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Exam (elaborations)

PALS Final Exam/Questions and Answers/A+ Rated/Latest 2023/2024

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PALS Final Exam/Questions and Answers/A+ Rated/Latest 2023/2024 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? Select the correct answer to this question. Atrial flutter Monomorphic ventricular tachycardia Supraventricular tachycardia Bradycardia Supraventricular tachycardia The emergency response team is providing care to a preschooler who is experiencing shock. The primary goal, common to all types of shock, is to restore a favorable balance between tissue perfusion and metabolic demand with a focus on what? Select the correct answer to this question. A normal resting heart rate Oxygen delivery and oxygen demand Oxygen and carbon dioxide levels Restoring blood pressure Oxygen delivery and oxygen demand A provider is assessing a child with suspected shock. Which statement correctly describes hypotension and shock? Select the correct answer to this question. Hypotension affects children with shock more often than adults. Hypotension is not a consistent feature of shock presentation in children. Hypotension is usually an early marker of shock in children. Hypotension during shock in children is rarely a cause of concern. Hypotension is not a consistent feature of shock presentation in children. Which action would the PALS team initiate to manage increased intracranial pressure in a pediatric patient? Select the correct answer to this question. Administer hypotonic fluids. Maintain the head in midline position. Avoid giving hypertonic saline or mannitol. Ensure hyperstimulation to maintain consciousness. Maintain the head in midline position. The PALS team is providing post-cardiac arrest care to an 8-year-old child in the pediatric intensive care unit. Which intervention would the team implement to achieve the primary goal of post-cardiac arrest care, after assuring adequate oxygenation and ventilation? Select the correct answer to this question. Induce shivering with therapeutic hypothermia. Increase the child's intracranial pressure. Administer glucose to promote hyperglycemia. Ensure adequate mean arterial pressure. Ensure adequate mean arterial pressure. 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? Select the correct answer to this question. 100 to 120 compressions per minute at a depth of about 1½ inches 120 to 140 compressions per minute at a depth of about 1½ inches 100 to 120 compressions per minute at a depth of about 2 inches 120 to 140 compressions per minute at a depth of about 2 inches 100 to 120 compressions per minute at a depth of about 2 inches An advanced airway was placed in a 5-year-old child. Which action(s) would be most appropriate for the team to take to confirm correct placement? Select all correct options that apply. Auscultate over the lungs and epigastrium for air movement. Look for fogging in the tube. Observe for bilateral chest rise. Assess for improved perfusion. Evaluate results of capnography. Auscultate over the lungs and epigastrium for air movement. Observe for bilateral chest rise. Evaluate results of capnography. 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 perfusion and oxygen delivery? Select the correct answer to this question. Electrolyte panel Platelets Blood culture Lactate Lactate 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 inadequate perfusion. Which primary assessment findings indicate this?

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PALS Final Exam/Questions and Answers/A+ Rated/Latest 2023/2024 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 demonstrati ng which type of arrhythmia? Select the correct answer to this question. Atrial flutter Monomorphic ventricular tachycardia Supraventricular tachycardia Bradycardia Supraventricular tachycardia The emergency response team is providing care to a preschoole r who is experiencing shock. The primary goal, common to all types of shock, is to restore a favorable balance between tissue perfusion and metabolic demand with a focus on what? Select the correct answer to this question. A normal resting heart rate Oxygen delivery and oxygen demand Oxygen and carbon dioxide levels Restoring blood pressure Oxygen delivery and oxygen demand A provider is assessing a child with suspected shock. Which statement correctly describes hypotension and shock? Select the correc t answer to this question. Hypotension affects children with shock more often than adults. Hypotension is not a consistent feature of shock presentation in children. Hypotension is usually an early marker of shock in children. Hypotension during shock in c hildren is rarely a cause of concern. Hypotension is not a consistent feature of shock presentation in children. Which action would the PALS team initiate to manage increased intracranial pressure in a pediatric patient? Select the correct answer to this q uestion. Administer hypotonic fluids. Maintain the head in midline position . Avoid giving hypertonic saline or mannitol. Ensure hyperstimulation to maintain consciousness. Maintain the head in midline position. The PALS team is providing post -cardiac arres t care to an 8 -year-old child in the pediatric intensive care unit. Which intervention would the team implement to achieve the primary goal of post -cardiac arrest care, after assuring adequate oxygenation and ventilation? Select the correct answer to this question. Induce shivering with therapeutic hypothermia. Increase the child's intracranial pressure. Administer glucose to promote hyperglycemia. Ensure adequate mean arterial pressure. Ensure adequate mean arterial pressure. 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? Select the correct answer to this question. 100 to 120 compressions per minute at a depth of about 1½ inches 120 to 140 compressions per minute at a depth of about 1½ inches 100 to 120 compressions per minute at a depth of about 2 inches 120 to 140 compressi ons per minute at a depth of about 2 inches 100 to 120 compressions per minute at a depth of about 2 inches An advanced airway was placed in a 5 -year-old child. Which action(s) would be most appropriate for the team to take to confirm correct placement? Select all correct options that apply. Auscultate over the lungs and epigastrium for air movement. Look for fogging in the tube. Observe for bilateral chest rise. Assess for improved perfusion. Evaluate results of capnography. Auscultate over the lungs and e pigastrium for air movement. Observe for bilateral chest rise. Evaluate results of capnography . 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 perfusion and oxygen delivery? Select the correct answer to this question. Electrolyte panel Platelets Blood culture Lactate Lactate

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