RES 204 PALS/NRP Questions With Complete Solutions

You are assisting with an elective intubation of an average sized 11yo child in respiratory failure. A colleague is retrieving the color coded length based tape from the resuscitation cart. Which of the following is likely to be the estimated size of the cuffed endotracheal tube for this child? a. 4.0 b. 5.5 c. 6.0 d. 7.5 correct answer: c. 6.0 The therapist is about to perform endotracheal intubation on a 2yo infant. What size endotracheal tube needs to be used? a. 3.5 mm ID b. 4.0 mm ID c. 4.5 mm ID d. 5.0 mm ID correct answer: c. 4.5 mm ID A 5 yo child is brought to the ER in severe respiratory distress with a diagnosis of epiglottitis. What measures must be performed to secure the child's airway? a. the child should be immediately intubated orally in the ER b. A tracheotomy needs to be performed in the ER c. The child is in urgent need of transport to the OR to be intubated d. nebulized 2.2% racemic epi needs to be given via face mask every 10 mins correct answer: c. the child is in urgent need of transport to the OR to be intubated which of the following devices would be the most appropriate to use for a 3 yo patient who experiences immediate postextubation hypoxemia? a. blow up setup b. partial rebreather mask c. aerosol mask d. t piece correct answer: c. aerosol mask You are caring for a 6yo patient who is receiving positive pressure mechanical ventilation via an ET T. The child begins to move his head and suddenly becomes cyanotic, and his HR decreases. His SpO2 is 65%. You remove the child from the vent and begin to provide manual ventilation with a bag via the ETT. During manual ventilation with 100% O2, the child's color and HR improve slightly and BP remains adequate. Breath sounds and chest expansion are present and adequate on the right side and are present but consistently diminished on the left side. The trachea is not deviated and the neck veins are not distended. A suction catheter passes easily beyond the tip of the ETT. Which of the following is the most likely cause of this child's acute deterioration? a. equipment failure b. tracheal tube obstruction c. tension penumo on the right side d. tracheal tube displacement into the right main bronchus correct answer: d. tracheal tube displacement into the right main bronchus The drainage bottle is not in the proper position in relationship