CHAPTER 34 - PEDIATRIC
EMERGENCIES EXAM 2025 QUESTIONS
AND ANSWERS
A viral infection that may cause obstruction of the upper airway in a child is called:
Select one:
A. croup.
B. asthma.
C. bronchitis.
D. epiglottitis - ANS A. croup.
You are dispatched to a residence for a child with respiratory distress. The patient, an 18-
month-old female, is tachypneic, has sternal retractions, and is clinging to her mother. Her skin
is pink and dry, and her heart rate is 120 beats/min. The MOST appropriate treatment for this
child includes:
Select one:
A. requesting a paramedic ambulance to insert an advanced airway device.
B. separating the child from her mother and providing ventilatory assistance.
C. administering blow-by oxygen and transporting the child with her mother.
D. allowing the child to remain with her mother and applying a nasal cannula. - ANS C.
administering blow-by oxygen and transporting the child with her mother.
When a child is struck by a car, the area of greatest injury depends MOSTLY on the:
Select one:
A. speed at which the car was traveling when impact occurred.
B. size of the child and the height of the bumper upon impact.
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,C. age of the child and the size of the car that struck him or her.
D. height of the child and the speed at which the car was traveling. - ANS B. size of the child
and the height of the bumper upon impact.
Unless he or she is critically ill or injured, you should generally begin your assessment of a
toddler:
Select one:
A. at the feet.
B. at the head.
C. in the ambulance.
D. en route to the hospital. - ANS A. at the feet.
When caring for a female child who has possibly been sexually abused, you should:
Select one:
A. encourage the child to urinate and take a shower.
B. have a female EMT remain with her if possible.
C. carefully examine the genitalia for signs of injury.
D. immediately report your suspicions to the parents. - ANS B. have a female EMT remain
with her if possible.
When assessing an 8-year-old child, you should:
Select one:
A. refrain from taking a blood pressure.
B. talk to the child, not just the caregiver.
C. use a toe-to-head assessment approach.
D. rely solely on the parent for information. - ANS B. talk to the child, not just the caregiver.
When questioning the parent of a child who ingested a poisonous substance, which of the
following questions would be of LEAST pertinence initially?
Select one:
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,A. What time did the ingestion occur?
B. Have you noticed any signs or symptoms?
C. Why did your child ingest the poison?
D. Do you know what substance was ingested? - ANS C. Why did your child ingest the
poison?
Pupillary response in pediatric patients may be abnormal in the presence of all of the following,
EXCEPT:
Select one:
A. anxiety.
B. hypoxia.
C. brain injury.
D. drugs. - ANS A. anxiety.
Common causes of seizures in children include all of the following, EXCEPT:
Select one:
A. infection.
B. hyperglycemia.
C. electrolyte imbalances.
D. poisonings or ingestion. - ANS B. hyperglycemia.
When you are performing a scene assessment at an incident involving SIDS, you should focus
your attention on all of the following, EXCEPT:
Select one:
A. signs of illness, including medication, humidifiers, and thermometers.
B. the general condition of the house.
C. the site where the infant was discovered.
D. the temperature of the room. - ANS D. the temperature of the room.
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, Breath sounds in the pediatric population are more easily heard because:
Select one:
A. their chest walls are thinner.
B. the size of their lungs amplifies the sounds.
C. the chest cavity is small in proportion to the rest of the body.
D. children typically have upper airway problems. - ANS A. their chest walls are thinner.
A 2-year-old female has experienced a seizure. When you arrive at the scene, the child is
conscious, crying, and clinging to her mother. Her skin is hot and moist. The mother tells you
that the seizure lasted approximately 5 minutes. She further tells you that her daughter has no
history of seizures, but has had a recent ear infection. You should:
Select one:
A. allow the mother to drive her daughter to the hospital.
B. cool the child with tepid water and transport to the hospital.
C. place the child in cold water to attempt to reduce her fever.
D. suspect that the child has meningitis and transport at once. - ANS B. cool the child with
tepid water and transport to the hospital.
A 5-year-old child has had severe vomiting and diarrhea for 4 days. Which of the following
assessment findings would be the MOST indicative of decompensated shock?
Select one:
A. Capillary refill time of 4 seconds
B. Respiratory rate of 30 breaths/min
C. Blood pressure of 70/40 mm Hg
D. Pulse rate greater than 120/min - ANS C. Blood pressure of 70/40 mm Hg
Burns in children are commonly caused by all of the following, EXCEPT:
Select one:
A. hot items on a stovetop.
B. scalding water in a bathtub.
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EMERGENCIES EXAM 2025 QUESTIONS
AND ANSWERS
A viral infection that may cause obstruction of the upper airway in a child is called:
Select one:
A. croup.
B. asthma.
C. bronchitis.
D. epiglottitis - ANS A. croup.
You are dispatched to a residence for a child with respiratory distress. The patient, an 18-
month-old female, is tachypneic, has sternal retractions, and is clinging to her mother. Her skin
is pink and dry, and her heart rate is 120 beats/min. The MOST appropriate treatment for this
child includes:
Select one:
A. requesting a paramedic ambulance to insert an advanced airway device.
B. separating the child from her mother and providing ventilatory assistance.
C. administering blow-by oxygen and transporting the child with her mother.
D. allowing the child to remain with her mother and applying a nasal cannula. - ANS C.
administering blow-by oxygen and transporting the child with her mother.
When a child is struck by a car, the area of greatest injury depends MOSTLY on the:
Select one:
A. speed at which the car was traveling when impact occurred.
B. size of the child and the height of the bumper upon impact.
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,C. age of the child and the size of the car that struck him or her.
D. height of the child and the speed at which the car was traveling. - ANS B. size of the child
and the height of the bumper upon impact.
Unless he or she is critically ill or injured, you should generally begin your assessment of a
toddler:
Select one:
A. at the feet.
B. at the head.
C. in the ambulance.
D. en route to the hospital. - ANS A. at the feet.
When caring for a female child who has possibly been sexually abused, you should:
Select one:
A. encourage the child to urinate and take a shower.
B. have a female EMT remain with her if possible.
C. carefully examine the genitalia for signs of injury.
D. immediately report your suspicions to the parents. - ANS B. have a female EMT remain
with her if possible.
When assessing an 8-year-old child, you should:
Select one:
A. refrain from taking a blood pressure.
B. talk to the child, not just the caregiver.
C. use a toe-to-head assessment approach.
D. rely solely on the parent for information. - ANS B. talk to the child, not just the caregiver.
When questioning the parent of a child who ingested a poisonous substance, which of the
following questions would be of LEAST pertinence initially?
Select one:
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,A. What time did the ingestion occur?
B. Have you noticed any signs or symptoms?
C. Why did your child ingest the poison?
D. Do you know what substance was ingested? - ANS C. Why did your child ingest the
poison?
Pupillary response in pediatric patients may be abnormal in the presence of all of the following,
EXCEPT:
Select one:
A. anxiety.
B. hypoxia.
C. brain injury.
D. drugs. - ANS A. anxiety.
Common causes of seizures in children include all of the following, EXCEPT:
Select one:
A. infection.
B. hyperglycemia.
C. electrolyte imbalances.
D. poisonings or ingestion. - ANS B. hyperglycemia.
When you are performing a scene assessment at an incident involving SIDS, you should focus
your attention on all of the following, EXCEPT:
Select one:
A. signs of illness, including medication, humidifiers, and thermometers.
B. the general condition of the house.
C. the site where the infant was discovered.
D. the temperature of the room. - ANS D. the temperature of the room.
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, Breath sounds in the pediatric population are more easily heard because:
Select one:
A. their chest walls are thinner.
B. the size of their lungs amplifies the sounds.
C. the chest cavity is small in proportion to the rest of the body.
D. children typically have upper airway problems. - ANS A. their chest walls are thinner.
A 2-year-old female has experienced a seizure. When you arrive at the scene, the child is
conscious, crying, and clinging to her mother. Her skin is hot and moist. The mother tells you
that the seizure lasted approximately 5 minutes. She further tells you that her daughter has no
history of seizures, but has had a recent ear infection. You should:
Select one:
A. allow the mother to drive her daughter to the hospital.
B. cool the child with tepid water and transport to the hospital.
C. place the child in cold water to attempt to reduce her fever.
D. suspect that the child has meningitis and transport at once. - ANS B. cool the child with
tepid water and transport to the hospital.
A 5-year-old child has had severe vomiting and diarrhea for 4 days. Which of the following
assessment findings would be the MOST indicative of decompensated shock?
Select one:
A. Capillary refill time of 4 seconds
B. Respiratory rate of 30 breaths/min
C. Blood pressure of 70/40 mm Hg
D. Pulse rate greater than 120/min - ANS C. Blood pressure of 70/40 mm Hg
Burns in children are commonly caused by all of the following, EXCEPT:
Select one:
A. hot items on a stovetop.
B. scalding water in a bathtub.
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