RED CROSS PALS Respiratory Emergencies
Exam Questions and Answers
1.A 7-year-old child in cardiac arrest is transported to the
pediatric emergency department via emergency medical
services. You understand the most com- mon cause of cardiac
arrest in children and infants is
ANS Respiratory Failure
2.During your primary assessment of an 8-year-old patient,
you suspect the child is experiencing respiratory failure. Which
findings would you likely note?
ANS Respiratory rate-10/min
Diminished Breath sounds
Oxygen saturation of 88%
3.In which clinical conditions would you anticipate an initial
respiratory find- ing of tachypnea?
ANS Respiratory Distress
Metabolic acidosis
Tension
Pneumothorax
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8
, Pneumonia
4.While conducting your rapid assessment on an infant, you
identify respira- tory distress with suprasternal, substernal and
intercostal retractions. Where would you see suprasternal
retractions?
ANS top of sternum- near throat on picture
5.Now where would you see substernal retractions?
ANS Substernal retractions are inward movement of the abdomen at
the bottom of the sternum.
6.Finally, where would you see intercostal retractions?
ANS Intercostal retractions are inward movement of the skin between
the ribs.
7.A 4-year-old child arrives in the emergency department after
being rushed to the healthcare facility by her parents. As you
approach the child you notice that her skin has a bluish cast.
You recognize immediately that she is experiencing what sign
of impending or actual respiratory failure?
2/
8
Exam Questions and Answers
1.A 7-year-old child in cardiac arrest is transported to the
pediatric emergency department via emergency medical
services. You understand the most com- mon cause of cardiac
arrest in children and infants is
ANS Respiratory Failure
2.During your primary assessment of an 8-year-old patient,
you suspect the child is experiencing respiratory failure. Which
findings would you likely note?
ANS Respiratory rate-10/min
Diminished Breath sounds
Oxygen saturation of 88%
3.In which clinical conditions would you anticipate an initial
respiratory find- ing of tachypnea?
ANS Respiratory Distress
Metabolic acidosis
Tension
Pneumothorax
1/
8
, Pneumonia
4.While conducting your rapid assessment on an infant, you
identify respira- tory distress with suprasternal, substernal and
intercostal retractions. Where would you see suprasternal
retractions?
ANS top of sternum- near throat on picture
5.Now where would you see substernal retractions?
ANS Substernal retractions are inward movement of the abdomen at
the bottom of the sternum.
6.Finally, where would you see intercostal retractions?
ANS Intercostal retractions are inward movement of the skin between
the ribs.
7.A 4-year-old child arrives in the emergency department after
being rushed to the healthcare facility by her parents. As you
approach the child you notice that her skin has a bluish cast.
You recognize immediately that she is experiencing what sign
of impending or actual respiratory failure?
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8
