QUESTIONS AND CORRECT DETAILED ANSWERS WITH
RATIONALES (VERIFIED ANSWERS)
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1. 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
2. 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
3. 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
4. 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
5. 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
6. 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
, 7. 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
8. 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
9. 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