ACTUAL EXAM COMPLETE 200 QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) |ALREADY GRADED A+
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 -
CORRECT 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 - CORRECT 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 - CORRECT 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 - CORRECT 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 - CORRECT ANSWER Inadequate
oxygenation and/or ventilation
6. Which of the following is most likely to produce a prolonged
expiratory phase and wheezing?
A. Disordered control of breathing
B. Hypovolemic shock
C. Lower airway obstruction
D. Upper airway obstruction - CORRECT ANSWER Lower airway
obstruction
7. A 4-year-old child presents with seizures and irregular respirations.
The seizures stopped a few minutes ago. Which of the following most
likely to be abnormal?
A. Vascular resistance
B. Pulse rate
C. Lung compliance
D. Control of breathing - CORRECT ANSWER Control of breathing
8. What abnormality is most likely to be present in children with acute
respiratory distress caused by lung tissue disease?
A. Decreased oxygen saturation
, B. Stridor
C. Normal respiratory rate
D. Decreased respiratory effort - CORRECT ANSWER Decreased
oxygen saturation
9. An alert 2-year-old child with an increased work of breathing and
pink color is being evaluated. Heart rate is 110/min, and respiratory
rate is 30/min. What would best describe this patient's condition? A.
Respiratory distress
B. Respiratory arrest
C. Respiratory failure
D. Disordered control of breathing - CORRECT ANSWER Respiratory
distress
10. The parents of a 7-year-old child who is undergoing chemotherapy
report that the child has been febrile and has not been feeling well,
with recent onset of lethargy. Assessment reveals the following: The
child is difficult to arouse, with pale color. The child's heart rate is
160/min, respiratory rate is 30/min, blood pressure is 76/45 mm Hg,
capillary refill time is 5 to 6 seconds, and temperature is 103°F
(39.4°C). What is the most appropriate intervention?
A. Obtain vascular access and administer 20 mL/kg of isotonic
crystalloid over 30 minutes
B. Obtain vascular access and administer 20 mL/kg of isotonic
crystalloid over 5 to 10 minutes
C. Obtain immediate blood cultures and chest x-ray D. Obtain expert
consultation with an oncologist to determine the chemotherapeutic
regimen - CORRECT ANSWER Obtain vascular access and administer
20 mL/kg of isotonic crystalloid over 5 to 10 minutes
11. A 2-year-old child presents with a 4-day history of vomiting. The
initial impression reveals an unresponsive child with intermittent
apnea and mottled color. Heart rate is 166/min, respiratory rate is now
being supported with bag-mask ventilation, capillary refill time is 5 to
6 seconds, and temperature is 102°F (38.9°C). What is the best method
of establishing immediate vascular access? A. Two providers may
attempt peripheral vascular access twice each
B. Three providers may attempt peripheral vascular access once each