PEARS Pediatric Evaluation 2

Question 1

During the Pediatric Assessment Triangle (PAT), which component is assessed by listening to the child's cry or speech without touching them?

Accepted Answer

Appearance

Answer

Appearance is evaluated from a distance using TICLS (Tone, Interactability, Consolability, Look/gaze, Speech/cry) before any hands-on assessment.

Question 2

A 4-year-old presents with stridor at rest, drooling, and sitting in a tripod position. What is the most likely etiology?

Accepted Answer

Epiglottitis

Answer

Epiglottitis classically presents with the 'four Ds': dysphagia, drooling, dysphonia, and distress, along with tripod positioning and high fever.

Question 3

When assessing circulation in the PAT, which skin finding indicates poor perfusion in a child?

Accepted Answer

Mottling, pallor, or cyanosis

Answer

Mottling, pallor, and cyanosis of the skin are signs of poor peripheral perfusion and indicate circulatory compromise in the PAT assessment.

Question 4

Which of the following best describes compensated shock in a pediatric patient?

Accepted Answer

Normal blood pressure with signs of poor perfusion

Answer

In compensated shock, the child maintains normal blood pressure through compensatory mechanisms but shows signs of poor perfusion such as tachycardia, prolonged capillary refill, and decreased urine output.

Question 5

A 6-year-old is found unresponsive with gasping respirations. After activating emergency response, what is the next immediate action?

Accepted Answer

Begin CPR starting with chest compressions

Answer

For an unresponsive child with absent or only gasping respirations, CPR should be initiated immediately starting with 30 chest compressions (or 15 if two-rescuer).

(PEARS) Pediatric Emergency Assessment, Recognition, and Stabilization Practice Test

(PEARS) Pediatric Emergency Assessment, Recognition, and Stabilization Practice Test

PEARS Pediatric Evaluation 2