FISDAP Pediatric Assessment 2 — Questions and Answers
Question 1: When assessing a 3-year-old using the Pediatric Assessment Triangle (PAT), which component evaluates skin color, moisture, and temperature?
- Work of breathing
- Circulation to skin (Correct answer)
- Appearance
- Mental status
Correct answer: Circulation to skin
Circulation to skin in the PAT evaluates pallor, mottling, cyanosis, and skin temperature to assess perfusion.
Question 2: A 7-year-old involved in a bicycle accident is alert but crying with guarding of the right abdomen. Which vital sign finding is most concerning for internal hemorrhage?
- HR 90, BP 100/70
- HR 130, BP 82/60 (Correct answer)
- HR 88, BP 108/72
- HR 100, BP 96/68
Correct answer: HR 130, BP 82/60
A HR of 130 with a BP of 82/60 in a school-age child indicates decompensated shock from internal bleeding.
Question 3: The AVPU scale is used during a pediatric assessment. What does the 'V' represent?
- Verbally distressed
- Responds to verbal stimuli (Correct answer)
- Verbalizing spontaneously
- Vocalizing but not oriented
Correct answer: Responds to verbal stimuli
In the AVPU scale, 'V' means the patient responds to verbal stimuli but is not fully alert.
Question 4: A 5-year-old presents with a respiratory rate of 42 breaths/min and nasal flaring. What is the normal respiratory rate range for this age group?
- 10-20 breaths/min
- 20-30 breaths/min (Correct answer)
- 30-40 breaths/min
- 40-60 breaths/min
Correct answer: 20-30 breaths/min
The normal respiratory rate for preschool-age children (3-6 years) is approximately 20-30 breaths per minute.
Question 5: During a pediatric secondary assessment, you note that a 10-month-old has a bulging anterior fontanelle while supine and calm. This finding most suggests:
- Normal finding in infants under 12 months
- Increased intracranial pressure (Correct answer)
- Dehydration
- Hypoglycemia
Correct answer: Increased intracranial pressure
A bulging fontanelle in a calm, supine infant indicates elevated intracranial pressure and is always abnormal.
Question 6: Which mnemonic is most commonly used during the pediatric focused history to gather chief complaint, history, and associated symptoms?
- DCAP-BTLS
- OPQRST (Correct answer)
- PAT
- AEIOU-TIPS
Correct answer: OPQRST
OPQRST (Onset, Provocation, Quality, Radiation, Severity, Time) is used to evaluate the nature and characteristics of a symptom.
Question 7: A 4-year-old is found unresponsive after possible submersion. After establishing unresponsiveness, your first action should be:
- Apply an AED
- Open the airway and check for breathing (Correct answer)
- Start chest compressions immediately
- Check for a carotid pulse
Correct answer: Open the airway and check for breathing
For pediatric patients, after confirming unresponsiveness, open the airway and assess breathing before initiating CPR.
FISDAP Pediatric Assessment 2
When assessing a 3-year-old using the Pediatric Assessment Triangle (PAT), which component evaluates skin color, moisture, and temperature?