Exam (elaborations)
PALS VERSION B QUESTIONS AND VERIFIED ANSWERS|100% CORRECT|GRADE A+
- Course
- Institution
PALS VERSION B QUESTIONS AND VERIFIED ANSWERS|100% CORRECT|GRADE A+
[Show more]
Seller
Follow
Content preview
PALS VERSION B QUESTIONS ANDVERIFIED ANSWERS|100%
CORRECT|GRADE A+
You are treating an 8-year-old with ventricular tachycardia (VT) 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
Initiate overdrive pacing transcutaneously
Consider possible metabolic and toxicologic causes
Deliver an unsynchronized shock - ANSWER Consider possible metabolic and toxicologic causes
You are caring for a patient who developed a tension pneumothorax after several hours of positive-
pressure ventilation. Which of the following would be the most appropriate site for needle
decompression?
Over the third rib (ie, second intercostal space) at the mid-clavicular line
Under the eighth rib at the midaxillary line
Over the fifth rib at the sternal border
Under the sixth rib at the midclavicular line - ANSWER Over the third rib (ie, second intercostal space) at
the mid-clavicular line
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 colloidge
Administer repeated fluid boluses of isotonic crystalloid
Begin immediate dopamine infusion
, Begin immediate dobutamine infusion - ANSWER Administer repeated fluid boluses of isotonic
crystalloid
You are caring for a 5-year-old patient with supraventricular tachycardia (SVT) (heart rate is 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?
Provide synchronized cardioversion at 0.5 to 1 J/kg
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 - ANSWER Provide synchronized cardioversion at 0.5 to 1 J/kg
You attempted synchronized cardioversion for an infant with SVT and poor perfusion. The SVT persists
after the initial shock of 1 J/kg. Which of the following should you attempt now?
Synchronized cardioversion at a dose of 4 J/kg
Synchronized cardioversion at a dose of 2 J/kg
Unsynchronized cardioversion at a dose of 2 J/kg
Unsynchronized cardioversion at a dose of 4 J/kg - ANSWER Synchronized cardioversion at a dose of 2
J/kg
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
Using a resuscitation bag to provide manual ventilation with 100% oxygen
Increasing tidal volume
Increasing positive end-expiratory pressure (PEEP) - ANSWER Using a resuscitation bag to provide
manual ventilation with 100% oxygen
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 or Stuvia-credit 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 sellervt. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $10.49. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
80461 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now