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.
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
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.
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
What is considered inadequate perfusion when assessing/caring for a pediatric patient with an
arrhythmia? - answer✔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? - answer✔Signs of shock
Acutely altered mental status
Hypotension
A 9-year-old patient is presenting with diminished breath sounds, bradycardia, slowed
respiratory rate and a low O2 saturation level. The provider interprets these findings as
indicating which condition? - answer✔Respiratory failure
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
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.
An 11-year-old child develops ventricular tachycardia with a pulse with inadequate perfusion.
The PALS team would prepare the child for which intervention? - answer✔Synchronized
electrical cardioversion
A 5-year-old child with a history of a chronic neuromuscular disease is experiencing respiratory
distress. The child is breathing spontaneously and receiving supplemental oxygen. Which
additional intervention is a critical component of airway management for this patient? -
answer✔Airway clearance (e.g., suctioning)
Primary assessment of a 10-year-old child reveals septic shock. As part of the secondary
assessment, if not already done as part of initial sepsis care, laboratory testing is completed to
evaluate the child's status. Which laboratory tests would be ordered for this child? -
answer✔Complete blood count (CBC)
Lactate level
Blood cultures
A 6-year-old patient is brought to the emergency department after a bicycle accident.
Assessment reveals chest pain on inspiration, diminished breath sounds on the right side, and
respiratory distress. The provider suspects obstructive shock caused by what condition? -
answer✔Tension pneumothorax
A child exhibiting a narrow-complex tachycardia with adequate perfusion is to receive
adenosine. The provider would be alert for which result after administering this medication? -
answer✔Transient asystole
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