Pediatric ATI Practice Exam

What vital sign finding for a child suggests a possible medical concern needing attention?

1. A temperature of 100.4 degrees Fahrenheit

2. A pulse rate of 150 beats per minute during activity

3. Respirations of 40 breaths per minute at rest

4. A blood pressure of 110/70 mmHg in a 12-year-old

The correct answer is: Respirations of 40 breaths per minute at rest

A respiratory rate of 40 breaths per minute at rest for a child is significant and suggests a possible medical concern. For children, normal resting respiratory rates vary by age, with a typical range for older children being around 18 to 30 breaths per minute. A rate of 40 breaths per minute indicates tachypnea, which may be a sign of respiratory distress or an underlying condition such as infection, asthma exacerbation, or other respiratory illnesses. Thus, this finding warrants timely evaluation and potential intervention to address any possible health issues affecting the child's respiratory status. The other options indicate physiological responses that may not necessarily require immediate medical attention or intervention. A temperature of 100.4 degrees Fahrenheit, while indicating a low-grade fever, is often not alarming unless accompanied by other concerning symptoms. A pulse rate of 150 beats per minute during activity is within an acceptable range for most children, as heart rate increases with physical exertion. Similarly, a blood pressure of 110/70 mmHg is appropriate for a 12-year-old, falling within the normal range for this age group, and does not suggest a medical concern.