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PALS1 Questions with complete solution

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PALS1 Questions with complete solution PALS Decreased or asymmetrical chest expansion may result from: - correct answer inadequate effort, airway obstruction, atelectasis, pneumothorax, hemothorax, pleural effusion, mucous plug or foreign-body aspiration Lung and airway sounds - correct an...

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  • August 5, 2024
  • 27
  • 2024/2025
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flyhigher329
PALS
Decreased or asymmetrical chest expansion may result from: - correct
answer ✔inadequate effort, airway obstruction, atelectasis, pneumothorax,
hemothorax, pleural effusion, mucous plug or foreign-body aspiration


Lung and airway sounds - correct answer ✔Stridor - higher pitched
inspiration...upper airway obstruction


Snoring


Grunting - short,low-pitched sound expiration - partially closed glottis


Gurgling - inspiration or expiration from upper airway obstruction due to
airway secretions, vomit or blood


Wheezing - high pitched or low pitched during expiration...lower airway
obstruction


Crackles/rales - inspiration


Hypoxemia is O2 sat less than - correct answer ✔94%


Signs of increased respiratory effort - correct answer ✔nasal flaring
seesaw respirations
retractions
head bobbing (use of accessory muscles)

,How to calculate respiratory rate - correct answer ✔count number of times
chest rises in 30 seconds and multiply by 2


(sleeping infants have respiratory pauses up to 10-15 seconds, so must do 30
second intervals)


Define apnea - correct answer ✔breathing stops for longer than 20 seconds


First sign of respiratory distress in infants - correct answer ✔tachypnea


Normal systolic blood pressure for children 1-10 years old - correct answer
✔90 mmHg + (2x age in years)


Hypotension systolic blood pressure in children 1-10 years old - correct
answer ✔less than 70 mmHg + (2x age in years)


Automated blood pressure cuffs may provide inaccurately ____ readings
when child is in shock - correct answer ✔high


Normal capillary refill time - correct answer ✔less than 2 seconds


Prolonged capillary refill time indicates - correct answer ✔low cardiac output


An exaggerated difference in quality between central and peripheral pulses
occurs when - correct answer ✔peripheral vasoconstriction is associated
with shock

, Central pulse locations - correct answer ✔femoral, brachial (in infants),
carotid ( in older children) and axillary


Peripheral pulse locations - correct answer ✔radial, dorsalis pedis, posterior
tibial


Cold environment and pulses - correct answer ✔Peripheral may be weak
due to peripheral vasoconstriction


but central should remain strong


Which side of your hand to assess temperature - correct answer ✔back
(palm has thicker skin)


Poor pupil response to light indicated - correct answer ✔increased ICP


should be equal pupil sizes and not dilated


(both pupils should constrict to light even if light only shined in one eye)


Define hypoglycemia - correct answer ✔Newborn less than 45 mg/dL
Child less than 60 mg/dL


Hypoglycemia can result in...if not recognized - correct answer ✔brain injury


(remember brain uses glucose)

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