PALS TEST PRACTICE QUESTIONS WITH CORRECT ANSWERS

PALS TEST PRACTICE QUESTIONS WITH CORRECT ANSWERS You are caring for a 7 yo with respiratory distress that has worsened over the past few hours. The child is alert & in moderate respiratory with prolonged exhalation time. The RR is 28/min with bilateral expiratory wheezes. The HR is 112/min with good capillary refill. The wheezing in this pt indicates: - Answer-Lower airway obstruction Which of the following assessments is most useful in evaluating the effectiveness of BMV? - Answer-Observation of visible chest rise You are assessing a 6 yo child who appears unconscious after striking his head on a concrete step. You pinch the pt's chest & the pt grabs your hand. You would document this response as: - Answer-Localization of painful stimulus You are caring for an 8 yo child who was struck by a car. The child is alert, very anxious, & in respiratory distress. The child is receiving high-flow oxygen by face mask, has a RR of 60/min, the HR is 150/min, SBP is 70 mmHg, & a Sp02 of 86% & falling. Breath sounds & chest rise are absent over the right chest. Which of the following is the most likely cause of this child's distress? - Answer-Tension pneumothroax You are treating a 10 yo victim of multisystem trauma. The child is very anxious & confused. The RR is 44/min & unlabored. The pulse is rapid & weak. Capillary refill is delayed. High-flow oxygen & an IV line are in place. The most appropriate initial fluid for rapid volume expansion is: - Answer-Normal saline or Ringer's lactate When monitoring the quality of chest compressions during a resuscitation, you should ensure that providers are: - Answer-Allowing complete recoil- let the chest return to its original position between compressions