AND CORRECT ANSWERS WITH
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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 -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