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PALS Test exam (latest exam rationale) with over 100 questions and verified answers (grade A)
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PALS Test exam (latest exam rationale) with over 100 questions and verified answers (grade A)
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PALS Test exam (latest exam rationale) with over 100questions and verified answers (grade A)
In which of the following situations may IO access be used? - CORRECT
ANSWER 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
ANSWER It is Hypotensive
You are caring for patients in the emergency department. Which two year old
requires immediate interventions? - CORRECT ANSWER A child who is
grunting
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
ANSWER 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 ANSWER Ask for a new task or role.
You are the team lead during a pediatric resuscitation attempt. Which action is high
quality CPR? - CORRECT ANSWER 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 ANSWER 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 ANSWER 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 immediately begin
performing CPR. What compression-to-ventilation -ratio do you use? -
CORRECT ANSWER 15:2
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.
Defibrillation is attempted with a shock dose of 2 J/kg. After shock administration,
what should you say to your team members? - CORRECT ANSWER Resume
compressions
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 oxygen saturation is 72% on
room air and 89% when on a nonrebreathing oxygen mask. He has shallow
respirations with a respiratory rate of 38/min. Auscultation of the lungs reveals
bilateral crackles.
11. What assessment finding is consistent with respiratory failure in this child? -
CORRECT ANSWER Oxygen Saturation
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 oxygen saturation is 72% on
,room air and 89% when on a nonrebreathing oxygen mask. He has shallow
respirations with a respiratory rate of 38/min. Auscultation of the lungs reveals
bilateral crackles.
What medication would be most appropriate? - CORRECT ANSWER Antibiotics
During a resuscitation attempt, the Team Leader asks you to administer an initial
dose of epinephrine at 0.1 mg/kg to be given IO. How should you respond? -
CORRECT ANSWER I think the correct dose is 0.01 mg/kg. Should I give that
dose instead?'
A 6-month-old infant is unresponsive. You begin checking for breathing at the
same time you check for the infant's pulse. What is the maximum time you should
spend trying to simultaneously check for breathing and palpate the infant's pulse
before starting CPR? - CORRECT ANSWER 10 seconds
A 10-year-old child is being evaluated for a headache. What is a normal finding for
this 10-year-old child? - CORRECT ANSWER Heart rate of 88 bpm
A 6-year-old boy is being evaluated for difficulty breathing. What finding would
suggest this child has respiratory distress? - CORRECT ANSWER Audible
inspiratory stridor
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. What
dosage range should you use for initial defibrillation? - CORRECT ANSWER 2
to 4 J/kg
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 defibrillation? - CORRECT ANSWER 40J
You respond to an infant who is unresponsive, is not breathing, and does not have a
pulse. You do not have a mobile device, and you shout for nearby help but no one
arrives. What action should you take next? - CORRECT ANSWER Begin CPR
for 2 minutes before leaving to activate the emergency response system
What ratio for compressions to breaths should be used for 1-rescuer infant CPR? -
CORRECT ANSWER Give 30 compressions to 2 breaths
A 3-year-old boy is brought to the emergency department by his mother. He is
lethargic, with retractions and nasal flaring. He has a respiratory rate of 70/min,
with warm extremities and brisk capillary refill. Which immediate life-threatening
condition could this child's condition most likely progress to if left untreated? -
CORRECT ANSWER Respiratory Failure
You are evaluating a 10-year-old child who is febrile and tachycardic. The child's
capillary refill time is 5 seconds. What parameter will determine if the child is in
compensated shock? - CORRECT ANSWER Blood Pressure
An 18-month old has had vomiting and diarrhea for the past 2 days; the mother
brings him to the emergency department because he is becoming more lethargic.
What diagnostic test should you order first? - CORRECT ANSWER Blood
Glucose
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 heart rate is
190/min, temperature is 38.3°C (101°F), blood pressure is 59/29 mm Hg,
respiratory rate is 70/min and shallow, and oxygen saturation is 94% on 100%
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