PALS Exam Questions with Complete Answers| Rated A+

A 6 mo old infant is unresponsive. You begin checking for breathing at the same time you check for the infant'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? - 10 secs A 4 yr old child is brought to the emergency department for seizures. The seizures stopped a few minutes ago, but the child continues to have slow and irregular respirations. Which condition is consistent with your assessment? - Disordered control of breathing 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 After rectal administration of diazepam, an 8 yr old boy 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 examination, the child is snoring with poor chest rise and poor air entry bilaterally. Which action should you take next? - Repositiion the patient and insert an oral airway. After rectal administration of diazepam, an 8 yr old boy 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 examination, 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? - Provide BVM respirations 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? - 15:2 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? - 94%-99% 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? - Resume Compressions A 4 yr old child in cardiac arrest is brought to the emergency 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? - 2-4 J/kg A 4 yr old child in cardiac arrest is brought to the emergency 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. As the team leader, how many joules do you tell your team member to use to perform initial defibrillation? - 40 J You are the team leader during a pediatric resuscitation attempt. Which action is an element of high quality CPR? - Allowing complete chest wall recoil after each compression You are caring for a 3 month old boy with a 2 day hx of fever, vomiting, and diarrhea. His parents state that he has been sleeping much more. His heart rate is 190, temp is 101F, BP is 59/29, RR is 70 and shallow, an O2 sat is 94% on 100% O2. His cap refill time is 4 to 5 secs, and he has mottled, cool extremities. The infant weighs 6kg. Which assessment finding indicates that the infant has hypotensive shock? - Blood pressure You are caring for a 3 month old boy with a 2 day hx of fever, vomiting, and diarrhea. His parents state that he has been sleeping much more. His heart rate is 190, temp is 101F, BP is 59/29, RR is 70 and shallow, an O2 sat is 94% on 100% O2. His cap refill time is 4 to 5 secs, and he has mottled, cool extremities. The infant weighs 6kg. On the basis of this infant's presentation, which type of shock does this infant have? - Hypovolemic