PALS FINAL EXAM WITH COMPLETE SOLUTIONS.

Pals Final Exam With Complete c c c c




Solutions c




A nprovider nis nassessing na nchild nwith nsuspected nshock. nWhich nstatement
c c c c c c c c c c




ncorrectly ndescribes nhypotension nand nshock? n- n ncorrect nanswer- nHypotension nis
c c c c c c c c c c c




nnot na nconsistent nfeature nof nshock npresentation nin nchildren.
c c c c c c c c c




A n10-year-old nchild nhas ncollapsed nin nthe ngym nof nthe nelementary nschool. nThe
c c c c c c c c c c c c




nschool nnurse narrives nand ndetermines nthat nthe nchild nis nunresponsive. nThe
c c c c c c c c c c c




nschool nnurse nthen nsimultaneously nchecks nfor nbreathing nand na ncentral npulse,
c c c c c c c c c c c




nlimiting nthis nassessment nto nwhich ntime nframe? n- n ncorrect nanswer- nNo nmore
c c c c c c c c c c c c c




nthan n10 nseconds
c c c




A n4-year-old nchild nis nbrought nto nthe nemergency ndepartment nby nthe nparents.
c c c c c c c c c c c




nAssessment nreveals nthat nthe nchild nhas nonly ngasping nrespirations nand nthe npulse
c c c c c c c c c c c c




nrate nis n65 nbeats nper nminute. nWhich naction nwould nthe nprovider ninitiate nfirst? n- n
c c c c c c c c c c c c c c c




ncorrect nanswer- nDeliver n1 nBVM nventilation nevery n2 nto n3 nseconds.
c c c c c c c c c c c




A n7-year-old nchild ncollapses non nthe nplayground nat nschool. nThe nschool nnurse nis
c c c c c c c c c c c c




ncalled nto nthe nscene nand ndetermines nthat nthe nchild nis nunresponsive nand nis nnot
c c c c c c c c c c c c c c




nbreathing nand nhas nno npulse. nThe nnurse ninitiates nCPR. nAt nwhat nrate nand ndepth
c c c c c c c c c c c c c c




nwould nthe nnurse ndeliver ncompressions nto nthis nchild? n- n ncorrect nanswer- n100 nto
c c c c c c c c c c c c c c




n120 ncompressions nper nminute nat na ndepth nof nabout n2 ninches
c c c c c c c c c c c




What nis nconsidered ninadequate nperfusion nwhen nassessing/caring nfor na npediatric
c c c c c c c c c




npatient nwith nan narrhythmia? n- n ncorrect nanswer- nDiminished nperipheral npulses
c c c c c c c c c c c




Acutely naltered nmental nstatus
c c c




Hypotension

A n9-year-old nchild nis nbrought nto nthe nemergency ndepartment nbecause nthe nchild
c c c c c c c c c c c




nsuddenly ncollapsed nat nschool. nThe nchild's nECG nreveals nthe nfollowing nwaveform,
c c c c c c c c c c c




nand nprimary nassessment nfindings nindicate nthat nthe nchild nhas ninadequate
c c c c c c c c c c

, c nperfusion. nWhich nprimary nassessment nfindings nindicate nthis? n- n ncorrect nanswer-
c c c c c c c c c c




nSigns nof nshock
c c c




Acutely naltered nmental nstatus c c c




Hypotension

A n9-year-old npatient nis npresenting nwith ndiminished nbreath nsounds, nbradycardia,
c c c c c c c c c




nslowed nrespiratory nrate nand na nlow nO2 nsaturation nlevel. nThe nprovider ninterprets
c c c c c c c c c c c c




nthese nfindings nas nindicating nwhich ncondition? n- n ncorrect nanswer- nRespiratory
c c c c c c c c c c c




nfailure
c




A n6-year-old nchild nis nbrought nto nthe nemergency ndepartment. nThe nchild nhas nbeen
c c c c c c c c c c c c




nexperiencing nextremely nwatery nstools nover nthe npast nseveral ndays. nAfter
c c c c c c c c c c




ncompleting nthe nassessment, nthe nhealthcare nprovider nsuspects nthat nthe nchild
c c c c c c c c c c




nmay nbe nexperiencing nshock. nWhich ntype nof nshock nwould nthe nprovider nmost
c c c c c c c c c c c c




nlikely nsuspect? n- n ncorrect nanswer- nHypovolemia
c c c c c c c




A n2-year-old nchild nof nunknown nweight narrives nat nthe nemergency ndepartment nin
c c c c c c c c c c c




ncardiac narrest. nWhen npreparing nto nadminister nmedications, nwhich naction nwould
c c c c c c c c c c




nbe nappropriate nfor nthe nteam nto ntake? n- n ncorrect nanswer- nEstimate nweight nusing
c c c c c c c c c c c c c c




na nlength-based nresuscitation ntape.
c c c c




An n11-year-old nchild ndevelops nventricular ntachycardia nwith na npulse nwith
c c c c c c c c c




ninadequate nperfusion. nThe nPALS nteam nwould nprepare nthe nchild nfor nwhich
c c c c c c c c c c c




nintervention? n- n ncorrect nanswer- nSynchronized nelectrical ncardioversion
c c c c c c c c




A n5-year-old nchild nwith na nhistory nof na nchronic nneuromuscular ndisease nis
c c c c c c c c c c c




nexperiencing nrespiratory ndistress. nThe nchild nis nbreathing nspontaneously nand
c c c c c c c c c




nreceiving nsupplemental noxygen. nWhich nadditional nintervention nis na ncritical
c c c c c c c c c




ncomponent nof nairway nmanagement nfor nthis npatient? n- n ncorrect nanswer- nAirway
c c c c c c c c c c c c




nclearance n(e.g., nsuctioning)
c c c




Primary nassessment nof na n10-year-old nchild nreveals nseptic nshock. nAs npart nof nthe
c c c c c c c c c c c c




nsecondary nassessment, nif nnot nalready ndone nas npart nof ninitial nsepsis ncare,
c c c c c c c c c c c c




nlaboratory ntesting nis ncompleted nto nevaluate nthe nchild's nstatus. nWhich nlaboratory
c c c c c c c c c c c




ntests nwould nbe nordered nfor nthis nchild? n- n ncorrect nanswer- nComplete nblood
c c c c c c c c c c c c c




ncount n(CBC)
c c




Lactate nlevel c




Blood ncultures c




A n6-year-old npatient nis nbrought nto nthe nemergency ndepartment nafter na nbicycle
c c c c c c c c c c c




naccident. nAssessment nreveals nchest npain non ninspiration, ndiminished nbreath
c c c c c c c c c




nsounds non nthe nright nside, nand nrespiratory ndistress. nThe nprovider nsuspects
c c c c c c c c c c c




nobstructive nshock ncaused nby nwhat ncondition? n- n ncorrect nanswer- nTension
c c c c c c c c c c c




npneumothorax
c




A nchild nexhibiting na nnarrow-complex ntachycardia nwith nadequate nperfusion nis nto
c c c c c c c c c c




nreceive nadenosine. nThe nprovider nwould nbe nalert nfor nwhich nresult nafter
c c c c c c c c c c c




nadministering nthis nmedication? n- n ncorrect nanswer- nTransient nasystole
c c c c c c c c c