PALS RED CROSS FINAL EXAM 2022 GRADED A 50 Q&A

1. 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) 2. A child being cared for in the pediatric telemetry unit suddenly displays the following ECG waveform. The provider prepares to intervene because the child is demonstrating which type of arrhythmia?: Supraventricular tachycar- dia 3. A child in cardiac arrest experiences return of spontaneous circulation but is exhibiting signs of post-cardiac arrest syndrome (PCAS). The PALS resuscitation team determines that the child is experiencing a systemic response to ischemia/reperfusion. The team bases this determination on which finding(s)?: Hypotension, fever, hyperglycemia 4. 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?: Albuterol with or without ipratropium bromide 5. 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?: Isotonic fluid boluses 6. 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. 7. 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. 8. The PALS team leader is conducting a debriefing session with the team. Which topic(s) would the team leader most likely address during the ses- sion?: Discussion of the pros and cons of the interventions Evaluation of the objective data gathered during the event, Summary of the event, including what actions were taken, Identification of ways to improve 9. The PALS resuscitation team notes the following ECG waveform and the child does not have a pulse. The team prepares to intervene to address which arrhythmia?: Torsades de pointes 10. What is the correct IV/IO dose of epinephrine for a pediatric patient in cardiac arrest?: 0.01 mg/kg every 3 to 5 min (max single dose 1 mg) 11. Assessment of a 3-month-old infant admitted with respiratory distress reveals fever, grunting and a wet, "junky" cough. The infant's parents said the child had a recent respiratory infection with a fever. A rapid respiratory syncytial virus (RSV) test is positive. Which condition would the provider most likely suspect as the cause?: Bronchiolitis 12. A child is experiencing supraventricular tachycardia (SVT) with adequate perfusion and is to receive treatment. Which initial treatment would the provider administer?: Vagal maneuvers 13. A healthcare provider notices petechiae on the arms and legs while per- forming a rapid skin assessment of a child with a high fever and respiratory distress. Based on this assessment, which condition should the provider consider?: Life-threatening systemic infection 14. A 7-year-old patient with septic shock has received three bal- anced/buffered crystalloid fluid boluses (60-mL/kg) and reassessment re- veals capillary refill of 3 seconds, diminished pulses, narrow pulse pres- sure and cool, mottled extremities. The emergency response team interprets these findings as indicating which type of septic shock?: Fluid-refractory 15. A 30-month old child has been diagnosed with moderate croup. Which medication(s) would the provider administer?: Nebulized epinephrine, Corti- costeroids 16. 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 17. A child experiencing bradycardia with inadequate perfusion despite sup- porting oxygenation and ventilation is receiving compressions. Despite these efforts, the child's status remains unchanged. Which medication would the emergency response team expect to administer next?: Epinephrine 18. A child in the pediatric intensive care unit displays the following ECG wavefo