PALS Final Exam 2022 GRADED A 50 Q AND A

1. A provider is assessing a child with suspected shock. Which statement correctly describes hypotension and shock?: Hypotension is not a consistent feature of shock presentation in children. 2. A 10-year-old child has collapsed in the gym of the elementary school. The school nurse arrives and determines that the child is unresponsive. The school nurse then simultaneously checks for breathing and a central pulse, limiting this assessment to which time frame?: No more than 10 seconds 3. A 4-year-old child is brought to the emergency department by the parents. Assessment reveals that the child has only gasping respirations and the pulse rate is 65 beats per minute. Which action would the provider initiate first?: Deliver 1 BVM ventilation every 2 to 3 seconds. 4. A 7-year-old child collapses on the playground at school. The school nurse is called to the scene and determines that the child is unresponsive and is not breathing and has no pulse. The nurse initiates CPR. At what rate and depth would the nurse deliver compressions to this child?: 100 to 120 compressions per minute at a depth of about 2 inches 5. What is considered inadequate perfusion when assessing/caring for a pediatric patient with an arrhythmia?: Diminished peripheral pulses Acutely altered mental status Hypotension 6. A 9-year-old child is brought to the emergency department because the child suddenly collapsed at school. The child's ECG reveals the following waveform, and primary assessment findings indicate that the child has inad- equate perfusion. Which primary assessment findings indicate this?: Signs of shock Acutely altered mental status Hypotension 7. A 9-year-old patient is presenting with diminished breath sounds, brady- cardia, slowed respiratory rate and a low O2 saturation level. The provider interprets these findings as indicating which condition?: Respiratory failure 8. A 6-year-old child is brought to the emergency department. The child has been experiencing extremely watery stools over the past several days. After completing the assessment, the healthcare provider suspects that the child may be experiencing shock. Which type of shock would the provider most likely suspect?: Hypovolemia 9. A 2-year-old child of unknown weight arrives at the emergency depart- ment in cardiac arrest. When preparing to administer medications, which action would be appropriate for the team to take?: Estimate weight using a length-based resuscitation tape. 10. An 11-year-old child develops ventricular tachycardia with a pulse with inadequate perfusion. The PALS team would prepare the child for which intervention?: Synchronized electrical cardioversion 11. A 5-year-old child with a history of a chronic neuromuscular disease is experiencing respiratory distress. The child is breathing spontaneously and receiving supplemental oxygen. Which additional intervention is a critical component of airway management for this patient?: Airway clearance (e.g., suctioning) 12. Primary assessment of a 10-year-old child reveals septic shock. As part of the secondary assessment, if not already done as part of initial sepsis care, laboratory testing is completed to evaluate the child's status. Which laboratory tests would be ordered for this child?: Complete blood count (CBC) Lactate level Blood cultures 13. A 6-year-old patient is brought to the emergency department after a bicycle accident. Assessment reveals chest pain on inspiration, diminished breath sounds on the right side, and respiratory distress. The provider sus- pects obstructive shock caused by what condition?: Tension pneumothorax 14. A child exhibiting a narrow-complex tachycardia with adequate perfusion is to receive adenosine. The provider would be alert for which result after administering this medication?: Transient asystole 15. The emergency response team is providing care to a