EPC 4E Test Exam Questions and
Answers 100% Solved
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 - ✔✔He is in compensated shock
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
1
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,- Let the infant ride on mom's lap on the stretcher during transport -
✔✔Examine the infant from toe to head unless they are critical
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 - ✔✔20 mL/kg boluses of NS are
preferred
Children respond to volume-related hypo perfusion by which of the
following mechanisms?
- Vigorous vasodilation
- Increasing cerebral perfusion
- Decreasing heart rate
- Vigorous vasoconstriction - ✔✔Vigorous vasoconstriction
You are dispatched to an 11 year old female patient complaining of
abdominal pain. Upon your arrival, you find the patient lying on the couch in
the fetal position. The PAT reveals the patient is alert and has a patent
2
©JOSHCLAY 2024/2025. YEAR PUBLISHED 2024.
, airway, increased work ob breathing, and pale skin. The patient is crying
and says, "my belly hurts." Mom informs you that the patient has been
vomiting all day. Your physical exam notes a distended abdomen, but no
signs of physical trauma. Vital signs are BP 82/50, HR 138, RR 28, SpO2
94%, GCS 15 (E4, V5, M6), and a blood glucose 112 mg/dL. The patient
has a history of asthma and sickle cell disease. In this scenario, which of
the following findings is critical with this patient?
- Patient age
- Respiratory rate
- Blood glucose level
- Patient is crying in the fetal position - ✔✔Patient is crying in the fetal
position
When evaluating a child with multiple bruises on their body, which of the
following is the best indicator that the injuries are not the result of child
maltreatment?
- Bruising found on infants who are not yet crawling
- An 18 month old with bruising on his head
- Bruising on the torso, ears, or neck in a child 4 years of age or younger
3
©JOSHCLAY 2024/2025. YEAR PUBLISHED 2024.
Answers 100% Solved
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 - ✔✔He is in compensated shock
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
1
©JOSHCLAY 2024/2025. YEAR PUBLISHED 2024.
,- Let the infant ride on mom's lap on the stretcher during transport -
✔✔Examine the infant from toe to head unless they are critical
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 - ✔✔20 mL/kg boluses of NS are
preferred
Children respond to volume-related hypo perfusion by which of the
following mechanisms?
- Vigorous vasodilation
- Increasing cerebral perfusion
- Decreasing heart rate
- Vigorous vasoconstriction - ✔✔Vigorous vasoconstriction
You are dispatched to an 11 year old female patient complaining of
abdominal pain. Upon your arrival, you find the patient lying on the couch in
the fetal position. The PAT reveals the patient is alert and has a patent
2
©JOSHCLAY 2024/2025. YEAR PUBLISHED 2024.
, airway, increased work ob breathing, and pale skin. The patient is crying
and says, "my belly hurts." Mom informs you that the patient has been
vomiting all day. Your physical exam notes a distended abdomen, but no
signs of physical trauma. Vital signs are BP 82/50, HR 138, RR 28, SpO2
94%, GCS 15 (E4, V5, M6), and a blood glucose 112 mg/dL. The patient
has a history of asthma and sickle cell disease. In this scenario, which of
the following findings is critical with this patient?
- Patient age
- Respiratory rate
- Blood glucose level
- Patient is crying in the fetal position - ✔✔Patient is crying in the fetal
position
When evaluating a child with multiple bruises on their body, which of the
following is the best indicator that the injuries are not the result of child
maltreatment?
- Bruising found on infants who are not yet crawling
- An 18 month old with bruising on his head
- Bruising on the torso, ears, or neck in a child 4 years of age or younger
3
©JOSHCLAY 2024/2025. YEAR PUBLISHED 2024.
