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2024 PALS FINAL EXAM WITH CORRECT ANSWERS
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2024 PALS FINAL EXAM WITH CORRECT ANSWERS
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2024 PALS FINAL EXAM WITHCORRECT ANSWERS
The PALS resuscitation team is providing care to an intubated child in cardiac
arrest. Which of the following can be used to monitor the adequacy of the
team's chest compressions? - CORRECT ANSWERS-End-tidal carbon dioxide
levels
Presence of an arterial waveform or arterial blood pressure in patients with
indwelling arterial catheters
A provider is assessing a child with suspected shock. Which statement
correctly describes hypotension and shock? - CORRECT ANSWERS-
Hypotension is not a consistent feature of shock presentation in children.
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? - CORRECT ANSWERS-No more
than 10 seconds
The PALS team leader is conducting a debriefing session with the team.
Which topic(s) would the team leader most likely address during the session?
- CORRECT ANSWERS-Discussion of the pros and cons of the
interventionsEvaluation of the objective data gathered during the event,
Summary of the event, including what actions were taken, Identification of
ways to improve
A healthcare provider notices petechiae on the arms and legs while
performing a rapid skin assessment of a child with a high fever and
respiratory distress. Based on this assessment, which condition should the
provider consider? - CORRECT ANSWERS-Life-threatening systemic infection
After ROSC, a child is experiencing post-cardiac arrest hypoperfusion. The
PALS resuscitation team would administer which element to restore
intravascular volume and optimize preload? - CORRECT ANSWERS-Isotonic
fluid boluses
A child in the pediatric step-down unit is exhibiting signs of respiratory
distress. When assessing this child, which circulation finding might be
present? - CORRECT ANSWERS-Pallor
, A 12-year-old is being treated in the urgent care clinic. The mother reports
that the child came home from school yesterday with a high fever, vomiting
and multiple episodes of watery diarrhea. The healthcare provider obtains a
rhythm strip and notes the following waveform. The provider interprets this
as which type of arrhythmia? - CORRECT ANSWERS-Sinus tachycardia
Which action would the PALS team initiate to manage increased intracranial
pressure in a pediatric patient? - CORRECT ANSWERS-Maintain the head in
midline position.
What is the correct IV/IO dose of epinephrine for a pediatric patient in cardiac
arrest? - CORRECT ANSWERS-0.01 mg/kg every 3 to 5 min (max single dose
1 mg)
An unresponsive 7-year-old child with no pulse is brought to the pediatric
urgent care center by his parents and CPR is initiated. The cardiac monitor
reveals ventricular fibrillation. Which action would the PALS team take first? -
CORRECT ANSWERS-Initiate defibrillation with 2 J/kg.
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? - CORRECT ANSWERS-Deliver 1 BVM ventilation every 2 to 3 seconds.
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? - CORRECT ANSWERS-
100 to 120 compressions per minute at a depth of about 2 inches
What is considered inadequate perfusion when assessing/caring for a
pediatric patient with an arrhythmia? - CORRECT ANSWERS-Diminished
peripheral pulses
Acutely altered mental status
Hypotension
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
inadequate perfusion. Which primary assessment findings indicate this? -
CORRECT ANSWERS-Signs of shock
Acutely altered mental status
Hypotension
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