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2024 PALS EXAM WITH CORRECT ANSWERS
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2024 PALS EXAM WITH CORRECT ANSWERS
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2024 PALS EXAM WITH CORRECTANSWERS
Which abnormality helps identify children with acute respiratory distress
caused by lung tissue disease? - CORRECT ANSWERS-crackles
Which condition in a child would IO access most likely be attempted before
vascular access? - CORRECT ANSWERS-cardiac arrest
You respond to an infant who is unresponsive, in not breathing, and doe not
have a pulse. You shout for nearby help, but no one arrives. What action
should you take next? - CORRECT ANSWERS-Begin CPR for 2 mins before
leaving to activate the emergency response system.
An unresponsive 9 year old boy is pale and cool to the touch his blood
pressure is 70/45 mmHg, heart rate is 190/min and respiratory rate is
12/min. The SpO2 is not detectable Cap refill time is 5 seconds. An IV is in
place. The cardiac monitor displays the rhythm shown here. What rhythm is
seen on the patient cardiac monitor? - CORRECT ANSWERS-Supraventricular
tachycardia
An unresponsive 9 year old boy is pale and cool to the touch his blood
pressure is 70/45 mmHg, heart rate is 190/min and respiratory rate is
12/min. The SpO2 is not detectable Cap refill time is 5 seconds. An IV is in
place. The cardiac monitor displays the rhythm shown here. If initial
treatment is unavailable or delayed, which intervention is indicated? -
CORRECT ANSWERS-Syncronized cardioversion.
You are performing the airway component of the primary assessment. Which
finding would lead you to conclude that the child has an upper airway
obstruction? - CORRECT ANSWERS-inspiratory stridor
A 3 year old child is having difficulty breathing. Which finding would most
likely lead you to suspect an upper airway obstruction in this child? -
CORRECT ANSWERS-Increased inspiratory effort with retractions
You are caring for patients in the emergency department. Which 2 year old
child requires immediate intervention? - CORRECT ANSWERS-A child who is
grunting
, You are evaluating a 10 year old child who is febrile and tachycardia. The
Childs cap refill times 5 seconds. which parameter will determine if the child
is in compensated shock? - CORRECT ANSWERS-blood pressure
A 6 month old infant is unresponsive. You begin checking for breathing at the
same time you check for the infants pulse. Which is the maximum time you
should spend when trying to simultaneously check for breathing and palpate
the infants pulse before starting CPR? - CORRECT ANSWERS-10 seconds
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? - CORRECT ANSWERS-Disordered Control of Breathing
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? - CORRECT
ANSWERS-blood glucose
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? - CORRECT ANSWERS-
Reposition the patient, and insert an oral airway
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? -
CORRECT ANSWERS-Provide bag mask ventilation
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
immediatly begin CPR. Which compression to ventilation ratio do you use? -
CORRECT ANSWERS-15:2
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? - CORRECT ANSWERS-94%-99%
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.
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