Exam (elaborations)
PALS Final Exam
Exam of 7 pages for the course tests at tests (PALS Final Exam)
[Show more]
Content preview
PALS Final ExamA provider is assessing a child with suspected shock. Which statement correctly
describes hypotension and shock? - ANS-Hypotension is not a consistent feature of
shock presentation in children.
A 10-year-old child has collapsed in the gym of the elementary school. The school
nurse arrives and determines that the child is unresponsive. The school nurse then
simultaneously checks for breathing and a central pulse, limiting this assessment to
which time frame? - ANS-No more than 10 seconds
A 4-year-old child is brought to the emergency department by the parents. Assessment
reveals that the child has only gasping respirations and the pulse rate is 65 beats per
minute. Which action would the provider initiate first? - ANS-Deliver 1 BVM ventilation
every 2 to 3 seconds.
A 7-year-old child collapses on the playground at school. The school nurse is called to
the scene and determines that the child is unresponsive and is not breathing and has no
pulse. The nurse initiates CPR. At what rate and depth would the nurse deliver
compressions to this child? - ANS-100 to 120 compressions per minute at a depth of
about 2 inches
What is considered inadequate perfusion when assessing/caring for a pediatric patient
with an arrhythmia? - ANS-Diminished peripheral pulses
Acutely altered mental status
Hypotension
A 9-year-old child is brought to the emergency department because the child suddenly
collapsed at school. The child's ECG reveals the following waveform, and primary
assessment findings indicate that the child has inadequate perfusion. Which primary
assessment findings indicate this? - ANS-Signs of shock
Acutely altered mental status
Hypotension
A 9-year-old patient is presenting with diminished breath sounds, bradycardia, slowed
respiratory rate and a low O2 saturation level. The provider interprets these findings as
indicating which condition? - ANS-Respiratory failure
, A 6-year-old child is brought to the emergency department. The child has been
experiencing extremely watery stools over the past several days. After completing the
assessment, the healthcare provider suspects that the child may be experiencing shock.
Which type of shock would the provider most likely suspect? - ANS-Hypovolemia
A 2-year-old child of unknown weight arrives at the emergency department in cardiac
arrest. When preparing to administer medications, which action would be appropriate for
the team to take? - ANS-Estimate weight using a length-based resuscitation tape.
An 11-year-old child develops ventricular tachycardia with a pulse with inadequate
perfusion. The PALS team would prepare the child for which intervention? -
ANS-Synchronized electrical cardioversion
A 5-year-old child with a history of a chronic neuromuscular disease is experiencing
respiratory distress. The child is breathing spontaneously and receiving supplemental
oxygen. Which additional intervention is a critical component of airway management for
this patient? - ANS-Airway clearance (e.g., suctioning)
Primary assessment of a 10-year-old child reveals septic shock. As part of the
secondary assessment, if not already done as part of initial sepsis care, laboratory
testing is completed to evaluate the child's status. Which laboratory tests would be
ordered for this child? - ANS-Complete blood count (CBC)
Lactate level
Blood cultures
A 6-year-old patient is brought to the emergency department after a bicycle accident.
Assessment reveals chest pain on inspiration, diminished breath sounds on the right
side, and respiratory distress. The provider suspects obstructive shock caused by what
condition? - ANS-Tension pneumothorax
A child exhibiting a narrow-complex tachycardia with adequate perfusion is to receive
adenosine. The provider would be alert for which result after administering this
medication? - ANS-Transient asystole
The emergency response team is providing care to a preschooler who is experiencing
shock. The primary goal, common to all types of shock, is to restore a favorable balance
between tissue perfusion and metabolic demand with a focus on what? - ANS-Oxygen
delivery and oxygen demand
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller EXAMQA. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for CA$11.53. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
61005 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now