PEARS Stabilization Skills 2

Question 1

A 3-year-old with respiratory distress has an SpO2 of 88% on room air. What is the FIRST intervention?

Accepted Answer

Administer supplemental oxygen

Answer

Supplemental oxygen is the immediate first step to correct hypoxia in any pediatric patient with SpO2 below 94%.

Question 2

When using a bag-mask device on a small child, the mask should be positioned to cover which areas?

Accepted Answer

Nose, mouth, and chin with a tight seal

Answer

The mask must cover the nose and mouth and rest on the chin to form an airtight seal for effective ventilation.

Question 3

A child in compensated shock has a normal blood pressure. Which clinical finding best confirms the shock state?

Accepted Answer

Prolonged capillary refill greater than 2 seconds

Answer

Prolonged capillary refill indicates poor peripheral perfusion, a hallmark of compensated shock even when blood pressure is maintained.

Question 4

During pediatric stabilization, which IV fluid bolus volume is recommended for hypovolemic shock?

Accepted Answer

20 mL/kg over 5–20 minutes

Answer

The standard initial fluid bolus for hypovolemic shock in children is 20 mL/kg of isotonic crystalloid given rapidly.

Question 5

An 8-year-old is unresponsive with no normal breathing. After activating emergency services, what is the NEXT action?

Accepted Answer

Begin high-quality chest compressions

Answer

For an unresponsive child with no normal breathing, immediately begin chest compressions at a rate of 100–120/min.

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