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NURS 3444 Module 6 Practice Exam Questions And All Correct Answers.
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Cause of cardiopulmonary arrest in children - Answer Most likely from respiratory failure Pediatric chain of survival - Answer 1. prevention of cardiac arrest and injury (big distinction from adult chain) 2. early CPR 3. early access to emergency response system 4. early advanced care (...

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  • October 15, 2024
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  • 2024/2025
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NURS 3444 Module 6 Practice Exam
Questions And All Correct Answers.
Cause of cardiopulmonary arrest in children - Answer Most likely from respiratory failure



Pediatric chain of survival - Answer 1. prevention of cardiac arrest and injury (big distinction from adult
chain)

2. early CPR

3. early access to emergency response system

4. early advanced care (PALS)

5. integrated post-cardiac arrest care



Neuro exam in children - Answer Evaluate interest in environment and response to parent

- infant who does not have interest in the environment or seems unable to recognize their parent is
concerning

- infant who enjoys sucking a finger and making eye contact with the nurse during assessment is
reassuring



Pulses in children - Answer Carotid and femoral pulses are the easiest to asses



CPR for infant with one person - Answer 30 compressions to 2 breaths

Hand placement: two fingers placed one fingerbreadth below nipple line



CPR for infant with 2 people - Answer 15 compressions to 2 breaths

Hand placement: two thumbs encircling the chest at the nipple line



CPR for child with 1 person - Answer 30 compressions to 2 breaths

Hand placement: heel of the hand or two hands for older children, pressing on the sterum at nipple line

,CPR for child with 2 people - Answer 15 compressions to 2 breaths

Hand placement: heel of the hand or two hands for older children, pressing on the sterum at nipple line



When to do chest compressions on child? - Answer When there is no pulse OR

HR <60 (not really for adolescents)



What is circumoral pallor an indication of? - Answer Poor oxygenation



Shock - Answer Inability for blood flow and oxygen delivery to meet metabolic demands of tissue

- if left untreated cardiopulmonary arrest will result



Can be compensated or uncompensated



Compensated shock - Answer Poor perfusion exists without decrease in BP



Uncompensated shock - Answer Inadequate perfusion accompanied by drop in BP

- can lead to cardiac arrest and death



Cardiac complications in children - Answer Slow: bradyarrhythmia

Fast: tachyarrhythmias

Absent: pulseless, cardiovascular collapse



Bradyarrhythamis - Answer Life threatening when HR is <60 (not in adolescents)

- can result in hypoxia and shock

- sustained bradycardia is associated with arrest and should be taken seriously



Epinephrine can be used



Tachyarrhythmias - Answer Fever, fear, pain are common explanations

, - focus on underlying cause.

- inappropriate to treat sinus tachy with medications



SVT



SVT - Answer Common cause is re-entry problem in cardiac conduction system

- associated with caffeine

- infants >220

- children >180

- no variability!

- can be compensated or uncompensated



Compensated SVT - Answer Child is alert, breathing and well perfused

Treatment: vagal maneuvers

- ice on face

- blow through obstructed straw

- adenosine if vagal maneuver fails



Uncompensated SVT - Answer Change in consciousness, respiratory status, and perfusion

- emergent intervention needed

- adenosine



How to administer adenosine - Answer FAST IV push followed by rapid generous saline flush

- rapid onset and extremely short half-life



ventricular tachycardia - Answer Rare and associated with congenital or acquired cardiac abnormality



Submersion injury - Answer 2nd leading cause of preventable death in children and adolescents

- lapse of adult supervision is the single most contributing cause

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