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Pals Review Practice Test.

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PALS REVIEW PRACTICE TEST. 1. A 6 mo old infant is unresponsive. You begin checking 10 secs for breathing at the same time you check for the in- fant'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? 2. A 4 yr old child is brought to the emergency depart- Disordered control of ment for seizures. The seizures stopped a few minutes breathing ago, but the child continues to have slow and irregular respirations. Which condition is consistent with your assessment? 3. An 8 yr old is brought to the emergency department with a 2 day hx of lethargy and polyuria. The child has new-onset rapid, deep and labored breathing. Which diagnostic test should you order first? Blood glucose 4. After rectal administration of diazepam, an 8 yr old boy Repositiion the patient 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 exam- ination, the child is snoring with poor chest rise and poor air entry bilaterally. Which action should you take next? and insert an oral airway. 5. After rectal administration of diazepam, an 8 yr old boy Provide BVM respirations 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 exam- ination, 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? 6. 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? 7. In postresusitation management after cardiac arrest, extra care should be taken to avoid reperfusion injury. What should the ideal oxygen saturation range most likely be? 8. 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?

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PALS REVIEW PRACTICE TEST.

1. A 6 mo old infant is unresponsive. You begin checking 10 secs
for breathing at the same time you check for
the in- fant'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?

2. A 4 yr old child is brought to the emergency depart- Disordered control
of
ment for seizures. The seizures stopped a few minutes
breathing ago, but the child continues to have slow and
irregular respirations. Which condition is consistent with
your assessment?

3. An 8 yr old is brought to the emergency Blood glucose
department with a 2 day hx of lethargy and
polyuria. The child has new-onset rapid, deep
and labored breathing. Which diagnostic test
should you order first?

4. After rectal administration of diazepam, an 8 yr old boy Repositiion
the patient
with a hx of seizures is now unresponsive to and insert an oral airway.
painful stimulation. His respirations are
shallow, at a rate of 10/min. His oxygen sat is
94% on 2L via NC. On exam- ination, the child
is snoring with poor chest rise and poor air
entry bilaterally. Which action should you take
next?

5. After rectal administration of diazepam, an 8 yr old boy Provide
BVM respirations
with a hx of seizures is now unresponsive to


, PALS REVIEW PRACTICE TEST.

painful stimulation. His respirations are
shallow, at a rate of 10/min. His oxygen sat is
94% on 2L via NC. On exam- ination, the child
is snoring with poor chest rise and poor air
entry bilaterally. If the patient continues to






, PALS REVIEW PRACTICE TEST.

deteriorate after your initial intervention,
which next step is most appropriate?

6. A 6 yr old child is found unresponsive, not 15:2
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? 94%-99%

7. In postresusitation management after
cardiac arrest, extra care should be taken to
avoid reperfusion injury. What should the ideal
oxygen saturation range most likely be? Resume
Compressions
8. 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?

9. A 4 yr old child in cardiac arrest is brought to the emer-
2-4 J/kg gency 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?

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