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1. A 5-year-old child presents with lethargy, increased work of
breathing, and pale color. The primary assessment reveals that the
airway is open and the respiratory rate is 30/min, with crackles heard
on auscultation. The cardiac monitor shows sinus tachycardia at a rate
of 165/min. The pulse oximeter displays an oxygen saturation of 95%
and a pulse rate of 93/min. On the basis of this information, which of
,the following provides the best interpretation of the oxygen saturation
of 95% by pulse oximetry?
A. Reliable; no supplementary oxygen is indicated B. Reliable;
supplementary oxygen should be administered
C. Unreliable; no supplementary oxygen is indicated
D. Unreliable; supplementary oxygen should be administered - Answer:
Unreliable; supplementary oxygen should be administered
2. A 3-year-old child was recently diagnosed with leukemia and has
been treated with chemotherapy. The child presents with lethargy and
a high fever. Heart rate is 195/min, respiratory rate is 36/min, blood
pressure is 85/40 mm Hg, and capillary refill time is less than 2 seconds.
What is the child's most likely condition?
A. Septic shock
B. Hypovolemic shock
C. Significant bradycardia
D. Cardiogenic shock - Answer: Septic shock
3. A 2-week-old infant presents with irritability and a history of poor
feeding. Blood pressure is 55/40 mm Hg. What term describes this
infant's blood pressure?
A. Hypotensive
B. Normal
, C. Hypertensive
D. Compensated - Answer: Hypotensive
4. During a resuscitation attempt, the team leader orders an initial dose
of epinephrine at 0.1 mg/kg to be given 10. What should the team
member do?
A. Administer the drug as ordered
B. Administer 0.01 mg/kg of epinephrine
C. Respectfully ask the team leader to clarify the dose
D. Refuse to administer the drug - Answer: Respectfully ask the team
leader to clarify the dose
5. Which of the following is a characteristic of respiratory failure?
A. Inadequate oxygenation and/or ventilation
B. Hypotension
C. An increase in serum pH (alkalosis)
D. Abnormal respiratory sounds - Answer: Inadequate oxygenation
and/or ventilation
6. Which of the following is most likely to produce a prolonged
expiratory phase and wheezing?