CEN PEDIATRIC QUESTIONS WITH VERIFIED ANSWERS 2024

CEN PEDIATRIC QUESTIONS WITH VERIFIED ANSWERS 2024 Emergency medical services rush a girl, age 4, to the emergency department. The child was at her day care center when she developed sudden-onset wheezing after eating cookies to celebrate another child's birthday. During the ambulance ride to the hospital, the child demonstrated flushed skin, and her blood pressure was lower than expected. Which disorder should you suspect? A. Foreign body aspiration B. Anaphylactic reaction C. Asthma exacerbation D. Acute viral illness Correct Answer: An anaphylactic reaction produces wheezing, flushed skin, and hypotension because of vasodilation. Although foreign body aspiration and asthma exacerbation may cause wheezing, they do not typically cause skin flushing and hypotension. An acute viral illness is not associated with such an abrupt onset. Expect to counsel the child's caregivers to have the child undergo allergy testing because the cookies may have contained an ingredient that led to her anaphylaxis. Alyssa, age 4, is brought to the emergency department by her parents, who inform you that Alyssa has had a bad cough for the past 5 days. They also inform you that Alyssa has asthma. You observe that Alyssa is quiet and pale. What is your first priority in triage for Alyssa? A. Assess the work of breathing. B. Obtain a temperature. C. Measure oxygen saturation. D. Measure the blood pressure. Correct Answer: At this time, based on Alyssa's history and signs and symptoms, the priority is assessing the work of breathing to determine her level of respiratory distress. Assessing the work of breathing is one of the three components of the Pediatric Assessment Triangle. Expect to perform all of the other assessments, but they are not the initial priority. Which parameter is part of the secondary survey? A. Work of breathing B. General appearance