PEDIATRIC EMERGENCY CARE EXAM 2025, 153 QUESTIONS WITH
ACCURATE SOLUTIONS
1. A 19-year-old is responsive with snoring respirations. You suspect a
benzodiazepine overdose. Vitals are BP 94/64, P 55, R 6 irregular, SP02 91%.
What should you do?
Assist ventilations with a BVM
Insert an OPA
Provide intranasal Narcan
Administer flumazenil via IV
2. What is the ideal oxygen saturation range for post-cardiac arrest
patients to avoid reperfusion injury?
90%-93%
94%-99%
100%-105%
85%-89%
3. Inspiratory stridor in children is a clinical sign
of: reactive airways disease or asthma
allergies or rhinitis
laryngotreachobronchitis or acute epiglottitis
respiratory distress syndrome or cystic fibrosis
4. A child presents with fever, tachycardia, BP 60/42, weak pulses, warm
and flushed skin. The first intervention should be
20 mL/kg normal saline fluid bolus
Epinephrine infusion at 0.05 mcg/kg/min
Oxygen via endotracheal tube
, Dopamine (Inotrope) infusion at 3 mcg/kg/min
5. What is a key sign that indicates a two-year-old child may
require immediate interventions in an emergency department
setting?
A child who is smiling
A child who is
grunting A child who
is playing A child who
is sleeping
6. What is the term used to describe a situation where there is
electrical activity in the heart but no detectable pulse?
Ventricular fibrillation
Pulseless electrical activity
Asystole
Tachycardia
7. In pediatric CPR, what is the recommended compression-to-ventilation
ratio for a child when two rescuers are present?
30:2
15:2
5:1
10:1
8. The nurse is assessing a 3-year-old child hospitalized for the treatment
of pneumonia. Which finding indicates that the child is experiencing
respiratory failure.
Difficult to arouse
Pallor
,Tachypnea
, Retractions
9. What is a normal heart rate for a child of 10 years up and adults?
60-100 bpm
70-115 bpm
80-125 bpm
90-150 bpm
100-160 bpm
10. What is the term used to describe a condition where the body's ability
to regulate breathing is impaired, particularly in pediatric patients?
Respiratory failure
Disordered control of breathing
Hypotension
Cardiac arrest
11. What is the primary medication indicated for an infant presenting
with stridor due to respiratory distress?
Albuterol
Epinephrine, nebulized
Atropine
Dexamethasone
12. A 7-year-old child in cardiac arrest is brought to the emergency
department by ambulance. No palpable pulses are detected. The child's
ECG is shown here. How would you characterize this child's rhythm?
Pulseless electrical activity
Sinus bradycardia
ACCURATE SOLUTIONS
1. A 19-year-old is responsive with snoring respirations. You suspect a
benzodiazepine overdose. Vitals are BP 94/64, P 55, R 6 irregular, SP02 91%.
What should you do?
Assist ventilations with a BVM
Insert an OPA
Provide intranasal Narcan
Administer flumazenil via IV
2. What is the ideal oxygen saturation range for post-cardiac arrest
patients to avoid reperfusion injury?
90%-93%
94%-99%
100%-105%
85%-89%
3. Inspiratory stridor in children is a clinical sign
of: reactive airways disease or asthma
allergies or rhinitis
laryngotreachobronchitis or acute epiglottitis
respiratory distress syndrome or cystic fibrosis
4. A child presents with fever, tachycardia, BP 60/42, weak pulses, warm
and flushed skin. The first intervention should be
20 mL/kg normal saline fluid bolus
Epinephrine infusion at 0.05 mcg/kg/min
Oxygen via endotracheal tube
, Dopamine (Inotrope) infusion at 3 mcg/kg/min
5. What is a key sign that indicates a two-year-old child may
require immediate interventions in an emergency department
setting?
A child who is smiling
A child who is
grunting A child who
is playing A child who
is sleeping
6. What is the term used to describe a situation where there is
electrical activity in the heart but no detectable pulse?
Ventricular fibrillation
Pulseless electrical activity
Asystole
Tachycardia
7. In pediatric CPR, what is the recommended compression-to-ventilation
ratio for a child when two rescuers are present?
30:2
15:2
5:1
10:1
8. The nurse is assessing a 3-year-old child hospitalized for the treatment
of pneumonia. Which finding indicates that the child is experiencing
respiratory failure.
Difficult to arouse
Pallor
,Tachypnea
, Retractions
9. What is a normal heart rate for a child of 10 years up and adults?
60-100 bpm
70-115 bpm
80-125 bpm
90-150 bpm
100-160 bpm
10. What is the term used to describe a condition where the body's ability
to regulate breathing is impaired, particularly in pediatric patients?
Respiratory failure
Disordered control of breathing
Hypotension
Cardiac arrest
11. What is the primary medication indicated for an infant presenting
with stridor due to respiratory distress?
Albuterol
Epinephrine, nebulized
Atropine
Dexamethasone
12. A 7-year-old child in cardiac arrest is brought to the emergency
department by ambulance. No palpable pulses are detected. The child's
ECG is shown here. How would you characterize this child's rhythm?
Pulseless electrical activity
Sinus bradycardia
