Exam (elaborations)
PALS ALL/48 QUESTIONS AND ANSWERS (A+)
PALS ALL/48 QUESTIONS AND ANSWERS (A+)
[Show more]
Content preview
PALS ALL/48 QUESTIONS ANDANSWERS (A+)
You are caring for a child who was resuscitated after a
drowning event. The child is intubated and ventilated
with 100% oxygen with equal breath sounds and
exhaled CO2 detected. The heart rate is slow and the
monitor shows sinus bradycardia. The skin is cool,
mottled, and moist; distal pulses are not palpable and
the central pulses are weak. Intravenous access has
been established. The core temperature is 37.3oC.
Based on the PALS bradycardia algorithm, which of the
following should be provided first?
Epinephrine IV
Transcutaneous pacing
Atropine IV
Dobutamine IV infusion - √Answer :Epinephrine IV
Quiz :You are caring for a 5-year-old patient with
supraventricular tachycardia (heart rate = 220/min). The
child is lethargic. The skin is pale and cool with delayed
capillary refill. Distal pulses are not palpable. Which of
the following would be the best treatment to provide
without delay?
Place cold packs on the distal upper and lower
extremities
Ask the child to blow through a small straw
Exert light pressure on the eyes bilaterally
,Provide synchronized cardioversion at 0.5 to 1 J/kg -
√Answer :Provide synchronized cardioversion at 0.5 to 1
J/kg
Quiz :You are initiating treatment for a child with septic
shock and hypotension. While administering high-flow
oxygen you determine that the child's respirations are
adequate and SpO2 is 100%. You have just established
vascular access and obtained blood samples. Which of
the following is the next most appropriate therapy to
support systemic perfusion?
Administer repeated fluid boluses of isotonic colloid
Administer repeated fluid boluses of isotonic crystalloid
Begin immediate dopamine infusion
Begin immediate dobutamine infusion -
√Answer :Administer repeated fluid boluses of isotonic
crystalloid
Quiz :You are treating an 8-year-old with ventricular
tachycardia with pulses and adequate perfusion. You
attempted synchronized cardioversion without success.
While seeking expert consultation, it would be most
appropriate to:
Administer a loading dose of milrinone
Consider possible metabolic and toxicologic causes
Initiate overdrive pacing transcutaneously
Deliver an unsynchronized shock - √Answer :Consider
possible metabolic and toxicologic causes
Quiz :You are caring for a 2-year-old unconscious
patient who is intubated and receiving mechanical
, ventilation. The child's heart rate suddenly drops to
40/min and his color becomes mottled. You should
respond to these changes by:
Increasing the ventilator rate
Increasing tidal volume
Increasing positive end-expiratory pressure (PEEP)
Using a resuscitation bag provide manual ventilation
with 100% oxygen - √Answer :Using a resuscitation bag
provide manual ventilation with 100% oxygen
Quiz :You are caring for a 9-month-old patient with
pronounced respiratory distress. You initiated high-flow
oxygen using a nonrebreathing mask about 10 minutes
ago and established intravenous access. Initially the
infant's heart rate was in the 150/min range with strong
pulses. Suddenly the infant's respiratory rate falls to
6/min with significant intercostals retractions, and little
air movement is heard. The infant becomes cyanotic
and the heart rate decreases to 95/min. Which of the
following treatments would be best for you to provide
now?
Administer epinephrine IV
Provide bag-mask ventilation
Administer magnesium sulfate IV
Intubate and ventilate - √Answer :Provide bag-mask
ventilation
Quiz :Which of the following is likely to be the most
helpful technique to identify potentially reversible
metabolic and toxic causes during the attempted
resuscitation of a young child in cardiac arrest?
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 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 HELLENAH. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for £6.39. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
79650 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy revision notes and other study material for 14 years now