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1. In which of the following situations may IO access be used?: An extremity
with slow a capillary refill time
2. A 2-week-old infant is being evaluated for irritability and poor feeding. His
blood pressure is 55/40 mm Hg, and capillary refill time is 5 seconds. Which
statement best describes your assessment of this infant's blood pressure?: It
is hypotensive.
3. You are caring for patients in the emergency department. Which 2-year-
old child requires immediate intervention?: A child who is grunting
4. A 3-year-old child is having difficulty breathing. What finding would most
likely lead you to suspect an upper airway obstruction in this child?: Increased
inspiratory effort with retractions
,5. A team member is unable to perform an assigned task because it is
beyond the team member's scope of practice. What action should the team
member take?: Ask for a new task or role
6. You are the Team Leader during a pediatric resuscitation attempt. What
ac-
tion is an element of high-quality CPR?: Allowing complete chest wall recoil
after each compression 7. An 8-year-old child is brought to the emergency
department by his mother for difficulty breathing. He has a history of asthma
and nut allergies. His mother tells you that he recently ate a cookie at a family
picnic. What condition is most likely to be present in this child?: Upper airway
obstruction
8. An 8-year-old child is brought to the emergency department by ambulance
after being involved in a motor vehicle collision. What finding would suggest
that immediate intervention is needed?: Decreased level of consciousness
9. A 6-year-old child is found unresponsive, not breathing, and without a pulse.
One healthcare worker leaves to activate the emergency response system
, and get the resuscitation equipment. You and another healthcare provider
immediately begin performing CPR. What compression-to-ventilation ratio
do you use?: 15:2
10. A 3-year-old child is in cardiac arrest, and high-quality CPR is in progress.
You are the Team Leader. The first rhythm check reveals the rhythm shown
here.
Defibrillation is attempted with a shock dose of 2 J/kg. After shock
administration, what should you say to your team members?: "Resume
compressions."
11. You are caring for a 5-year-old boy with a 4-day history of high fever and
cough. He is having increasing lethargy, grunting, and sleepiness. Now he is
difficult to arouse and is unresponsive to voice commands. His oxygen
saturation is 72% on room air and 89% when on a nonrebreathing oxygen
mask. He has shallow respirations with a respiratory rate of 38/min.
Auscultation of the lungs reveals bilateral crackles. What assessment finding
is consistent with respiratory failure in this child?: Oxygen saturation
, 12. You are caring for a 5-year-old boy with a 4-day history of high fever and
cough. He is having increasing lethargy, grunting, and sleepiness. Now he is
difficult to arouse and is unresponsive to voice commands. His oxygen
saturation is 72% on room air and 89% when on a nonrebreathing oxygen
mask. He has shallow respirations with a respiratory rate of 38/min.
Auscultation of the lungs reveals bilateral crackles. What medication would
be most appropriate?: An antibiotic
13. During a resuscitation attempt, the Team Leader asks you to administer
an initial dose of epinephrine at 0.1 mg/kg to be given IO. How should you
respond?: "I think the correct dose is 0.01 mg/kg. Should I give that dose
instead?"
14. A 6-month-old infant is unresponsive. You begin checking for breathing
at the same time you check for the infant's pulse. What is the maximum time
you should spend trying to simultaneously check for breathing and palpate
the infant's pulse before starting CPR?: 10 seconds