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PALS post test 50 Complete and Correct
Answered Question, Graded A+.
10 seconds - Correct answer A 6 month old infant is unresponsive. You begin
checking for breathing at the same time you check for the infants pulse. Which is the maximum time you should spend when trying to simultaneously check for breathing and palpate the infants pulse before starting CPR?
Disordered Control of Breathing - Correct answer A 4 year old child is brought to
the emergency department for seizures. The seizures stopped a few minutes ago, but the child continues to have slow and irregular respirations. Which condition is most consistent with your assessment?
blood glucose - Correct answer An 8 year old child is brought to the emergency
department with a 2 day history of lethargy and polyuria. The child has new onset rapid, deep, and labored breathing. Which diagnostic test should you order first?
Reposition the patient, and insert an oral airway - Correct answer After rectal
administration of diazepam, an 8 year old boy with a history of seizures is no unresponsive to painful stimuli. His respirations are shallow, at a rate of 10/min. His Oxygen saturation is 94% on 2L of NC oxygen. On examination, the child is snoring with poor chest rise and poor air entry bilaterally. What action should you take next?
Provide bag mask ventilation - Correct answer After rectal administration of
diazepam, an 8 year old boy with a history of seizures is no unresponsive to painful stimuli. His respirations are shallow, at a rate of 10/min. His Oxygen saturation is 94% on 2L of NC oxygen. On examination, the child is snoring with poor chest rise and poor air entry bilaterally. After repositioning the patient and you insert an Oral airway, the patient continues to deteriorate. What next step is the most appropriate?
15:2 - Correct answer A 6 year old child is found unresponsive, not breathing, and
without a pulse. one health care worker leaves to activate the emergency response system and get the resuscitation equipment. You and another healthcare provider immediatly begin CPR. Which compression to ventilation ratio do you use?
94%-99% - Correct answer In post resuscitation management after cardiac arrest,
extra care should be taken to avoid repercussion injury. what should the ideal oxygen saturation range most likely be?
"resume compressions" - Correct answer A 3 year old child is in cardiac arrest,
and high quality CPR is in progress. You are the team leader. The first rhythm check
reveals the rhythm shown here. Defibrillation is attempted with a shock dose of 2 J/kg. after administration of the shock, what should you say to you team members?
2-4 J/kg - Correct answer A 4 year old child in cardiac arrest is brought to the
emergency department by ambulance. High quality CPR is being performed. The cardiac monitor displays the rhythm strip shown here. The estimated weight of the child is 20 kg. What dose range should you use for the initial defibrillation?
40 Joules - Correct answer A 4 year old child in cardiac arrest is brought to the
emergency department by ambulance. High quality CPR is being performed. The cardiac monitor displays the rhythm strip shown here. The estimated weight of the child is 20 kg. As the team leader, how many joules do you tell your team member to use to perform initial Defib?
Allowing complete chest wall recoil after each compression - Correct answer You
are the team leader during a pediatric resuscitation attempt. which action is an element of high quality CPR?
blood pressure - Correct answer You are caring for a 3 month old boy with a 2
day history of fever, vomiting and diarrhea. His parents state that he has been sleeping much more. His HR is 190/min, temp is 38.3 degrees C (101 F) blood pressure is 59/ mmHg, Resp rate is 70/min and shallow, and oxygen sat is 94% on 100% oxygen. His capillary refills time is 4-5 seconds, and he has mottled, cool extremities. The infant weighs 6 Kg. Which assessment finding indicates that the infant is in hypotensive shock?
hypovolemic shock - Correct answer You are caring for a 3 month old boy with a 2
day history of fever, vomiting and diarrhea. His parents state that he has been sleeping much more. His HR is 190/min, temp is 38.3 degrees C (101 F) blood pressure is 59/ mmHg, Resp rate is 70/min and shallow, and oxygen sat is 94% on 100% oxygen. His capillary refills time is 4-5 seconds, and he has mottled, cool extremities. The infant weighs 6 Kg. On the basis of this infants presentation, which type of shock does this infant have?
20 ml/kg normal saline - Correct answer You are caring for a 3 month old boy with
a 2 day history of fever, vomiting and diarrhea. His parents state that he has been sleeping much more. His HR is 190/min, temp is 38.3 degrees C (101 F) blood pressure is 59/29 mmHg, Resp rate is 70/min and shallow, and oxygen sat is 94% on 100% oxygen. His capillary refills time is 4-5 seconds, and he has mottled, cool extremities. The infant weighs 6 Kg. You have decided that this infant Needs fluid resuscitation. How much fluid should you administer?
blood pressure - Correct answer You are evaluating a 10 year old child who is
febrile and tachycardia. The Childs cap refill times 5 seconds. which parameter will determine if the child is in compensated shock?
Respiratory rate of 24/min - Correct answer A 3 year old child is brought to the
emergency department by his mother. Which is a normal finding for a 3 year old child?
Sinus Bradycardia - Correct answer An unresponsive 9 year old boy was given a
dose of rectal valium by his caretaker for a prolonged seizure. His BP is 80/40 mmHg, HR is 45/min, respiratory rate is 6/min, and SpO2 is 60% no room air. He is unresponsive and cyanotic. The cardiac monitor displays the rhythm shown here. Which rhythm is most consistent with this patients presentation and ECG findings?
Provide bag-mask ventilation with 100% oxygen - Correct answer An
unresponsive 9 year old boy was given a dose of rectal valium by his caretaker for a prolonged seizure. His BP is 80/40 mmHg, HR is 45/min, respiratory rate is 6/min, and SpO2 is 60% no room air. He is unresponsive and cyanotic. The cardiac monitor displays the rhythm shown here. What is your next action?
Heart rate of 88/min - Correct answer A 10 year old child is being evaluated for a
head ache. Which is a normal finding for this 10 year old child?
Alert - Correct answer A 5 year old child is brought to the emergency department
by ambulance after being involved in a MVC. You are using the primary assessment to evaluate the child. When assessing the Childs neurological status, you note that he has spontaneous eye opening, is fully oriented, and is able to follow command. How would you document this Childs AVPU pediatric response scale finding?
Hypoxia - Correct answer A 6 month old infant is being evaluated for bradycardia.
Which is the most likely cause of bradycardia?
oxygen saturation - Correct answer You are caring for a 5 year old boy with a 4
day history of high fever and cough. He is having increasing lethargy, grunting, and sleepiness. Now he is difficult to arouse and is unresponsive to voice commands. His O2 sat is 72% on room air and 89% when on a NRB O2 mask. He has shallow respirations, with a respiratory rate of 38/min. Auscultation of the lungs reveals bilateral crackles. Which assessment finding is consistent with respiratory failure in this child?
an antibiotic - Correct answer You are caring for a 5 year old boy with a 4 day
history of high fever and cough. He is having increasing lethargy, grunting, and sleepiness. Now he is difficult to arouse and is unresponsive to voice commands. His O2 sat is 72% on room air and 89% when on a NRB O2 mask. He has shallow
respirations, with a respiratory rate of 38/min. Auscultation of the lungs reveals bilateral crackles. Which medication would be most appropriate?
Give 30 compressions to 2 breaths - Correct answer What ratio for compressions
to breaths should be used for 1 rescuer infant CPR
Decreased level of consciousness - Correct answer An 8 year old child is brought
to the ED by ambulance after being involved in a MVC. Which finding would suggest that immediate intervention is needed?
upper airway obstruction - Correct answer You are Caring for a 9 month old girl
who has increased work of breathing, a fever, and a cough. On assessment, you find an alert infant with stridor and retractions. The infants SpO2 is 94% On auscultation, the lungs are clear bilaterally. Which is the most likely cause of this infants respiratory distress?
Epinephrine, nebulized - Correct answer You are Caring for a 9 month old girl
who has increased work of breathing, a fever, and a cough. On assessment, you find an alert infant with stridor and retractions. The infants SpO2 is 94% On auscultation, the lungs are clear bilaterally. Which medication should you administer first?
Lower airway obstruction - Correct answer Which condition is characterized by a
prolonged excretory phase and wheezing?
"I think the correct dose is 0.01 mg/kg. should I give that dose instead?" - Correct
answer During a resuscitation attempt, the team leader asks you to administer an
initial dose of Epinephrine at 0.1 mg/kg to be given IO. How should you respond?
Distributive Septic Shock - Correct answer You are caring for a 12 year old girl
with acute lymphoblastic leukemia. She is responsive but she does not feel well and appears to be flushed. Her Temp is 39 degrees C (102.2 F), HR is 118/min, respiratory rate is 36/min, BP is 100/40 mmHg, and oxygen sat is 96% on room air. Your assessment reveals mild increase in work of breathing and bounding pulses. The child is receiving 100% Oxygen by NRB mask.--- Laberatory studies document a lactic acidosis. On the basis of the patients clinical assessment and history. Which type of shock does this patient most likely have?
blood pressure - Correct answer You are caring for a 12 year old girl with acute
lymphoblastic leukemia. She is responsive but she does not feel well and appears to be flushed. Her Temp is 39 degrees C (102.2 F), HR is 118/min, respiratory rate is 36/min, BP is 100/40 mmHg, and oxygen sat is 96% on room air. Your assessment reveals mild increase in work of breathing and bounding pulses. The child is receiving 100% Oxygen
reveals that the child is difficult to arouse and her skin color is pale. The Childs HR is 160/min, respiratory rate is 38/min, blood pressure is 76/45 mmHg, cap refill time is 5 to 6 seconds, and temp is 39.4 degrees C (103 F). IV access has been established, and blood cultures have been obtained. which action should you perform next?
Pulseless Electrical Activity - Correct answer A 7 year old child in cardiac arrest is
brought to the ED by ambulance. No palpable pulses are detected. The Childs ECG is shown here. How would you characterize this Childs rhythm?
