Page 1 of 139
“PEDIATRIC EMERGENCIES “ LATEST 2025 EXAM
UPDATED 2025 – 2026 SOLVED QUESTIONS &
ANSWERS VERIFIED 100% GRADED A+ (LATEST
VERSION)
Pediatric Emergencies (Multiple Choice)
The presence of tachycardia in children:
A. commonly reflects an underlying cardiac that requires emergent
intervention
B. often causes hypotension and is usually associated with a QRS complex
greater than 0.08 seconds
C. should be interpreted in the context of the pediatric assessment triangle
and the primary assessment
D. necessitates a 20-mL/kg bolus of an isotonic crystalloid solution until the
cardiac rhythm is assessed
C
Which of the following components is NOT used to distinguish sinus
tachycardia from reentry supra ventricular tachycardia?
A. pulse rate
B. P wave presence
C. Systolic blood pressure
D. QRS complex width
D
Unlike sinus tachycardia, reentry supraventricular tachycardia in infants in
characterized by:
A. a presence of P waves
B. an unvarying pulse rate
C. a history of fever or dehydration
D. a pulse rate greater than 180 bpm
B
The MOST appropriate vagal maneuver for an infant involves:
A. blowing into an occluded straw
B. holding ice packs firmly to the face
, Page 2 of 139
C. firmly massaging the carotid artery
D. applying a heat stimulus to the body
B
If an initial car diversion attempt is unsuccessful in a 33-pound child, you
should repeat the procedure using ___ joules:
A. 10
B. 15
C. 30
D. 50
C
Hemodynamically stable children with a wide QRS complex tachycardia:
A. should receive amiodarone
B. respond well to adenosine
C. are likely experiencing supraventricular tachycardia
D. will respond to vagal maneuvers
A
Cardiopulmonary arrest in the pediatric patient:
A. usually presents with pulseless electrical activity
B. requires high epinephrine doses
C. typically requires defibrillation
D. Is most often a secondary event
D
Treatment for pediatric asystole includes:
A. atropine
B. epinephrine
C. cardiac pacing
D. hyperventilation
B
When attempting resuscitation of a child with pulseless electrical activity, you
should:
A. administer epinephrine via the ET tube if possible
B. attempt to identify an underlying cause of the arrest
C. perform synchronized cardioversion is the rate is fast
D. give atropine if the heart rate is less than 60 bpm
B
Prior to administering pharmacologic therapy to an infant or child with
pulseless ventricular tachycardia, the paramedic should perform:
A. intubation
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B. cardioversion
C. defibrillation
D. CPR for 5 minutes
C
Ductal-depent congenital heart defects typically presents with ___________ in
the neonatal period.
A. hypertension
B. low-grade fever
C. hyperirritability
D. respiratory distress
D
Dilated cardiomyopathy is a condition in which the heart is:
A. deprived of oxygen due to sudden coronary vasospasm
B. unusually thick and must pump harder to eject blood
C. Temporarily impaired by an isolated bacterial infection
D. weakened and enlarged, making it a less efficient pump
D
Etomidate should be avoided as an induction agent in pediatric intubation in
the presence of:
A. hypovolemia
B. tachycardia
C. hypotension
D. septic shock
D
Common signs and symptoms of meningitis in young children include all of
the following EXCEPT:
A. poor feeding
B. nuchal rigidity
C. bulging fontanelle
D. irritability and fever
B
Meningococcal meningitis with sepsis is typically characterized by a(n):
A. purpuric rash
B. insidious onset
C. low-grade fever
D. persistent cough
A
Which of the following is the MOST easily correctable problem in a child with
an altered mental status?
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A. ingestion of aspirin 2 hours ago
B. high fever with a widespread rash
C. blood glucose reading of 40 mg/dL
D. dehydration associated with hypokalemia
C
Which of the following clinical presentations is MOST consistent with cocaine
ingestion in a child?
A. diaphoresis, miosis, tachycardia, and bronchospasm
B. Miosis, bradycardia, hypoventilation and hypotension
C. Mydriasis, diarrhea, hypothermia and hallucinations
D. hypertension, tachycardia, diaphoresis and mydriasis
D
In children, complex partial seizures would MOST likely manifest with:
A. focal motor jerking with loss of consciousness
B. generalized tonic-clonic movement of all extremities
C. focal motor jerking without loss of consciousness
D. a brief loss of attention without abnormal body movement
A
In contrast to a complex febrile seizure, a simple febrile seizure:
A. lasts less than 15 mins and occurs in children without underlying
neurologic abnormalities
B. is focal in nature and tends to occur in children with a baseline
developmental abnormality
C. is not associated with tonic-clonic body movement and occurs in children
older than 6 years of age
D. is of short duration and occurs when the child's body temperature gradually
rises above 102.5 F
A
Which of the following statements regarding simple febrile seizure is correct?
A. the overal prognosis for a child with simple febrile seizures worsens with
each seizure episodes
B. There eis no relationship between simple febrile seizures and future
development or learning disabilities
C. more than one simple febrile seizure in a child is highly suggestive of an
underlying neurologic problem
D. Any child who experiences a simple febrile seizure is at significant risk for
developing epilepsy
B
“PEDIATRIC EMERGENCIES “ LATEST 2025 EXAM
UPDATED 2025 – 2026 SOLVED QUESTIONS &
ANSWERS VERIFIED 100% GRADED A+ (LATEST
VERSION)
Pediatric Emergencies (Multiple Choice)
The presence of tachycardia in children:
A. commonly reflects an underlying cardiac that requires emergent
intervention
B. often causes hypotension and is usually associated with a QRS complex
greater than 0.08 seconds
C. should be interpreted in the context of the pediatric assessment triangle
and the primary assessment
D. necessitates a 20-mL/kg bolus of an isotonic crystalloid solution until the
cardiac rhythm is assessed
C
Which of the following components is NOT used to distinguish sinus
tachycardia from reentry supra ventricular tachycardia?
A. pulse rate
B. P wave presence
C. Systolic blood pressure
D. QRS complex width
D
Unlike sinus tachycardia, reentry supraventricular tachycardia in infants in
characterized by:
A. a presence of P waves
B. an unvarying pulse rate
C. a history of fever or dehydration
D. a pulse rate greater than 180 bpm
B
The MOST appropriate vagal maneuver for an infant involves:
A. blowing into an occluded straw
B. holding ice packs firmly to the face
, Page 2 of 139
C. firmly massaging the carotid artery
D. applying a heat stimulus to the body
B
If an initial car diversion attempt is unsuccessful in a 33-pound child, you
should repeat the procedure using ___ joules:
A. 10
B. 15
C. 30
D. 50
C
Hemodynamically stable children with a wide QRS complex tachycardia:
A. should receive amiodarone
B. respond well to adenosine
C. are likely experiencing supraventricular tachycardia
D. will respond to vagal maneuvers
A
Cardiopulmonary arrest in the pediatric patient:
A. usually presents with pulseless electrical activity
B. requires high epinephrine doses
C. typically requires defibrillation
D. Is most often a secondary event
D
Treatment for pediatric asystole includes:
A. atropine
B. epinephrine
C. cardiac pacing
D. hyperventilation
B
When attempting resuscitation of a child with pulseless electrical activity, you
should:
A. administer epinephrine via the ET tube if possible
B. attempt to identify an underlying cause of the arrest
C. perform synchronized cardioversion is the rate is fast
D. give atropine if the heart rate is less than 60 bpm
B
Prior to administering pharmacologic therapy to an infant or child with
pulseless ventricular tachycardia, the paramedic should perform:
A. intubation
, Page 3 of 139
B. cardioversion
C. defibrillation
D. CPR for 5 minutes
C
Ductal-depent congenital heart defects typically presents with ___________ in
the neonatal period.
A. hypertension
B. low-grade fever
C. hyperirritability
D. respiratory distress
D
Dilated cardiomyopathy is a condition in which the heart is:
A. deprived of oxygen due to sudden coronary vasospasm
B. unusually thick and must pump harder to eject blood
C. Temporarily impaired by an isolated bacterial infection
D. weakened and enlarged, making it a less efficient pump
D
Etomidate should be avoided as an induction agent in pediatric intubation in
the presence of:
A. hypovolemia
B. tachycardia
C. hypotension
D. septic shock
D
Common signs and symptoms of meningitis in young children include all of
the following EXCEPT:
A. poor feeding
B. nuchal rigidity
C. bulging fontanelle
D. irritability and fever
B
Meningococcal meningitis with sepsis is typically characterized by a(n):
A. purpuric rash
B. insidious onset
C. low-grade fever
D. persistent cough
A
Which of the following is the MOST easily correctable problem in a child with
an altered mental status?
, Page 4 of 139
A. ingestion of aspirin 2 hours ago
B. high fever with a widespread rash
C. blood glucose reading of 40 mg/dL
D. dehydration associated with hypokalemia
C
Which of the following clinical presentations is MOST consistent with cocaine
ingestion in a child?
A. diaphoresis, miosis, tachycardia, and bronchospasm
B. Miosis, bradycardia, hypoventilation and hypotension
C. Mydriasis, diarrhea, hypothermia and hallucinations
D. hypertension, tachycardia, diaphoresis and mydriasis
D
In children, complex partial seizures would MOST likely manifest with:
A. focal motor jerking with loss of consciousness
B. generalized tonic-clonic movement of all extremities
C. focal motor jerking without loss of consciousness
D. a brief loss of attention without abnormal body movement
A
In contrast to a complex febrile seizure, a simple febrile seizure:
A. lasts less than 15 mins and occurs in children without underlying
neurologic abnormalities
B. is focal in nature and tends to occur in children with a baseline
developmental abnormality
C. is not associated with tonic-clonic body movement and occurs in children
older than 6 years of age
D. is of short duration and occurs when the child's body temperature gradually
rises above 102.5 F
A
Which of the following statements regarding simple febrile seizure is correct?
A. the overal prognosis for a child with simple febrile seizures worsens with
each seizure episodes
B. There eis no relationship between simple febrile seizures and future
development or learning disabilities
C. more than one simple febrile seizure in a child is highly suggestive of an
underlying neurologic problem
D. Any child who experiences a simple febrile seizure is at significant risk for
developing epilepsy
B
