Examen

PALS post test.docx

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10 r seconds r - r correct r answer r A r 6 r month r old r infant r is r unresponsive. r You r begin r checking r for r breathing r at r the r same r time r you r check r for r the r infants r pulse. r Which r is r the r maximum r time r you r should r spend r when r trying r to r simultaneously r check r for r breathing r and r palpate r the r infants r pulse r before r starting r CPR? Disordered r Control r of r Breathing r - r correct r answer r A r 4 r year r old r child r is r brought r to r the r emergency r department r for r seizures. r The r seizures r stopped r a r few r minutes r ago, r but r the r child r continues r to r have r slow r and r irregular r respirations. r Which r condition r is r most r consistent r with r your r assessment? blood r glucose r - r correct r answer r An r 8 r year r old r child r is r brought r to r the r emergency r department r with r a r 2 r day r history r of r lethargy r and r polyuria. r The r child r has r new r onset r rapid, r deep, r and r labored r breathing. r Which r diagnostic r test r should r you r order r first? Reposition r the r patient, r and r insert r an r oral r airway r - r correct r answer r After r rectal r administration r of r diazepam, r an r 8 r year r old r boy r with r a r history r of r seizures r is r no r unresponsive r to r painful r stimuli. r His r respirations r are r shallow, r at r a r rate r of r 10/min. r His r Oxygen r saturation r is r 94% r on r 2L r of r NC r oxygen. r On r examination, r the r child r is r snoring r with r poor r chest r rise r and r poor r air r entry r bilaterally. r What r action r should r you r take r next? Provide r bag r mask r ventilation r - r correct r answer r After r rectal r administration r of r diazepam, r an r 8 r year r old r boy r with r a r history r of r seizures r is r no r unresponsive r to r painful r stimuli. r His r respirations r are r shallow, r at r a r rate r of r 10/min. r His r Oxygen r saturation r is r 94% r on r 2L r of r NC r oxygen. r On r examination, r the r child r is r snoring r with r poor r chest r rise r and r poor r air r entry r bilaterally. r After r repositioning r the r patient r and r you r insert r an r Oral r airway, r the r patient r continues r to r deteriorate. r What r next r step r is r the r most r appropriate? 15:2 r - r correct r answer r A r 6 r year r old r child r is r found r unresponsive, r not r breathing, r and r without r a r pulse. r one r health r care r worker r leaves r to r activate r the r emergency r response r system r and r get r the r resuscitation r equipment. r You r and r another r healthcare r provider r immediatly r begin r CPR. r Which r compression r to r ventilation r ratio r do r you r use? 94%-99% r - r correct r answer r In r post r resuscitation r management r after r cardiac r arrest, r extra r care r should r be r taken r to r avoid r repercussion r injury. r what r should r the r ideal r oxygen r saturation r range r most r likely r be? "resume r compressions" r - r correct r answer r A r 3 r year r old r child r is r in r cardiac r arrest, r and r high r quality r CPR r is r in r progress. r You r are r the r team r leader. r The r first r rhythm r check r reveals r the r rhythm r shown r here. r Defibrillation r is r attempted r with r a r shock r dose r of r 2 r J/kg. r after r administration r of r the r shock, r what r should r you r say r to r you r team r members? 2-4 r J/kg r - r correct r answer r A r 4 r year r old r child r in r cardiac r arrest r is r brought r to r the r emergency r department r by r ambulance. r High r quality r CPR r is r being r performed. r The r cardiac r monitor r displays r the r rhythm r strip r shown r here. r The r estimated r weight r of r the r child r is r 20 r kg. r What r dose r range r should r you r use r for r the r initial r defibrillation? 40 r Joules r - r correct r answer r A r 4 r year r old r child r in r cardiac r arrest r is r brought r to r the r emergency r department r by r ambulance. r High r quality r CPR r is r being r performed. r The

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Institución: Pals
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Subido en: 27 de diciembre de 2024
Número de páginas: 7
Escrito en: 2024/2025
Tipo: Examen
Contiene: Preguntas y respuestas

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PALS POST TEST EXAM 2024/2025 WITH 100% CORRECT
ANSWERS

10 seconds - correct answer A 6 month old infant is unresponsive. You begin checking for breathing at the same
r r r r r r r r r r r r r r r r r r r r

time you check for the infants pulse. Which is the maximum time you should spend when trying to
r r r r r r r r r r r r r r r r r r

simultaneously check for breathing and palpate the infants pulse before starting CPR? r r r r r r r r r r r

Disordered Control of Breathing - correct answer A 4 year old child is brought to the emergency department for
r r r r r r r r r r r r r r r r r r r

seizures. The seizures stopped a few minutes ago, but the child continues to have slow and irregular
r r r r r r r r r r r r r r r r r

respirations. Which condition is most consistent with your assessment? r r r r r r r r

blood glucose - correct answer An 8 year old child is brought to the emergency department with a 2 day history
r r r r r r r r r r r r r r r r r r r r r

of lethargy and polyuria. The child has new onset rapid, deep, and labored breathing. Which diagnostic test
r r r r r r r r r r r r r r r r r

should you order first? r r r

Reposition the patient, and insert an oral airway - correct answer After rectal administration of diazepam, an 8
r r r r r r r r r r r r r r r r r r

year old boy with a history of seizures is no unresponsive to painful stimuli. His respirations are shallow, at a rate
r r r r r r r r r r r r r r r r r r r r r

of 10/min. His Oxygen saturation is 94% on 2L of NC oxygen. On examination, the child is snoring with poor
r r r r r r r r r r r r r r r r r r r r

chest rise and poor air entry bilaterally. What action should you take next?
r r r r r r r r r r r r

Provide bag mask ventilation - correct answer After rectal administration of diazepam, an 8 year old boy with a
r r r r r r r r r r r r r r r r r r r

history of seizures is no unresponsive to painful stimuli. His respirations are shallow, at a rate of 10/min. His
r r r r r r r r r r r r r r r r r r r

, Oxygen saturation is 94% on 2L of NC oxygen. On examination, the child is snoring with poor chest rise and poor
r r r r r r r r r r r r r r r r r r r r r

air entry bilaterally. After repositioning the patient and you insert an Oral airway, the patient continues to
r r r r r r r r r r r r r r r r r

deteriorate. What next step is the most appropriate? r r r r r r r

15:2 - correct answer A 6 year old child is found unresponsive, not breathing, and without a pulse. one health
r r r r r r r r r r r r r r r r r r r r

care worker leaves to activate the emergency response system and get the resuscitation equipment. You and
r r r r r r r r r r r r r r r r

another healthcare provider immediatly begin CPR. Which compression to ventilation ratio do you use?
r r r r r r r r r r r r r

94%-99% - correct answer In post resuscitation management after cardiac arrest, extra care should be taken to
r r r r r r r r r r r r r r r r r

avoid repercussion injury. what should the ideal oxygen saturation range most likely be?
r r r r r r r r r r r r

"resume compressions" - correct answer A 3 year old child is in cardiac arrest, and high quality CPR is in
r r r r r r r r r r r r r r r r r r r r

progress. You are the team leader. The first rhythm check reveals the rhythm shown here. Defibrillation is
r r r r r r r r r r r r r r r r r

attempted with a shock dose of 2 J/kg. after administration of the shock, what should you say to you team
r r r r r r r r r r r r r r r r r r r r

members?

2-4 J/kg - correct answer A 4 year old child in cardiac arrest is brought to the emergency department by
r r r r r r r r r r r r r r r r r r r r

ambulance. High quality CPR is being performed. The cardiac monitor displays the rhythm strip shown here. r r r r r r r r r r r r r r r r

The estimated weight of the child is 20 kg. What dose range should you use for the initial defibrillation?
r r r r r r r r r r r r r r r r r r

40 Joules - correct answer A 4 year old child in cardiac arrest is brought to the emergency department by
r r r r r r r r r r r r r r r r r r r r

ambulance. High quality CPR is being performed. The cardiac monitor displays the rhythm strip shown here. r r r r r r r r r r r r r r r r

The estimated weight of the child is 20 kg. As the team leader, how many joules do you tell your team member to
r r r r r r r r r r r r r r r r r r r r r r

use to perform initial Defib?
r r r r r

Allowing complete chest wall recoil after each compression - correct answer You are the team leader during a
r r r r r r r r r r r r r r r r r r

pediatric resuscitation attempt. which action is an element of high quality CPR?
r r r r r r r r r r r

blood pressure - correct answer You are caring for a 3 month old boy with a 2 day history of fever, vomiting and
r r r r r r r r r r r r r r r r r r r r r r r

diarrhea. His parents state that he has been sleeping much more. His HR is 190/min, temp is 38.3 degrees C (101
r r r r r r r r r r r r r r r r r r r r

F) blood pressure is 59/29 mmHg, Resp rate is 70/min and shallow, and oxygen sat is 94% on 100% oxygen. His
r r r r r r r r r r r r r r r r r r r r r r

capillary refills time is 4-5 seconds, and he has mottled, cool extremities. The infant weighs 6 Kg. Which
r r r r r r r r r r r r r r r r r r

assessment finding indicates that the infant is in hypotensive shock? r r r r r r r r r

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