Exam (elaborations)
2024 DEFINITELY NOT THE PALS PRECOURSE ASSESSMENT EXAM WITH CORRECT ANSWERS
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2024 DEFINITELY NOT THE PALS PRECOURSE ASSESSMENT EXAM WITH CORRECT ANSWERS
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Definitely not the PALS precourse assessmentStudy online at https://quizlet.com/_3j9icf
1. SVT converting to sinus rhythm after adenosine ad-
ministration
2. Sinus bradycardia
3. Sinus bradycardia - version 2
4. Normal sinus rhythm
5. Asystole
6. Wide complex tachycardia
7. Wide complex tachycardia - version 2
8. Torsades de pointes
9. Supraventricular tachycardia
10. VF with successful defib and resumption of organized
rhythm
11. Pulseless electrical activity
12. Ventricular fibrillation
13. Sinus tachycardia
14. A previously healthy infant with a history of vomiting Administer a bolus
and diarrhea is brought to the emergency department of isotonic crystal-
by her parents. During your assessment, you find loid 20 ml/kg over
that the infant responds only to painful stimulation. 5-20 minutes, and
The infant's respiratory rate is 40 breaths per minute, also give D25W
and central pulses are rapid and weak. The infant has 2-4 ml/kg IV
good bilateral breath sounds, cool extremities, and
a capillary refill time of more than 5 seconds. The
infant's blood pressure is 85/65 mmHg, and glucose is
30 mg/dL (1.65 mmol/L). You administer 100% oxygen
, Definitely not the PALS precourse assessment
Study online at https://quizlet.com/_3j9icf
via face mask and start an IV. Which treatment is most
appropriate for this infant?
15. A 9yo boy is agitated and leaning forward on the bed in Albuterol (duh)
obvious respiratory distress. The patient is speaking
in short phrases and tells you that he has asthma
but does not carry an inhaler. He has nasal flaring,
severe suprasternal and intercostal retractions, and
decreased air movement with prolonged expiratory
time and wheezing. You administer 100% oxygen by a
nonrebreathing mask. His spO2 is 92%. Which med do
you prepare to give to this patient?
16. Paramedics are called to the home of a 1yo child. Rapid bolus of
Their initial assessment reveals a child who responds 20ml/kg of isotonic
only to painful stimuli and has irregular breathing, crystalloid
faint central pulses, bruises over the abdomen, ab-
dominal distention, and cyanosis. Bag-mask ventila-
tion with 100% oxygen is initiated. The child's heart
rate is 36/min. Peripheral pulses cannot be palpated,
and central pulses are barely palpable. The cardiac
monitor shows sinus bradycardia. Two-rescuer CPR
is started. Upon arrival to the emergency department,
the child is intubated and ventilated with 100% oxy-
gen, and IV access is established. The heart rate is
now 150/min with weak central pulses but no distal
pulses. Systolic blood pressure is 74 mmHg. Which
intervention should be provided next?
17. You are called to help treat an infant with severe Epinephrine
symptomatic bradycardia (heart rate 66/min) associat-
ed with respiratory distress. The bradycardia persists
despite establishment of an effective airway, oxygena-
tion, and ventilation. There is no heart block present.
Which is the first drug you should administer?
18. Which statement is correct about the use of calcium Routine adminis-
chloride in pediatric patients? tration is not indi-
cated during car-
diac arrest
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