1
. A 5-year-old child presents with lethargy, increased Unreliable; supplementary
work of breathing, and pale color. The primary assess- oxygen should be admin-
ment reveals that the airway is open and the respirato- istered
ry 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 sat-
uration 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 adminis-
tered
C. Unreliable; no supplementary oxygen is indicated
D. Unreliable; supplementary oxygen should be ad-
ministered
2. 2. A 3-year-old child was recently diagnosed with Septic shock
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 pres-
sure is 85/40 mm Hg, and capillary refill time is less
than 2 seconds. What is the child's most likely condi-
tion?
A. Septic shock
B. Hypovolemic shock
C. Significant bradycardia
D. Cardiogenic shock
3. 3. A 2-week-old infant presents with irritability and a Hypotensive
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
4. 4. During a resuscitation attempt, the team leader or- Respectfully ask the team
ders an initial dose of epinephrine at 0.1 mg/kg to be leader to clarify the dose
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
5. 5. Which of the following is a characteristic of respira- Inadequate oxygenation
tory failure? and/or ventilation
A. Inadequate oxygenation and/or ventilation
B. Hypotension
C. An increase in serum pH (alkalosis)
D. Abnormal respiratory sounds
6. 6. Which of the following is most likely to produce a Lower airway obstruction
prolonged expiratory phase and wheezing?
A. Disordered control of breathing
B. Hypovolemic shock
C. Lower airway obstruction
D. Upper airway obstruction
7. 7. A 4-year-old child presents with seizures and irreg- Control of breathing
ular respirations. The seizures stopped a few minutes
ago. Which of the following most likely to be abnor-
mal?
A. Vascular resistance
B. Pulse rate
, C. Lung compliance
D. Control of breathing
8. 8. What abnormality is most likely to be present in Decreased oxygen satura-
children with acute respiratory distress caused by lung tion
tissue disease?
A. Decreased oxygen saturation
B. Stridor
C. Normal respiratory rate
D. Decreased respiratory effort
9. 9. An alert 2-year-old child with an increased work of Respiratory distress
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
10. 10. The parents of a 7-year-old child who is undergoing Obtain vascular access and
chemotherapy report that the child has been febrile administer 20 mL/kg of
and has not been feeling well, with recent onset of isotonic crystalloid over 5
lethargy. Assessment reveals the following: The child is to 10 minutes
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
. A 5-year-old child presents with lethargy, increased Unreliable; supplementary
work of breathing, and pale color. The primary assess- oxygen should be admin-
ment reveals that the airway is open and the respirato- istered
ry 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 sat-
uration 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 adminis-
tered
C. Unreliable; no supplementary oxygen is indicated
D. Unreliable; supplementary oxygen should be ad-
ministered
2. 2. A 3-year-old child was recently diagnosed with Septic shock
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 pres-
sure is 85/40 mm Hg, and capillary refill time is less
than 2 seconds. What is the child's most likely condi-
tion?
A. Septic shock
B. Hypovolemic shock
C. Significant bradycardia
D. Cardiogenic shock
3. 3. A 2-week-old infant presents with irritability and a Hypotensive
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
4. 4. During a resuscitation attempt, the team leader or- Respectfully ask the team
ders an initial dose of epinephrine at 0.1 mg/kg to be leader to clarify the dose
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
5. 5. Which of the following is a characteristic of respira- Inadequate oxygenation
tory failure? and/or ventilation
A. Inadequate oxygenation and/or ventilation
B. Hypotension
C. An increase in serum pH (alkalosis)
D. Abnormal respiratory sounds
6. 6. Which of the following is most likely to produce a Lower airway obstruction
prolonged expiratory phase and wheezing?
A. Disordered control of breathing
B. Hypovolemic shock
C. Lower airway obstruction
D. Upper airway obstruction
7. 7. A 4-year-old child presents with seizures and irreg- Control of breathing
ular respirations. The seizures stopped a few minutes
ago. Which of the following most likely to be abnor-
mal?
A. Vascular resistance
B. Pulse rate
, C. Lung compliance
D. Control of breathing
8. 8. What abnormality is most likely to be present in Decreased oxygen satura-
children with acute respiratory distress caused by lung tion
tissue disease?
A. Decreased oxygen saturation
B. Stridor
C. Normal respiratory rate
D. Decreased respiratory effort
9. 9. An alert 2-year-old child with an increased work of Respiratory distress
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
10. 10. The parents of a 7-year-old child who is undergoing Obtain vascular access and
chemotherapy report that the child has been febrile administer 20 mL/kg of
and has not been feeling well, with recent onset of isotonic crystalloid over 5
lethargy. Assessment reveals the following: The child is to 10 minutes
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
