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PALS post test

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Exam of 7 pages for the course A Class at A Class (PALS post test)

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PALS post test!!
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? - ✔✔"resume compressions"


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? - ✔✔2-4 J/kg


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? - ✔✔40 Joules


You are the team leader during a pediatric resuscitation attempt. which action is an element of
high quality CPR? - ✔✔Allowing complete chest wall recoil after each compression


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. Which assessment finding indicates that the infant is in hypotensive
shock? - ✔✔blood pressure


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. On the basis of this infants presentation, which type of shock does this
infant have? - ✔✔hypovolemic shock

, 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? - ✔✔20 ml/kg normal saline


A 2 week old infant is being evaluated for irritability and poor feeding. His BP is 55/40 mmHg,
and cap refill time is 5 seconds. Which statement best describes your assessment of this infants
BP? - ✔✔It is Hypotensive


A team member is unable to perform an assigned task because it is beyond the team members
scope of practice. Which action should the team member take? - ✔✔Ask for a new task or
role


Which abnormality helps identify children with acute respiratory distress caused by lung tissue
disease? - ✔✔crackles


Which condition in a child would IO access most likely be attempted before vascular access? -
✔✔cardiac arrest


You respond to an infant who is unresponsive, in not breathing, and doe not have a pulse. You
shout for nearby help, but no one arrives. What action should you take next? - ✔✔Begin CPR
for 2 mins before leaving to activate the emergency response system.


An unresponsive 9 year old boy is pale and cool to the touch his blood pressure is 70/45 mmHg,
heart rate is 190/min and respiratory rate is 12/min. The SpO2 is not detectable Cap refill time
is 5 seconds. An IV is in place. The cardiac monitor displays the rhythm shown here. What
rhythm is seen on the patient cardiac monitor? - ✔✔Supraventricular tachycardia


An unresponsive 9 year old boy is pale and cool to the touch his blood pressure is 70/45 mmHg,
heart rate is 190/min and respiratory rate is 12/min. The SpO2 is not detectable Cap refill time
is 5 seconds. An IV is in place. The cardiac monitor displays the rhythm shown here. If initial

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