Prehospital Emergency Care, Chapter 38Actual Exam (2025) comprehensive
questions and verified answers ( detailed & elaborated) 2025-2026 TEST
1) Which instructions would you provide to a new EMT who is preparing to
assess a stable 9-month-old boy who has a rash?
A) "To keep the baby calm, do not touch him during the assessment."
B) "Start at the head and slowly work your way to the feet."
C) "Allow the mother hold him as you do the assessment."
D) "It is important not to undress a baby during assessment, as this will stress
the baby."
C) "Allow the mother hold him as you do the assessment."
2) You are assessing a 2½-year-old female who was involved in a minor car
accident. She is currently alert and oriented. While you are assessing her for
possible injuries, which assessment procedure would be considered
appropriate?
A) Assess the child starting at her head and moving to her feet
B) If possible, allow the child to hold a favorite toy during the assessment
C) Be firm with the child and provide concrete instructions on what you expect
D) Touch and hold the child as much as possible
B) If possible, allow the child to hold a favorite toy during the assessment
3) You have been called for a 2-year-old girl who has been sick for two days. In
preparing to assess the patient, it is important that you recognize that patients
in this age group generally:
A) Do not like having clothing removed
B) Tolerate separation from their caregiver
C) Have little fear of strangers
D) Like to be touched
A) Do not like having clothing removed
4) Which statement made by the EMT is most appropriate regarding dealing
with caregivers and children during a medical emergency?
A) "I try to include the caregiver in all that I do with his or her child so that the
child and caregiver are more comfortable."
,B) "It is best to separate the caregiver from the child so that a proper
assessment and care can be given."
C) "I include the caregiver in the care until I get the information that I need,
then I remove the child to continue the assessment in the ambulance."
D) "I tell the caregiver that everything will be okay so the caregiver remains
calm and is better able to help the child."
A) "I try to include the caregiver in all that I do with his or her child so that the child
and caregiver are more comfortable."
1) Pediatric patients are patients who range in age from:
A) 1 year to 8 years
B) birth to 12 years
C) birth to 18 years
D) 1 year to 15 years
C) birth to 18 years
6) You have been called to care for a 21-month-old female who has been bitten
by a dog. Given the patient's age, you would appropriately classify the patient
as a(n):
A) Infant
B) School-age child
C) Preschooler
D) Toddler
D) Toddler
7) A coworker is telling you about a recent EMS call in which he provided care
to a preschooler. Based on this description, you know that age of the patient
would have been:
A) 1-2 years
B) 3-5 years
C) 6-8 years
D) more than 9 years
B) 3-5 years
8) You are assessing a 5-year-old boy who complains of arm pain after falling
down three steps. As you physically assess the patient, he tries to bite your
hands. His mother is at his side. Which statement by you is appropriate to
,make regarding the behavior of biting?
A) "If you bite me, I will not help you feel better."
B) "Do you bite your mother? Why would you try to bite me?"
C) "Mom, you need to stop him from biting me."
D) "I know that you hurt, but biting is not okay."
D) "I know that you hurt, but biting is not okay."
9) You are assessing the pupils of a 5-year-old who fell off a bed while playing.
Which of the statement would be most appropriate prior to performing this
assessment?
A) "I am going to look at your pupils with my light."
B) "I am going to use this light to look into your eyes."
C) "I need to test your visual acuity by shining a light in your eyes."
D) "Open your eyes so that I can look at them."
B) "I am going to use this light to look into your eyes."
10) Which behavior would the EMT recognize as uncharacteristic of a
conscious and stable 2-year-old boy who fell and hurt his hand?
A) Cries any time you or your female partner touch him
B) Does not cry or protest when taken from his mother
C) Becomes upset when you lift his shirt to assess his abdomen
D) Apologizes several times for falling and hurting his hand
B) Does not cry or protest when taken from his mother
11) After a 29-year-old male with chest pain is removed from the house by
stretcher, the man's 7-year-old son throws a temper tantrum. His mother is
embarrassed and states that he has not done this since he was 2 years old.
Given the situation, your response would be:
A) "I would not be concerned. This is a stressful event he doesn't understand,
and he may just be having trouble coping with it."
B) "You really need to correct this behavior now so it does not happen in the
hospital. They will make you take him home."
C) "It may be wise to contact your pediatrician and let him know about the
temper tantrum. It may be controllable with medications."
D) "A 7-year-old is too old for this type of behavior. You may want to talk to his
pediatrician."
, A) "I would not be concerned. This is a stressful event he doesn't understand, and he
may just be having trouble coping with it."
12) A 6-month-old male was outside with his parents and was stung on the
tongue after putting a bottle in his mouth that had a bee on the nipple. In
comparison to the same injury in an adult, why would the EMT be more
concerned with this child?
A) A child's airway has more blood vessels than an adult's airway, making
bleeding more of a concern
B) Children tend to be highly allergic to bee stings while the same allergy in an
adult is less common
C) The child's tongue is proportionally larger, increasing the chance of airway
occlusion from minor swelling
D) When injured, a child's mouth produces more saliva, making airway
occlusion a major concern
C) The child's tongue is proportionally larger, increasing the chance of airway
occlusion from minor swelling
13) An Emergency Medical Responder asks you why you should not
overextend the airway on a pediatric patient when performing a head-tilt, chin-
lift maneuver. Your reply would be:
A) "The pediatric cervical spine is delicate and can be injured if the neck is
hyperextended."
B) "The trachea of the pediatric patient is very short and can be injured by
extension."
C) "The cartilage of the trachea is very soft and can 'kink' if the neck is
extended too far."
D) "The pediatric esophagus is very thick and will occlude the airway if the
neck is hyperextended."
C) "The cartilage of the trachea is very soft and can 'kink' if the neck is extended too
far."
14) You have been called for a 2-week-old baby who is sick. Assessment
reveals him to have a fever and rhonchi that is audible with a stethoscope over
the lungs. Which of the additional assessment findings would be most
concerning to you given the age of this patient?
A) Respiratory rate of 30 breaths per minute
questions and verified answers ( detailed & elaborated) 2025-2026 TEST
1) Which instructions would you provide to a new EMT who is preparing to
assess a stable 9-month-old boy who has a rash?
A) "To keep the baby calm, do not touch him during the assessment."
B) "Start at the head and slowly work your way to the feet."
C) "Allow the mother hold him as you do the assessment."
D) "It is important not to undress a baby during assessment, as this will stress
the baby."
C) "Allow the mother hold him as you do the assessment."
2) You are assessing a 2½-year-old female who was involved in a minor car
accident. She is currently alert and oriented. While you are assessing her for
possible injuries, which assessment procedure would be considered
appropriate?
A) Assess the child starting at her head and moving to her feet
B) If possible, allow the child to hold a favorite toy during the assessment
C) Be firm with the child and provide concrete instructions on what you expect
D) Touch and hold the child as much as possible
B) If possible, allow the child to hold a favorite toy during the assessment
3) You have been called for a 2-year-old girl who has been sick for two days. In
preparing to assess the patient, it is important that you recognize that patients
in this age group generally:
A) Do not like having clothing removed
B) Tolerate separation from their caregiver
C) Have little fear of strangers
D) Like to be touched
A) Do not like having clothing removed
4) Which statement made by the EMT is most appropriate regarding dealing
with caregivers and children during a medical emergency?
A) "I try to include the caregiver in all that I do with his or her child so that the
child and caregiver are more comfortable."
,B) "It is best to separate the caregiver from the child so that a proper
assessment and care can be given."
C) "I include the caregiver in the care until I get the information that I need,
then I remove the child to continue the assessment in the ambulance."
D) "I tell the caregiver that everything will be okay so the caregiver remains
calm and is better able to help the child."
A) "I try to include the caregiver in all that I do with his or her child so that the child
and caregiver are more comfortable."
1) Pediatric patients are patients who range in age from:
A) 1 year to 8 years
B) birth to 12 years
C) birth to 18 years
D) 1 year to 15 years
C) birth to 18 years
6) You have been called to care for a 21-month-old female who has been bitten
by a dog. Given the patient's age, you would appropriately classify the patient
as a(n):
A) Infant
B) School-age child
C) Preschooler
D) Toddler
D) Toddler
7) A coworker is telling you about a recent EMS call in which he provided care
to a preschooler. Based on this description, you know that age of the patient
would have been:
A) 1-2 years
B) 3-5 years
C) 6-8 years
D) more than 9 years
B) 3-5 years
8) You are assessing a 5-year-old boy who complains of arm pain after falling
down three steps. As you physically assess the patient, he tries to bite your
hands. His mother is at his side. Which statement by you is appropriate to
,make regarding the behavior of biting?
A) "If you bite me, I will not help you feel better."
B) "Do you bite your mother? Why would you try to bite me?"
C) "Mom, you need to stop him from biting me."
D) "I know that you hurt, but biting is not okay."
D) "I know that you hurt, but biting is not okay."
9) You are assessing the pupils of a 5-year-old who fell off a bed while playing.
Which of the statement would be most appropriate prior to performing this
assessment?
A) "I am going to look at your pupils with my light."
B) "I am going to use this light to look into your eyes."
C) "I need to test your visual acuity by shining a light in your eyes."
D) "Open your eyes so that I can look at them."
B) "I am going to use this light to look into your eyes."
10) Which behavior would the EMT recognize as uncharacteristic of a
conscious and stable 2-year-old boy who fell and hurt his hand?
A) Cries any time you or your female partner touch him
B) Does not cry or protest when taken from his mother
C) Becomes upset when you lift his shirt to assess his abdomen
D) Apologizes several times for falling and hurting his hand
B) Does not cry or protest when taken from his mother
11) After a 29-year-old male with chest pain is removed from the house by
stretcher, the man's 7-year-old son throws a temper tantrum. His mother is
embarrassed and states that he has not done this since he was 2 years old.
Given the situation, your response would be:
A) "I would not be concerned. This is a stressful event he doesn't understand,
and he may just be having trouble coping with it."
B) "You really need to correct this behavior now so it does not happen in the
hospital. They will make you take him home."
C) "It may be wise to contact your pediatrician and let him know about the
temper tantrum. It may be controllable with medications."
D) "A 7-year-old is too old for this type of behavior. You may want to talk to his
pediatrician."
, A) "I would not be concerned. This is a stressful event he doesn't understand, and he
may just be having trouble coping with it."
12) A 6-month-old male was outside with his parents and was stung on the
tongue after putting a bottle in his mouth that had a bee on the nipple. In
comparison to the same injury in an adult, why would the EMT be more
concerned with this child?
A) A child's airway has more blood vessels than an adult's airway, making
bleeding more of a concern
B) Children tend to be highly allergic to bee stings while the same allergy in an
adult is less common
C) The child's tongue is proportionally larger, increasing the chance of airway
occlusion from minor swelling
D) When injured, a child's mouth produces more saliva, making airway
occlusion a major concern
C) The child's tongue is proportionally larger, increasing the chance of airway
occlusion from minor swelling
13) An Emergency Medical Responder asks you why you should not
overextend the airway on a pediatric patient when performing a head-tilt, chin-
lift maneuver. Your reply would be:
A) "The pediatric cervical spine is delicate and can be injured if the neck is
hyperextended."
B) "The trachea of the pediatric patient is very short and can be injured by
extension."
C) "The cartilage of the trachea is very soft and can 'kink' if the neck is
extended too far."
D) "The pediatric esophagus is very thick and will occlude the airway if the
neck is hyperextended."
C) "The cartilage of the trachea is very soft and can 'kink' if the neck is extended too
far."
14) You have been called for a 2-week-old baby who is sick. Assessment
reveals him to have a fever and rhonchi that is audible with a stethoscope over
the lungs. Which of the additional assessment findings would be most
concerning to you given the age of this patient?
A) Respiratory rate of 30 breaths per minute
