Certified Transport Registered Nurse Certification Practice Exam

Which respiratory rate is categorized as immediate for pediatric patients?

1. 5-10 breaths per minute

2. 15-25 breaths per minute

3. Less than 15 or greater than 45 breaths per minute

4. 20-30 breaths per minute

The correct answer is: Less than 15 or greater than 45 breaths per minute

In pediatric patients, an immediate respiratory rate denotes a critical condition requiring urgent intervention. A respiratory rate of less than 15 or greater than 45 breaths per minute signifies severe respiratory distress or potential respiratory failure. Such extremes may lead to inadequate oxygenation or ventilation, putting the child at immediate risk. Normal respiratory rates for children vary by age, but generally, rates outside the typical range (like those indicated) can suggest significant pathology. For instance, extremely low rates may reflect inadequate respiratory drive or fatigue, while excessively high rates can indicate distress or potential compensation for underlying issues such as metabolic acidosis or pneumonia. Thus, identifying rates falling significantly outside healthy parameters allows healthcare professionals to classify the patient as needing immediate intervention, emphasizing the importance of rapid assessment and care.