A child with suspected septic illness has a heart rate of 150 beats per minute, capillary refill of four seconds, cool hands, and a normal blood pressure. Which finding is most concerning?
Correct answer: A. The delayed capillary refill with cool peripheral skin
- A. The delayed capillary refill with cool peripheral skin
- B. The normal blood pressure during the assessment
- C. The child asking for a drink after the examination
- D. The heart rate decreasing slightly after reassurance
Explanation
Delayed capillary refill and cool peripheral skin indicate poor peripheral perfusion and may occur before hypotension in compensated shock. A normal blood pressure does not exclude shock in children because blood pressure can be maintained until late deterioration.
Report an error
The more specific you are, the faster it gets fixed. A source beats an opinion.
Prefer email? support@testustad.com
About Paediatric Emergencies
Paediatric emergencies cover rapid assessment using airway, breathing and circulation, basic life support, respiratory distress, choking, shock, seizures, poisoning, burns, severe dehydration and trauma. Questions focus on recognising danger signs, prioritising immediate nursing actions, calculating weight-based treatment and distinguishing compensated from decompensated shock.
Practise Paediatric Emergencies
50 free Paediatric Emergencies MCQs from Paediatric Nursing, each with the correct answer and an explanation. Unlimited attempts, no account needed.
Discussion
Stuck on an option, or know a faster way to get there? Ask or explain it here.
No comments yet. Be the first to explain this one.
Exams that ask Paediatric Nursing questions like this
Paediatric Nursing is on 9 papers prepared for on TestUstad, and all of them draw the same bank, so this question is worth knowing for every one of them.
More Paediatric Emergencies questions
A child who was choking becomes unresponsive and is not breathing normally. The nurse has called for emergency help. What should the nurse do next?
A 7-year-old suddenly collapses in the emergency unit, is unresponsive, and is not breathing normally. The resuscitation trolley contains an automated external defibrillator. After calling for help, which action is appropriate?
A child with a forearm fracture has been placed in a tight plaster cast. The child now reports increasing pain despite analgesia, and the fingers are pale, cold, and difficult to move. Which action should the nurse take first?
A 4-year-old has a blunt abdominal injury after falling from a height. The child is pale, restless, and has increasing abdominal distension, but there is no visible external bleeding. Which action has priority?
A 7-year-old is unconscious after a collapse. The child has a pulse and is making occasional ineffective breaths. What is the priority nursing action?
An unconscious child has no suspected neck injury and is breathing normally, but vomit is present in the mouth. Which action should the nurse take first?