Aha Pals Final Exam 2022/2023.

AHA PALS FINAL EXAM 2022/2023. 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? Ans - second degree Laboratory tests are ordered for a child who has been vomiting for 3 days and is diaphoretic, tachypneic, lethargic and pale. Which test would the provider use to determine the adequacy of oxygen delivery? Ans - 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? Ans - Respiratory failure 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? Ans - First-degree atrioventricular (AV) block 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)? Ans - 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? Ans - Allowing the chest to recoil fully after each compression Providing ventilations that last about 1 second each This study source was downloaded by from CourseH on 01-11-2023 02:15:14 GMT -06:00 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? Ans - VF and pVT are shockable cardiac arrest rhythms. A provider is assessing a child with suspected shock. Which statement correctly describes hypotension and shock? Ans - Hypotension is not a consistent feature of shock; A provider is caring for a 4-year-old child in the urgent care clinic. Primary assessment reveals difficulty breathing and an oxygen saturation of 91%. The provider administers oxygen by nasal cannula with the goal of improving the child's oxygen saturation above what percentage? Ans - Supplemental oxygen should be administered as needed to maintain an oxygen saturation above 94%. 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 first? Ans - Albuterol plus ipratropium bromid.