PALS 2023 Exam (answered)
1. A 6 month old infant is unresponsive. You begin checking for breathing at the same time you check for the infants pulse. Which is the maximum time you should spend when trying to simultaneously check for breathing and palpate the infants pulse before starting CPR?
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PALS 2021
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PALS 2021 Exam (answered)
1. A 6 month old infant is unresponsive. You begin checking for breathing at the
same time you check for the infants pulse. Which is the maximum time you
should spend when trying to simultaneously check for breathing and palpate the
infants pulse before starting CPR?
a. 10 seconds
b. 15 seconds
c. 20 seconds
d. 1 min Answer - a. 10 seconds
2. A 4 year old child is brought to the emergency department for seizures. The
seizures stopped a few minutes ago, but the child continues to have slow and
irregular respirations. Which condition is most consistent with your assessment?
A. Vascular resistance
B. Pulse rate
C. Lung compliance
D. Disordered Control of breathing Answer - D. Disordered Control of
Breathing
3. An 8 year (or 18 months or toddler) old child is brought to the emergency
department with a 2 day history of (vomiting and diarrhea.) lethargy and polyuria.
The child has new onset rapid, deep, and labored breathing. Which diagnostic
test should you order first?
A. Arterial blood gas
B. Serum potassium concentration
C. Glucose
D. A 12-lead ECG Answer - C. blood glucose
4. After rectal administration of diazepam, an 8 year old boy with a history of
seizures is no unresponsive to painful stimuli. His respirations are shallow, at a
rate of 10/min. His Oxygen saturation is 94% on 2L of NC oxygen. On
examination, the child is snoring with poor chest rise and poor air entry
bilaterally. What action should you take next? Answer - Reposition the patient,
and insert an oral airway
5. After rectal administration of diazepam, an 8 year old boy with a history of
seizures is no unresponsive to painful stimuli. His respirations are shallow, at a
rate of 10/min. His Oxygen saturation is 94% on 2L of NC oxygen. On
examination, the child is snoring with poor chest rise and poor air entry
bilaterally. After repositioning the patient and you insert an Oral airway, the
patient continues to deteriorate. What next step is the most appropriate? Answer
- Provide bag mask ventilation
, 6. A 6 year old child is found unresponsive, not breathing, and without a pulse. one
health care worker leaves to activate the emergency response system and get
the resuscitation equipment. You and another healthcare provider immediatly
begin CPR. Which compression to ventilation ratio do you use?
a. 15:2
b. 30:2
c. 15:1
d. 30:1 Answer - a. 15:2
7. In post resuscitation management after cardiac arrest, extra care should be taken
to avoid repercussion injury. what should the ideal oxygen saturation range most
likely be?
A. 92% to 100%
B. 92% to 99%
C. 94% to 99%
D. 94% to 100% Answer - c. 94%-99%
8. 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 administration of the
shock, what should you say to you team members?
A. Resume CPR, beginning with chest compressions
B. Check for a pulse
C. Analyze the rhythm
D. Administer epinephrine Answer - A. Resume CPR, beginning with
chest compressions
9. 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
dose range should you use for the initial defibrillation?
a. 4-6 J/kg
b. 6-8 J/kg
c. 0.5-2 J/kg
d. 2-4 J/kg Answer - D. 2-4 J/kg
10. 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?
a. 100 Joules
b. 40 Joules
c. 140 Joules
d. 10 Joules Answer - b. 40 Joules
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