AHA PALS Precourse Assessment Exam With Correct Answers. Graded A+..docx

AHA PALS Precourse Assessment
Exam With Correct Answers. Graded
A+.




Administer a bolus of isotonic crystalloid 20 ml/kg over 5-20 minutes, and also give D25W 2-4
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ml/kg IV - correct answers ✔️
t ✔️ A previously healthy infant with a history of vomiting and
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diarrhea is brought to the emergency department by her parents. During your assessment,
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you find that the infant responds only to painful stimulation. The infant's respiratory rate is 40
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breaths per minute, and central pulses are rapid and weak. The infant has good bilateral breath
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sounds, cool extremities, and a capillary refill time of more than 5 seconds. The infant's blood
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pressure is 85/65 mmHg, and glucose is 30 mg/dL (1.65 mmol/L). You administer 100%
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oxygen via face mask and start an IV. Which treatment is most appropriate for this infant?
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Albuterol (duh) - correct answers ✔️✔️ A 9yo boy is agitated and leaning forward on the bed in
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obvious respiratory distress. The patient is speaking in short phrases and tells you that he has
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asthma but does not carry an inhaler. He has nasal flaring, severe suprasternal and intercostal
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retractions, and decreased air movement with prolonged expiratory time and wheezing. You t t t t t t t t t t t t




administer 100% oxygen by a nonrebreathing mask. His spO2 is 92%. Which med do you t t t t t t t t t t t t t t t




prepare to give to this patient? t t t t t




Rapid bolus of 20ml/kg of isotonic crystalloid - correct answers ✔️
t ✔️ Paramedics are called to t t t t t t t t t t t t t




the home of a 1yo child. Their initial assessment reveals a child who responds only to painful
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stimuli and has irregular breathing, faint central pulses, bruises over the abdomen, abdominal
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distention, and cyanosis. Bag-mask ventilation with 100% oxygen is initiated. The child's
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heart rate is 36/min. Peripheral pulses cannot be palpated, and central pulses are barely
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palpable. The cardiac monitor shows sinus bradycardia. Two-rescuer CPR is started. Upon
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, arrival to the emergency department, the child is intubated and ventilated with 100% oxygen,
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and IV access is established. The heart rate is now 150/min with weak central pulses but no
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distal pulses. Systolic blood pressure is 74 mmHg. Which intervention should be provided
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next?

Epinephrine - correct answers ✔️ ✔️ You are called to help treat an infant with severe t t t t t t t t t t t t t t




symptomatic bradycardia (heart rate 66/min) associated with respiratory distress. The t t t t t t t t t t




bradycardia persists despite establishment of an effective airway, oxygenation, and t t t t t t t t t t




ventilation. There is no heart block present. Which is the first drug you should administer? t t t t t t t t t t t t t t




Routine administration is not indicated during cardiac arrest - correct answers ✔️
t ✔️Which t t t t t t t t t t t




statement is correct about the use of calcium chloride in pediatric patients? t t t t t t t t t t t




It is the least desirable route of administration - correct answers ✔️
t t t ✔️Which statement is t t t t t t t t t t t




correct about endotracheal drug administration during resuscitative efforts for pediatric
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patients?

Humidified oxygen as tolerated - correct answers ✔️ ✔️ Initial impression of a 2yo girl shows t t t t t t t t t t t t t t




her to be alert with mild breathing difficulty during inspiration and pale skin color. On primary
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assessment, she makes high-pitched inspiratory sounds (mild stridor) when agitated; t t t t t t t t t t




otherwise, her breathing is quiet. Her spO2 is 92% on room air, and she has mild inspiratory t t t t t t t t t t t t t t t t t




intercostal retractions. Lung auscultation reveals transmitted upper airway sounds with t t t t t t t t t t




adequate distal breath sounds bilaterally. Which is the most appropriate initial intervention for
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this child? t




Amiodarone 5 mg/kg IO - correct answers ✔️ ✔️ You are part of a team attempting to t t t t t t t t t t t t t t t




resuscitate a child with ventricular fibrillation cardiac arrest. You delivered 2 unsynchronized t t t t t t t t t t t t




shocks. A team member established IO access, so you give a dose of epinephrine, 0.01 mg/kg
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IO. At the next rhythm check, persistent ventricular fibrillation is present. You administer a 4
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J/kg shock and resume CPR. Which drug and dose should be administered next?
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Nonrebreathing face mask - correct answers ✔️ ✔️ Which oxygen delivery system most t t t t t t t t t t t




reliably delivers a high (90% or greater) concentration of inspired oxygen to a 7yo child?
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Epinephrine stimulates spontaneous contractions when asystole is present - correct answers t t t t t t t t t t t




✔️ ✔️Which statement is correct about the effects of epinephrine during attempted t t t t t t t t t t t




resuscitation?

Epinephrine 0.01 mg/kg IV/IO - correct answers ✔️ ✔️ A 10mo infant boy is brought to the t t t t t t t t t t t t t t t




emergency department. Your initial assessment reveals a lethargic, pale infant with slow t t t t t t t t t t t t




respirations and slow, weak central pulses. One team member begins ventilation with a bag- t t t t t t t t t t t t t




mask device with 100% oxygen. A second team member attaches the monitor/defibrillator
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and obtains vital signs while a third team member attempts to establish IV/IO access. The
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patient's heart rate is 38/min with the rhythm shown here. The infant's blood pressure is 58/38
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mmHg, and capillary refill is 4 seconds. His central pulses remain weak, and distal pulses
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