1. 10 seconds 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?
2. Disordered Con- A 4 year old child is brought to the emergency department
trol of Breathing for seizures. The seizures stopped a few minutes ago, but
the child continues to have slow and irregular respirations.
Which condition is most consistent with your assessment?
3. blood glucose An 8 year old child is brought to the emergency depart-
ment with a 2 day history of lethargy and polyuria. The
child has new onset rapid, deep, and labored breathing.
Which diagnostic test should you order first?
4. Reposition the After rectal administration of diazepam, an 8 year old boy
patient, and in- with a history of seizures is no unresponsive to painful
sert an oral air- stimuli. His respirations are shallow, at a rate of 10/min.
way His Oxygen saturation is 94% on 2L of NC oxygen. On
examination, the child is snoring with poor chest rise and
poor air entry bilaterally. What action should you take next?
5. Provide bag After rectal administration of diazepam, an 8 year old boy
mask ventilation with a history of seizures is no unresponsive to painful
stimuli. His respirations are shallow, at a rate of 10/min.
His Oxygen saturation is 94% on 2L of NC oxygen. On
examination, the child is snoring with poor chest rise and
poor air entry bilaterally. After repositioning the patient
and you insert an Oral airway, the patient continues to
deteriorate. What next step is the most appropriate?
6. 15:2 A 6 year old child is found unresponsive, not breathing,
and without a pulse. one health care worker leaves to ac-
tivate the emergency response system and get the resus-
citation equipment. You and another healthcare provider
immediatly begin CPR. Which compression to ventilation
ratio do you use?
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, PALS post test with Verified Solutions rated A+
7. 94%-99% In post resuscitation management after cardiac arrest,
extra care should be taken to avoid repercussion injury.
what should the ideal oxygen saturation range most likely
be?
8. "resume com- A 3 year old child is in cardiac arrest, and high quality CPR
pressions" is in progress. You are the team leader. The first rhythm
check reveals the rhythm shown here. Defibrillation is at-
tempted with a shock dose of 2 J/kg. after administration
of the shock, what should you say to you team members?
9. 2-4 J/kg A 4 year old child in cardiac arrest is brought to the emer-
gency 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?
10. 40 Joules A 4 year old child in cardiac arrest is brought to the emer-
gency 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?
11. Allowing com- You are the team leader during a pediatric resuscitation
plete chest wall attempt. which action is an element of high quality CPR?
recoil after each
compression
12. blood pressure You are caring for a 3 month old boy with a 2 day history
of fever, vomiting and diarrhea. His parents state that he
has been sleeping much more. His HR is 190/min, temp
is 38.3 degrees C (101 F) blood pressure is 59/29 mmHg,
Resp rate is 70/min and shallow, and oxygen sat is 94%
on 100% oxygen. His capillary refills time is 4-5 seconds,
and he has mottled, cool extremities. The infant weighs 6
Kg. Which assessment finding indicates that the infant is
in hypotensive shock?
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