Science Medicine Emergency Medicine
AHA PALS
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1. A 5-year-old child presents with lethargy, Unreliable; supplementary oxygen should be administered
increased work of breathing, and pale
color. The primary assessment reveals that
the airway is open and the respiratory rate
is 30/min, with crackles heard on
auscultation. The cardiac monitor shows
sinus tachycardia at a rate of 165/min. The
pulse oximeter displays an oxygen
saturation of 95% and a pulse rate of
93/min. On the basis of this information,
which of the following provides the best
interpretation of the oxygen saturation of
95% by pulse oximetry?
A. Reliable; no supplementary oxygen is
indicated B. Reliable; supplementary
oxygen should be administered
C. Unreliable; no supplementary oxygen is
indicated
D. Unreliable; supplementary oxygen
should be administered
,2. A 3-year-old child was recently Septic shock
diagnosed with leukemia and has been
treated with chemotherapy. The child
presents with lethargy and a high fever.
Heart rate is 195/min, respiratory rate is
36/min, blood pressure is 85/40 mm Hg,
and capillary refill time is less than 2
seconds. What is the child's most likely
condition?
A. Septic shock
B. Hypovolemic shock
C. Significant bradycardia
D. Cardiogenic shock
3. A 2-week-old infant presents with Hypotensive
irritability and a history of poor feeding.
Blood pressure is 55/40 mm Hg. What term
describes this infant's blood pressure?
A. Hypotensive
B. Normal
C. Hypertensive
D. Compensated
4. During a resuscitation attempt, the team Respectfully ask the team leader to clarify the dose
leader orders an initial dose of epinephrine
at 0.1 mg/kg to be given 10. What should
the team member do?
A. Administer the drug as ordered
B. Administer 0.01 mg/kg of epinephrine
C. Respectfully ask the team leader to
clarify the dose
D. Refuse to administer the drug
5. Which of the following is a characteristic Inadequate oxygenation and/or ventilation
of respiratory failure?
A. Inadequate oxygenation and/or
ventilation
B. Hypotension
C. An increase in serum pH (alkalosis)
D. Abnormal respiratory sounds
6. Which of the following is most likely to Lower airway obstruction
produce a prolonged expiratory phase and
wheezing?
A. Disordered control of breathing
B. Hypovolemic shock
C. Lower airway obstruction
D. Upper airway obstruction
7. A 4-year-old child presents with seizures Control of breathing
and irregular respirations. The seizures
stopped a few minutes ago. Which of the
following most likely to be abnormal?
A. Vascular resistance
B. Pulse rate
C. Lung compliance
D. Control of breathing
, 8. What abnormality is most likely to be Decreased oxygen saturation
present in children with acute respiratory
distress caused by lung tissue disease?
A. Decreased oxygen saturation
B. Stridor
C. Normal respiratory rate
D. Decreased respiratory effort
9. An alert 2-year-old child with an Respiratory distress
increased work of breathing and pink color
is being evaluated. Heart rate is 110/min,
and respiratory rate is 30/min. What would
best describe this patient's condition? A.
Respiratory distress
B. Respiratory arrest
C. Respiratory failure
D. Disordered control of breathing
10. The parents of a 7-year-old child who is Obtain vascular access and administer 20 mL/kg of isotonic crystalloid over 5 to 10
undergoing chemotherapy report that the minutes
child has been febrile and has not been
feeling well, with recent onset of lethargy.
Assessment reveals the following: The child
is difficult to arouse, with pale color. The
child's heart rate is 160/min, respiratory rate
is 30/min, blood pressure is 76/45 mm Hg,
capillary refill time is 5 to 6 seconds, and
temperature is 103°F (39.4°C). What is the
most appropriate intervention?
A. Obtain vascular access and administer
20 mL/kg of isotonic crystalloid over 30
minutes
B. Obtain vascular access and administer 20
mL/kg of isotonic crystalloid over 5 to 10
minutes
C. Obtain immediate blood cultures and
chest x-ray D. Obtain expert consultation
with an oncologist to determine the
chemotherapeutic regimen
11. A 2-year-old child presents with a 4-day Place an intraosseous line
history of vomiting. The initial impression
reveals an unresponsive child with
intermittent apnea and mottled color.
Heart rate is 166/min, respiratory rate is
now being supported with bag-mask
ventilation, capillary refill time is 5 to 6
seconds, and temperature is 102°F (38.9°C).
What is the best method of establishing
immediate vascular access? A. Two
providers may attempt peripheral vascular
access twice each
B. Three providers may attempt peripheral
vascular access once each
C. Place a central venous line
D. Place an intraosseous line
AHA PALS
Save
Students also studied
Flashcard sets Study guides Practice tests
HAZMAT First Responder Operation... FISDAP EMT Medical Exam Test Ban... SAR Test Study Guide EMR: E
Teacher 86 terms Teacher 110 terms Teacher 228 terms 271 term
Simon_Mbuthia Preview harriss605 Preview Shem_Katee Preview geo
1. A 5-year-old child presents with lethargy, Unreliable; supplementary oxygen should be administered
increased work of breathing, and pale
color. The primary assessment reveals that
the airway is open and the respiratory rate
is 30/min, with crackles heard on
auscultation. The cardiac monitor shows
sinus tachycardia at a rate of 165/min. The
pulse oximeter displays an oxygen
saturation of 95% and a pulse rate of
93/min. On the basis of this information,
which of the following provides the best
interpretation of the oxygen saturation of
95% by pulse oximetry?
A. Reliable; no supplementary oxygen is
indicated B. Reliable; supplementary
oxygen should be administered
C. Unreliable; no supplementary oxygen is
indicated
D. Unreliable; supplementary oxygen
should be administered
,2. A 3-year-old child was recently Septic shock
diagnosed with leukemia and has been
treated with chemotherapy. The child
presents with lethargy and a high fever.
Heart rate is 195/min, respiratory rate is
36/min, blood pressure is 85/40 mm Hg,
and capillary refill time is less than 2
seconds. What is the child's most likely
condition?
A. Septic shock
B. Hypovolemic shock
C. Significant bradycardia
D. Cardiogenic shock
3. A 2-week-old infant presents with Hypotensive
irritability and a history of poor feeding.
Blood pressure is 55/40 mm Hg. What term
describes this infant's blood pressure?
A. Hypotensive
B. Normal
C. Hypertensive
D. Compensated
4. During a resuscitation attempt, the team Respectfully ask the team leader to clarify the dose
leader orders an initial dose of epinephrine
at 0.1 mg/kg to be given 10. What should
the team member do?
A. Administer the drug as ordered
B. Administer 0.01 mg/kg of epinephrine
C. Respectfully ask the team leader to
clarify the dose
D. Refuse to administer the drug
5. Which of the following is a characteristic Inadequate oxygenation and/or ventilation
of respiratory failure?
A. Inadequate oxygenation and/or
ventilation
B. Hypotension
C. An increase in serum pH (alkalosis)
D. Abnormal respiratory sounds
6. Which of the following is most likely to Lower airway obstruction
produce a prolonged expiratory phase and
wheezing?
A. Disordered control of breathing
B. Hypovolemic shock
C. Lower airway obstruction
D. Upper airway obstruction
7. A 4-year-old child presents with seizures Control of breathing
and irregular respirations. The seizures
stopped a few minutes ago. Which of the
following most likely to be abnormal?
A. Vascular resistance
B. Pulse rate
C. Lung compliance
D. Control of breathing
, 8. What abnormality is most likely to be Decreased oxygen saturation
present in children with acute respiratory
distress caused by lung tissue disease?
A. Decreased oxygen saturation
B. Stridor
C. Normal respiratory rate
D. Decreased respiratory effort
9. An alert 2-year-old child with an Respiratory distress
increased work of breathing and pink color
is being evaluated. Heart rate is 110/min,
and respiratory rate is 30/min. What would
best describe this patient's condition? A.
Respiratory distress
B. Respiratory arrest
C. Respiratory failure
D. Disordered control of breathing
10. The parents of a 7-year-old child who is Obtain vascular access and administer 20 mL/kg of isotonic crystalloid over 5 to 10
undergoing chemotherapy report that the minutes
child has been febrile and has not been
feeling well, with recent onset of lethargy.
Assessment reveals the following: The child
is difficult to arouse, with pale color. The
child's heart rate is 160/min, respiratory rate
is 30/min, blood pressure is 76/45 mm Hg,
capillary refill time is 5 to 6 seconds, and
temperature is 103°F (39.4°C). What is the
most appropriate intervention?
A. Obtain vascular access and administer
20 mL/kg of isotonic crystalloid over 30
minutes
B. Obtain vascular access and administer 20
mL/kg of isotonic crystalloid over 5 to 10
minutes
C. Obtain immediate blood cultures and
chest x-ray D. Obtain expert consultation
with an oncologist to determine the
chemotherapeutic regimen
11. A 2-year-old child presents with a 4-day Place an intraosseous line
history of vomiting. The initial impression
reveals an unresponsive child with
intermittent apnea and mottled color.
Heart rate is 166/min, respiratory rate is
now being supported with bag-mask
ventilation, capillary refill time is 5 to 6
seconds, and temperature is 102°F (38.9°C).
What is the best method of establishing
immediate vascular access? A. Two
providers may attempt peripheral vascular
access twice each
B. Three providers may attempt peripheral
vascular access once each
C. Place a central venous line
D. Place an intraosseous line
