PALS- Pediatric Advanced Life Support question with correct answers

PALS- Pediatric Advanced Life Support question with correct answersThe PALS systemic approach algorithm begins with the initial impression. This is an assessment of which 3 characteristics? 1. Consciousness 2. Breathing 3. Color The right branch of the systemic approach algorithm focuses on what sequence to prevent cardiopulmonary arrest? Evaluate, Identify, Intervene 00:48 01:36 The evaluate portion of the sequence consists of three assessment tools: 1. Primary 2. Secondary 3. Diagnostic What is included in the primary assessment of a patient? A B C D E Vitals What is included in the secondary assessment of a patient? Focused history and a focused physical exam The initial impression of the PALS systematic approach algorithm includes which of the following characteristics? (Choose all correct answers.) 1. Appearance 2. Breathing 3. Restlessness 4. Color 5. Pain 1, 2, 4 The second box of the PALS systematic approach algorithm contains a question. (Fill in the blank to complete the question.) Is the child ____________ or is immediate intervention needed? unresponsive In the PALS systematic approach algorithm, if the child is determined to be unresponsive or immediate intervention is needed what will be your next step? 1. Start CPR 2. Apply breathing with a bag valve mask 3. Activate emergency response 4. Check for a pulse 3. After the emergency response is activated, the next intervention is to ____________. 1. Lightly shake the child's shoulders. 2. Look, listen, and feel. 3. Open the airway. 4. Check for breathing and a pulse 4. After it is determined that the child has no pulse, what should be done? 1. Call for help 2. Begin CPR 3. Provide 2 rescue breaths 4. Start an IV 2. A child is unresponsive and is not breathing. You have activated the emergency response system and your pulse check reveals that the child has a pulse. What should you do now? 1. Perform a brief head to toe assessment. 2. Place the child in the recovery position. 3. Give epinephrine 1mg IV push 4. Open the airway and provide ventilations and oxygen. 4. A child is unresponsive and is not breathing. Emergency response was activated and now a pulse check shows that the child does have a pulse. You then open the airway, provide age-appropriate ventilations, and 100% oxygen with a bag valve mask. The child's pulse is < 60/min, and the child has signs of poor perfusion. What is your next intervention? 1. Begin CPR 2. Provide a 500ml NS bolus 3. Perform an ABG. 4. Intubate the patient. 1. 00:02 01:36 The right branch of the PALS systematic approach algorithm is a sequence of three actions. In the proper sequence, the three actions are: (Fill in the blanks) __________, __________, __________ evaluate, identify, intervene The evaluate portion of the evaluate-identify-intervene sequence consists of what clinical assessment tools? (Choose all correct answers) 1. Diagnostic tests 2. Pain assessment 3. Secondary assessment 4. Primary assessment 1, 3, 4 (True or False) The sequence of evaluate-identify-intervene should be used before and after each intervention and should continue until the child is stable. 1. True 2. False 1. A consistent respiratory rate less than 10 or more than _____ breaths per minute in a child of any age is abnormal and suggests the presence of a potentially serious problem. 1. 40 2. 50 3. 60 4. 70 3. The primary objective of the Airway assessment in the ABCDE model is to assess airway _________. 1. effort of breathing 2. rate of breathing 3. disease 4. patency 4. Within the EVALUATE portion of the evaluate-identify-intervene sequence, The primary assessment uses the ABCDE model for a hands-on evaluation of the critically ill child. What does ABCDE stand for? (Fill in the blanks) A B C D E Airway Breathing Circulation Disability Exposure Simple measures for maintaining airway patency include all of the following EXCEPT which intervention? 1. Continuous positive airway pressure 2. Head tilt chin lift 3. Jaw thrust 4. Nasopharyngeal airway 1. Assessment of Breathing includes evaluation of: 1. Respiratory rate and effort 2. Chest expansion in air movement 3. Lung and airway sounds 4. O2 saturation 5. All of the above 5. Tachypnea can have both respiratory and non-respiratory causes. Select all of the non-respiratory cause of tachypnea. 1. Croup 2. Pneumonia 3. Bronchiolitis 4. High Fever 5. Asthma 6. Severe pain 7. Anemia 4, 6, 7 (True or False) Stridor is a sign of lower airway problem. 1. True 2. False 2. (True or False) Grunting is often a sign of lung tissue disease resulting from small airway collapse, alveolar collapse or both. 1. True 2. False 1. Match each lung and airway sound with the appropriate definition. (drag and drop) A. Coarse, usually higher pitched breathing sound typically heard on inspiration B. High-pitched or low-pitched whistling or sighing sound heard most often during expiration C. Bubbling sound heard during inspiration or expiration D. Short, low pitched breathing sound heard during expiration E. Also known as rales and typically associated with pneumonia A. Stridor B. Wheezing C. Gurgling D. Grunting E. Crackles An oxygen saturation of ≥ _____% while a child is breathing room air usually indicates that oxygenation is adequate. 1. 90% 2. 92% 3. 94% 4. 98% 3. Heart rate and rhythm, pulses, capillary refill time, skin color and temperature, and blood pressure are all direct indicators of circulatory status. Which of the following are indirect indicators of circulatory status? (Choose all correct answers) 1. Urine output 2. Oxygen saturation 3. Level of consciousness 4. Respiratory rate 1, 3. What is the most common cause of bradycardia in children? 1. Sepsis 2. Drug overdose 3. Hypoxia 4. Complete heart block 3. (True or False) Tachycardia is a normal physiologic response in the critically ill child? 1. True 2. False 1. An observed decrease in systolic blood pressure of ________ mm Hg from baseline should prompt serial evaluations for additional signs of shock. 1. 5 mm Hg 2. 10 mm Hg 3. 15 mm Hg 4. 20 mm Hg 2. In healthy children, the heart rate may fluctuate with the respiratory cycle. The heart rate __________ with inspiration and __________ with expiration. (fill in each blank with a single word) increases, decreases (True or False) When assessing circulation, it is only necessary to assess the central pulses. 1. True 2. False 2.