2020 Pals Exam A questions and answers 100% guaranteed success.

2020 Pals Exam A questions and answers 100% guaranteed success. In which of the following situations may IO access be used? A. An extremity with signs of infection B. An extremity with a sign of a crush injury C. An extremity with a previous unsuccessful IO attempt D. An extremity with slow a capillary refill time - correct answer. D. An extremity with slow a capillary refill time A 2 week old infant is being evaluated for irritability and poor feeding. His BP is 55/40 mmHg, and cap refill time is 5 seconds. Which statement best describes your assessment of this infants BP? A. It represents compensated shock B. It is hypertensive C. It is Hypotensive D. It is normal - correct answer. C. It is Hypotensive You are caring for patients in the emergency department. Which 2 year old child requires immediate intervention? A. A child who is grunting B. A child with an Sp02 of 95% on room air C. A child with a systolic blood pressure of 92 mm Hg D. A child with a temperature of 37.4 C (99.3 F) - correct answer. A. A child who is grunting A 3 year old child is having difficulty breathing. Which finding would most likely lead you to suspect an upper airway obstruction in this child? A. Expiratory breath sounds B. Decreased expiratory effort C. Increased inspiratory effort with retractions D. Normal inspiratory sounds - correct answer. C. Increased inspiratory effort with retractions A team member is unable to perform an assigned task because it is beyond the team members scope of practice. Which action should the team member take? A. Ask for a new task or role B. Refuse to perform the task C. Do it anyway D. Seek expert consultation - correct answer. A. Ask for a new task or role You are the team leader during a pediatric resuscitation attempt. which action is an element of high quality CPR? A. Providing a compression depth of one fourth the depth of the chest B. Providing a compression rate of 80 to 100/min C. Allowing complete chest wall recoil after each compression D. Performing pulse checks every minute - correct answer. C. Allowing complete chest wall recoil after each compression An 8 year old child is brought to the ED by his mother for difficulty breathing. He has a history of asthma and nut allergies. He's mother tells you that he recently ate a cookie at a family picnic. Which condition is most likely to be present in this child? A. Disordered control of breathing B. Hypovolemic shock C. Lung tissue disease D. upper airway obstruction - correct answer. D. upper airway obstruction An 8 year old child is brought to the ED by ambulance after being involved in a MVC. Which finding would suggest that immediate intervention is needed? A. Decreased level of consciousness B. Systolic blood pressure of 106 mm Hg C. Temperature of 38.1 C (100.5 F) D. Warm, moist skin - correct answer. A. Decreased level of consciousness A 6 year old child is found unresponsive, not breathing, and without a pulse. one health care worker leaves to activate the emergency response system and get the resuscitation equipment. You and another healthcare provider immediatly begin CPR. Which compression to ventilation ratio do you use? A. 15:1 B. 30:1 C. 15:2 D. 30:2 - correct answer. C. 15:2 A 3 year old child is in cardiac arrest, and high quality CPR is in progress. You are the team leader. The first rhythm check reveals the rhythm shown here. Defibrillation is attempted with a shock dose of 2 J/kg. after administration of the shock, what should you say to you team members? A. Check for a pulse B. Give epinephrine 0.01 mg/kg C. Let's check the rhythm D. Resume compressions - correct answer. D. Resume compressions You are caring for a 5 year old boy with a 4 day history of high fever and cough. He is having increasing lethargy, grunting, and sleepiness. Now he is difficult to arouse and is unresponsive to voice commands. His O2 sat is 72% on room air and 89% when on a NRB O2 mask. He has shallow respirations, with a respiratory rate of 38/min. Auscultation of the lungs reveals bilateral crackles. Which assessment finding is consistent with respiratory failure in this child? A. Cough B. Fever C. Oxygen saturation D. Respiratory rate - correct answer. C. Oxygen saturation You are caring for a 5 year old boy with a 4 day history of high fever and cough. He is having increasing lethargy, grunting, and sleepiness. Now he is difficult to arouse and is unresponsive to voice commands. His O2 sat is 72% on room air and 89% when on a NRB O2 mask. He has shallow respirations, with a respiratory rate of 38/min. Auscultation of the lungs reveals bilateral crackles. Which medication would be most appropriate? A. A bronchodilator B. An antibiotic C. A cortcosteroid D. A vasopressor - correct answer. B. An antibiotic During a resuscitation attempt, the team leader asks you to administer an initial dose of Epinephrine at 0.1 mg/kg to be given IO. How should you respond? A. "I can't administer the drug at the dose you ordered B. "OK, but will administer epinephrine 0.01 mg/kg" C. "OK, I will administer epinephrine 0.1 mg/kg D. "I think the correct dose is 0.01 mg/kg. should I give that dose instead?" - correct answer. D. "I think the correct dose is 0.01 mg/kg. should I give that dose instead?" A 6 month old infant is unresponsive. You begin checking for breathing at the same time you check for the infants pulse. Which is the maximum time you should spend when trying to simultaneously check for breathing and palpate the infants pulse before starting CPR? A. 10 seconds B. 15 seconds C. 30 seconds D. 60 seconds - correct answer. A. 10 seconds A 10 year old child is being evaluated for a head ache. Which is a normal finding for this 10 year old child? A. Blood pressure of 60/50 mm Hg B. Heart rate of 88/min C. Respiratory of 8/min D. Temperature of 39.6 C (103.2 F) - correct answer. B. Heart rate of 88/min A 6 year old boy is being evaluated for difficulty breathing. Which finding would suggest this child has respiratory distress? A. Audible inspiratory stridor B. Decreased respiratory effort C. Oxygen saturation of 95% D. Respiratory rate of 8/min - correct answer. A. Audible inspiratory stridor A 4 year old child in cardiac arrest is brought to the emergency department by ambulance. High quality CPR is being performed. The cardiac monitor displays the rhythm strip shown here. The estimated weight of the child is 20 kg. What dose range should you use for the initial defibrillation? A. 0.5 to 2 J/kg B. 4 to 6 J/kg C. 6 to 8 J/kg D. 2-4 J/kg - correct answer. D. 2-4 J/kg A 4 year old child in cardiac arrest is brought to the emergency department by ambulance. High quality CPR is being performed. The cardiac monitor displays the rhythm strip shown here. The estimated weight of the child is 20 kg. As the team leader, how many joules do you tell your team member to use to perform initial Defib? A. 10 Joules B. 40 Joules C. 100 Joules D. 140 Joules - correct answer. B. 40 Joules You respond to an infant who is unresponsive, in not breathing, and doe not have a pulse. You shout for nearby help, but no one arrives. What action should you take next? A Begin CPR for 2 mins before leaving to activate the emergency response system. B. Begin CPR for 1 minute before leaving to activate the emergency response system C. Activate the emergency response system after giving CPR for 10 minutes D. Activate the emergency response system after giving CPR for 5 minutes - correct answer. A Begin CPR for 2 mins before leaving to activate the emergency response system. What ratio for compressions to breaths should be used for 1 rescuer infant CPR A. Give 30 compressions to 2 breaths B. Give 5 compressions to 1 breath C. Give 20 compressions to 2 breaths D. Give 15 compressions to 2 breaths - correct answer. A. Give 30 compressions to 2 breaths A 3 year old boy is brought to the ED by his mother. His is lethargic, with retractions and nasal flaring. He has a respiratory rate of 70/min, with warm extremities and brisk cap refill. To which immediate life treating condition could this Childs condition most likely progress if left untreated? A. Cardiogenic shock B. Hypovolemic shock C. Respiratory distress D. Respiratory failure - correct answer. D. Respiratory failure You are evaluating a 10 year old child who is febrile and tachycardia. The Childs cap refill times 5 seconds. which parameter will determine if the child is in compensated shock? A. Blood pressure B. Chest movement C. Respiratory effort D. Respiratory rate - correct answer. A. Blood pressure