EPC 4E Detailed Study Questions with 100% Correct Answers Already Graded A+ | Guarantee Pass!

EPC 4E Detailed Study Questions with 100% Correct Answers Already Graded A+ | Guarantee Pass! 1. An 8 year old male has had vomiting and diarrhea for 4 days. His general appearance is poor and his interactions are obtunded. The family states this is not usual for him. You note that he has weak peripheral pulses, but his central pulses are strong. What does this tell you? - He requires immediate intubation - He is in compensated shock - Nothing; you need a blood pressure to determine if he is in shock - He is in decompensated shock - ANSWER He is in compensated shock 2. While caring for an infant or toddler, the healthcare provider should do which of the following? - Examine the infant from toe to head unless they are critical - Remove all the patient's clothing immediately - Immediately load the child and transport to the closest facility as quickly as possible - Let the infant ride on mom's lap on the stretcher during transport - ANSWER Examine the infant from toe to head unless they are critical 3. You respond to a 6 month old male in respiratory distress. He presents with copious amounts of nasal drainage, expiratory wheezes, and nasal flaring. His skin is warm and clammy. Which of the following would be your initial treatment? - Insert an airway adjunct - Suction the nostrils - Provide oxygen using a blow-by method - Provide oxygen using a BVM at 15 L/min - ANSWER Suction the nostrils 4. You can build trust and cooperation with the caregivers by doing which of the following? - Only speaking directly to the child - Enlisting the caregivers as members of the patient care team - Ignoring the caregiver - Understanding how children think and communicate - ANSWER Enlisting the caregivers as members of the patient care team 5. Accurate documentation of suspected child maltreatment is extremely important. Which of the following is correct when documenting child maltreatment? - Document the subjective information about the situation - All information should be documented verbatim - Document your conclusion about who abused the child - Document the weapon or mechanism you think was the cause of the injuries - ANSWER All information should be documented verbatim 6. A 2 year old male is found at the bottom of a swimming pool. He is unresponsive and apnea. After removing him the from water, which of the following would be the proper order of pediatric resuscitation for this patient? - Initiate PAT, abdominal thrusts to force any fluids form his lungs, assess pulses, begin CPR if indicated - Remove his wet clothing and cover him with dry blankets - Assess his cardiac rhythm, initiate PAT, initiate basic airway management, transport - Initiate PAT, primary survey, address clinical interventions that are needed, begin CPR if indicated - ANSWER Initiate PAT, primary survey, address clinical interventions that are needed, begin CPR if indicated 7. Hypothermia increases oxygen demands, and newborns can easily become hypothermic. Which of the following is the recommended way to prevent heat loss in a newborn? - Placing the newborn on a bed alone - Avoiding skin-to-skin contact between the newborn and mother - Warming and drying the newborn and placing on mom for skin-to skin contact - Placing the newborn directly under a warming lamp without drying - ANSWER Warming and drying the newborn and placing on mom for skin-to-skin contact 8. Positive-pressure ventilations should be initiated on a newborn who is apnea, shows signs of inadequate respiratory effort, or has which of the following? - Pulse oximetry less than 95% - Heart rate less than 100 after stimulation and oxygen delivery - Respiratory rate greater than 20 breaths per minute - No available nasal cannula - ANSWER Heart rate less than 100 after stimulation and oxygen delivery 9. Which of the following is the most common cause of upper airway obstruction in pediatric patients younger than 6 years? - Foreign body obstruction - Anaphylaxis - Croup - Bronchiolitis - ANSWER Croup 10. When initiating fluid replacement in a badly injured 5 year old, which of the following is correct? - 10 mL/kg is the amount for IV crystalloid boluses - Oral fluids are preferred over IV fluids - D5NS is the fluid of choice - 20 mL/kg boluses of NS are preferred - ANSWER 20 mL/kg boluses of NS are preferred 11. Children respond to volume-related hypo perfusion by which of the following mechanisms? - Vigorous vasodilation - Increasing cerebral perfusion - Decreasing heart rate - Vigorous vasoconstriction - ANSWER Vigorous vasoconstriction