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Chapter 44: Pediatric Emergencies Practice Questions

About this Chapter 44 practice test

Part of the Pediatrics, Geriatrics, and Special Populations practice questions exam area.

This page holds 200 free practice questions for Chapter 44, Pediatric Emergencies, covering pediatric anatomy and development, the Pediatric Assessment Triangle, croup, epiglottitis, bronchiolitis, and asthma, pediatric airway management and resuscitation, shock and sepsis, seizures and hypoglycemia, poisoning, children with special health care needs, pediatric trauma and burns, child abuse, SIDS and BRUE, and the death of a child. They are written for paramedic and EMT students working through Nancy Caroline's Emergency Care in the Streets, 9th edition. Every question shows the correct answer with a short explanation as soon as you tap, so you learn while you test rather than waiting until the end.

Study it two ways: the 10 Question Blitz, a quick round where every right answer lights a siren and any misses lead into Lights & Sirens, a 5-in-a-row drill on that section, or the full 100-question test drawn at random from the whole chapter. After each test you get a score and a section-by-section breakdown. Progress on the full test is saved on your device, so you can stop and pick up later.

Topics covered in Chapter 44

Sample questions from this chapter

Infants often breathe irregularly. To get an accurate respiratory rate in a calm 3-month-old, you should count for:

  1. A. 15 seconds, then multiply by 4
  2. B. 30 to 60 seconds, while calm
  3. C. 6 seconds, then multiply by 10
  4. D. While she cries on the cot

Answer: B. 30 to 60 seconds, while calm
Infants normally breathe irregularly, with short pauses, so a brief count multiplied up can badly overestimate or underestimate the rate; count for at least 30 seconds (and double it) or a full minute, ideally while the infant is calm. A 15-second count times 4 multiplies any pause or burst fourfold. A 6-second count times 10 is even less reliable. Counting during crying measures agitation, not the resting rate. A pause of 20 seconds or more, or a shorter pause with color change or bradycardia, is apnea. (AHA PALS provider manual; Caroline 9th ed.)

A 2-year-old sits quietly on her father's lap, tracks you with her eyes, and pushes your hand away. On the PAT, her appearance is:

  1. A. Normal; she is alert and engaged
  2. B. Abnormal, because she is quiet
  3. C. Abnormal, because she resists you
  4. D. Unable to judge without vital signs

Answer: A. Normal; she is alert and engaged
Using TICLS, she has good tone, is interactive, tracks with her gaze, and pushes away a stranger, which is normal and reassuring toddler behavior. Being quiet is not abnormal when the child is alert and engaged. Resisting a stranger shows good tone and awareness, not illness. The PAT is a hands-off look that does not require vital signs. (AHA PALS provider manual; Caroline 9th ed.)

A 2-year-old with croup has a barking cough but no stridor at rest. He is alert, playful, and pink. The best management is to:

  1. A. Give nebulized epinephrine right away
  2. B. Keep him calm and transport him in comfort
  3. C. Inspect his throat with a tongue blade
  4. D. Prepare for immediate intubation

Answer: B. Keep him calm and transport him in comfort
Mild croup without stridor at rest needs calm reassurance, a position of comfort, and monitoring; agitating the child worsens airway narrowing. Nebulized epinephrine is reserved for stridor at rest or significant distress.

How students use this page

Most students use the 10 Question Blitz for daily practice and take the full 100-question test in the days before a class exam or NREMT practice. Lights & Sirens after a blitz is the fastest way to close gaps the night before a test.

Every question in this chapter is also listed by section, with answers, on the topic pages above. See all paramedic topics or take the NREMT paramedic practice test.

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These practice questions were written for this site. They are not the publisher's test bank and are not affiliated with or endorsed by Jones & Bartlett Learning, the American Academy of Orthopaedic Surgeons, or the National Registry of Emergency Medical Technicians. Use them alongside your textbook and your instructor's objectives.