PALS FINAL RED CROSS exam with correct answers
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A |4-month |old |infant |is |brought |to |the |emergency |department |in |cardiac |arrest. |Which |condition |
would |the |team |identify |as |the |most |common |cause |of |cardiac |arrest |in |an |infant |of |this |age? |- |
correct |answer | |sudden |infant |death |syndrome |is |the |most |common |cause |in |infants |younger |than |6 |
months |of |age.
The |PALS |resuscitation |team |is |providing |care |to |an |intubated |child |in |cardiac |arrest. |Which |result |
best |determines |the |adequacy |of |the |team's |chest |compressions? |- |correct |answer | |End-tidal |carbon |
dioxide |level |between |15 |and |20 |mmHg
The |emergency |response |team |is |providing |care |to |a |preschooler |who |is |experiencing |shock. |Which |
therapeutic |goal, |common |to |all |types |of |shock, |does |the |team |work |to |achieve? |- |correct |answer | |
The |primary |therapeutic |goal |in |shock, |regardless |of |cause, |is |to |restore |a |favorable |balance |between |
oxygen |delivery |and |oxygen |demand.
A |9-year-old |child |is |brought |to |the |emergency |department |because |the |child |suddenly |collapsed |at |
school. |The |child's |ECG |reveals |the |following |waveform, |and |primary |assessment |findings |indicate |
that |the |child |is |hemodynamically |unstable. |Which |primary |assessment |findings |indicate |this? |- |
correct |answer | |Decreased |level |of |consciousness, |Hypotension, |Difficulty |breathing, |Mottling
A |child |is |experiencing |shock. |The |emergency |response |team |prepares |for |imminent |cardiac |arrest |
when |assessment |reveals |which |finding(s)? |- |correct |answer | |Hypotension, |Bradycardia, |Diminished |
central |pulses
An |11-year-old |soccer |player |is |brought |to |the |emergency |department. |After |a |quick |assessment, |the |
team |realizes |this |patient |is |experiencing |a |severe |asthma |exacerbation. |Which |medication |would |the
|team |administer |first? |- |correct |answer | |Albuterol |plus |ipratropium |bromide
The |PALS |team |is |providing |post-cardiac |arrest |care |to |an |8-year-old |child |in |the |pediatric |intensive |
care |unit. |Which |intervention |would |the |team |implement |to |achieve |the |primary |goal |of |post-cardiac |
arrest |care? |- |correct |answer | |Ensuring |adequate |mean |arterial |pressure
, child |in |the |pediatric |intensive |care |unit |displays |the |following |ECG |waveform |and |does |not |have |a |
palpable |central |pulse. |The |resuscitation |team |interprets |this |as |which |arrhythmia? |- |correct |answer | |
pulseless |ventricular |tachycardia |(pVT)
Which |action |would |the |PALS |resuscitation |team |initiate |to |minimize |increased |intracranial |pressure |
after |cardiac |arrest? |- |correct |answer | |Maintain |the |head |in |midline |position |with |30-degree |elevation
A |4-year-old |child |suddenly |collapses |in |the |playroom |of |the |facility. |A |healthcare |provider |observes |
the |event |and |hurries |over |to |assess |the |child. |The |healthcare |provider |completes |which |assessment |
first? |- |correct |answer | |Rapid |assessment
A |provider |is |forming |an |initial |impression |of |a |child |using |the |Pediatric |Assessment |Triangle |(PAT). |
During |which |step |of |the |PAT |may |the |provider |use |the |mnemonic |TICLS |to |assess |the |patient? |- |
correct |answer | |Appearance
A |9-year-old |patient |is |presenting |with |decreased |breath |sounds, |bradycardia, |slowed |respiratory |rate
|and |a |low |O2 |saturation |level. |The |provider |interprets |these |findings |as |indicating |which |condition? |- |
correct |answer | |Respiratory |failure
Assessment |of |a |3-month-old |infant |admitted |with |respiratory |distress |reveals |fever, |grunting |and |a |
wet, |"junky" |cough. |The |infant's |parents |said |the |child |had |a |recent |respiratory |infection |with |a |fever.
|A |rapid |respiratory |syncytial |virus |(RSV) |test |is |positive. |Which |condition |would |the |provider |most |
likely |suspect |as |the |cause? |- |correct |answer | |Bronchiolitis
A |PALS |resuscitation |team |is |preparing |to |defibrillate |a |child |experiencing |cardiac |arrest. |For |which |
rhythm(s) |would |this |action |be |appropriate? |- |correct |answer | |Ventricular |fibrillation |(VF), |Pulseless |
ventricular |tachycardia |(pVT),
A |4-year-old |child |is |brought |to |the |emergency |department |by |the |parents. |Assessment |reveals |that |
the |child |is |gasping |and |the |pulse |rate |is |65 |beats |per |minute. |Which |action |would |the |provider |
initiate |first? |- |correct |answer | |Deliver |1 |BVM |ventilation |every |3 |to |5 |seconds
The |PALS |team |leader |is |conducting |a |debriefing |session |with |the |team. |Which |topic(s) |would |the |
team |leader |most |likely |address |during |the |session? |- |correct |answer | |Summary |of |the |event, |
| | | | | | |
A |4-month |old |infant |is |brought |to |the |emergency |department |in |cardiac |arrest. |Which |condition |
would |the |team |identify |as |the |most |common |cause |of |cardiac |arrest |in |an |infant |of |this |age? |- |
correct |answer | |sudden |infant |death |syndrome |is |the |most |common |cause |in |infants |younger |than |6 |
months |of |age.
The |PALS |resuscitation |team |is |providing |care |to |an |intubated |child |in |cardiac |arrest. |Which |result |
best |determines |the |adequacy |of |the |team's |chest |compressions? |- |correct |answer | |End-tidal |carbon |
dioxide |level |between |15 |and |20 |mmHg
The |emergency |response |team |is |providing |care |to |a |preschooler |who |is |experiencing |shock. |Which |
therapeutic |goal, |common |to |all |types |of |shock, |does |the |team |work |to |achieve? |- |correct |answer | |
The |primary |therapeutic |goal |in |shock, |regardless |of |cause, |is |to |restore |a |favorable |balance |between |
oxygen |delivery |and |oxygen |demand.
A |9-year-old |child |is |brought |to |the |emergency |department |because |the |child |suddenly |collapsed |at |
school. |The |child's |ECG |reveals |the |following |waveform, |and |primary |assessment |findings |indicate |
that |the |child |is |hemodynamically |unstable. |Which |primary |assessment |findings |indicate |this? |- |
correct |answer | |Decreased |level |of |consciousness, |Hypotension, |Difficulty |breathing, |Mottling
A |child |is |experiencing |shock. |The |emergency |response |team |prepares |for |imminent |cardiac |arrest |
when |assessment |reveals |which |finding(s)? |- |correct |answer | |Hypotension, |Bradycardia, |Diminished |
central |pulses
An |11-year-old |soccer |player |is |brought |to |the |emergency |department. |After |a |quick |assessment, |the |
team |realizes |this |patient |is |experiencing |a |severe |asthma |exacerbation. |Which |medication |would |the
|team |administer |first? |- |correct |answer | |Albuterol |plus |ipratropium |bromide
The |PALS |team |is |providing |post-cardiac |arrest |care |to |an |8-year-old |child |in |the |pediatric |intensive |
care |unit. |Which |intervention |would |the |team |implement |to |achieve |the |primary |goal |of |post-cardiac |
arrest |care? |- |correct |answer | |Ensuring |adequate |mean |arterial |pressure
, child |in |the |pediatric |intensive |care |unit |displays |the |following |ECG |waveform |and |does |not |have |a |
palpable |central |pulse. |The |resuscitation |team |interprets |this |as |which |arrhythmia? |- |correct |answer | |
pulseless |ventricular |tachycardia |(pVT)
Which |action |would |the |PALS |resuscitation |team |initiate |to |minimize |increased |intracranial |pressure |
after |cardiac |arrest? |- |correct |answer | |Maintain |the |head |in |midline |position |with |30-degree |elevation
A |4-year-old |child |suddenly |collapses |in |the |playroom |of |the |facility. |A |healthcare |provider |observes |
the |event |and |hurries |over |to |assess |the |child. |The |healthcare |provider |completes |which |assessment |
first? |- |correct |answer | |Rapid |assessment
A |provider |is |forming |an |initial |impression |of |a |child |using |the |Pediatric |Assessment |Triangle |(PAT). |
During |which |step |of |the |PAT |may |the |provider |use |the |mnemonic |TICLS |to |assess |the |patient? |- |
correct |answer | |Appearance
A |9-year-old |patient |is |presenting |with |decreased |breath |sounds, |bradycardia, |slowed |respiratory |rate
|and |a |low |O2 |saturation |level. |The |provider |interprets |these |findings |as |indicating |which |condition? |- |
correct |answer | |Respiratory |failure
Assessment |of |a |3-month-old |infant |admitted |with |respiratory |distress |reveals |fever, |grunting |and |a |
wet, |"junky" |cough. |The |infant's |parents |said |the |child |had |a |recent |respiratory |infection |with |a |fever.
|A |rapid |respiratory |syncytial |virus |(RSV) |test |is |positive. |Which |condition |would |the |provider |most |
likely |suspect |as |the |cause? |- |correct |answer | |Bronchiolitis
A |PALS |resuscitation |team |is |preparing |to |defibrillate |a |child |experiencing |cardiac |arrest. |For |which |
rhythm(s) |would |this |action |be |appropriate? |- |correct |answer | |Ventricular |fibrillation |(VF), |Pulseless |
ventricular |tachycardia |(pVT),
A |4-year-old |child |is |brought |to |the |emergency |department |by |the |parents. |Assessment |reveals |that |
the |child |is |gasping |and |the |pulse |rate |is |65 |beats |per |minute. |Which |action |would |the |provider |
initiate |first? |- |correct |answer | |Deliver |1 |BVM |ventilation |every |3 |to |5 |seconds
The |PALS |team |leader |is |conducting |a |debriefing |session |with |the |team. |Which |topic(s) |would |the |
team |leader |most |likely |address |during |the |session? |- |correct |answer | |Summary |of |the |event, |
