Exam (elaborations)
PALS 2025/40 QUESTIONS AND ANSWERS (A+)
PALS 2025/40 QUESTIONS AND ANSWERS (A+)
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PALS 2025/40 QUESTIONS ANDANSWERS (A+)
Which pulses should be assessed to monitor systemic
perfusion in a child? - √Answer :peripheral and central
Quiz :What should the first rescuer arriving on the scene
of an unresponsive infant or child do? (in order) -
√Answer :1. verify scene safety
2. check for responsiveness
3. shout for help
4. activate the emergency response system
Quiz :Why may excessive ventilation during CPR be
harmful? - √Answer :- it increases intrathoracic pressure
- it impedes venous return
Quiz :If you cannot achieve effective ventilation (ie, the
chest does not rise), do the following: - √Answer :-
reposition/reopen the airway (sniffing position)
- verify mask size and ensure a tight face-mask seal
- suction the airway if needed
- check the O2 source
- check the ventilation bag and mask
- treat gastric inflation (NG/OG)
- consider 2-person bag-mask ventilation and inserting
an OPA
Quiz :Ventilation rate - √Answer :1 breath every 2-3
seconds delivered over 1 second (20-30 breaths per
minute)
, Quiz :Early signs of tissue hypoxia - √Answer :-
tachypnea
- increased respiratory effort (nasal flaring, retractions)
- tachycardia
- pallor, mottling, cyanosis
- agitation, anxiety, irritability
Quiz :Late signs of tissue hypoxia - √Answer :-
bradypnea, inadequate respiratory effort, apnea
- increased respiratory effort (head bobbing, seesaw
respirations, grunting)
- bradycardia
- pallor, mottling, cyanosis
- decreased level of consciousness
Quiz :What is the role of the diaphragm during normal
breathing in infants? - √Answer :pulls the ribs slightly
inward
Quiz :S/S mild respiratory distress - √Answer :- mild
tachypnea
- mild increase in respiratory effort (nasal flaring,
retractions)
- abnormal airway sounds (stridor, wheezing, grunting)
Quiz :S/S Severe respiratory distress - √Answer :-
marked tachypnea
- marked increase in respiratory effort
- paradoxical throacoabdominal breathing (seesaw
breathing)
- accessory muscle use (head bobbing)
- abnormal airway sounds (grunting)
- decreased level of consciousness
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