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PALS Final Exam Study Test.

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PALS Final Exam Study Test. 1. A provider is assessing a child with suspected Hypotension is not a consistent feature shock. Which statement correctly describes hypotension and shock? 2. A 10-year-old child has collapsed in the gym of the elementary school. The school nurse arrives and determines that the child is un- responsive. The school nurse then simulta- neously checks for breathing and a central pulse, limiting this assessment to which time frame? 3. A 4-year-old child is brought to the emer- gency department by the parents. Assess- ment reveals that the child has only gasping respirations and the pulse rate is 65 beats per minute. Which action would the provider initiate first? 4. A 7-year-old child collapses on the play- ground 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 compres- sions to this child? 5. What is considered inadequate perfusion when assessing/caring for a pediatric patient with an arrhythmia? 6. A 9-year-old child is brought to the emer- gency department because the child sudden- of shock presentation in children. No more than 10 seconds Deliver 1 BVM ventilation every 2 to 3 seconds. 100 to 120 compressions per minute at a depth of about 2 inches Diminished peripheral pulses Acutely altered mental status Hypotension ly collapsed at school. The child's ECG reveals the following waveform, and primary assess- Signs of shock Acutely altered mental status ment findings indicate that the child has inad- Hypotension equate perfusion. Which primary assessment findings indicate this? 7. A 9-year-old patient is presenting with dimin- Respiratory failure ished breath sounds, bradycardia, slowed res- piratory rate and a low O2 saturation level. The provider interprets these findings as indi- cating which condition? 8. A 6-year-old child is brought to the emer- gency department. The child has been ex- periencing extremely watery stools over the past several days. After completing the as- sessment, the healthcare provider suspects that the child may be experiencing shock. Which type of shock would the provider most likely suspect? 9. A 2-year-old child of unknown weight arrives at the emergency department in cardiac ar- rest. When preparing to administer medica- tions, which action would be appropriate for the team to take? 10. An 11-year-old child develops ventricular tachycardia with a pulse with inadequate per- fusion. The PALS team would prepare the child for which intervention? Hypovolemia Estimate weight using a length-based resuscitation tape. Synchronized electrical cardioversion 11. Airway clearance (e.g., suctioning)

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PALS Final Exam Study Test.

1. A provider is assessing a child with suspected Hypotension is not a
consistent feature
shock. Which statement correctly describes pediatric patient
hypotension and shock? with an
arrhythmia?
2. A 10-year-old child has collapsed in
the gym of the elementary school. 6. A 9-year-old child
The school nurse arrives and is brought to the
determines that the child is un- emer- gency
responsive. The school nurse then department because
simulta- neously checks for breathing the child sudden-
and a central pulse, limiting this
assessment to which time frame?

3. A 4-year-old child is brought to the
emer- gency department by the
parents. Assess- ment reveals that
the child has only gasping
respirations and the pulse rate is 65
beats per minute. Which action would
the provider initiate first?

4. A 7-year-old child collapses on the
play- ground 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 compres- sions to this
child?

5. What is considered inadequate
perfusion when assessing/caring for a
1/
20

, PALS Final Exam Study Test.

f shock presentation in children.


o more than 10 seconds




eliver 1 BVM ventilation every 2 to 3 seconds.




00 to 120 compressions per minute at a depth of about 2 inches




Diminished peripheral pulses Acutely altered mental status
Hypotension




2/
20

, PALS Final Exam Study Test.

ly collapsed at school. The child's ECG Signs of shock
reveals the following waveform, and Acutely altered mental status
primary assess-
ment findings indicate that the child has inad- Hypotension
equate perfusion. Which primary
assessment findings indicate this?

7. A 9-year-old patient is presenting with dimin- Respiratory failure
ished breath sounds, bradycardia, slowed
res- piratory rate and a low O2
saturation level.
The provider interprets these findings as
indi- cating which condition?

8. A 6-year-old child is brought to the with inadequate
emer- gency department. The child per- fusion. The
has been ex- periencing extremely PALS team would
watery stools over the past several prepare the child for
days. After completing the as- which intervention?
sessment, the healthcare provider
suspects that the child may be
experiencing shock. Which type of
shock would the provider most likely
suspect?

9. A 2-year-old child of unknown weight
arrives at the emergency department
in cardiac ar- rest. When preparing to
administer medica- tions, which
action would be appropriate for the
team to take?

10. An 11-year-old child develops
ventricular tachycardia with a pulse
3/
20

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