Answers Graded A+
The pediatric assessment triangle (PAT):
a. Is a hands-on assessment of an infant or child.
b. Requires a minimum of 15 minutes to complete.
c. Is used to quickly determine if a child is "sick" or "not
sick."
d. Is a systematic head-to-toe assessment that requires
the use of a stethoscope and blood pressure cuff. - C. The PAT is used to (1)
establish the severity of the child's illness or injury (sick or not sick), (2) identify
the general cat- egory of physiologic abnormality (cardiopulmonary, neurologic,
etc.), and (3) determine the urgency of further assessment and intervention.
Because approaching an ill or injured child can increase agitation, possibly
worsening the child's condition, the PAT is an "across the room" assessment that
is performed before approaching or touching the child and that can usually be
com pleted in 60 seconds or less. No equipment is required.
A 7-month-old infant has a 2-day history of poor feeding. Which of the following
should be used to assess a central pulse in this patient?
a. Radial pulse
b. Carotid pulse
c. Femoral pulse
d. Brachial pulse - D. Brachial (Infant)
Central pulse locations that are generally easily accessible include the brachial
artery (in infants), carotid artery (in older children), the femoral artery, and the
, axillary artery. Peripheral pulse locations include the radial, dorsalis pedis, and
posterior tibial arteries.
You are the designated team leader of an emergency department resuscitation
team. As your team gathers to begin the resuscitation effort, which of the
following reflects the essential tasks that must be delegated to your team
members?
a. Vascular access, vital signs, event recording, and chest compressions
b. Vital signs, family support, crowd control, and event recording
c. Crowd control, airway management, chest compres- sions, medication
administration, and defibrillation
d. Cardiac monitoring and defibrillation, airway man-
agement, vascular access and medication administration, chest compressions,
and event recording - D. Chest compressions, electrocardiogram
monitoring and defibril- lation, airway management, vascular access and
medication admin- istration, and documentation of all aspects of the event are
essential tasks that must be coordinated during a resuscitation effort. A team
member should also be assigned to provide family support. There are many
support roles in a resuscitation effort, including desig- nating a nurse to contact
the patient's attending physician, crowd control, ensuring the availability of a
critical care bed, and the pro- vision of ongoing care to other patients in the
department.
A normal ventilatory rate for a toddler (age 1 to 3 years) is . A normal heart rate
for a child of this age is .
a. 12 to 16 breaths/min; 60 to 100 beats/min
b. 22 to 34 breaths/min; 70 to 120 beats/min
c. 24 to 40 breaths/min; 95 to 150 beats/min