Exam (elaborations)

PALS EXAM TEST BANK YEAR 2024/2025 / ACCURATE CURRENTLY TESTING EXAM VERSIONS WITH ACTUAL QUESTIONS AND DETAILED ANSWERS WITH A STUDY GUIDE / EXPERT VERIFIED FOR GURANTEED PASS/ LATEST UPDATE.

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ACLS and PALS

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ACLS And PALS

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Uploaded on October 26, 2024
Number of pages 33
Written in 2024/2025
Type Exam (elaborations)
Contains Questions & answers

Institution ACLS and PALS
Course ACLS and PALS

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PALS EXAM TEST BANK YEAR 2024/2025 / ACCURATE
CURRENTLY TESTING EXAM VERSIONS WITH ACTUAL
QUESTIONS AND DETAILED ANSWERS WITH A STUDY
GUIDE / EXPERT VERIFIED FOR GURANTEED PASS/
LATEST UPDATE.

40 Joules - CORRECT ANSWER A 4 year old child in cardiac arrest is brought to the
emergency department by ambulance. High quality CPR is being performed. The cardiac
monitor displays the rhythm strip shown here. The estimated weight of the child is 20 kg. As the
team leader, how many joules do you tell your team member to use to perform initial Defib?

Allowing complete chest wall recoil after each compression - CORRECT ANSWER You are the
team leader during a pediatric resuscitation attempt. which action is an element of high quality
CPR?

blood pressure - CORRECT ANSWER You are caring for a 3 month old boy with a 2 day
history of fever, vomiting and diarrhea. His parents state that he has been sleeping much more.
His HR is 190/min, temp is 38.3 degrees C (101 F) blood pressure is 59/29 mmHg, Resp rate is
70/min and shallow, and oxygen sat is 94% on 100% oxygen. His capillary refills time is 4-5
seconds, and he has mottled, cool extremities. The infant weighs 6 Kg. Which assessment
finding indicates that the infant is in hypotensive shock?

hypovolemic shock - CORRECT ANSWER You are caring for a 3 month old boy with a 2 day
history of fever, vomiting and diarrhea. His parents state that he has been sleeping much more.
His HR is 190/min, temp is 38.3 degrees C (101 F) blood pressure is 59/29 mmHg, Resp rate is
70/min and shallow, and oxygen sat is 94% on 100% oxygen. His capillary refills time is 4-5
seconds, and he has mottled, cool extremities. The infant weighs 6 Kg. On the basis of this
infants presentation, which type of shock does this infant have?

20 ml/kg normal saline - CORRECT ANSWER You are caring for a 3 month old boy with a 2
day history of fever, vomiting and diarrhea. His parents state that he has been sleeping much
more. His HR is 190/min, temp is 38.3 degrees C (101 F) blood pressure is 59/29 mmHg, Resp
rate is 70/min and shallow, and oxygen sat is 94% on 100% oxygen. His capillary refills time is
4-5 seconds, and he has mottled, cool extremities. The infant weighs 6 Kg. You have decided
that this infant Needs fluid resuscitation. How much fluid should you administer?

,It is Hypotensive - CORRECT ANSWER A 2 week old infant is being evaluated for irritability
and poor feeding. His BP is 55/40 mmHg, and cap refill time is 5 seconds. Which statement best
describes your assessment of this infants BP?

Ask for a new task or role - CORRECT ANSWER A team member is unable to perform an
assigned task because it is beyond the team members scope of practice. Which action should the
team member take?

crackles - CORRECT ANSWER Which abnormality helps identify children with acute
respiratory distress caused by lung tissue disease?

cardiac arrest - CORRECT ANSWER Which condition in a child would IO access most likely be
attempted before vascular access?

Begin CPR for 2 mins before leaving to activate the emergency response system. - CORRECT
ANSWER 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?

Supraventricular tachycardia - CORRECT ANSWER 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?

Syncronized cardioversion. - CORRECT ANSWER 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?

inspiratory stridor - CORRECT ANSWER 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?

,Increased inspiratory effort with retractions - CORRECT ANSWER 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?

A child who is grunting - CORRECT ANSWER You are caring for patients in the emergency
department. Which 2 year old child requires immediate intervention?

blood pressure - CORRECT ANSWER 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?

Respiratory rate of 24/min - CORRECT ANSWER A 3 year old child is brought to the
emergency department by his mother. Which is a normal finding for a 3 year old child?

Sinus Bradycardia - CORRECT ANSWER An unresponsive 9 year old boy was given a dose of
rectal valium by his caretaker for a prolonged seizure. His BP is 80/40 mmHg, HR is 45/min,
respiratory rate is 6/min, and SpO2 is 60% no room air. He is unresponsive and cyanotic. The
cardiac monitor displays the rhythm shown here. Which rhythm is most consistent with this
patients presentation and ECG findings?

Provide bag-mask ventilation with 100% oxygen - CORRECT ANSWER An unresponsive 9
year old boy was given a dose of rectal valium by his caretaker for a prolonged seizure. His BP is
80/40 mmHg, HR is 45/min, respiratory rate is 6/min, and SpO2 is 60% no room air. He is
unresponsive and cyanotic. The cardiac monitor displays the rhythm shown here. What is your
next action?

Heart rate of 88/min - CORRECT ANSWER A 10 year old child is being evaluated for a head
ache. Which is a normal finding for this 10 year old child?

Alert - CORRECT ANSWER A 5 year old child is brought to the emergency department by
ambulance after being involved in a MVC. You are using the primary assessment to evaluate the
child. When assessing the Childs neurological status, you note that he has spontaneous eye
opening, is fully oriented, and is able to follow command. How would you document this Childs
AVPU pediatric response scale finding?

, Hypoxia - CORRECT ANSWER A 6 month old infant is being evaluated for bradycardia.
Which is the most likely cause of bradycardia?

oxygen saturation - CORRECT ANSWER You are caring for a 5 year old boy with a 4 day
history of high fever and cough. He is having increasing lethargy, grunting, and sleepiness. Now
he is difficult to arouse and is unresponsive to voice commands. His O2 sat is 72% on room air
and 89% when on a NRB O2 mask. He has shallow respirations, with a respiratory rate of
38/min. Auscultation of the lungs reveals bilateral crackles. Which assessment finding is
consistent with respiratory failure in this child?

an antibiotic - CORRECT ANSWER You are caring for a 5 year old boy with a 4 day history of
high fever and cough. He is having increasing lethargy, grunting, and sleepiness. Now he is
difficult to arouse and is unresponsive to voice commands. His O2 sat is 72% on room air and
89% when on a NRB O2 mask. He has shallow respirations, with a respiratory rate of 38/min.
Auscultation of the lungs reveals bilateral crackles. Which medication would be most
appropriate?

Give 30 compressions to 2 breaths - CORRECT ANSWER What ratio for compressions to
breaths should be used for 1 rescuer infant CPR

Decreased level of consciousness - CORRECT ANSWER An 8 year old child is brought to the
ED by ambulance after being involved in a MVC. Which finding would suggest that immediate
intervention is needed?

upper airway obstruction - CORRECT ANSWER You are Caring for a 9 month old girl who has
increased work of breathing, a fever, and a cough. On assessment, you find an alert infant with
stridor and retractions. The infants SpO2 is 94% On auscultation, the lungs are clear bilaterally.
Which is the most likely cause of this infants respiratory distress?

Epinephrine, nebulized - CORRECT ANSWER You are Caring for a 9 month old girl who has
increased work of breathing, a fever, and a cough. On assessment, you find an alert infant with
stridor and retractions. The infants SpO2 is 94% On auscultation, the lungs are clear bilaterally.
Which medication should you administer first?

Lower airway obstruction - CORRECT ANSWER Which condition is characterized by a
prolonged excretory phase and wheezing?

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Exam (elaborations)

PALS EXAM TEST BANK YEAR 2024/2025 / ACCURATE CURRENTLY TESTING EXAM VERSIONS WITH ACTUAL QUESTIONS AND DETAILED ANSWERS WITH A STUDY GUIDE / EXPERT VERIFIED FOR GURANTEED PASS/ LATEST UPDATE.

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