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2024 PALS TEST EXAM WITH CORRECT ANSWERS
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2024 PALS TEST EXAM WITH CORRECT ANSWERS
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2024 PALS TEST EXAM WITHCORRECT ANSWERS
A 3-year-old child is brought to the emergency department by his mother.
What is a normal finding for a 3-year-old child? - CORRECT ANSWERS-
Respiratory rate of 24/min
A 6-month-old infant is being evaluated for bradycardia. What is the most
likely cause of bradycardia? - CORRECT ANSWERS-Hypoxia
In which of the following situations may IO access be used? - CORRECT
ANSWERS-An extremity with slow capillary refill time.
A 2 - week old infant is being evaluated irritability and poor feeding. His
blood pressure is 55/40 mm Hg and capillary refill time is 5 seconds. Which
statement best describes your assessment of this infants blood pressure? -
CORRECT ANSWERS-It is Hypotensive
You are caring for patients in the emergency department. Which two year old
requires immediate interventions? - CORRECT ANSWERS-A child who is
grunting
A 10-year-old child is brought to the emergency department for fever and
cough. You obtain an oxygen saturation on the child. What oxygen saturation
would indicate that immediate intervention is needed? - CORRECT ANSWERS-
88% on 4 L/min of nasal oxygen
An unresponsive 14-year-old girl is pale and cool to the touch. Her blood
pressure is 70/45 mm Hg, heart rate is 190/min, and respiratory rate is
12/min. The Spoz is not detectable. Capillary refill time is 5 seconds. An IV is
in place. The cardiac monitor displays the rhythm shown here. - CORRECT
ANSWERS-Supraventricular tachycardia
If pharmacological interventions are unavailable or delayed, what
intervention is indicated? - CORRECT ANSWERS-Synchronized cardioversion
The parents of a 7-year-old child who is undergoing chemotherapy report
that the child has been febrile and has not been feeling well, with recent
onset of lethargy. Assessment reveals that the child is difficult to arouse, and
her skin color is pale. The child's heart rate is 160/min, respiratory rate is
, 38/min, blood pressure is 76/45 mm Hg, capillary refill time is 5 to 6 seconds,
and temperature is 39.4°C (103°F). I access has been established, and blood
cultures have been obtained. What is the most appropriate intervention? -
CORRECT ANSWERS-Administer 10 to 20 mL/kg of isotonic crystalloid over 5
to 10 minutes
An unresponsive 9-year-old boy was given a dose of rectal valium by his
caretaker for a prolonged seizure. His blood pressure is 80/40 mm Hg, heart
rate is 45/min, respiratory rate is 6/min, and Spoz is 60% on room air. He is
unresponsive and cyanotic. The cardiac monitor displays the rhythm shown
here. - CORRECT ANSWERS-Sinus Bradycardia
An unresponsive 9-year-old boy was given a dose of rectal valium by his
caretaker for a prolonged seizure. His blood pressure is 80/40 mm Hg, heart
rate is 45/min, respiratory rate is 6/min, and Spoz is 60% on room air. He is
unresponsive and cyanotic.
What action do you take next? - CORRECT ANSWERS-Provide bag-mask
ventilation with 100% oxygen
A 3 year old child is having difficulty breathing. What finding would most
likely lead you to expect an upper airway obstruction in this child? -
CORRECT ANSWERS-Increased inspiratory effort with retractions
A team member is unable to perform an assigned task because it is beyond
the team member's scope of practice. What action should the team member
take? - CORRECT ANSWERS-Ask for a new task or role.
You are the team lead during a pediatric resuscitation attempt. Which action
is high quality CPR? - CORRECT ANSWERS-Allow complete chest wall recoil
after each compression.
A 8 year old child is brought to the emergency department by his mother for
difficultly breathing. He has a history is asthma and nut allergies. His mother
tells you that he has recently ate a cookie at a family picnic. Which condition
is most likely present with this child? - CORRECT ANSWERS-Upper airy way
obstruction
An 8-year-old child is brought to the emergency department by ambulance
after being involved in a motor vehicle collision. What finding would suggest
that immediate intervention is needed? - CORRECT ANSWERS-Decreased
level of consciousness
A 6-year-old child is found unresponsive, not breathing, and without a pulse.
One healthcare worker leaves to activate the emergency response system
and get the resuscitation equipment. You and another healthcare provider
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