PALS Pretest with Questions and Answers

PALS Pretest with Questions and Answers Scenario: You are called to see a 14-mo-old child with difficulty breathing and a history of poor feeding. Mom reports that the child has had a fever and cough for the past two days. 1. Your general impression revelas that the child is poorly responsive to his surroundings and that he is breathing rapidly. Intercostal retractions are present. His skin color is pale. Which of the following accurately reflects your general impression findings? A. Normal appearance, normal work of breathing, and normal circulation to the skin B. Abnormal appearance, abnormal WOB, and normal circulation C. Normal appearance, normal WOB, and abnormal circulation to the skin. D. Abnormal appearance, abnormal WOB, and abnormal circulation ANSWER D. Abnormal appearance, abnormal WOB, and abnormal circulation Rational: Poorly responsive, rapid rate/presence of retractions, pallor Scenario: You are called to see a 14-mo-old child with difficulty breathing and a history of poor feeding. Mom reports that the child has had a fever and cough for the past two days. 2. Your primary assessment reveals an open airway. The child's ventilatory rate is 48 per min. Auscultation of the chest reveals bilateral expiratory wheezes. A weak brachial pulse is present adn the skin is pale. Capillary refill is 2-3 seconds, temp is 102.8 F, and the pulse ox reveals an SpO2 of 86%. This child's presentation is most consistent with: A. Respiraotry distress B. Resp failure C. Resp arrest D. Cardiopulmonary arrest ANSWER B. Respiratory Failure Rationale: defined as "a clinical condition in which there is inadequate blood oxygenation and/or ventilation to meet the metabolic demands of body tissues"