PALS RED CROSS WITH QUESTIONS CORRECTLY ANSWERED

PALS RED CROSS WITH QUESTIONS CORRECTLY ANSWERED Laboratory tests are ordered for a child who has been vomiting for 3 days and is diaphoretic, tachypneic, lethargic and pale. Which test would the provider use to determine the adequacy of oxygen delivery? - CORRECT ANSWER-Lactate A provider is forming an initial impression of a child using the Pediatric Assessment Triangle (PAT). During which step of the PAT may the provider use the mnemonic TICLS to assess the patient? - CORRECT ANSWER-Appearance 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? - CORRECT ANSWER-Supraventricular tachycardia 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? - CORRECT ANSWER-Estimate weight using a length-based resuscitation tape. A 9-year-old patient is presenting with decreased breath sounds, bradycardia, slowed respiratory rate and a low O2 saturation level. The provider interprets these findings as indicating which condition? - CORRECT ANSWER-Respiratory failure A 5-year-old child with a history of a chronic neuromuscular disease is experiencing respiratory distress. The child is breathing spontaneously and receiving supplemental oxygen. Which additional intervention is a critical component of airway management for this patient? - CORRECT ANSWER-Airway clearance An 8-year-old child being treated in the emergency department has significant respiratory distress. The child also exhibits hives, wheezing, angioedema, tachycardia and tachypnea. The parents state that the child, who is allergic to peanuts, had eaten some popcorn that had peanuts in it. The team initiates care, preparing to administer which agent first? - CORRECT ANSWER-Epinephrine A 12-lead ECG is ordered for a child complaining of a "racing heart." When placing the electrodes on the child, at which location would the lead for V4 be placed? - CORRECT ANSWER-Fifth intercostal space at midclavicular line, left side A 10-year-old child has collapsed in the gym of the elementary school. The school nurse arrives and determines that the child is unresponsive. The school nurse then simultaneously checks for breathing and a central pulse, limiting this assessment to which time frame? - CORRECT ANSWER-At least 5 seconds, but no more than 10 A 30-month old child has been diagnosed with moderate croup. Which medication(s) would the provider administer? - CORRECT ANSWER-1. Racemic epinephrine 2. Corticosteroids A child is experiencing shock. The emergency response team prepares for imminent cardiac arrest when assessment reveals which finding(s)? - CORRECT ANSWER-1. Bradycardia 2. Diminished central pulses 3. Hypotension A PALS resuscitation team is preparing to defibrillate a child experiencing cardiac arrest. For which rhythm(s) would this action be appropriate? - CORRECT ANSWER-1. Ventricular fibrillation (VF) 2. Pulseless ventricular tachycardia (pVT) A child is experiencing stable supraventricular tachycardia (SVT) and is to receive treatment. Which initial treatment would the provider administer? - CORRECT ANSWER-Vagal maneuvers A 4-year-old child is brought to the emergency department by the parents. Assessment reveals that the child is gasping and the pulse rate is 65 beats per minute. Which action would the provider initiate first? - CORRECT ANSWER-Deliver 1 BVM ventilation every 3 to 5 seconds. The PALS resuscitation team notes the following ECG waveform and the child does not have a pulse. The team prepares to intervene to address which arrhythmia? - CORRECT ANSWER-Torsades de pointes A child who is stable and exhibiting a wide-complex tachycardia is to receive adenosine. The provider would be alert for which result after administering this medication? - CORRECT ANSWER-Transient asystole The PALS team leader is conducting a debriefing session with the team. Which topic(s) would the team leader most likely address during the session? - CORRECT ANSWER1. Identification of ways to improve 2. Discussion of the pros and cons of the interventions 3. Summary of the event, including what actions were taken 4. Evaluation of the objective data gathered during the event A 12-year-old child being evaluated in the pediatric intensive care unit displays the following ECG waveform. The team interprets this as which arrhythmia? - CORRECT ANSWER-Second-degree atrioventricular (AV) block, type I A provider is assessing a child with suspected shock. Which statement correctly describes hypotension and shock? - CORRECT ANSWER-Hypotension is not a consistent feature of shock in children. 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 first? - CORRECT ANSWER-Albuterol plus ipratropium bromide An 11-year-old child develops unstable wide complex tachycardia. Assessment reveals signs of significant hemodynamic compromise, but the child has a pulse. The PALS team would prepare the child for which intervention? - CORRECT ANSWERSynchronized cardioversion A 15-year-old patient is being evaluated during a follow-up visit after being diagnosed with Lyme disease 2 months ago. A rhythm strip is obtained as shown below. The provider interprets this rhythm as indicating which arrhythmia? - CORRECT ANSWERFirst-degree atrioventricular (AV) block A 4-year-old patient presents with tachycardia, tachypnea, cold extremities and weak pulses. Assessment also reveals an enlarged liver and neck vein distension. The provider interprets these assessment findings as suggesting which type of shock? - CORRECT ANSWER-Cardiogenic A child in cardiac arrest experiences return of spontaneous circulation but is exhibiting signs of post-cardiac arrest syndrome (PCAS). The PALS resuscitation team determines that the child is experiencing a systemic response to ischemia/reperfusion. The team bases this determination on which finding(s)? - CORRECT ANSWER-1. Fever 2. Hyperglycemia 3. Hypotension Assessment of a 3-month-old infant admitted with respiratory distress reveals fever, grunting and a wet, "junky" cough. The infant's parents said the child had a recent respiratory infection with a fever. A rapid respiratory syncytial virus (RSV) test is positive. Which condition would the provider most likely suspect as the cause? - CORRECT ANSWER-Bronchiolitis Following a cardiac arrest, a child is experiencing post-cardiac arrest hemodynamic instability. The PALS resuscitation team would administer which element to restore intravascular volume and optimize preload? - CORRECT ANSWER-Isotonic fluid boluses A child in the pediatric intensive care unit displays the following ECG waveform and does not have a palpable central pulse. The resuscitation team interprets this as which arrhythmia? - CORRECT ANSWER-Monomorphic pulseless ventricular tachycardia