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Pediatric EMT FISDAP QBank 2025/2026 – 160 Real A+
Questions with Answers & Rationales | Guaranteed Pass |
Airway, Trauma, Shock, Illness, Development
Question 1: Pediatric Airway Obstruction
EMS arrives to find a 3-year-old who suddenly began choking while eating grapes.
The child is conscious but cannot speak or cough. What is the appropriate
immediate action?
A. Perform back blows followed by chest thrusts
B. Begin abdominal thrusts immediately
C. Attempt a blind finger sweep
D. Provide blow-by oxygen and transport
Rationale: A child over 1 year with a complete airway obstruction (unable to
cough, cry, or speak) requires abdominal thrusts (Heimlich maneuver). Back blows
and chest thrusts are for infants under 1 year. Blind finger sweeps can worsen the
obstruction.
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Question 2: Pediatric Shock Recognition
A 5-year-old is found after a fall from a second-story window. He is pale, cool to
the touch, and lethargic, with a capillary refill time of 4 seconds. What is the most
likely condition?
A. Neurogenic shock
B. Hypovolemic shock
C. Septic shock
D. Obstructive shock
Rationale: Pale, cool skin, delayed capillary refill, and lethargy suggest poor
perfusion consistent with hypovolemic shock from blood loss. Pediatric patients
often compensate until they suddenly decompensate.
Question 3: Pediatric Trauma – Head Injury
An 8-year-old struck by a baseball is confused and vomiting. His pupils are
unequal. What is the priority intervention?
A. Provide oral glucose
B. Immobilize the cervical spine and manage the airway
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C. Apply an ice pack and monitor vitals
D. Let the child walk to the ambulance
Rationale: Signs of head injury (vomiting, confusion, unequal pupils) suggest
increased intracranial pressure. Spinal precautions and airway protection are
essential. Movement could worsen potential spinal trauma.
Question 4: Pediatric Respiratory Illness
A 2-year-old presents with barking cough, stridor, and mild respiratory distress.
What is the most likely diagnosis?
A. Asthma
B. Croup
C. Epiglottitis
D. Bronchiolitis
Rationale: Croup (laryngotracheobronchitis) presents with a barking cough,
inspiratory stridor, and often occurs in toddlers. Epiglottitis presents with drooling
and high fever. Asthma and bronchiolitis have wheezing but no stridor.
Question 5: Neonatal Resuscitation – Meconium
During delivery, EMS observes green-stained amniotic fluid. The newborn is limp
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and not crying. What is the priority intervention?
A. Immediate suctioning before stimulation
B. Rub the back and stimulate the baby
C. Begin chest compressions
D. Delay care until the hospital
Rationale: Meconium-stained fluid in a non-vigorous newborn requires suctioning
before stimulation to prevent aspiration. Stimulation without clearing the airway
can worsen respiratory compromise.
Question 6: Pediatric Development – Separation Anxiety
A 1-year-old cries and clings to the caregiver as EMS attempts to assess him. What
is the most age-appropriate explanation for this behavior?
A. Pain response
B. Separation anxiety
C. Lack of oxygen
D. Head injury
Rationale: Around 9–18 months, separation anxiety is a normal developmental
stage. The child may resist unfamiliar people and cling to known caregivers.
Pediatric EMT FISDAP QBank 2025/2026 – 160 Real A+
Questions with Answers & Rationales | Guaranteed Pass |
Airway, Trauma, Shock, Illness, Development
Question 1: Pediatric Airway Obstruction
EMS arrives to find a 3-year-old who suddenly began choking while eating grapes.
The child is conscious but cannot speak or cough. What is the appropriate
immediate action?
A. Perform back blows followed by chest thrusts
B. Begin abdominal thrusts immediately
C. Attempt a blind finger sweep
D. Provide blow-by oxygen and transport
Rationale: A child over 1 year with a complete airway obstruction (unable to
cough, cry, or speak) requires abdominal thrusts (Heimlich maneuver). Back blows
and chest thrusts are for infants under 1 year. Blind finger sweeps can worsen the
obstruction.
, 2
Question 2: Pediatric Shock Recognition
A 5-year-old is found after a fall from a second-story window. He is pale, cool to
the touch, and lethargic, with a capillary refill time of 4 seconds. What is the most
likely condition?
A. Neurogenic shock
B. Hypovolemic shock
C. Septic shock
D. Obstructive shock
Rationale: Pale, cool skin, delayed capillary refill, and lethargy suggest poor
perfusion consistent with hypovolemic shock from blood loss. Pediatric patients
often compensate until they suddenly decompensate.
Question 3: Pediatric Trauma – Head Injury
An 8-year-old struck by a baseball is confused and vomiting. His pupils are
unequal. What is the priority intervention?
A. Provide oral glucose
B. Immobilize the cervical spine and manage the airway
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C. Apply an ice pack and monitor vitals
D. Let the child walk to the ambulance
Rationale: Signs of head injury (vomiting, confusion, unequal pupils) suggest
increased intracranial pressure. Spinal precautions and airway protection are
essential. Movement could worsen potential spinal trauma.
Question 4: Pediatric Respiratory Illness
A 2-year-old presents with barking cough, stridor, and mild respiratory distress.
What is the most likely diagnosis?
A. Asthma
B. Croup
C. Epiglottitis
D. Bronchiolitis
Rationale: Croup (laryngotracheobronchitis) presents with a barking cough,
inspiratory stridor, and often occurs in toddlers. Epiglottitis presents with drooling
and high fever. Asthma and bronchiolitis have wheezing but no stridor.
Question 5: Neonatal Resuscitation – Meconium
During delivery, EMS observes green-stained amniotic fluid. The newborn is limp
, 4
and not crying. What is the priority intervention?
A. Immediate suctioning before stimulation
B. Rub the back and stimulate the baby
C. Begin chest compressions
D. Delay care until the hospital
Rationale: Meconium-stained fluid in a non-vigorous newborn requires suctioning
before stimulation to prevent aspiration. Stimulation without clearing the airway
can worsen respiratory compromise.
Question 6: Pediatric Development – Separation Anxiety
A 1-year-old cries and clings to the caregiver as EMS attempts to assess him. What
is the most age-appropriate explanation for this behavior?
A. Pain response
B. Separation anxiety
C. Lack of oxygen
D. Head injury
Rationale: Around 9–18 months, separation anxiety is a normal developmental
stage. The child may resist unfamiliar people and cling to known caregivers.
