PALS post test
10 seconds - ANS-A 6 month old infant is unresponsive. You begin checking for
breathing at the same time you check for the infants pulse. Which is the maximum time
you should spend when trying to simultaneously check for breathing and palpate the
infants pulse before starting CPR?
Disordered Control of Breathing - ANS-A 4 year old child is brought to the emergency
department for seizures. The seizures stopped a few minutes ago, but the child
continues to have slow and irregular respirations. Which condition is most consistent
with your assessment?
blood glucose - ANS-An 8 year old child is brought to the emergency department with a
2 day history of lethargy and polyuria. The child has new onset rapid, deep, and labored
breathing. Which diagnostic test should you order first?
Reposition the patient, and insert an oral airway - ANS-After rectal administration of
diazepam, an 8 year old boy with a history of seizures is no unresponsive to painful
stimuli. His respirations are shallow, at a rate of 10/min. His Oxygen saturation is 94%
on 2L of NC oxygen. On examination, the child is snoring with poor chest rise and poor
air entry bilaterally. What action should you take next?
Provide bag mask ventilation - ANS-After rectal administration of diazepam, an 8 year
old boy with a history of seizures is no unresponsive to painful stimuli. His respirations
are shallow, at a rate of 10/min. His Oxygen saturation is 94% on 2L of NC oxygen. On
examination, the child is snoring with poor chest rise and poor air entry bilaterally. After
repositioning the patient and you insert an Oral airway, the patient continues to
deteriorate. What next step is the most appropriate?
15:2 - ANS-A 6 year old child is found unresponsive, not breathing, and without a pulse.
one health care worker leaves to activate the emergency response system and get the
resuscitation equipment. You and another healthcare provider immediatly begin CPR.
Which compression to ventilation ratio do you use?
94%-99% - ANS-In post resuscitation management after cardiac arrest, extra care
should be taken to avoid repercussion injury. what should the ideal oxygen saturation
range most likely be?
, "resume compressions" - ANS-A 3 year old child is in cardiac arrest, and high quality
CPR is in progress. You are the team leader. The first rhythm check reveals the rhythm
shown here. Defibrillation is attempted with a shock dose of 2 J/kg. after administration
of the shock, what should you say to you team members?
2-4 J/kg - ANS-A 4 year old child in cardiac arrest is brought to the emergency
department by ambulance. High quality CPR is being performed. The cardiac monitor
displays the rhythm strip shown here. The estimated weight of the child is 20 kg. What
dose range should you use for the initial defibrillation?
40 Joules - ANS-A 4 year old child in cardiac arrest is brought to the emergency
department by ambulance. High quality CPR is being performed. The cardiac monitor
displays the rhythm strip shown here. The estimated weight of the child is 20 kg. As the
team leader, how many joules do you tell your team member to use to perform initial
Defib?
Allowing complete chest wall recoil after each compression - ANS-You are the team
leader during a pediatric resuscitation attempt. which action is an element of high quality
CPR?
blood pressure - ANS-You are caring for a 3 month old boy with a 2 day history of fever,
vomiting and diarrhea. His parents state that he has been sleeping much more. His HR
is 190/min, temp is 38.3 degrees C (101 F) blood pressure is 59/29 mmHg, Resp rate is
70/min and shallow, and oxygen sat is 94% on 100% oxygen. His capillary refills time is
4-5 seconds, and he has mottled, cool extremities. The infant weighs 6 Kg. Which
assessment finding indicates that the infant is in hypotensive shock?
hypovolemic shock - ANS-You are caring for a 3 month old boy with a 2 day history of
fever, vomiting and diarrhea. His parents state that he has been sleeping much more.
His HR is 190/min, temp is 38.3 degrees C (101 F) blood pressure is 59/29 mmHg,
Resp rate is 70/min and shallow, and oxygen sat is 94% on 100% oxygen. His capillary
refills time is 4-5 seconds, and he has mottled, cool extremities. The infant weighs 6 Kg.
On the basis of this infants presentation, which type of shock does this infant have?
20 ml/kg normal saline - ANS-You are caring for a 3 month old boy with a 2 day history
of fever, vomiting and diarrhea. His parents state that he has been sleeping much more.
His HR is 190/min, temp is 38.3 degrees C (101 F) blood pressure is 59/29 mmHg,
Resp rate is 70/min and shallow, and oxygen sat is 94% on 100% oxygen. His capillary
refills time is 4-5 seconds, and he has mottled, cool extremities. The infant weighs 6 Kg.
10 seconds - ANS-A 6 month old infant is unresponsive. You begin checking for
breathing at the same time you check for the infants pulse. Which is the maximum time
you should spend when trying to simultaneously check for breathing and palpate the
infants pulse before starting CPR?
Disordered Control of Breathing - ANS-A 4 year old child is brought to the emergency
department for seizures. The seizures stopped a few minutes ago, but the child
continues to have slow and irregular respirations. Which condition is most consistent
with your assessment?
blood glucose - ANS-An 8 year old child is brought to the emergency department with a
2 day history of lethargy and polyuria. The child has new onset rapid, deep, and labored
breathing. Which diagnostic test should you order first?
Reposition the patient, and insert an oral airway - ANS-After rectal administration of
diazepam, an 8 year old boy with a history of seizures is no unresponsive to painful
stimuli. His respirations are shallow, at a rate of 10/min. His Oxygen saturation is 94%
on 2L of NC oxygen. On examination, the child is snoring with poor chest rise and poor
air entry bilaterally. What action should you take next?
Provide bag mask ventilation - ANS-After rectal administration of diazepam, an 8 year
old boy with a history of seizures is no unresponsive to painful stimuli. His respirations
are shallow, at a rate of 10/min. His Oxygen saturation is 94% on 2L of NC oxygen. On
examination, the child is snoring with poor chest rise and poor air entry bilaterally. After
repositioning the patient and you insert an Oral airway, the patient continues to
deteriorate. What next step is the most appropriate?
15:2 - ANS-A 6 year old child is found unresponsive, not breathing, and without a pulse.
one health care worker leaves to activate the emergency response system and get the
resuscitation equipment. You and another healthcare provider immediatly begin CPR.
Which compression to ventilation ratio do you use?
94%-99% - ANS-In post resuscitation management after cardiac arrest, extra care
should be taken to avoid repercussion injury. what should the ideal oxygen saturation
range most likely be?
, "resume compressions" - ANS-A 3 year old child is in cardiac arrest, and high quality
CPR is in progress. You are the team leader. The first rhythm check reveals the rhythm
shown here. Defibrillation is attempted with a shock dose of 2 J/kg. after administration
of the shock, what should you say to you team members?
2-4 J/kg - ANS-A 4 year old child in cardiac arrest is brought to the emergency
department by ambulance. High quality CPR is being performed. The cardiac monitor
displays the rhythm strip shown here. The estimated weight of the child is 20 kg. What
dose range should you use for the initial defibrillation?
40 Joules - ANS-A 4 year old child in cardiac arrest is brought to the emergency
department by ambulance. High quality CPR is being performed. The cardiac monitor
displays the rhythm strip shown here. The estimated weight of the child is 20 kg. As the
team leader, how many joules do you tell your team member to use to perform initial
Defib?
Allowing complete chest wall recoil after each compression - ANS-You are the team
leader during a pediatric resuscitation attempt. which action is an element of high quality
CPR?
blood pressure - ANS-You are caring for a 3 month old boy with a 2 day history of fever,
vomiting and diarrhea. His parents state that he has been sleeping much more. His HR
is 190/min, temp is 38.3 degrees C (101 F) blood pressure is 59/29 mmHg, Resp rate is
70/min and shallow, and oxygen sat is 94% on 100% oxygen. His capillary refills time is
4-5 seconds, and he has mottled, cool extremities. The infant weighs 6 Kg. Which
assessment finding indicates that the infant is in hypotensive shock?
hypovolemic shock - ANS-You are caring for a 3 month old boy with a 2 day history of
fever, vomiting and diarrhea. His parents state that he has been sleeping much more.
His HR is 190/min, temp is 38.3 degrees C (101 F) blood pressure is 59/29 mmHg,
Resp rate is 70/min and shallow, and oxygen sat is 94% on 100% oxygen. His capillary
refills time is 4-5 seconds, and he has mottled, cool extremities. The infant weighs 6 Kg.
On the basis of this infants presentation, which type of shock does this infant have?
20 ml/kg normal saline - ANS-You are caring for a 3 month old boy with a 2 day history
of fever, vomiting and diarrhea. His parents state that he has been sleeping much more.
His HR is 190/min, temp is 38.3 degrees C (101 F) blood pressure is 59/29 mmHg,
Resp rate is 70/min and shallow, and oxygen sat is 94% on 100% oxygen. His capillary
refills time is 4-5 seconds, and he has mottled, cool extremities. The infant weighs 6 Kg.
