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A child in the pediatric step-down unit is exhibiting signs of respiratory distress.
When assessing this child, which circulation finding might be present?
ANS: Pallor
A child is experiencing shock. The emergency response team prepares for
imminent cardiac arrest when assessment reveals which finding(s)?
ANS: Bradycardia
Diminished central pulses
Hypotension
A child is experiencing supraventricular tachycardia (SVT) with adequate
perfusion and is to receive treatment. Which initial treatment would the provider
administer?
ANS: Vagal maneuvers
A healthcare provider is performing a primary assessment of a child in respiratory
distress. The provider documents increased work of breathing when which findings
are observed?
ANS: Nasal flaring
Intercostal, substernal or suprasternal retractions
Accessory muscle use
A healthcare provider notices petechiae on the arms and legs while performing a
rapid skin assessment of a child with a high fever and respiratory distress. Based
on this assessment, which condition should the provider consider?
ANS: Life-threatening systemic infection
A PALS resuscitation team is preparing to defibrillate a child experiencing cardiac
arrest. For which rhythm(s) would this action be appropriate?
ANS: pVT, VF
, A provider is assessing a child with suspected shock. Which statement correctly
describes hypotension and shock?
ANS: Hypotension is not a consistent feature of shock presentation in children.
A provider is caring for a 4-year-old child in the urgent care clinic. Primary
assessment reveals difficulty breathing and an oxygen saturation of 91%. The
provider administers oxygen by nasal cannula with the goal of improving the
child's oxygen saturation to what percentage range?
ANS: 94% to 99%
A provider is forming an initial impression of a child using the Pediatric
Assessment Triangle (PAT). For which part of the PAT may the provider use the
mnemonic TICLS to assess the patient?
ANS: Appearance
After ROSC, a child is experiencing post-cardiac arrest hypoperfusion. The PALS
resuscitation team would administer which element to restore intravascular volume
and optimize preload?
ANS: Isotonic fluid boluses
An 8-year-old child being treated in the emergency department has significant
respiratory distress. The child also exhibits hives, wheezing, angioedema,
tachycardia and dyspnea. The parents state that the child, who is allergic to
peanuts, had eaten some popcorn that had peanuts in it. The team initiates care,
preparing to administer which agent first?
ANS: Epinephrine
An 11-year-old child develops ventricular tachycardia with a pulse with inadequate
perfusion. The PALS team would prepare the child for which intervention?
ANS: Synchronized electrical cardioversion
An 11-year-old soccer player is brought to the emergency department. After a
quick assessment, the team realizes this patient is experiencing a severe asthma
exacerbation. Which medication would the team administer immediately?
ANS: Albuterol with or without ipratropium bromide
A 9-year-old patient is presenting with diminished breath sounds, bradycardia,
slowed respiratory rate and a low O2 saturation level. The provider interprets these