PALS Final Exam.docx

PALS FINAL EXAM 2024/2025 WITH 100% CORRECT
ANSWERS




A provider is assessing a child with suspected shock. Which statement correctly describes hypotension and
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shock? - correct answer Hypotension is not a consistent feature of shock presentation in children.
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A 10-year-old child has collapsed in the gym of the elementary school. The school nurse arrives and determines
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that the child is unresponsive. The school nurse then simultaneously checks for breathing and a central pulse,
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limiting this assessment to which time frame? - correct answer No more than 10 seconds
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A 4-year-old child is brought to the emergency department by the parents. Assessment reveals that the child
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has only gasping respirations and the pulse rate is 65 beats per minute. Which action would the provider
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initiate first? - correct answer Deliver 1 BVM ventilation every 2 to 3 seconds.
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A 7-year-old child collapses on the playground at school. The school nurse is called to the scene and determines
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that the child is unresponsive and is not breathing and has no pulse. The nurse initiates CPR. At what rate and
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depth would the nurse deliver compressions to this child? - correct answer 100 to 120 compressions per
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minute at a depth of about 2 inches
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What is considered inadequate perfusion when assessing/caring for a pediatric patient with an arrhythmia? -
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correct answer Diminished peripheral pulses
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, Acutely altered mental status r r r




Hypotension



A 9-year-old child is brought to the emergency department because the child suddenly collapsed at school. The
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child's ECG reveals the following waveform, and primary assessment findings indicate that the child has
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inadequate perfusion. Which primary assessment findings indicate this? - correct answer Signs of shock
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Acutely altered mental status r r r




Hypotension



A 9-year-old patient is presenting with diminished breath sounds, bradycardia, slowed respiratory rate and a
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low O2 saturation level. The provider interprets these findings as indicating which condition? - correct answer
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Respiratory failure r




A 6-year-old child is brought to the emergency department. The child has been experiencing extremely watery
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stools over the past several days. After completing the assessment, the healthcare provider suspects that the
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child may be experiencing shock. Which type of shock would the provider most likely suspect? - correct answer
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Hypovolemia



A 2-year-old child of unknown weight arrives at the emergency department in cardiac arrest. When preparing
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to administer medications, which action would be appropriate for the team to take? - correct answer Estimate
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weight using a length-based resuscitation tape.
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An 11-year-old child develops ventricular tachycardia with a pulse with inadequate perfusion. The PALS team
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would prepare the child for which intervention? - correct answer Synchronized electrical cardioversion
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A 5-year-old child with a history of a chronic neuromuscular disease is experiencing respiratory distress. The
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child is breathing spontaneously and receiving supplemental oxygen. Which additional intervention is a
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critical component of airway management for this patient? - correct answer Airway clearance (e.g.,
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suctioning)



Primary assessment of a 10-year-old child reveals septic shock. As part of the secondary assessment, if not
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already done as part of initial sepsis care, laboratory testing is completed to evaluate the child's status. Which
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laboratory tests would be ordered for this child? - correct answer Complete blood count (CBC)
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Lactate level r