PALS Post Test Exam 50 Questions Answers
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1. A 6-month-old infant is unresponsive. You begin checking for breathing at the
same time you check for the infant’s pulse. Which is the maximum time you
should spend when trying to simultaneously check for breathing and palpate the
infant’s pulse before starting CPR?
- 10 seconds
2. A 4-year-old child is brought to the emergency department for seizures. The
seizures stopped a few minutes ago, but the child continues to have slow and
irregular respirations. Which condition is most consistent with your assessment?
- Disordered Control of Breathing
3. An 8-year-old child is brought to the emergency department with a 2-day history
of lethargy and polyuria. The child has new onset rapid, deep, and labored
breathing. Which diagnostic test should you order first?
- blood glucose
4. After rectal administration of diazepam, an 8-year-old boy with a history of
seizures is no unresponsive to painful stimuli. His respirations are shallow, at a
rate of 10/min. His Oxygen saturation is 94% on 2L of NC oxygen. On
examination, the child is snoring with poor chest rise and poor air entry
bilaterally. What action should you take next?
- Reposition the patient, and insert an oral airway
5. After rectal administration of diazepam, an 8-year-old boy with a history of
seizures is no unresponsive to painful stimuli. His respirations are shallow, at a
rate of 10/min. His Oxygen saturation is 94% on 2L of NC oxygen. On
examination, the child is snoring with poor chest rise and poor air entry
bilaterally. After repositioning the patient and you insert an Oral airway, the
patient continues to deteriorate. What next step is the most appropriate?
- Provide bag mask ventilation
6. A 6-year-old child is found unresponsive, not breathing, and without a pulse. one
health care worker leaves to activate the emergency response system and get
the resuscitation equipment. You and another healthcare provider immediately
begin CPR. Which compression to ventilation ratio do you use?
- 15:2
7. In post resuscitation management after cardiac arrest, extra care should be taken
to avoid repercussion injury. what should the ideal oxygen saturation range most
likely be?
- 94%-99%
, 8. A 3-year-old child is in cardiac arrest, and high-quality CPR is in progress. You
are the team leader. The first rhythm check reveals the rhythm shown here.
Defibrillation is attempted with a shock dose of 2 J/kg. after administration of the
shock, what should you say to you team members?
- "resume compressions"
9. A 4-year-old child in cardiac arrest is brought to the emergency department by
ambulance. High quality CPR is being performed. The cardiac monitor displays
the rhythm strip shown here. The estimated weight of the child is 20 kg. What
dose range should you use for the initial defibrillation?
- 2-4 J/kg
10. A 4-year-old child in cardiac arrest is brought to the emergency department by
ambulance. High quality CPR is being performed. The cardiac monitor displays
the rhythm strip shown here. The estimated weight of the child is 20 kg. As the
team leader, how many joules do you tell your team member to use to perform
initial Defib?
- 40 Joules
11. You are the team leader during a pediatric resuscitation attempt. which action is
an element of high-quality CPR?
- Allowing complete chest wall recoil after each compression
12. You are caring for a 3-month-old boy with a 2-day history of fever, vomiting and
diarrhea. His parents state that he has been sleeping much more. His HR is
190/min, temp is 38.3 degrees C (101 F) blood pressure is 59/29 mmHg, Resp
rate is 70/min and shallow, and oxygen sat is 94% on 100% oxygen. His capillary
refills time is 4-5 seconds, and he has mottled, cool extremities. The infant
weighs 6 Kg. Which assessment finding indicates that the infant is in hypotensive
shock?
- blood pressure
13. You are caring for a 3-month-old boy with a 2-day history of fever, vomiting and
diarrhea. His parents state that he has been sleeping much more. His HR is
190/min, temp is 38.3 degrees C (101 F) blood pressure is 59/29 mmHg, Resp
rate is 70/min and shallow, and oxygen sat is 94% on 100% oxygen. His capillary
refills time is 4-5 seconds, and he has mottled, cool extremities. The infant
weighs 6 Kg. On the basis of this infant’s presentation, which type of shock does
this infant have?
- hypovolemic shock
14. You are caring for a 3-month-old boy with a 2-day history of fever, vomiting and
diarrhea. His parents state that he has been sleeping much more. His HR is
190/min, temp is 38.3 degrees C (101 F) blood pressure is 59/29 mmHg, Resp
rate is 70/min and shallow, and oxygen sat is 94% on 100% oxygen. His capillary
refills time is 4-5 seconds, and he has mottled, cool extremities. The infant
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