent. you should.
A. Recognize that her condition is improving
B. protect her airway with an advanced device
C. begin ventilation with a bag-mask device
D. Apply a nasal cannula and reassess her condition -
✅begin ventilation with a bag mask device.
The nasopharyngeal airway is
A. Not used in children with an altered mental status
B. typically used in children in cardiac arrest
C. Not well tolerated in children with a gag reflex
D. rarely used in infants younger than 1 year of age -
✅rarely used in infants younger than 1 year of age.
2
, In Addition to supplemental oxygen, treatment for a child who is experiencing an acute asthma
attack includes:
A. a beta-1 agonist
B. Epinephrine 1:10,000
C. Albuterol
D. Antibiotic therapy -
✅albuterol
a weak femoral pulse in a 8-month-old infant with a 2 day history of vomiting and diarrhea
indicates.
A. severe hypotension and decompensated shock
B. Compensated shock with decreased perfusion
C. Mild volume depletion and decreased perfusion
D. a need to begin immediate chest compressions. -
✅severe hypotension and decompensated shock.
A 4-year-old male is found unresponsice by his father. When you arrive at the scene, you perform a
primary assessment, which reveals that the child is unresponsive and breathing shallowly. He is also
tachycardic and diaphoretic. You obain a blood glucose reading of 38 mg/dL. Treatment for this
child should include.
A. Oxygen via a nonrebreathing mask and 1 tube of oral glucose
B. 1 mg of glucagon via push, followed by a reassessment
C. assisted ventilation and immediate transport to the hosptial
D. assisted ventilation and 0.5 to 1 g/kg of 50% dextrose IV -
✅assisted ventilation and 0.5 to 1 g/kg of 50% dextrose IV
Abnormalties in normal bone growth and development will most lekely occur in children when:
A. An IO needle punctures the medial tibia
B. a fracture occurs at the epiphyseal plate
C. the diaphysis of the bone is damaged
D. He or she experiences a greenstick fracture -
✅a fracture occurs at the epiphyseal plate.
Which of the following represents the correct formula for estimating the weight, in kilograms, in a
child over 1 year of age?
A. (age{in years}x2)-8
B. (age{in years}x2)+8
C. (age{in years}-2)+4
D. (age{in years}/4)+4 -
✅(age{in years} x 2+8
Which of the following statements regarding shock in pediatric patients is correct?
A. the primary compensatory mechanism for shock in children is increased contractility
B. Children can compensate for shock longer than adults, but deteriorate more quickly
C. Anaphylaxis is the most common form of shock seen in the pediatric population.
D. Hypotension is an earlier sign of shock in children than it is in the adult population -
✅Children can compensate for shock longer than adults but deteriorate more quickly
3
