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Quiz: 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
Ans: Unreliable; supplementary oxygen should be administered
Quiz: 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
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, 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
Ans: Septic shock
Quiz: 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
Ans: Hypotensive
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, Quiz: 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
Ans: Respectfully ask the team leader to clarify the dose
Quiz: 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
Ans: Inadequate oxygenation and/or ventilation
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, Quiz: 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
Ans: Lower airway obstruction
Quiz: 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
Ans: Control of breathing
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