PEARS Systematic Assessment 2

Question 1

During the PEARS primary assessment, which component evaluates a child's skin color, muscle tone, and interactiveness?

Accepted Answer

Pediatric Assessment Triangle appearance

Answer

The Pediatric Assessment Triangle (PAT) appearance leg assesses tone, interactiveness, consolability, look/gaze, and speech/cry.

Question 2

A 3-year-old has a respiratory rate of 8 breaths/min with shallow effort. This finding indicates:

Accepted Answer

Respiratory failure requiring immediate intervention

Answer

A respiratory rate below 10/min with decreased effort in a toddler indicates impending respiratory failure requiring immediate support.

Question 3

When assessing 'Work of Breathing' in the PAT, which finding indicates increased work?

Accepted Answer

Nasal flaring and retractions

Answer

Nasal flaring and retractions are visible signs of increased work of breathing, indicating the child is laboring to breathe.

Question 4

In the PEARS systematic approach, the 'Evaluate-Identify-Intervene' sequence means you should:

Accepted Answer

Intervene immediately when a life threat is identified during evaluation

Answer

The evaluate-identify-intervene sequence is iterative — when a life-threatening finding is identified, intervene before continuing the full assessment.

Question 5

Which finding during the PEARS 'Disability' assessment most urgently requires intervention?

Accepted Answer

AVPU score of 'Unresponsive'

Answer

An AVPU score of Unresponsive indicates severely altered mental status and requires immediate airway management and intervention.

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

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

PEARS Systematic Assessment 2