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
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, 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
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, 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
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