Pals Updated Final Exam

PALS Updated FINAL EXAM s s s


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1. A 12-year- s

old child being evaluated in the pediatric intensive care unit displays the foll
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owing ECG waveform. The team interprets this as which ar-
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rhythmia?: second degree
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2. Laboratory tests are ordered for a child who has been vomiting for 3 s s s s s s s s s s s s

days and is diaphoretic, tachypneic, lethargic and pale. Which test would the pr
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ovider use to determine the adequacy of oxygen delivery?: Lactate
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3. A 9-year-old patient is presenting with decreased breath sounds, brady-
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cardia, slowed respiratory rate and a low O2 saturation level. The provider i
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nterprets these findings as indicating which condition?: Respiratory failure
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4. A 4-year- s

old child is brought to the emergency department by the parents. Assessment
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reveals that the child has only gasping respirations and the pulse rate is 65 b
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eats per minute. Which action would the provider initiate first?: Deliver 1 BVM
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ventilation every 3 to 5 seconds. s s s s s

5. A 15-year-old patient is being evaluated during a follow-
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up visit after being diagnosed with Lyme disease 2 months ago. A rhythm stri
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p is obtained as shown below. The provider interprets this rhythm as indicating
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which arrhyth- mia?: First-degree atrioventricular (AV) block
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6. A child in cardiac arrest experiences return of spontaneous circulation b
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ut is exhibiting signs of post-
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cardiac arrest syndrome (PCAS). The PALS resuscitation team determines t
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hat the child is experiencing a systemic re-
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sponse to ischemia/reperfusion. The team bases this determination on which fi
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nding(s)?: Hypotension s




Fever Hyperglycemi s




a
7. A 2-year- s

old child arrives at the emergency department with the parents.The child is unre
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sponsive, is not breathing and has no pulse. Two emergency de-
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partment providers begin high-
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quality CPR. Which action(s) by the providers demonstrates high-
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quality CPR?: Allowing the chest to recoil fully after each compression
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Providing ventilations that last about 1 second each Compressing
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the chest about 2 inches
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1s/s
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, PALS Updated FINAL EXAM
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Giving 2 ventilations to every 15 compressions
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2s/s
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