PEARS Systematic Assessment 3

Question 1

A 5-year-old is alert, crying vigorously, and has intercostal retractions with an SpO2 of 91% on room air. Which PEARS category best describes this child?

Accepted Answer

Respiratory distress

Answer

The child is alert and maintaining airway but showing signs of increased work of breathing with mild hypoxia, consistent with respiratory distress.

Question 2

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

Accepted Answer

Normal blood pressure maintained despite inadequate perfusion

Answer

In compensated shock, the child maintains normal blood pressure through compensatory mechanisms (tachycardia, vasoconstriction) despite inadequate tissue perfusion.

Question 3

During the PAT, a toddler does not make eye contact, has limp muscle tone, and does not cry when you enter. This appearance is best described as:

Accepted Answer

Consistent with severe illness or altered mental status

Answer

Lack of eye contact, limp tone, and absent cry are ominous findings suggesting severe illness, critical injury, or markedly altered mental status.

Question 4

In pediatric assessment, which sequence correctly represents the order of the PEARS systematic approach?

Accepted Answer

PAT → Primary assessment → Identify/intervene → Secondary assessment

Answer

PEARS uses PAT first for a rapid across-the-room impression, followed by primary assessment (ABCDEs), then secondary assessment and diagnostics.

Question 5

A 7-year-old with asthma has audible wheezing, a respiratory rate of 36/min, and subcostal retractions but speaks in full sentences. Her oxygen saturation is 94%. What is the priority intervention?

Accepted Answer

Oxygen via nasal cannula and bronchodilator therapy

Answer

The child is in respiratory distress with bronchospasm; supplemental oxygen and a bronchodilator (albuterol) are the priority interventions for asthma exacerbation.

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

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

PEARS Systematic Assessment 3