Exam (elaborations)
PALS- PEDIATRIC ADVANCED LIFE SUPPORT
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PALS- PEDIATRIC ADVANCED LIFE SUPPORT
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PALS- PEDIATRIC ADVANCED LIFE SUPPORTThe PALS systemic approach algorithm begins with the initial impression. This is an
assessment of which 3 characteristics? - answer- 1. Consciousness
2. Breathing
3. Color
The right branch of the systemic approach algorithm focuses on what sequence to
prevent cardiopulmonary arrest? - answer- Evaluate, Identify, Intervene
The evaluate portion of the sequence consists of three assessment tools: - answer- 1.
Primary
2. Secondary
3. Diagnostic
What is included in the primary assessment of a patient? - answer- A
B
C
D
E
Vitals
What is included in the secondary assessment of a patient? - answer- Focused history
and a focused physical exam
The initial impression of the PALS systematic approach algorithm includes which of the
following characteristics? (Choose all correct answers.)
1. Appearance
2. Breathing
3. Restlessness
4. Color
5. Pain - answer- 1, 2, 4
The second box of the PALS systematic approach algorithm contains a question. (Fill in
the blank to complete the question.)
Is the child ____________ or is immediate intervention needed? - answer-
unresponsive
In the PALS systematic approach algorithm, if the child is determined to be
unresponsive or immediate intervention is needed what will be your next step?
1. Start CPR
2. Apply breathing with a bag valve mask
3. Activate emergency response
4. Check for a pulse - answer- 3.
, After the emergency response is activated, the next intervention is to ____________.
1. Lightly shake the child's shoulders.
2. Look, listen, and feel.
3. Open the airway.
4. Check for breathing and a pulse - answer- 4.
After it is determined that the child has no pulse, what should be done?
1. Call for help
2. Begin CPR
3. Provide 2 rescue breaths
4. Start an IV - answer- 2.
A child is unresponsive and is not breathing. You have activated the emergency
response system and your pulse check reveals that the child has a pulse. What should
you do now?
1. Perform a brief head to toe assessment.
2. Place the child in the recovery position.
3. Give epinephrine 1mg IV push
4. Open the airway and provide ventilations and oxygen. - answer- 4.
A child is unresponsive and is not breathing. Emergency response was activated and
now a pulse check shows that the child does have a pulse. You then open the airway,
provide age-appropriate ventilations, and 100% oxygen with a bag valve mask. The
child's pulse is < 60/min, and the child has signs of poor perfusion. What is your next
intervention?
1. Begin CPR
2. Provide a 500ml NS bolus
3. Perform an ABG.
4. Intubate the patient. - answer- 1.
An observed decrease in systolic blood pressure of ________ mm Hg from baseline
should prompt serial evaluations for additional signs of shock.
1. 5 mm Hg
2. 10 mm Hg
3. 15 mm Hg
4. 20 mm Hg - answer- 2.
In healthy children, the heart rate may fluctuate with the respiratory cycle.
The heart rate __________ with inspiration and __________ with expiration. (fill in each
blank with a single word) - answer- increases, decreases
(True or False) When assessing circulation, it is only necessary to assess the central
pulses.
1. True
2. False - answer- 2.
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