Pals Final Review Assessment Test With c c c c c
All Needed To Pass c c c c
Mikey, ba b2-year-old bboy, bis bsitting bupright bon ba bhospital bbed bin broom b3 bof byour
c c c c c c c c c c c c c c c
bemergency bdepartment. bYour binitial bimpression bfrom bthe bdoor bdoes bnot braise
c c c c c c c c c c c
bimmediate bconcern. bOn byour bentry bto bthe broom, byou bare bable bto blook bat bMikey
c c c c c c c c c c c c c c c
bmore bclosely band bnotice bon binhalation bhis bnostrils bare bflaring. bThis bis ba bsign bof:
c c c c c c c c c c c c c c c
b- b bcorrect banswer- bRespiratory bdistress
c c c c c c
The bproper bsite bfor ba bperipheral bpulse bassessment bin bthe binfant bpatient bis: b- b
c c c c c c c c c c c c c c
bcorrect banswer- bbrachial
c c c
You bare bcalled bto bthe bscene bof ba b3-year-old bpatient bwho bwas bfound banxious,
c c c c c c c c c c c c c
b*cyanotic* band blethargic bafter ba bfall bdown ba bflight bof bstairs. bOn bassessing bthe
c c c c c c c c c c c c c c
bpatient, byou bfind bvital bsigns bwith ba brespiratory brate bof b30, bregular bpulse brate bof
c c c c c c c c c c c c c c c
b130, bregular bcapillary brefill btime bof b4 bseconds, band ba bblood bpressure bof b102/61.
c c c c c c c c c c c c c c
bWhat bkind bof bshock bis bthe bpatient bexperiencing? b- b bcorrect banswer-
c c c c c c c c c c c c
bcompensate bshock?
c c
A bmnemonic bthat baids bin bperforming ba bprimary bassessment bis: b- b bcorrect
c c c c c c c c c c c c
banswer- bABCDE
c c
A bconsideration bof btreatment bfor ba bpediatric bpatient bwith bacute bfulminant
c c c c c c c c c c
bmyocarditis bwho bis bin bcardiac barrest bor bat ba bhigh brisk bof bcardiac barrest bis: b- b
c c c c c c c c c c c c c c c c c
bcorrect banswer- bExtracorporeal bmembrane boxygenation b(ECMO)
c c c c c c
Which bof bthe bfollowing bis bthe bcorrect bmeaning bfor bone bof bthe bindividual bletters
c c c c c c c c c c c c c
bin bthe bAVPU bscale? b- b bcorrect banswer- bAlert b- bThe bchild bis balert band bawake
c c c c c c c c c c c c c c c c
band bresponds bto bnormal bstimuli bbased bupon bage band benvironment
c c c c c c c c c c
The brecommended broute bof bvascular baccess bon ba bhypotensive bpediatric bpatient
c c c c c c c c c c
bis: b- b bcorrect banswer- bcentral bIV
c c c c c c c
, You bare bcalled bto bthe bbedside bof ba b12-year-old bmale bpatient bwho bwas badmitted
c c c c c c c c c c c c c
bafter ba bweek bof bpersistent bvomiting, bdiarrhea band blimiting boral bintake bof bboth
c c c c c c c c c c c c c
bsolids band bliquids. bThe bpatient's bairway bis bpatent, bventilatory brate bis bwithin
c c c c c c c c c c c c
bnormal blimits band bthe bpatient's bcirculatory bstatus bpresents bwith btachycardia, ba
c c c c c c c c c c c
bblood bpressure bof b70/40 band ba bcapillary brefill btime bof b5 bseconds. bThe bpatient bis
c c c c c c c c c c c c c c c
bspeaking bincoherently. bThe bpatient bhas bno bhistory bof bcardiac bproblems bor
c c c c c c c c c c c
bcongenital bdefects. bThe bappropriate bfluid badministration bdose bfor bthis bpatient bis:
c c c c c c c c c c c
b- b bcorrect banswer- b20 bml/kg b0.9% bNaCl bover b10 bminutes
c c c c c c c c c c c
You bsuspect byour b8-year-old bfemale bpatient bof bbeing bhypovolemic. bHer bparents
c c c c c c c c c c
bbrought bher bto bthe bemergency bdepartment bwith bpersistent bvomiting band
c c c c c c c c c c
bdiarrhea bfor b5 bdays. bThe bpatient bpresents bwith b*mottled bskin* band breports bof
c c c c c c c c c c c c c
bperiods bwhere b"she bjust bstopped bbreathing!" baccording bto bher bparents. bThe
c c c c c c c c c c c
bpatient bis bbeing bmanaged bwith ba bBVM band bsupplemental boxygen. bWhat bis bthe
c c c c c c c c c c c c c
bbest broute bof bestablishing bvascular baccess bfor bthe bpurpose bof bfluid
c c c c c c c c c c c
bresuscitation? b- b bcorrect banswer- bIV
c c c c c c
Which bof bthe bfollowing bcannot bbe badministered bthrough ban bETT? b- b bcorrect
c c c c c c c c c c c c
banswer- bSodium bbicarbonate
c c c
You bare bexamining bthe brhythm bstrip bof ba bpatient bwho bpresents bwith bbradycardia.
c c c c c c c c c c c c
bWhich bof bthe bfollowing bcharacteristics bmay byou bnotice bin bthe brhythm? b- b bcorrect
c c c c c c c c c c c c c c
banswer- bThe bmost bobvious bsign bof bbradycardia bon ban bECG bis bslow bheart brate.
c c c c c c c c c c c c c c
bThe bcharacteristics bof bP-waves band bthe bQRS bcomplex bmay bvary. bWhen blooking
c c c c c c c c c c c c
bat ban bEKG, bthe bfollowing bcharacteristics bare bseen bwith bbradycardia bpatients:
c c c c c c c c c c c
bSlow bheart brate, bP-waves bmay bnot bbe bnoticeable, bQRS bcomplex bmay bbe bwide
c c c c c c c c c c c c c
bor bnarrow, band bP-waves band bQRS bcomplex bmay bnot bbe brelated bto bbradycardia.
c c c c c c c c c c c c c
How bdo bchildren's bmetabolic brates bcompare bto badults'? b- b bcorrect banswer-
c c c c c c c c c c c
bhigher
c
Children's bdemand bfor boxygen bis b___________ badults. b- b bcorrect banswer-c c c c c c c c c c
bgreater
c
Which bof bthe bfollowing bmust byou bmonitor bwhile bfluid bresuscitating ba bpatient? b- b
c c c c c c c c c c c c c
bcorrect banswer- bUrine boutput
c c c c
What btype bof bpressure bis bmonitored bto bobtain bright bventricular bcardiac bpreload?
c c c c c c c c c c c
b- b bcorrect banswer- bCentral bvenous bpressure b(CVP)
c c c c c c c c
Define bshock: b- b bcorrect banswer- bWhen boxygen band bnutrient bsupply bto bbody
c c c c c c c c c c c c
btissue bis binsufficient bcompared bto bmetabolic btissue bneeds
c c c c c c c c
Your b5-year-old bpatient bis badmitted bto bthe bPICU band bis bbeing btreated bby byour
c c c c c c c c c c c c c
bteam bfor bhypovolemic bshock. bThe bteam bhas badministered bone bbolus bof b20ml/kg
c c c c c c c c c c c c
bof b0.9% bNaCl b. bOn bre-evaluation bthe bpatient bis balert band banxious bwith ba bheart
c c c c c c c c c c c c c c c
brate bof b145 bbeats bper bminute, ba bblood bpressure bof b76/48mmHg band ba bcapillary
c c c c c c c c c c c c c c
brefill btime bof b4 bseconds. bWhich bof bthe bfollowing bis bthe bpatient's bclinical
c c c c c c c c c c c c c
bcondition? b- b bcorrect banswer- bhypotensive bshock
c c c c c c c
All Needed To Pass c c c c
Mikey, ba b2-year-old bboy, bis bsitting bupright bon ba bhospital bbed bin broom b3 bof byour
c c c c c c c c c c c c c c c
bemergency bdepartment. bYour binitial bimpression bfrom bthe bdoor bdoes bnot braise
c c c c c c c c c c c
bimmediate bconcern. bOn byour bentry bto bthe broom, byou bare bable bto blook bat bMikey
c c c c c c c c c c c c c c c
bmore bclosely band bnotice bon binhalation bhis bnostrils bare bflaring. bThis bis ba bsign bof:
c c c c c c c c c c c c c c c
b- b bcorrect banswer- bRespiratory bdistress
c c c c c c
The bproper bsite bfor ba bperipheral bpulse bassessment bin bthe binfant bpatient bis: b- b
c c c c c c c c c c c c c c
bcorrect banswer- bbrachial
c c c
You bare bcalled bto bthe bscene bof ba b3-year-old bpatient bwho bwas bfound banxious,
c c c c c c c c c c c c c
b*cyanotic* band blethargic bafter ba bfall bdown ba bflight bof bstairs. bOn bassessing bthe
c c c c c c c c c c c c c c
bpatient, byou bfind bvital bsigns bwith ba brespiratory brate bof b30, bregular bpulse brate bof
c c c c c c c c c c c c c c c
b130, bregular bcapillary brefill btime bof b4 bseconds, band ba bblood bpressure bof b102/61.
c c c c c c c c c c c c c c
bWhat bkind bof bshock bis bthe bpatient bexperiencing? b- b bcorrect banswer-
c c c c c c c c c c c c
bcompensate bshock?
c c
A bmnemonic bthat baids bin bperforming ba bprimary bassessment bis: b- b bcorrect
c c c c c c c c c c c c
banswer- bABCDE
c c
A bconsideration bof btreatment bfor ba bpediatric bpatient bwith bacute bfulminant
c c c c c c c c c c
bmyocarditis bwho bis bin bcardiac barrest bor bat ba bhigh brisk bof bcardiac barrest bis: b- b
c c c c c c c c c c c c c c c c c
bcorrect banswer- bExtracorporeal bmembrane boxygenation b(ECMO)
c c c c c c
Which bof bthe bfollowing bis bthe bcorrect bmeaning bfor bone bof bthe bindividual bletters
c c c c c c c c c c c c c
bin bthe bAVPU bscale? b- b bcorrect banswer- bAlert b- bThe bchild bis balert band bawake
c c c c c c c c c c c c c c c c
band bresponds bto bnormal bstimuli bbased bupon bage band benvironment
c c c c c c c c c c
The brecommended broute bof bvascular baccess bon ba bhypotensive bpediatric bpatient
c c c c c c c c c c
bis: b- b bcorrect banswer- bcentral bIV
c c c c c c c
, You bare bcalled bto bthe bbedside bof ba b12-year-old bmale bpatient bwho bwas badmitted
c c c c c c c c c c c c c
bafter ba bweek bof bpersistent bvomiting, bdiarrhea band blimiting boral bintake bof bboth
c c c c c c c c c c c c c
bsolids band bliquids. bThe bpatient's bairway bis bpatent, bventilatory brate bis bwithin
c c c c c c c c c c c c
bnormal blimits band bthe bpatient's bcirculatory bstatus bpresents bwith btachycardia, ba
c c c c c c c c c c c
bblood bpressure bof b70/40 band ba bcapillary brefill btime bof b5 bseconds. bThe bpatient bis
c c c c c c c c c c c c c c c
bspeaking bincoherently. bThe bpatient bhas bno bhistory bof bcardiac bproblems bor
c c c c c c c c c c c
bcongenital bdefects. bThe bappropriate bfluid badministration bdose bfor bthis bpatient bis:
c c c c c c c c c c c
b- b bcorrect banswer- b20 bml/kg b0.9% bNaCl bover b10 bminutes
c c c c c c c c c c c
You bsuspect byour b8-year-old bfemale bpatient bof bbeing bhypovolemic. bHer bparents
c c c c c c c c c c
bbrought bher bto bthe bemergency bdepartment bwith bpersistent bvomiting band
c c c c c c c c c c
bdiarrhea bfor b5 bdays. bThe bpatient bpresents bwith b*mottled bskin* band breports bof
c c c c c c c c c c c c c
bperiods bwhere b"she bjust bstopped bbreathing!" baccording bto bher bparents. bThe
c c c c c c c c c c c
bpatient bis bbeing bmanaged bwith ba bBVM band bsupplemental boxygen. bWhat bis bthe
c c c c c c c c c c c c c
bbest broute bof bestablishing bvascular baccess bfor bthe bpurpose bof bfluid
c c c c c c c c c c c
bresuscitation? b- b bcorrect banswer- bIV
c c c c c c
Which bof bthe bfollowing bcannot bbe badministered bthrough ban bETT? b- b bcorrect
c c c c c c c c c c c c
banswer- bSodium bbicarbonate
c c c
You bare bexamining bthe brhythm bstrip bof ba bpatient bwho bpresents bwith bbradycardia.
c c c c c c c c c c c c
bWhich bof bthe bfollowing bcharacteristics bmay byou bnotice bin bthe brhythm? b- b bcorrect
c c c c c c c c c c c c c c
banswer- bThe bmost bobvious bsign bof bbradycardia bon ban bECG bis bslow bheart brate.
c c c c c c c c c c c c c c
bThe bcharacteristics bof bP-waves band bthe bQRS bcomplex bmay bvary. bWhen blooking
c c c c c c c c c c c c
bat ban bEKG, bthe bfollowing bcharacteristics bare bseen bwith bbradycardia bpatients:
c c c c c c c c c c c
bSlow bheart brate, bP-waves bmay bnot bbe bnoticeable, bQRS bcomplex bmay bbe bwide
c c c c c c c c c c c c c
bor bnarrow, band bP-waves band bQRS bcomplex bmay bnot bbe brelated bto bbradycardia.
c c c c c c c c c c c c c
How bdo bchildren's bmetabolic brates bcompare bto badults'? b- b bcorrect banswer-
c c c c c c c c c c c
bhigher
c
Children's bdemand bfor boxygen bis b___________ badults. b- b bcorrect banswer-c c c c c c c c c c
bgreater
c
Which bof bthe bfollowing bmust byou bmonitor bwhile bfluid bresuscitating ba bpatient? b- b
c c c c c c c c c c c c c
bcorrect banswer- bUrine boutput
c c c c
What btype bof bpressure bis bmonitored bto bobtain bright bventricular bcardiac bpreload?
c c c c c c c c c c c
b- b bcorrect banswer- bCentral bvenous bpressure b(CVP)
c c c c c c c c
Define bshock: b- b bcorrect banswer- bWhen boxygen band bnutrient bsupply bto bbody
c c c c c c c c c c c c
btissue bis binsufficient bcompared bto bmetabolic btissue bneeds
c c c c c c c c
Your b5-year-old bpatient bis badmitted bto bthe bPICU band bis bbeing btreated bby byour
c c c c c c c c c c c c c
bteam bfor bhypovolemic bshock. bThe bteam bhas badministered bone bbolus bof b20ml/kg
c c c c c c c c c c c c
bof b0.9% bNaCl b. bOn bre-evaluation bthe bpatient bis balert band banxious bwith ba bheart
c c c c c c c c c c c c c c c
brate bof b145 bbeats bper bminute, ba bblood bpressure bof b76/48mmHg band ba bcapillary
c c c c c c c c c c c c c c
brefill btime bof b4 bseconds. bWhich bof bthe bfollowing bis bthe bpatient's bclinical
c c c c c c c c c c c c c
bcondition? b- b bcorrect banswer- bhypotensive bshock
c c c c c c c
