AHA PALS FINAL EXAM 4 COMPREHENSIVE
STUDY GUIDE UPDATED ACTUAL QUESTIONS
AND CORRECT ANSWERS
◉ You are treating a 5-month-old with a 2-day history of vomiting
and diarrhea. The patient is listless. The respiratory rate is 52/min
and unlabored. The heart rate is 170/min and pulses are present but
weak. Capillary refill is delayed. You are administering high-flow
oxygen, and intravenous access is in place. At this point the most
important therapy is to:
- Administer an epinephrine bolus
- Begin bag-mask ventilation
- Provide a rapid 20 ml/kg isotonic crystalloid fluid bolus
- Administer a bolus of 0.5 g/kg of dextrose. Answer: Provide a rapid
20 ml/kg isotonic crystalloid fluid bolus
◉ Which of the following groups of clinical findings would be most
consistent with categorizing a patient with compensated shock?
- Normal systolic blood pressure, decreased level of consciousness,
cool extremities with delayed capillary refill, and faint or
nonpalpable distal pulses
, - Decreased level of consciousness, extensor posturing in response
to pain, hypertension, and apnea
- Normal blood pressure, normal level of consciousness, bounding
distal pulses, hypercarbia, hypoxemia, and normal urine output
- Unresponsiveness, normal breathing, and good distal pulses.
Answer: Normal systolic blood pressure, decreased level of
consciousness, cool extremities with delayed capillary refill, and
faint or nonpalpable distal pulses
◉ You are treating a 10-year-old patient after a motor vehicle crash.
The patient is unresponsive and flexes his arms at the elbow in
response to a painful stimulus. An endotracheal tube is in place with
position confirmed. You are ventilating using a resuscitation bag
with oxygen, and the child has an SPO2 of 95% and good chest
excursion bilaterally. The blood pressure is 130/70 mm Hg, and the
heart rate is 90/min with good perfusion. You have established
intravenous access. Which of the following actions would be most
appropriate at this time?
- Obtain a CT scan of the head and neck
- Begin manual hyperventilation
- Provide continuous positive airway pressure
STUDY GUIDE UPDATED ACTUAL QUESTIONS
AND CORRECT ANSWERS
◉ You are treating a 5-month-old with a 2-day history of vomiting
and diarrhea. The patient is listless. The respiratory rate is 52/min
and unlabored. The heart rate is 170/min and pulses are present but
weak. Capillary refill is delayed. You are administering high-flow
oxygen, and intravenous access is in place. At this point the most
important therapy is to:
- Administer an epinephrine bolus
- Begin bag-mask ventilation
- Provide a rapid 20 ml/kg isotonic crystalloid fluid bolus
- Administer a bolus of 0.5 g/kg of dextrose. Answer: Provide a rapid
20 ml/kg isotonic crystalloid fluid bolus
◉ Which of the following groups of clinical findings would be most
consistent with categorizing a patient with compensated shock?
- Normal systolic blood pressure, decreased level of consciousness,
cool extremities with delayed capillary refill, and faint or
nonpalpable distal pulses
, - Decreased level of consciousness, extensor posturing in response
to pain, hypertension, and apnea
- Normal blood pressure, normal level of consciousness, bounding
distal pulses, hypercarbia, hypoxemia, and normal urine output
- Unresponsiveness, normal breathing, and good distal pulses.
Answer: Normal systolic blood pressure, decreased level of
consciousness, cool extremities with delayed capillary refill, and
faint or nonpalpable distal pulses
◉ You are treating a 10-year-old patient after a motor vehicle crash.
The patient is unresponsive and flexes his arms at the elbow in
response to a painful stimulus. An endotracheal tube is in place with
position confirmed. You are ventilating using a resuscitation bag
with oxygen, and the child has an SPO2 of 95% and good chest
excursion bilaterally. The blood pressure is 130/70 mm Hg, and the
heart rate is 90/min with good perfusion. You have established
intravenous access. Which of the following actions would be most
appropriate at this time?
- Obtain a CT scan of the head and neck
- Begin manual hyperventilation
- Provide continuous positive airway pressure
