PALS POST TEST WITH A
PLUS SOLUTIONS
10 bseconds b- b bcorrect banswer- bA b6 bmonth bold binfant bis bunresponsive. bYou
bbegin bchecking bfor bbreathing bat bthe bsame btime byou bcheck bfor bthe binfants
bpulse. bWhich bis bthe bmaximum btime byou bshould bspend bwhen btrying bto
bsimultaneously bcheck bfor bbreathing band bpalpate bthe binfants bpulse bbefore
bstarting bCPR?
Disordered bControl bof bBreathing b- b bcorrect banswer- bA b4 byear bold bchild bis
bbrought bto bthe bemergency bdepartment bfor bseizures. bThe bseizures bstopped ba
bfew bminutes bago, bbut bthe bchild bcontinues bto bhave bslow band birregular
brespirations. bWhich bcondition bis bmost bconsistent bwith byour bassessment?
blood bglucose b- b bcorrect banswer- bAn b8 byear bold bchild bis bbrought bto bthe
bemergency bdepartment bwith ba b2 bday bhistory bof blethargy band bpolyuria. bThe
bchild bhas bnew bonset brapid, bdeep, band blabored bbreathing. bWhich bdiagnostic
btest bshould byou border bfirst?
Reposition bthe bpatient, band binsert ban boral bairway b- b bcorrect banswer- bAfter
brectal badministration bof bdiazepam, ban b8 byear bold bboy bwith ba bhistory bof
bseizures bis bno bunresponsive bto bpainful bstimuli. bHis brespirations bare bshallow, bat
ba brate bof b10/min. bHis bOxygen bsaturation bis b94% bon b2L bof bNC boxygen. bOn
bexamination, bthe bchild bis bsnoring bwith bpoor bchest brise band bpoor bair bentry
bbilaterally. bWhat baction bshould byou btake bnext?
Provide bbag bmask bventilation b- b bcorrect banswer- bAfter brectal badministration bof
bdiazepam, ban b8 byear bold bboy bwith ba bhistory bof bseizures bis bno bunresponsive
bto bpainful bstimuli. bHis brespirations bare bshallow, bat ba brate bof b10/min. bHis
bOxygen bsaturation bis b94% bon b2L bof bNC boxygen. bOn bexamination, bthe bchild bis
bsnoring bwith bpoor bchest brise band bpoor bair bentry bbilaterally. bAfter brepositioning
, bthe bpatient band byou binsert ban bOral bairway, bthe bpatient bcontinues bto
bdeteriorate. bWhat bnext bstep bis bthe bmost bappropriate?
15:2 b- b bcorrect banswer- bA b6 byear bold bchild bis bfound bunresponsive, bnot
bbreathing, band bwithout ba bpulse. bone bhealth bcare bworker bleaves bto bactivate bthe
bemergency bresponse bsystem band bget bthe bresuscitation bequipment. bYou band
banother bhealthcare bprovider bimmediatly bbegin bCPR. bWhich bcompression bto
bventilation bratio bdo byou buse?
94%-99% b- b bcorrect banswer- bIn bpost bresuscitation bmanagement bafter bcardiac
barrest, bextra bcare bshould bbe btaken bto bavoid brepercussion binjury. bwhat bshould
bthe bideal boxygen bsaturation brange bmost blikely bbe?
"resume bcompressions" b- b bcorrect banswer- bA b3 byear bold bchild bis bin bcardiac
barrest, band bhigh bquality bCPR bis bin bprogress. bYou bare bthe bteam bleader. bThe
bfirst brhythm bcheck breveals bthe brhythm bshown bhere. bDefibrillation bis battempted
bwith ba bshock bdose bof b2 bJ/kg. bafter badministration bof bthe bshock, bwhat bshould
byou bsay bto byou bteam bmembers?
2-4 bJ/kg b- b bcorrect banswer- bA b4 byear bold bchild bin bcardiac barrest bis bbrought bto
bthe bemergency bdepartment bby bambulance. bHigh bquality bCPR bis bbeing
bperformed. bThe bcardiac bmonitor bdisplays bthe brhythm bstrip bshown bhere. bThe
bestimated bweight bof bthe bchild bis b20 bkg. bWhat bdose brange bshould byou buse bfor
bthe binitial bdefibrillation?
40 bJoules b- b bcorrect banswer- bA b4 byear bold bchild bin bcardiac barrest bis bbrought
bto bthe bemergency bdepartment bby bambulance. bHigh bquality bCPR bis bbeing
bperformed. bThe bcardiac bmonitor bdisplays bthe brhythm bstrip bshown bhere. bThe
bestimated bweight bof bthe bchild bis b20 bkg. bAs bthe bteam bleader, bhow bmany bjoules
bdo byou btell byour bteam bmember bto buse bto bperform binitial bDefib?
Allowing bcomplete bchest bwall brecoil bafter beach bcompression b- b bcorrect banswer-
bYou bare bthe bteam bleader bduring ba bpediatric bresuscitation battempt. bwhich
baction bis ban belement bof bhigh bquality bCPR?
blood bpressure b- b bcorrect banswer- bYou bare bcaring bfor ba b3 bmonth bold bboy bwith
ba b2 bday bhistory bof bfever, bvomiting band bdiarrhea. bHis bparents bstate bthat bhe
bhas bbeen bsleeping bmuch bmore. bHis bHR bis b190/min, btemp bis b38.3 bdegrees bC
b(101 bF) bblood bpressure bis b59/29 bmmHg, bResp brate bis b70/min band bshallow,
band boxygen bsat bis b94% bon b100% boxygen. bHis bcapillary brefills btime bis b4-5
bseconds, band bhe bhas bmottled, bcool bextremities. bThe binfant bweighs b6 bKg.
bWhich bassessment bfinding bindicates bthat bthe binfant bis bin bhypotensive bshock?
hypovolemic bshock b- b bcorrect banswer- bYou bare bcaring bfor ba b3 bmonth bold bboy
bwith ba b2 bday bhistory bof bfever, bvomiting band bdiarrhea. bHis bparents bstate bthat
bhe bhas bbeen bsleeping bmuch bmore. bHis bHR bis b190/min, btemp bis b38.3 bdegrees
bC b(101 bF) bblood bpressure bis b59/29 bmmHg, bResp brate bis b70/min band bshallow,
band boxygen bsat bis b94% bon b100% boxygen. bHis bcapillary brefills btime bis b4-5
bseconds, band bhe bhas bmottled, bcool bextremities. bThe binfant bweighs b6 bKg. bOn
PLUS SOLUTIONS
10 bseconds b- b bcorrect banswer- bA b6 bmonth bold binfant bis bunresponsive. bYou
bbegin bchecking bfor bbreathing bat bthe bsame btime byou bcheck bfor bthe binfants
bpulse. bWhich bis bthe bmaximum btime byou bshould bspend bwhen btrying bto
bsimultaneously bcheck bfor bbreathing band bpalpate bthe binfants bpulse bbefore
bstarting bCPR?
Disordered bControl bof bBreathing b- b bcorrect banswer- bA b4 byear bold bchild bis
bbrought bto bthe bemergency bdepartment bfor bseizures. bThe bseizures bstopped ba
bfew bminutes bago, bbut bthe bchild bcontinues bto bhave bslow band birregular
brespirations. bWhich bcondition bis bmost bconsistent bwith byour bassessment?
blood bglucose b- b bcorrect banswer- bAn b8 byear bold bchild bis bbrought bto bthe
bemergency bdepartment bwith ba b2 bday bhistory bof blethargy band bpolyuria. bThe
bchild bhas bnew bonset brapid, bdeep, band blabored bbreathing. bWhich bdiagnostic
btest bshould byou border bfirst?
Reposition bthe bpatient, band binsert ban boral bairway b- b bcorrect banswer- bAfter
brectal badministration bof bdiazepam, ban b8 byear bold bboy bwith ba bhistory bof
bseizures bis bno bunresponsive bto bpainful bstimuli. bHis brespirations bare bshallow, bat
ba brate bof b10/min. bHis bOxygen bsaturation bis b94% bon b2L bof bNC boxygen. bOn
bexamination, bthe bchild bis bsnoring bwith bpoor bchest brise band bpoor bair bentry
bbilaterally. bWhat baction bshould byou btake bnext?
Provide bbag bmask bventilation b- b bcorrect banswer- bAfter brectal badministration bof
bdiazepam, ban b8 byear bold bboy bwith ba bhistory bof bseizures bis bno bunresponsive
bto bpainful bstimuli. bHis brespirations bare bshallow, bat ba brate bof b10/min. bHis
bOxygen bsaturation bis b94% bon b2L bof bNC boxygen. bOn bexamination, bthe bchild bis
bsnoring bwith bpoor bchest brise band bpoor bair bentry bbilaterally. bAfter brepositioning
, bthe bpatient band byou binsert ban bOral bairway, bthe bpatient bcontinues bto
bdeteriorate. bWhat bnext bstep bis bthe bmost bappropriate?
15:2 b- b bcorrect banswer- bA b6 byear bold bchild bis bfound bunresponsive, bnot
bbreathing, band bwithout ba bpulse. bone bhealth bcare bworker bleaves bto bactivate bthe
bemergency bresponse bsystem band bget bthe bresuscitation bequipment. bYou band
banother bhealthcare bprovider bimmediatly bbegin bCPR. bWhich bcompression bto
bventilation bratio bdo byou buse?
94%-99% b- b bcorrect banswer- bIn bpost bresuscitation bmanagement bafter bcardiac
barrest, bextra bcare bshould bbe btaken bto bavoid brepercussion binjury. bwhat bshould
bthe bideal boxygen bsaturation brange bmost blikely bbe?
"resume bcompressions" b- b bcorrect banswer- bA b3 byear bold bchild bis bin bcardiac
barrest, band bhigh bquality bCPR bis bin bprogress. bYou bare bthe bteam bleader. bThe
bfirst brhythm bcheck breveals bthe brhythm bshown bhere. bDefibrillation bis battempted
bwith ba bshock bdose bof b2 bJ/kg. bafter badministration bof bthe bshock, bwhat bshould
byou bsay bto byou bteam bmembers?
2-4 bJ/kg b- b bcorrect banswer- bA b4 byear bold bchild bin bcardiac barrest bis bbrought bto
bthe bemergency bdepartment bby bambulance. bHigh bquality bCPR bis bbeing
bperformed. bThe bcardiac bmonitor bdisplays bthe brhythm bstrip bshown bhere. bThe
bestimated bweight bof bthe bchild bis b20 bkg. bWhat bdose brange bshould byou buse bfor
bthe binitial bdefibrillation?
40 bJoules b- b bcorrect banswer- bA b4 byear bold bchild bin bcardiac barrest bis bbrought
bto bthe bemergency bdepartment bby bambulance. bHigh bquality bCPR bis bbeing
bperformed. bThe bcardiac bmonitor bdisplays bthe brhythm bstrip bshown bhere. bThe
bestimated bweight bof bthe bchild bis b20 bkg. bAs bthe bteam bleader, bhow bmany bjoules
bdo byou btell byour bteam bmember bto buse bto bperform binitial bDefib?
Allowing bcomplete bchest bwall brecoil bafter beach bcompression b- b bcorrect banswer-
bYou bare bthe bteam bleader bduring ba bpediatric bresuscitation battempt. bwhich
baction bis ban belement bof bhigh bquality bCPR?
blood bpressure b- b bcorrect banswer- bYou bare bcaring bfor ba b3 bmonth bold bboy bwith
ba b2 bday bhistory bof bfever, bvomiting band bdiarrhea. bHis bparents bstate bthat bhe
bhas bbeen bsleeping bmuch bmore. bHis bHR bis b190/min, btemp bis b38.3 bdegrees bC
b(101 bF) bblood bpressure bis b59/29 bmmHg, bResp brate bis b70/min band bshallow,
band boxygen bsat bis b94% bon b100% boxygen. bHis bcapillary brefills btime bis b4-5
bseconds, band bhe bhas bmottled, bcool bextremities. bThe binfant bweighs b6 bKg.
bWhich bassessment bfinding bindicates bthat bthe binfant bis bin bhypotensive bshock?
hypovolemic bshock b- b bcorrect banswer- bYou bare bcaring bfor ba b3 bmonth bold bboy
bwith ba b2 bday bhistory bof bfever, bvomiting band bdiarrhea. bHis bparents bstate bthat
bhe bhas bbeen bsleeping bmuch bmore. bHis bHR bis b190/min, btemp bis b38.3 bdegrees
bC b(101 bF) bblood bpressure bis b59/29 bmmHg, bResp brate bis b70/min band bshallow,
band boxygen bsat bis b94% bon b100% boxygen. bHis bcapillary brefills btime bis b4-5
bseconds, band bhe bhas bmottled, bcool bextremities. bThe binfant bweighs b6 bKg. bOn
