PALS Final Review Exam 2025 With 100% Correct Answers.

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Mikey, a 2-year-old boy, is sitting upright on a hospital bed in room 3 of your emergency department. Your
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initial impression from the door does not raise immediate concern. On your entry to the room, you are able
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to look at Mikey more closely and notice on inhalation his nostrils are flaring. This is a sign of: - CORRECT
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ANSWER-Respiratory distress
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, The proper site for a peripheral pulse assessment in the infant patient is: - CORRECT ANSWER-brachial
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You are called to the scene of a 3-year-old patient who was found anxious, *cyanotic* and lethargic after a
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fall down a flight of stairs. On assessing the patient, you find vital signs with a respiratory rate of 30, regular
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pulse rate of 130, regular capillary refill time of 4 seconds, and a blood pressure of 102/61. What kind of
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shock is the patient experiencing? - CORRECT ANSWER-compensate shock?
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A mnemonic that aids in performing a primary assessment is: - CORRECT ANSWER-ABCDE
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A consideration of treatment for a pediatric patient with acute fulminant myocarditis who is in cardiac arrest
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or at a high risk of cardiac arrest is: - CORRECT ANSWER-Extracorporeal membrane oxygenation (ECMO)
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Which of the following is the correct meaning for one of the individual letters in the AVPU scale? - CORRECT
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ANSWER-Alert - The child is alert and awake and responds to normal stimuli based upon age and
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environment
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The recommended route of vascular access on a hypotensive pediatric patient is: - CORRECT ANSWER-
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You are called to the bedside of a 12-year-old male patient who was admitted after a week of persistent
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vomiting, diarrhea and limiting oral intake of both solids and liquids. The patient's airway is patent,
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ventilatory rate is within normal limits and the patient's circulatory status presents with tachycardia, a
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blood pressure of 70/40 and a capillary refill time of 5 seconds. The patient is speaking incoherently. The
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patient has no history of cardiac problems or congenital defects. The appropriate fluid administration dose
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for this patient is: - CORRECT ANSWER-20 ml/kg 0.9% NaCl over 10 minutes
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You suspect your 8-year-old female patient of being hypovolemic. Her parents brought her to the
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emergency department with persistent vomiting and diarrhea for 5 days. The patient presents with
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*mottled skin* and reports of periods where "she just stopped breathing!" according to her parents. The
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patient is being managed with a BVM and supplemental oxygen. What is the best route of establishing
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vascular access for the purpose of fluid resuscitation? - CORRECT ANSWER-IV
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