PALS Study Guide With 100% Correct Solutions
5 yo
Hx: 4 days of high fever and cough
Assessment: increased lethargy, grunting, and sleepiness, difficult to arouse,
unresponsive to voice commands. Resp are shallow. Auscultation of lungs reveal
bilateral crackles
VS: Pulse ox 72% RA, 89% of Non rebreather mask Resp: 38
Which assessment finding is consistent with respiratory failure in this child? - ANSWER
Answer: Oxygen Saturation
Signs and Symptoms of Respiratory Failure
Tachypnea, increased respiratory effort, cyanosis, tachycardia
9 mo
Hx: fever, cough
VS: Pulse ox 94%
Assessment: Increased work of breathing, Alert with stridor and retractions, Lungs
clear to auscultation bilaterally
What medication do you give first? - ANSWER Epi via nebulizer
An Infant who is not responding and not breathing and has no pulse You call out for
anyone nearby to help but no one does. What do you do next? - ANSWER Begin CPR and
then leave to activate the emergency response system after 2 minutes
You are performing the airway component of the primary assessment. Which finding
would lead you to conclude that the child has an upper airway obstruction? - ANSWER
Signs of Upper Airway Obstruction
1-tachypnea
, 2-increased respiratory effort
3-crying
4-change in voice
5-stridor (usually inspiratory)
6-poor chest excursion
7-see-saw chest/abdominal motion on inspiration
8-poor air entry on auscultation
You are caring for patients in the emergency department which 2 year old requires
immediate intervention?
Pulse Ox Room Air 95%
Systolic Blood pressure of 92 mm Hg
Grunting
Temperature 37.4 C (99.3 F) - ANSWER Answer:
Pulse Ox Room Air 95% - normal
Systolic Blood pressure of 92 mm Hg - normal
Grunting - abnormal sign increased resp effort
Temperature 37.4 C (99.3 F) - slightly elevated
Signs and Symptoms of Respiratory Failure
Tachypnea, increased respiratory effort, cyanosis, tachycardia
How is respiratory distress/failure categorized?
5 yo
Hx: 4 days of high fever and cough
Assessment: increased lethargy, grunting, and sleepiness, difficult to arouse,
unresponsive to voice commands. Resp are shallow. Auscultation of lungs reveal
bilateral crackles
VS: Pulse ox 72% RA, 89% of Non rebreather mask Resp: 38
Which assessment finding is consistent with respiratory failure in this child? - ANSWER
Answer: Oxygen Saturation
Signs and Symptoms of Respiratory Failure
Tachypnea, increased respiratory effort, cyanosis, tachycardia
9 mo
Hx: fever, cough
VS: Pulse ox 94%
Assessment: Increased work of breathing, Alert with stridor and retractions, Lungs
clear to auscultation bilaterally
What medication do you give first? - ANSWER Epi via nebulizer
An Infant who is not responding and not breathing and has no pulse You call out for
anyone nearby to help but no one does. What do you do next? - ANSWER Begin CPR and
then leave to activate the emergency response system after 2 minutes
You are performing the airway component of the primary assessment. Which finding
would lead you to conclude that the child has an upper airway obstruction? - ANSWER
Signs of Upper Airway Obstruction
1-tachypnea
, 2-increased respiratory effort
3-crying
4-change in voice
5-stridor (usually inspiratory)
6-poor chest excursion
7-see-saw chest/abdominal motion on inspiration
8-poor air entry on auscultation
You are caring for patients in the emergency department which 2 year old requires
immediate intervention?
Pulse Ox Room Air 95%
Systolic Blood pressure of 92 mm Hg
Grunting
Temperature 37.4 C (99.3 F) - ANSWER Answer:
Pulse Ox Room Air 95% - normal
Systolic Blood pressure of 92 mm Hg - normal
Grunting - abnormal sign increased resp effort
Temperature 37.4 C (99.3 F) - slightly elevated
Signs and Symptoms of Respiratory Failure
Tachypnea, increased respiratory effort, cyanosis, tachycardia
How is respiratory distress/failure categorized?
