Pals Final Exam; 50 Questions & Answers:Latest Updated
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Solution/ 100%Verified;Pals Final Exam (Actual Exam)
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•
1. A 12-year-old child being evaluated in the pediatric intensive care unit
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displays the following ECG waveform.The team interprets this as which ar-
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rhythmia?:ANS second degree
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2. Laboratory tests are ordered for a child who has been vomiting for 3
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days and is diaphoretic,tachypneic,lethargic and pale.Which test would the
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provider use to determine the adequacy of oxygen delivery?: ANS Lactate
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3. A 9-year-old patient is presenting with decreased breath sounds, brady-
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cardia, slowed respiratory rate and a low O2 saturation level. The provider
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interprets these findings as indicating which condition?: ANS Respiratory
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failure
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4. A 4-year-old child is brought to the emergency department by the parents.
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Assessment reveals that the child has only gasping respirations and the pulse
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rate is 65 beats per minute.Which action would the provider initiate first?: ANS
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Deliver 1 BVM ventilation every 3 to 5 seconds.
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5. A 15-year-old patient is being evaluated during a follow-up visit after being
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diagnosed with Lyme disease 2 months ago. A rhythm strip is obtained as
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shownbelow.Theproviderinterpretsthisrhythmasindicatingwhicharrhyth-
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mia?: ANS First-degree atrioventricular (AV) block
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, 6. A child in cardiac arrest experiences return of spontaneous circulation but
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is exhibiting signs of post-cardiac arrest syndrome (PCAS).The PALS
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resuscitation team determines that the child is experiencing a systemic re-
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sponse to ischemia/reperfusion.The team bases this determination on which
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finding(s)?: ANS Hypotension
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Fever
Hyperglycemia
7. A2-year-oldchildarrivesattheemergencydepartmentwiththeparents.The
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child is unresponsive,is not breathing and has no pulse.Two emergency de-
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partment providers begin high-quality CPR.Which action(s) by the providers
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demonstrates high-quality CPR?: ANS Allowing the chest to recoil fully after each
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compression
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Providing ventilations that last about 1 second each Compressing
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c the chest about 2 inches
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Giving 2 ventilations to every 15 compressions
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https://www.stuvia.com/user/HIGRADES c
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Solution/ 100%Verified;Pals Final Exam (Actual Exam)
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•
1. A 12-year-old child being evaluated in the pediatric intensive care unit
c c c c c c c c c c
displays the following ECG waveform.The team interprets this as which ar-
c c c c c c c c c c c c
rhythmia?:ANS second degree
c c c
2. Laboratory tests are ordered for a child who has been vomiting for 3
c c c c c c c c c c c c
days and is diaphoretic,tachypneic,lethargic and pale.Which test would the
c c c c c c c c c c c
provider use to determine the adequacy of oxygen delivery?: ANS Lactate
c c c c c c c c c c c
3. A 9-year-old patient is presenting with decreased breath sounds, brady-
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cardia, slowed respiratory rate and a low O2 saturation level. The provider
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interprets these findings as indicating which condition?: ANS Respiratory
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failure
c
4. A 4-year-old child is brought to the emergency department by the parents.
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Assessment reveals that the child has only gasping respirations and the pulse
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rate is 65 beats per minute.Which action would the provider initiate first?: ANS
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Deliver 1 BVM ventilation every 3 to 5 seconds.
c c c c c c c c c
5. A 15-year-old patient is being evaluated during a follow-up visit after being
c c c c c c c c c c c
diagnosed with Lyme disease 2 months ago. A rhythm strip is obtained as
c c c c c c c c c c c c c
shownbelow.Theproviderinterpretsthisrhythmasindicatingwhicharrhyth-
c c c c c c c c c c c
mia?: ANS First-degree atrioventricular (AV) block
c c c c c c
https://www.stuvia.com/user/HIGRADES c
c c
, 6. A child in cardiac arrest experiences return of spontaneous circulation but
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is exhibiting signs of post-cardiac arrest syndrome (PCAS).The PALS
c c c c c c c c c c
resuscitation team determines that the child is experiencing a systemic re-
c c c c c c c c c c c
sponse to ischemia/reperfusion.The team bases this determination on which
c c c c c c c c c
finding(s)?: ANS Hypotension
c c c
Fever
Hyperglycemia
7. A2-year-oldchildarrivesattheemergencydepartmentwiththeparents.The
c c c c c c c c c c c
child is unresponsive,is not breathing and has no pulse.Two emergency de-
c c c c c c c c c c c c c
partment providers begin high-quality CPR.Which action(s) by the providers
c c c c c c c c c c
demonstrates high-quality CPR?: ANS Allowing the chest to recoil fully after each
c c c c c c c c c c c c
compression
c
Providing ventilations that last about 1 second each Compressing
c c c c c c c c
c the chest about 2 inches
c c c c
Giving 2 ventilations to every 15 compressions
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https://www.stuvia.com/user/HIGRADES c
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