Complete Questions and Guide Answers
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1. A 5-year-old child with a history of a chronic neuromuscular disease is experi- encing
respiratory distress. The child is breathing spontaneously and receiving supplemental
oxygen. Which additional intervention is a critical component of airway management for
this patient?
Answer: Airway clearance (e.g., suctioning)
2. A child being cared for in the pediatric telemetry unit suddenly displays the following
ECG waveform. The provider prepares to intervene because the child is demonstrating
which type of arrhythmia?
Answer: Supraventricular tachycardia
3. A child in cardiac arrest experiences return of spontaneous circulation but is
exhibiting signs of post-cardiac arrest syndrome (PCAS). The PALS resusci- tation team
determines that the child is experiencing a systemic response to
, ischemia/reperfusion. The team bases this determination on which finding(s)?-
Answer: Hypotension, fever, hyperglycemia
4. 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 immedi- ately?
Answer: Albuterol with or without ipratropium bromide
5. After ROSC, a child is experiencing post-cardiac arrest hypoperfusion. The PALS
resuscitation team would administer which element to restore intravas- cular volume
and optimize preload?
Answer: Isotonic fluid boluses
6. A 2-year-old child of unknown weight arrives at the emergency department in cardiac
arrest. When preparing to administer medications, which action would be appropriate for
the team to take?
Answer: Estimate weight using a length-based resuscitation tape.
7. A 4-year-old child is brought to the emergency department by the parents.
Assessment reveals that the child has only gasping respirations and the pulse rate is 65
beats per minute. Which action would the provider initiate first?