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Disordered Control of Breathing - CORRECT ANSWERS A 4 year old child is brought to the
emergency department for seizures. The seizures stopped a few minutes ago, but the child
continues to have slow and irregular respirations. Which condition is most consistent with
your assessment?
blood glucose - CORRECT ANSWERS An 8 year old child is brought to the emergency
department with a 2 day history of lethargy and polyuria. The child has new onset rapid,
deep, and labored breathing. Which diagnostic test should you order first?
Reposition the patient, and insert an oral airway - CORRECT ANSWERS 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. What action should you take next?
10 seconds - CORRECT ANSWERS A 6 month old infant is unresponsive. You begin checking
for breathing at the same time you check for the infants pulse. Which is the maximum time
you should spend when trying to simultaneously check for breathing and palpate the infants
pulse before starting CPR?
Provide bag mask ventilation - CORRECT ANSWERS 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. After repositioning the patient and you insert an Oral airway, the patient
continues to deteriorate. What next step is the most appropriate?
15:2 - CORRECT ANSWERS A 6 year old child is found unresponsive, not breathing, and
without a pulse. one health care worker leaves to activate the emergency response system
and get the resuscitation equipment. You and another healthcare provider immediatly begin
CPR. Which compression to ventilation ratio do you use?
, 94%-99% - CORRECT ANSWERS In post resuscitation management after cardiac arrest, extra
care should be taken to avoid repercussion injury. what should the ideal oxygen saturation
range most likely be?
"resume compressions" - CORRECT ANSWERS A 3 year old child is in cardiac arrest, and high
quality CPR is in progress. You are the team leader. The first rhythm check reveals the
rhythm shown here. Defibrillation is attempted with a shock dose of 2 J/kg. after
administration of the shock, what should you say to you team members?
2-4 J/kg - CORRECT ANSWERS A 4 year old child in cardiac arrest is brought to the
emergency department by ambulance. High quality CPR is being performed. The cardiac
monitor displays the rhythm strip shown here. The estimated weight of the child is 20 kg.
What dose range should you use for the initial defibrillation?
40 Joules - CORRECT ANSWERS A 4 year old child in cardiac arrest is brought to the
emergency department by ambulance. High quality CPR is being performed. The cardiac
monitor displays the rhythm strip shown here. The estimated weight of the child is 20 kg. As
the team leader, how many joules do you tell your team member to use to perform initial
Defib?
Allowing complete chest wall recoil after each compression - CORRECT ANSWERS You are
the team leader during a pediatric resuscitation attempt. which action is an element of high
quality CPR?
blood pressure - CORRECT ANSWERS You are caring for a 3 month old boy with a 2 day
history of fever, vomiting and diarrhea. His parents state that he has been sleeping much
more. His HR is 190/min, temp is 38.3 degrees C (101 F) blood pressure is 59/29 mmHg,
Resp rate is 70/min and shallow, and oxygen sat is 94% on 100% oxygen. His capillary refills
time is 4-5 seconds, and he has mottled, cool extremities. The infant weighs 6 Kg. Which
assessment finding indicates that the infant is in hypotensive shock?
hypovolemic shock - CORRECT ANSWERS You are caring for a 3 month old boy with a 2 day
history of fever, vomiting and diarrhea. His parents state that he has been sleeping much
more. His HR is 190/min, temp is 38.3 degrees C (101 F) blood pressure is 59/29 mmHg,
Resp rate is 70/min and shallow, and oxygen sat is 94% on 100% oxygen. His capillary refills
time is 4-5 seconds, and he has mottled, cool extremities. The infant weighs 6 Kg. On the
basis of this infants presentation, which type of shock does this infant have?