PALS
A 10 yr old child is being evaluated for a headache. Which is a normal finding for
this 10 yr old child? - ANS - HR of 88/min
\A 10 yr old child is brought to the emergency department for fever and cough.
You obtain an oxygen sat on the child. Which oxygen saturation would indicate
that immediate intervention is needed? - ANS - 88% on 4L NC
\A 2 week old infant is being evaluated for irritability and poor feeding. His bp is
55/40, and capillary refill time is 5 secs. Which statement best describes your
assessment of this infant's BP? - ANS - It is hypotensive
\A 3 yr old boy is brought to the emergency department by his mother. He is
lethargic, with retraction and nasal flaring. He has a respiratory rate of 70, with
warm extremities and brisk cap refill. To which immediate life-threatening
condition could this child's condition most likely progress if left untreated? - ANS
- Respiratory failure
\A 3 yr old child is brought to the emergency department by his mother. Which is
a normal finding for a 3 yr old child? - ANS - Respiratory rate of 24/min
\A 3 yr old child is having difficulty breathing. Which finding would most likely
lead you to suspect an upper airway obstruction in this child? - ANS - Increased
inspiratory effort with retractions
\A 3 yr old child is in cardiac arrest, and high-quality CPR is in progress. You are
the team leader. The first rhythm check reveals the rhythm shown here. (V-Fib)
Defibrillation is attempted with a shock dose of 2 J/kg. After administration of the
shock, what should you say to your team members? - ANS - Resume
Compressions
\A 4 yr old child in cardiac arrest is brought to the emergency dept. by
ambulance. High-quality CPR is being performed. The cardiac monitor displays
the rhythm strip shown here. The estimated weight of the child is 20kg. As the
team leader, how many joules do you tell your team member to use to perform
initial defibrillation? - ANS - 40 J
\A 4 yr old child in cardiac arrest is brought to the emergency dept. by
ambulance. High-quality CPR is being performed. The cardiac monitor displays
the rhythm strip shown here. The estimated weight of the child is 20kg. Which
dosage range should you use the for initial defibrillation? - ANS - 2-4 J/kg
\A 4 yr old child is brought to the emergency department for seizures. The
seizures stopped a few minutes ago, but the child continues to have slow and
irregular respirations. Which condition is consistent with your assessment? -
ANS - Disordered control of breathing
, \A 5 yr old child is brought to the emergency dept. by ambulance after being
involved in a MVC. You are using the primary assessment to evaluate the child.
When assessing the childs neurologic status, you note that he has spontaneous
eye opening, is fully oriented, and is able to follow commands. How would you
document this child's AVPU Pediatric Response Scale finding? - ANS - Alert
\A 6 mo old infant is being evaluated for bradycardia. Which is the most likely
cause of bradycardia? - ANS - Hypoxia
\A 6 mo old infant is unresponsive. You begin checking for breathing at the same
time you check for the infant's pulse. Which is the max time you should spend
when trying to simultaneously check for breathing and palpate the infant's pulse
before starting CPR? - ANS - 10 secs
\A 6 yr old boy is being evaluated for difficulty breathing. Which finding would
suggest this child has respiratory distress? - ANS - Audible inspiratory stridor
\A 6 yr old child is found unresponsive, not breathing, and without a pulse. One
healthcare worker leaves to activate the emergency response system and get the
resuscitation equipment. you and another healthcare provider immediately begin
performing CPR. Which compression-to-ventilation ratio do you use? - ANS - 15:2
\A 7 yr old child in cardiac arrest is brought to the emergency department by
ambulance. No palpable pulses are detected. The child's ECG is shown here. How
would you characterize this child's rhythm? - ANS - PEA
\A team member is unable to perform an assigned task because it si beyond the
team member's scope of practice. Which action should the team member take? -
ANS - Ask for a new task or role
\After rectal administration of diazepam, an 8 yr old boy with a hx of seizures is
now unresponsive to painful stimulation. His respirations are shallow, at a rate of
10/min. His oxygen sat is 94% on 2L via NC. On examination, the child is snoring
with poor chest rise and poor air entry bilaterally. If the patient continues to
deteriorate after your initial intervention, which next step is most appropriate? -
ANS - Provide BVM respirations
\After rectal administration of diazepam, an 8 yr old boy with a hx of seizures is
now unresponsive to painful stimulation. His respirations are shallow, at a rate of
10/min. His oxygen sat is 94% on 2L via NC. On examination, the child is snoring
with poor chest rise and poor air entry bilaterally. Which action should you take
next? - ANS - Repositiion the patient and insert an oral airway.
\An 8 yr old child is brought to the emergency department by ambulance after
being involved in a motor vehicle collision. Which finding would suggest that
immediate intervention is needed? - ANS - Decreased level of consciousness.
\An 8 yr old child is brought to the emergency department by his mother for
difficulty breathing. He has a hx of asthma and nut allergies. His mother tells you
A 10 yr old child is being evaluated for a headache. Which is a normal finding for
this 10 yr old child? - ANS - HR of 88/min
\A 10 yr old child is brought to the emergency department for fever and cough.
You obtain an oxygen sat on the child. Which oxygen saturation would indicate
that immediate intervention is needed? - ANS - 88% on 4L NC
\A 2 week old infant is being evaluated for irritability and poor feeding. His bp is
55/40, and capillary refill time is 5 secs. Which statement best describes your
assessment of this infant's BP? - ANS - It is hypotensive
\A 3 yr old boy is brought to the emergency department by his mother. He is
lethargic, with retraction and nasal flaring. He has a respiratory rate of 70, with
warm extremities and brisk cap refill. To which immediate life-threatening
condition could this child's condition most likely progress if left untreated? - ANS
- Respiratory failure
\A 3 yr old child is brought to the emergency department by his mother. Which is
a normal finding for a 3 yr old child? - ANS - Respiratory rate of 24/min
\A 3 yr old child is having difficulty breathing. Which finding would most likely
lead you to suspect an upper airway obstruction in this child? - ANS - Increased
inspiratory effort with retractions
\A 3 yr old child is in cardiac arrest, and high-quality CPR is in progress. You are
the team leader. The first rhythm check reveals the rhythm shown here. (V-Fib)
Defibrillation is attempted with a shock dose of 2 J/kg. After administration of the
shock, what should you say to your team members? - ANS - Resume
Compressions
\A 4 yr old child in cardiac arrest is brought to the emergency dept. by
ambulance. High-quality CPR is being performed. The cardiac monitor displays
the rhythm strip shown here. The estimated weight of the child is 20kg. As the
team leader, how many joules do you tell your team member to use to perform
initial defibrillation? - ANS - 40 J
\A 4 yr old child in cardiac arrest is brought to the emergency dept. by
ambulance. High-quality CPR is being performed. The cardiac monitor displays
the rhythm strip shown here. The estimated weight of the child is 20kg. Which
dosage range should you use the for initial defibrillation? - ANS - 2-4 J/kg
\A 4 yr old child is brought to the emergency department for seizures. The
seizures stopped a few minutes ago, but the child continues to have slow and
irregular respirations. Which condition is consistent with your assessment? -
ANS - Disordered control of breathing
, \A 5 yr old child is brought to the emergency dept. by ambulance after being
involved in a MVC. You are using the primary assessment to evaluate the child.
When assessing the childs neurologic status, you note that he has spontaneous
eye opening, is fully oriented, and is able to follow commands. How would you
document this child's AVPU Pediatric Response Scale finding? - ANS - Alert
\A 6 mo old infant is being evaluated for bradycardia. Which is the most likely
cause of bradycardia? - ANS - Hypoxia
\A 6 mo old infant is unresponsive. You begin checking for breathing at the same
time you check for the infant's pulse. Which is the max time you should spend
when trying to simultaneously check for breathing and palpate the infant's pulse
before starting CPR? - ANS - 10 secs
\A 6 yr old boy is being evaluated for difficulty breathing. Which finding would
suggest this child has respiratory distress? - ANS - Audible inspiratory stridor
\A 6 yr old child is found unresponsive, not breathing, and without a pulse. One
healthcare worker leaves to activate the emergency response system and get the
resuscitation equipment. you and another healthcare provider immediately begin
performing CPR. Which compression-to-ventilation ratio do you use? - ANS - 15:2
\A 7 yr old child in cardiac arrest is brought to the emergency department by
ambulance. No palpable pulses are detected. The child's ECG is shown here. How
would you characterize this child's rhythm? - ANS - PEA
\A team member is unable to perform an assigned task because it si beyond the
team member's scope of practice. Which action should the team member take? -
ANS - Ask for a new task or role
\After rectal administration of diazepam, an 8 yr old boy with a hx of seizures is
now unresponsive to painful stimulation. His respirations are shallow, at a rate of
10/min. His oxygen sat is 94% on 2L via NC. On examination, the child is snoring
with poor chest rise and poor air entry bilaterally. If the patient continues to
deteriorate after your initial intervention, which next step is most appropriate? -
ANS - Provide BVM respirations
\After rectal administration of diazepam, an 8 yr old boy with a hx of seizures is
now unresponsive to painful stimulation. His respirations are shallow, at a rate of
10/min. His oxygen sat is 94% on 2L via NC. On examination, the child is snoring
with poor chest rise and poor air entry bilaterally. Which action should you take
next? - ANS - Repositiion the patient and insert an oral airway.
\An 8 yr old child is brought to the emergency department by ambulance after
being involved in a motor vehicle collision. Which finding would suggest that
immediate intervention is needed? - ANS - Decreased level of consciousness.
\An 8 yr old child is brought to the emergency department by his mother for
difficulty breathing. He has a hx of asthma and nut allergies. His mother tells you
