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A 10 year old child is brought to the ED for fever and cough. You obtain an O2 sat
on the child. Which oxygen saturation would indicate that immediate intervention
is needed?
ANS: 88% on 4L of Nasal oxygen
A team member is unable to perform an assigned task because it is beyond the
team members scope of practice. Which action should the team member take?
A. Ask for a new task or role
B. Refuse to perform the task
C. Do it anyway
D. Seek expert consultation
ANS: A. Ask for a new task or role
After rectal administration of diazepam, an 8 year old boy with a history of
seizures is no unresponsive to painful stimuli. His respirations are shallow, at a rate
of 10/min. His Oxygen saturation is 94% on 2L of NC oxygen. On examination,
the child is snoring with poor chest rise and poor air entry bilaterally.
If the patient continues to snore and exhibit poor chest rise and poor air entry
bilaterally after your initial intervention what next step is most appropriate?
A. Increase nasal cannula flow
B. Provide bag mask ventilation
C. Subcostal retractions
D. Wheezing
ANS: B. Provide bag mask ventilation
You are Caring for a 9 month old girl who has increased work of breathing, a
fever, and a cough. On assessment, you find an alert infant with stridor and
retractions. The infants SpO2 is 94% On auscultation, the lungs are clear
bilaterally.
Which medication should you administer first?
, A. Albuterol, nebulizer
B. Celtraxone, IV
C. Dexamethasone, PO/IM
D. Epinephrine, nebulized
ANS: D. Epinephrine, nebulized
You are Caring for a 9 month old girl who has increased work of breathing, a
fever, and a cough. On assessment, you find an alert infant with stridor and
retractions. The infants SpO2 is 94% On auscultation, the lungs are clear
bilaterally. Which is the most likely cause of this infants respiratory distress?
A. Disordered control of breathing
B. Lower airway obstruction
C. Parenchymal lung disease
D. Upper airway obstruction
ANS: D. Upper airway obstruction
You are caring for a 12 year old girl with acute lymphoblastic leukemia. She is
responsive but she does not feel well and appears to be flushed. Her Temp is 39
degrees C (102.2 F), HR is 118/min, respiratory rate is 36/min, BP is 100/40
mmHg, and oxygen sat is 96% on room air. Your assessment reveals mild increase
in work of breathing and bounding pulses. The child is receiving 100% Oxygen by
NRB mask.--- Laberatory studies document a lactic acidosis. On the basis of the
patients clinical assessment and history. Which type of shock does this patient
most likely have?
ANS: Distributive Septic Shock
You are caring for a 12 year old girl with acute lymphoblastic leukemia. She is
responsive but she does not feel well and appears to be flushed. Her Temp is 39
degrees C (102.2 F), HR is 118/min, respiratory rate is 36/min, BP is 100/40
mmHg, and oxygen sat is 96% on room air. Your assessment reveals mild increase
in work of breathing and bounding pulses. The child is receiving 100% Oxygen by
NRB mask.--- Which assessment finding is the most important in your
determination of the severity of the patients condition?
ANS: blood pressure
You are caring for a 12 year old girl with acute lymphoblastic leukemia. She is
responsive but she does not feel well and appears to be flushed. Her Temp is 39
degrees C (102.2 F), HR is 118/min, respiratory rate is 36/min, BP is 100/40