PALS Updated FINAL EXAM 2022

PALS Updated FINAL EXAM 2022 A 12-year-old child being evaluated in the pediatric intensive care unit displays the following ECG waveform. The team interprets this as which arrhythmia? Correct Answer: second degree Laboratory tests are ordered for a child who has been vomiting for 3 days and is diaphoretic, tachypnea, lethargic and pale. Which test would the provider use to determine the adequacy of oxygen delivery? Correct Answer: Lactate A 9-year-old patient is presenting with decreased breath sounds, bradycardia, slowed respiratory rate and a low O2 saturation level. The provider interprets these findings as indicating which condition? Correct Answer: Respiratory failure 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? Correct Answer: Deliver 1 BVM ventilation every 3 to 5 seconds. A 15-year-old patient is being evaluated during a follow-up visit after being diagnosed with Lyme disease 2 months ago. A rhythm strip is obtained as shown below. The provider interprets this rhythm as indicating which arrhythmia? Correct Answer: First-degree atrioventricular (AV) block A child in cardiac arrest experiences return of spontaneous circulation but is exhibiting signs of postcardiac 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)? Correct Answer: Hypotension Fever Hyperglycemia A 2-year-old child arrives at the emergency department with the parents. The child is unresponsive, is not breathing and has no pulse. Two emergency department providers begin high-quality CPR. Which action(s) by the providers demonstrates high-quality CPR? Correct Answer: Allowing the chest to recoil fully after each compression Providing ventilations that last about 1 second each Compressing the chest about 2 inches Giving 2 ventilations to every 15 compressions A PALS resuscitation team is preparing to defibrillate a child experiencing cardiac arrest. For which rhythm(s) would this action be appropriate? Correct Answer: VF and pVT are shockable cardiac arrest rhythms. A provider is assessing a child with suspected shock. Which statement correctly describes hypotension and shock? Correct Answer: Hypotension is not a consistent feature of shock;...