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1. NA N5-year-old Nchild Npresents Nwith Nlethargy, Nincreased Nwork Nof Nbreathing, Nand
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Npale Ncolor. NThe Nprimary Nassessment Nreveals Nthat Nthe Nairway Nis Nopen Nand Nthe
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Nrespiratory Nrate Nis N30/min, Nwith Ncrackles Nheard Non Nauscultation. NThe Ncardiac
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Nmonitor Nshows Nsinus Ntachycardia Nat Na Nrate Nof N165/min. NThe Npulse Noximeter
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Ndisplays Nan Noxygen Nsaturation Nof N95% Nand Na Npulse Nrate Nof N93/min. NOn Nthe
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Nbasis Nof Nthis Ninformation, Nwhich Nof Nthe Nfollowing Nprovides Nthe Nbest Ninterpretation
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Nof Nthe Noxygen Nsaturation Nof N95% Nby Npulse Noximetry? N
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A. NReliable; Nno Nsupplementary Noxygen Nis Nindicated NB. NReliable; Nsupplementary
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Noxygen Nshould Nbe Nadministered N
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C. NUnreliable; Nno Nsupplementary Noxygen Nis Nindicated N
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D. NUnreliable; Nsupplementary Noxygen Nshould Nbe Nadministered N- NCORRECT
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NANSWER-Unreliable; Nsupplementary Noxygen Nshould Nbe Nadministered
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2. NA N3-year-old Nchild Nwas Nrecently Ndiagnosed Nwith Nleukemia Nand Nhas Nbeen
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Ntreated Nwith Nchemotherapy. NThe Nchild Npresents Nwith Nlethargy Nand Na Nhigh Nfever.
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NHeart Nrate Nis N195/min, Nrespiratory Nrate Nis N36/min, Nblood Npressure Nis N85/40 Nmm
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NHg, Nand Ncapillary Nrefill Ntime Nis Nless Nthan N2 Nseconds. NWhat Nis Nthe Nchild's Nmost
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Nlikely Ncondition? N
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A. NSeptic Nshock N
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B. NHypovolemic Nshock N
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C. NSignificant Nbradycardia N
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D. NCardiogenic Nshock N- NCORRECT NANSWER-Septic Nshock
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3. NA N2-week-old Ninfant Npresents Nwith Nirritability Nand Na Nhistory Nof Npoor Nfeeding.
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NBlood Npressure Nis N55/40 Nmm NHg. NWhat Nterm Ndescribes Nthis Ninfant's Nblood
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Npressure? N
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A. NHypotensive N
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B. NNormal N
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C. NHypertensive N
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D. NCompensated N- NCORRECT NANSWER-Hypotensive
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, 4. NDuring Na Nresuscitation Nattempt, Nthe Nteam Nleader Norders Nan Ninitial Ndose Nof
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Nepinephrine Nat N0.1 Nmg/kg Nto Nbe Ngiven N10. NWhat Nshould Nthe Nteam Nmember Ndo?
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A. NAdminister Nthe Ndrug Nas Nordered N
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B. NAdminister N0.01 Nmg/kg Nof Nepinephrine N
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C. NRespectfully Nask Nthe Nteam Nleader Nto Nclarify Nthe Ndose N
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D. NRefuse Nto Nadminister Nthe Ndrug N- NCORRECT NANSWER-Respectfully Nask Nthe
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Nteam Nleader Nto Nclarify Nthe Ndose
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5. NWhich Nof Nthe Nfollowing Nis Na Ncharacteristic Nof Nrespiratory Nfailure? N
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A. NInadequate Noxygenation Nand/or Nventilation N
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B. NHypotension N
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C. NAn Nincrease Nin Nserum NpH N(alkalosis) N
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D. NAbnormal Nrespiratory Nsounds N- NCORRECT NANSWER-Inadequate Noxygenation
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Nand/or Nventilation
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6. NWhich Nof Nthe Nfollowing Nis Nmost Nlikely Nto Nproduce Na Nprolonged Nexpiratory
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Nphase Nand Nwheezing? N
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A. NDisordered Ncontrol Nof Nbreathing N
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B. NHypovolemic Nshock N
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C. NLower Nairway Nobstruction N
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D. NUpper Nairway Nobstruction N- NCORRECT NANSWER-Lower Nairway Nobstruction
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7. NA N4-year-old Nchild Npresents Nwith Nseizures Nand Nirregular Nrespirations. NThe
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Nseizures Nstopped Na Nfew Nminutes Nago. NWhich Nof Nthe Nfollowing Nmost Nlikely Nto Nbe
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Nabnormal? N
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A. NVascular Nresistance N
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B. NPulse Nrate N
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C. NLung Ncompliance N
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D. NControl Nof Nbreathing N- NCORRECT NANSWER-Control Nof Nbreathing
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8. NWhat Nabnormality Nis Nmost Nlikely Nto Nbe Npresent Nin Nchildren Nwith Nacute
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Nrespiratory Ndistress Ncaused Nby Nlung Ntissue Ndisease? N
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A. NDecreased Noxygen Nsaturation N
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B. NStridor N
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C. NNormal Nrespiratory Nrate N
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D. NDecreased Nrespiratory Neffort N- NCORRECT NANSWER-Decreased Noxygen
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Nsaturation
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9. NAn Nalert N2-year-old Nchild Nwith Nan Nincreased Nwork Nof Nbreathing Nand Npink Ncolor
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Nis Nbeing Nevaluated. NHeart Nrate Nis N110/min, Nand Nrespiratory Nrate Nis N30/min. NWhat
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Nwould Nbest Ndescribe Nthis Npatient's Ncondition? NA. NRespiratory Ndistress N
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B. NRespiratory Narrest
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C. NRespiratory Nfailure N
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D. NDisordered Ncontrol Nof Nbreathing N- NCORRECT NANSWER-Respiratory Ndistress
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