PALS Final Exam
1.A provider is assessing a child with suspected shock. Which statement correctly describes hypotension and shock?
Answer Hypotension is not a consistent feature of shock presentation in children.
2.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?
Answer No more than 10 seconds
3.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?
Answer Deliver 1 BVM ventilation every 2 to 3 seconds.
4.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?
Answer 100 to 120 compressions per minute at a depth of about 2 inches
5.What is considered inadequate perfusion when assessing/caring for a pe- diatric patient with an arrhythmia?
Answer Diminished peripheral pulses
Acutely altered mental status Hypotension
6.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 inad-
equate perfusion. Which primary assessment findings indicate this?
Answer Signs of shock
Acutely altered mental status Hypotension
7.A 9-year-old patient is presenting with diminished breath sounds, brady- cardia, slowed respiratory rate and a low O2 saturation level. The provider interprets these findings as indicating which condition? Answer Respiratory failure
8.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?
Answer Hypovolemia
9.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?
Answer Estimate weight using a length-based resuscitation tape.
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