PALS FINAL EXAM WITH ISSUES AND
DEBATES | LATEST UPDATE
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 presentation in children.
A 10-year-old child has collapsed in the gym of the elementary school. The school
nurse arrives and determines that the child is unresponsive. The school nurse then
simultaneously checks for breathing and a central pulse, limiting this assessment to
which time frame? - correct answer-No more than 10 seconds
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 2 to 3 seconds.
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? - correct answer-100 to 120 compressions per
minute at a depth of about 2 inches
What is considered inadequate perfusion when assessing/caring for a pediatric
patient with an arrhythmia? - correct answer-Diminished peripheral pulses
Acutely altered mental status
Hypotension
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? - correct answer-Signs of shock
Acutely altered mental status
Hypotension
, A 9-year-old patient is presenting with diminished 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 6-year-old child is brought to the emergency department. The child has been
experiencing extremely watery stools over the past several days. After completing
the assessment, the healthcare provider suspects that the child may be experiencing
shock. Which type of shock would the provider most likely suspect? - correct answer-
Hypovolemia
A 2-year-old child of unknown weight arrives at the emergency department in cardiac
arrest. When preparing to administer medications, which action would be appropriate
for the team to take? - correct answer-Estimate weight using a length-based
resuscitation tape.
An 11-year-old child develops ventricular tachycardia with a pulse with inadequate
perfusion. The PALS team would prepare the child for which intervention? - correct
answer-Synchronized electrical cardioversion
A 5-year-old child with a history of a chronic neuromuscular disease is experiencing
respiratory distress. The child is breathing spontaneously and receiving
supplemental oxygen. Which additional intervention is a critical component of airway
management for this patient? - correct answer-Airway clearance (e.g., suctioning)
Primary assessment of a 10-year-old child reveals septic shock. As part of the
secondary assessment, if not already done as part of initial sepsis care, laboratory
testing is completed to evaluate the child's status. Which laboratory tests would be
ordered for this child? - correct answer-Complete blood count (CBC)
Lactate level
Blood cultures
A 6-year-old patient is brought to the emergency department after a bicycle accident.
Assessment reveals chest pain on inspiration, diminished breath sounds on the right
side, and respiratory distress. The provider suspects obstructive shock caused by
what condition? - correct answer-Tension pneumothorax
A child exhibiting a narrow-complex tachycardia with adequate perfusion is to
receive adenosine. The provider would be alert for which result after administering
this medication? - correct answer-Transient asystole
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? - correct answer-Oxygen delivery and oxygen demand
An 8-year-old child being treated in the emergency department has significant
respiratory distress. The child also exhibits hives, wheezing, angioedema,
tachycardia and dyspnea. The parents state that the child, who is allergic to peanuts,
had eaten some popcorn that had peanuts in it. The team initiates care, preparing to
administer which agent first? - correct answer-Epinephrine
DEBATES | LATEST UPDATE
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 presentation in children.
A 10-year-old child has collapsed in the gym of the elementary school. The school
nurse arrives and determines that the child is unresponsive. The school nurse then
simultaneously checks for breathing and a central pulse, limiting this assessment to
which time frame? - correct answer-No more than 10 seconds
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 2 to 3 seconds.
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? - correct answer-100 to 120 compressions per
minute at a depth of about 2 inches
What is considered inadequate perfusion when assessing/caring for a pediatric
patient with an arrhythmia? - correct answer-Diminished peripheral pulses
Acutely altered mental status
Hypotension
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? - correct answer-Signs of shock
Acutely altered mental status
Hypotension
, A 9-year-old patient is presenting with diminished 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 6-year-old child is brought to the emergency department. The child has been
experiencing extremely watery stools over the past several days. After completing
the assessment, the healthcare provider suspects that the child may be experiencing
shock. Which type of shock would the provider most likely suspect? - correct answer-
Hypovolemia
A 2-year-old child of unknown weight arrives at the emergency department in cardiac
arrest. When preparing to administer medications, which action would be appropriate
for the team to take? - correct answer-Estimate weight using a length-based
resuscitation tape.
An 11-year-old child develops ventricular tachycardia with a pulse with inadequate
perfusion. The PALS team would prepare the child for which intervention? - correct
answer-Synchronized electrical cardioversion
A 5-year-old child with a history of a chronic neuromuscular disease is experiencing
respiratory distress. The child is breathing spontaneously and receiving
supplemental oxygen. Which additional intervention is a critical component of airway
management for this patient? - correct answer-Airway clearance (e.g., suctioning)
Primary assessment of a 10-year-old child reveals septic shock. As part of the
secondary assessment, if not already done as part of initial sepsis care, laboratory
testing is completed to evaluate the child's status. Which laboratory tests would be
ordered for this child? - correct answer-Complete blood count (CBC)
Lactate level
Blood cultures
A 6-year-old patient is brought to the emergency department after a bicycle accident.
Assessment reveals chest pain on inspiration, diminished breath sounds on the right
side, and respiratory distress. The provider suspects obstructive shock caused by
what condition? - correct answer-Tension pneumothorax
A child exhibiting a narrow-complex tachycardia with adequate perfusion is to
receive adenosine. The provider would be alert for which result after administering
this medication? - correct answer-Transient asystole
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? - correct answer-Oxygen delivery and oxygen demand
An 8-year-old child being treated in the emergency department has significant
respiratory distress. The child also exhibits hives, wheezing, angioedema,
tachycardia and dyspnea. The parents state that the child, who is allergic to peanuts,
had eaten some popcorn that had peanuts in it. The team initiates care, preparing to
administer which agent first? - correct answer-Epinephrine
