You receive a call from the hospital transfer syst

Question 1 of 5

You receive a call from the hospital transfer system that a school bus has overturned in a nearby city which is 40 miles away. The transfer center is asking for your advice concerning transfer of these patients to your facility. Which of the following regarding regionalized systems in pediatric emergency mass critical care is accurate?

A. Pre-disaster/mass casualty planning is best left to the bureaucrats and politicians. B. In rural regions, existing delivery systems are effective to deliver appropriate care. C. In planning for response to mass critical care events, it is beneficial to use existing public health data to assess pediatric populations at risk based on patient volume and acuity. D. States and regions should not provide special legal protection for those hospitals involved in mass critical care events to ensure standard medical practice.

Correct Answer: C

Rationale: Using public health data for planning improves resource allocation and response in pediatric mass casualty events.

Question 2 of 5

An advanced life support EMS crew arrives at your facility with a pediatric patient whose chief presentation is anaphylaxis. Throughout the evaluation and transport, they have administered subcutaneous 0.01 mg/kg epinephrine, intravenous 2 mg/kg methylprednisolone, and 1 mg/kg diphenhydramine according to their protocols. Under what form of medical command were these actions taken?

A. In-line command. B. Off-line command. C. Scope of practice. D. Provider expertise.

Correct Answer: B

Rationale: Off-line command refers to pre-established protocols guiding EMS actions without real-time physician input.

Question 3 of 5

The nurse is preparing an in-service program on pediatric cardiopulmonary resuscitation. The nurse would include a discussion that cardiopulmonary arrest in infants and children is most likely the result of which of the following?

A. Underlying heart disease B. Respiratory failure C. Neurologic trauma D. Lethal arrhythmia

Correct Answer: B

Rationale: In children, cardiopulmonary arrest most commonly results from respiratory failure rather than primary cardiac issues.

Question 4 of 5

The nurse is assessing the neurologic status of an 11-month-old girl. Which finding would be cause for concern?

A. Palpation of the head reveals a closed posterior fontanel B. The child is crying and looking around fearfully C. The child's eyes remain closed unless she is spoken to D. Inspection shows a sluggish pupillary reaction

Correct Answer: D

Rationale: A sluggish pupillary reaction indicates potential neurologic impairment and warrants immediate concern.

Question 5 of 5

The nurse has performed an across-the-room assessment of an 8-year-old child and has classified her as emergent. Which of the following signs and symptoms has the nurse seen?

A. The child is guarding one hand B. The child is asleep on the mother's lap C. The child is scratching a rash D. There is a blue color to the lips

Correct Answer: D

Rationale: Blue lips (cyanosis) indicate severe hypoxia, classifying the child as emergent requiring immediate intervention.

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