COMPLETE ANSWERS.. b b
1. bA b5-year-old bchild bpresents bwith blethargy, bincreased bwork bof bbreathing, band
b b b b b b b b b b b
bpale bcolor. bThe bprimary bassessment breveals bthat bthe bairway bis bopen band bthe
b b b b b b b b b b b b b
brespiratory brate bis b30/min, bwith bcrackles bheard bon bauscultation. bThe bcardiac
b b b b b b b b b b b
bmonitor bshows bsinus btachycardia bat ba brate bof b165/min. bThe bpulse boximeter
b b b b b b b b b b b b
bdisplays ban boxygen bsaturation bof b95% band ba bpulse brate bof b93/min. bOn bthe
b b b b b b b b b b b b b b
bbasis bof bthis binformation, bwhich bof bthe bfollowing bprovides bthe bbest binterpretation
b b b b b b b b b b b b
bof bthe boxygen bsaturation bof b95% bby bpulse boximetry? b
b b b b b b b b b b
A. bReliable; bno bsupplementary boxygen bis bindicated bB. bReliable; bsupplementary
b b b b b b b b b
boxygen bshould bbe badministered b
b b b b b
C. bUnreliable; bno bsupplementary boxygen bis bindicated b
b b b b b b b
D. bUnreliable; bsupplementary boxygen bshould bbe badministered b- b bcorrect banswer-
b b b b b b b b b b
bUnreliable; bsupplementary boxygen bshould bbe badministered
b b b b b b
2. bA b3-year-old bchild bwas brecently bdiagnosed bwith bleukemia band bhas bbeen
b b b b b b b b b b b
btreated bwith bchemotherapy. bThe bchild bpresents bwith blethargy band ba bhigh bfever.
b b b b b b b b b b b b
bHeart brate bis b195/min, brespiratory brate bis b36/min, bblood bpressure bis b85/40 bmm
b b b b b b b b b b b b b
bHg, band bcapillary brefill btime bis bless bthan b2 bseconds. bWhat bis bthe bchild's bmost
b b b b b b b b b b b b b b b
blikely bcondition? b
b b b
A. bSeptic bshock b
b b b
B. bHypovolemic bshock b
b b b
C. bSignificant bbradycardia b
b b b
D. bCardiogenic bshock b- b bcorrect banswer- bSeptic bshock
b b b b b b b b
3. bA b2-week-old binfant bpresents bwith birritability band ba bhistory bof bpoor bfeeding.
b b b b b b b b b b b b
bBlood bpressure bis b55/40 bmm bHg. bWhat bterm bdescribes bthis binfant's bblood
b b b b b b b b b b b b
bpressure? b
b b
A. bHypotensive b
b b
B. bNormal b
b b
, C. bHypertensive b
b b
D. bCompensated b- b bcorrect banswer- bHypotensive
b b b b b b
4. bDuring ba bresuscitation battempt, bthe bteam bleader borders ban binitial bdose bof
b b b b b b b b b b b b
bepinephrine bat b0.1 bmg/kg bto bbe bgiven b10. bWhat bshould bthe bteam bmember bdo?
b b b b b b b b b b b b b b
b
b
A. bAdminister bthe bdrug bas bordered b
b b b b b b
B. bAdminister b0.01 bmg/kg bof bepinephrine b
b b b b b b
C. bRespectfully bask bthe bteam bleader bto bclarify bthe bdose b
b b b b b b b b b b
D. bRefuse bto badminister bthe bdrug b- b bcorrect banswer- bRespectfully bask bthe bteam
b b b b b b b b b b b b b
bleader bto bclarify bthe bdose
b b b b b
5. bWhich bof bthe bfollowing bis ba bcharacteristic bof brespiratory bfailure? b
b b b b b b b b b b b
A. bInadequate boxygenation band/or bventilation b
b b b b b
B. bHypotension b
b b
C. bAn bincrease bin bserum bpH b(alkalosis) b
b b b b b b b
D. bAbnormal brespiratory bsounds b- b bcorrect banswer- bInadequate boxygenation
b b b b b b b b b
band/or bventilation
b b
6. bWhich bof bthe bfollowing bis bmost blikely bto bproduce ba bprolonged bexpiratory
b b b b b b b b b b b b
bphase band bwheezing? b
b b b b
A. bDisordered bcontrol bof bbreathing b
b b b b b
B. bHypovolemic bshock b
b b b
C. bLower bairway bobstruction b
b b b b
D. bUpper bairway bobstruction b- b bcorrect banswer- bLower bairway bobstruction
b b b b b b b b b b
7. bA b4-year-old bchild bpresents bwith bseizures band birregular brespirations. bThe
b b b b b b b b b b
bseizures bstopped ba bfew bminutes bago. bWhich bof bthe bfollowing bmost blikely bto bbe
b b b b b b b b b b b b b b
babnormal? b
b b
A. bVascular bresistance b
b b b
B. bPulse brate b
b b b
C. bLung bcompliance b
b b b
D. bControl bof bbreathing b- b bcorrect banswer- bControl bof bbreathing
b b b b b b b b b b
8. bWhat babnormality bis bmost blikely bto bbe bpresent bin bchildren bwith bacute
b b b b b b b b b b b b
brespiratory bdistress bcaused bby blung btissue bdisease? b
b b b b b b b b
A. bDecreased boxygen bsaturation b
b b b b
B. bStridor b
b b
C. bNormal brespiratory brate b
b b b b
D. bDecreased brespiratory beffort b- b bcorrect banswer- bDecreased boxygen bsaturation
b b b b b b b b b b
9. bAn balert b2-year-old bchild bwith ban bincreased bwork bof bbreathing band bpink bcolor
b b b b b b b b b b b b b
bis bbeing bevaluated. bHeart brate bis b110/min, band brespiratory brate bis b30/min. bWhat
b b b b b b b b b b b b b
bwould bbest bdescribe bthis bpatient's bcondition? bA. bRespiratory bdistress b
b b b b b b b b b b
B. bRespiratory barrest
b b
C. bRespiratory bfailure b
b b b
D. bDisordered bcontrol bof bbreathing b- b bcorrect banswer- bRespiratory bdistress
b b b b b b b b b b
10. bThe bparents bof ba b7-year-old bchild bwho bis bundergoing bchemotherapy breport
b b b b b b b b b b b
bthat bthe bchild bhas bbeen bfebrile band bhas bnot bbeen bfeeling bwell, bwith brecent
b b b b b b b b b b b b b b