PALS Final Review/ 98 Questions with Definitive Solutions
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Course
PALS
Institution
PALS
PALS Final Review/ 98 Questions with Definitive Solutions. Terms like:
You are called to the bedside of a 12-year-old male patient who was admitted after a week of persistent vomiting, diarrhea and limiting oral intake of both solids and liquids. The patient's airway is patent, ventilatory rate...
PALS Final Review/ 98 Questions with
Definitive Solutions
You are called to the bedside of a 12-year-old male patient who was admitted after a week of
persistent vomiting, diarrhea and limiting oral intake of both solids and liquids. The patient's
airway is patent, ventilatory rate is within normal limits and the patient's circulatory status
presents with tachycardia, a blood pressure of 70/40 and a capillary refill time of 5 seconds. The
patient is speaking incoherently. The patient has no history of cardiac problems or congenital
defects. The appropriate fluid administration dose for this patient is: - Answer: 20 ml/kg 0.9%
NaCl over 10 minutes
You suspect your 8-year-old female patient of being hypovolemic. Her parents brought her to
the emergency department with persistent vomiting and diarrhea for 5 days. The patient
presents with *mottled skin* and reports of periods where "she just stopped breathing!"
according to her parents. The patient is being managed with a BVM and supplemental oxygen.
What is the best route of establishing vascular access for the purpose of fluid resuscitation? -
Answer: IV
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, Which of the following cannot be administered through an ETT? - Answer: Sodium bicarbonate
You are examining the rhythm strip of a patient who presents with bradycardia. Which of the
following characteristics may you notice in the rhythm? - Answer: The most obvious sign of
bradycardia on an ECG is slow heart rate. The characteristics of P-waves and the QRS complex
may vary. When looking at an EKG, the following characteristics are seen with bradycardia
patients: Slow heart rate, P-waves may not be noticeable, QRS complex may be wide or narrow,
and P-waves and QRS complex may not be related to bradycardia.
How do children's metabolic rates compare to adults'? - Answer: higher
Children's demand for oxygen is ___________ adults. - Answer: greater
Which of the following must you monitor while fluid resuscitating a patient? - Answer: Urine
output
What type of pressure is monitored to obtain right ventricular cardiac preload? - Answer:
Central venous pressure (CVP)
Define shock: - Answer: When oxygen and nutrient supply to body tissue is insufficient
compared to metabolic tissue needs
Your 5-year-old patient is admitted to the PICU and is being treated by your team for
hypovolemic shock. The team has administered one bolus of 20ml/kg of 0.9% NaCl . On re-
evaluation the patient is alert and anxious with a heart rate of 145 beats per minute, a blood
pressure of 76/48mmHg and a capillary refill time of 4 seconds. Which of the following is the
patient's clinical condition? - Answer: hypotensive shock
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