Pals Post Exam Test.

PALS POST EXAM TEST. 1. Which oxygen delivery system most reliably delivers a high (90% or greater) concentration of inspired oxygen to a 7-year-old child? 2. Which statement is correct about the effects of epi- nephrine during attempted resuscitation? 3. You are part of a team attempting to resuscitate a child with ventricular fibrillation cardiac arrest. You delivered 2 unsynchronized shocks. A team member established IO access, so you give a dose of epineph- rine, 0.01 mg/kg IO. At the next rhythm check, persis- tent ventricular fibrillation is present. You administer a 4-J/kg shock and resume CPR. Which drug and dose should be administered next. 4. You are called to help treat an infant with severe symptomatic bradycardia (heart rate 66/min) associat- ed with respiratory distress. The bradycardia persists despite establishment of an effective airway, oxygena- tion, and ventilation. There is no heart block present. Which is the first drug you should administer? 5. A previously healthy infant with a history of vomiting Nonrebreathing face mask Epinephrine stimulates spontaneous contractions when asystole is present Amiodarone 5 mg/kg IO Epinephrine Administer a bolus of iso- and diarrhea is brought to the emergency department tonic crystalloid 20 mL/kg by her parents. During your assessment, you find that over 5 to 20 minutes, and the infant responds only to painful stimulation. The infant's respiratory rate is 40 breaths per minute and central pulses are rapid and weak. The infant has good bilateral breath sounds, cool extremities, and capillary refill time of more than 5 seconds. The infant's blood also give D25W 2 to 4 mL/kg IV pressure is 85/65 mm Hg, and glucose is 30 mg/dL (1.65 mmol/L). You administer 100% oxygen via face mask and start an IV. Which treatment is the most appropriate for this infant? 6. Which statement is correct about the use of calcium chloride in pediatric patients? 7. Which statement is correct about endotracheal drug administration during resuscitative efforts for pedi- atric patients? 8. A 9-year-old boy is agitated and leaning forward on the bed in obvious respiratory distress. The patient is speaking in short phrases and tells you that he has asthma but does not carry an inhaler. He has nasal flar- ing, severe suprasternal and intercostal retractions, and decreased air movement with prolonged respira- tory time and wheezing. You administer 100% oxygen by a nonrebreathing mask. His SpO2 is 92%. Which medication do you prepare to give to this patient? 9. Paramedics are called to the home of a 1-year-old child. Their initial assessment reveals a child who re- sponds only to painful stimuli and has irregular breath- ing, faint central pulses, bruises over the abdomen, abdominal distention, and cyanosis. Bag-mask venti- lation with 100% oxygen is initiated. The child's heart rate is 36/min. Peripheral pulses cannot be palpated, and central pulses are barely palpable. The cardiac monitor shows sinus bradycardia. Two-rescuer CPR is started. Upon arrival to the emergency department, Routine administration is not indicated during car- diac arrest It is the least desirable route of administration Albuterol