Chapter 35 Multiple Choice

Bronchiolitis usually occurs during the first __________ of life. a. 2 years b. 3 years c. 4 years d. 6 years

A. 2yrs

Which of the following statements regarding pediatric asthma is false? a. use strong, forceful breaths when ventilating to get air past the obstruction b. the wheezing may be so loud that you can hear it without a stethoscope c. the patient may be in a tripod position d. a bronchodilator via a metered-dose inhaler may be helpful

A. Use strong, forceful breaths when ventilating to get air past the obstruction

Pupillary response in pediatric patients may be abnormal in the presence of all of the following except: a. anxiety b. hypoxia c. brain injury d. drugs

A. anxiety

All of the following are signs associated with pneumonia in pediatric patients except: a. bradycardia b. grunting c. nasal flaring d. hypothermia

A. bradycardia

Which of the following is not a sign of severe dehydration in pediatric patients? a. bulging fontanelles b. very dry lips and gums c. eyes look sunken d. sleepiness

A. bulging fontanelles

Incidents involving the death of a child pose extra stress on EMS workers. Which of the following is not a sign of posttraumatic stress? a. cold intolerance b. nightmares c. difficult sleeping d. loss of appetite

A. cold intolerance

Which of the following is not a question you would as if you suspected a poisoning emergency? a. did the substance have an odor? b. are there any changes in behavior or level of consciousness? c. what is the substance involved? d. was there any choking or coughing after the exposure?

A. did the substance have an odor

Tachycardia in pediatric patients may be an indication of all of the following except: a. hypothermia b. hypoxia c. fever d. pain

A. hypothermia

Which of the following is false regarding the pediatric airway? A. the trachea is larger in diameter and shorter in length B. the glottis opening is higher and positioned more anterior C. the neck appears to be nonexistent D, the lungs are smaller

A. the trachea is larger in diameter and shorter in length

Breath sounds in the pediatric population are more easily heard because: A. their chest walls are thinner B. the size of their lungs amplifies the sounds C. the chest cavity is small in proportion to the rest of the body D. children typically have upper airway problems

A. their chest walls are thinner

Which of the following is appropriate when treating pediatric patients with seizures? a. clear the mouth with suction b. provide 100% oxygen c. consider placing the patient in the recovery position d. all of the above

All of the above, never restrain patient unless necessary

Saying their first word, sitting without support, and teething are initially noticed in what age group? A. A. 0 to 2 months B. 2 to 6 months C. 6 to 12 months D. 12 to 18 months

C. 6 to 12 months

When examining the head of a pediatric patient, which of the following statements is false? a. you should look for bruising, swelling, and hematomas b. significant blood loss can come from the scalp c. a bulging fontanelle suggests dehydration d. the head is larger in proportion to the rest of the body

C. A bulging fontanelle suggests dehydration

Which of the following is not a sign of increased work of breathing in pediatric patients? a. nasal flaring b. grunting c. equal chest expansion d. retractions

C. Equal Chest Expansion

Toilet training is typically mastered at what age level? A. 6 to 12 months B. 12 to 18 months C. Preschool age D. School age

C. Preschool age

A pediatric patient with a fever, pain on palpation of the right lower quadrant, and rebound tenderness is likely to be suffering from: a. cholecystitis b. gastroenteritis c. appendicitis d. constipation

C. appendicitis

A fracture of the femur is rare and is a major source of __________ in the pediatric population. a. infection b. growth abnormalities c. blood loss d. nerve damage

C. blood loss

When you assess a pediatric patient, it is best to place _________ on the patient's chest to feel the rise and fall of the chest wall. a. the left hand b. the right hand c. both hands d. the stethoscope

C. both hands

Which of the following is not a known risk factor for SIDS? a. mother younger than 20 years old b. mother smoked during pregnancy c. gestational diabetes d. low birth weight

C. gestational diabetes

Signs of shock in children include all of the following except: a. altered mental status b. poor capillary refill c. hypertension d. tachycardia

C. hypertension

An infant's heart can beat as many as _________ times or more per minute if the body needs to compensate for injury or illness. A. 110 B. 120 C. 140 D. 160

D. 160

__________may increase the effort or work of breathing. a. anxiety b. agitation c. crying d. all of the above

D. All of the above

Which of the following is NOT initially seen in children 12 to 18 months old? A. Speak four to six words B. Know the major body parts C. Can open doors D. Understand cause and effect

D. Understand cause and effect

When obtaining information from the family regarding the pediatric patient's history, which of the following is not an appropriate inquiry? a. does the child have any rashes? b. what has been the child's recent activity level? c. has there been any vomiting or diarrhea? d. what types of toys does the child play with?

D. What types of toys does the child play with

Activated charcoal is not indicated for pediatric patients who have ingested a(n): a. acid b. alkali c. petroleum product d. all of the above

D. all of the above, used to treated ingested poison

A pediatric patient with hives, wheezing, increased work of breathing, and hypoperfusion is likely suffering from: a. pneumonia b. bronchiolitis c. asthma d. anaphylaxis

D. anaphylaxis

Which of the following is not a common cause of shock in pediatric patients? a. diseases of the heart b. severe infection c. dehydration d. renal failure

D. renal failure

Signs and symptoms of a lower airway obstruction in pediatric patients include: a. stridor b. friction rub c. drooling d. wheezing

D. wheezing

How many triage categories are there in the JumpSTART system? a. 3 b. 4 c. 5 d. 6

b. 4

Young children can compensate for fluid losses by: a. decreasing blood flow to the brain and heart b. decreasing blood flow to the extremities c. increasing blood flow to the extremities d. increasing blood flow to the gastrointestinal tract

b. decreasing blood flow to the extremities

Which of the following is not a common exposure when dealing with pediatric burns? a. scalding water in a bathtub b. electrocution from poor wiring c. hot items on a stove d. cleaning solvents

b. electrocution from poor wiring

All children with abdominal injuries should be monitored for signs and symptoms of: a. pain b. shock c. hypothermia d. nausea

b. shock

When assessing capillary refill in pediatric patients, the color should return after: a. 1 second b. 2 seconds c. 3 seconds d. 4 seconds

B. 2 seconds

Making eye contact, recognizing caregivers, and following a bright light with their eyes are initially noticed in what age group? A. 0 to 2 months B. 2 to 6 months C. 6 to 12 months D. 12 to 18 months

B. 2 to 6 months

Exposure to cold air, infection, and emotional stress are all triggers of: a. pneumonia b. asthma c. bronchiolitis d. epiglottitis

B. asthma

Which of the following is not an infection that can cause an airway obstruction in pediatric patients? a. pneumonia b. asthma c. croup d. epiglottitis

B. asthma

Which of the following is considered to have a protective effect against SIDS? A. Use of extra padding in the crib B. Bumpers along the crib rails C. Formula feeding D. the use of a pacifer

B. bumpers along the crib rails

Which of the following populations is at the greatest risk for contracting meningitis? a. females b. children who have had head trauma c. children with preexisting heart conditions d. children of parents with a history of meningitis

B. children who have had head trauma

Which of the following is not a common cause of altered mental status in pediatric patients? A. drug and alcohol ingestion B. hypertension C. seizure D. hypoglycemia

B. hypertension

A pediatric patient involved in a drowning emergency may present with: a. cerebral edema b. hypoglycemia c. abdominal distention d. chest pain

c. abdominal distention

Head and neck injuries are common after high-speed collisions in all of the following contact sports except: a. wrestling b. football c. lacrosse d. basketball

d. basketball

All of the following are common causes of a fever in pediatric patients except: a. infection b. status epilepticus c. drug ingestion d. cholecystitis

d. cholecystitis