PALS Scenario Practice Exam Questions With 100% Verified Answers Graded A+

PALS Scenario Practice Exam Questions With
100% Verified Answers Graded A+
Pediatric with ALOC


Findings:
- Cool, clammy, mottled skin
- decreased cap refill
- Altered level of consciousness

- BP < 70 systolic - Hypovolemic Shock :
- decreased perfusion to the brain


Treatment:
- O2 - titrate to 94-99% SpO2
- Control hemorrhage, if appropriate
- IV/IO access
- NS IV/IO 20mL/kg fluid bolus over 5-10 minutes


Pediatric with ALOC


Findings: AMS, tachycardia, fever, decreased cap refill, hypotension - Septic
Shock:


Treatment:
- O2 - titrate to 94-99% SpO2

,- IV/IO access
- NS IV/IO 20mL/kg fluid bolus over 5-10 minutes
- Cooling/warming measures
- Treat cardiac conditions


Pediatric with ALOC


Findings:
- BP < 70 systolic, wide pulse pressure
- Normal heart rate or bradycardia

- Hypothermia - Neurologic shock:


Treatment:
- O2 - titrate to 94-99% SpO2
- IV/IO access
20mL/kg NS bolus over 5-10 minutes, repeat as needed


Neonates with ALOC


Findings: lethargic, with <45mg/dL BF (IV access) - Hypoglycemia:


Treatment:
- O2 - titrate to 94-99% SpO2
- IV/IO Access

, - Dextrose 10% 0.2 g/kg = 2 ml/kg IV/ IO


Infant with ALOC:


Findings: lethargic with <60mg/dL (IV access) - Hypoglycemia


Treatment:
- O2 - titrate to 94-99% SpO2
- IV/IO access
- Dextrose 10% 0.5 g/kg = 5 ml/kg IV/ IO maximum initial dose 10g (100 ml)


Hypoglycemic Infant with BG still <60mg/dL after dextrose - DEXTROSE 10%
5g (50 ml) increments to total 15g (150 ml) if Glucose remains 60 or less


Pediatric with ALOC:


Findings: hypoglycemic


Treatment Attempt: NO IV access - Treatment:
- O2 - titrate to 94-99% SpO2
- Glucagon: 0.1 mg/kg IM maximum dose 1 mg


Pediatric with syncopal episode