2025 Pals Exam A with correct detailed
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answers
In |which |of |the |following |situations |may |IO |access |be |used?
A. |An |extremity |with |signs |of |infection
B. |An |extremity |with |a |sign |of |a |crush |injury
C. |An |extremity |with |a |previous |unsuccessful |IO |attempt
D. |An |extremity |with |slow |a |capillary |refill |time |- |correct |answer | |D. |An |extremity |with |slow |a |
capillary |refill |time
A |2 |week |old |infant |is |being |evaluated |for |irritability |and |poor |feeding. |His |BP |is |55/40 |mmHg, |and |
cap |refill |time |is |5 |seconds. |Which |statement |best |describes |your |assessment |of |this |infants |BP?
A. |It |represents |compensated |shock
B. |It |is |hypertensive
C. |It |is |Hypotensive
D. |It |is |normal |- |correct |answer | |C. |It |is |Hypotensive
You |are |caring |for |patients |in |the |emergency |department. |Which |2 |year |old |child |requires |immediate |
intervention?
A. |A |child |who |is |grunting
B. |A |child |with |an |Sp02 |of |95% |on |room |air
C. |A |child |with |a |systolic |blood |pressure |of |92 |mm |Hg
D. |A |child |with |a |temperature |of |37.4 |C |(99.3 |F) |- |correct |answer | |A. |A |child |who |is |grunting
, A |3 |year |old |child |is |having |difficulty |breathing. |Which |finding |would |most |likely |lead |you |to |suspect |
an |upper |airway |obstruction |in |this |child?
A. |Expiratory |breath |sounds
B. |Decreased |expiratory |effort
C. |Increased |inspiratory |effort |with |retractions
D. |Normal |inspiratory |sounds |- |correct |answer | |C. |Increased |inspiratory |effort |with |retractions
A |team |member |is |unable |to |perform |an |assigned |task |because |it |is |beyond |the |team |members |
scope |of |practice. |Which |action |should |the |team |member |take?
A. |Ask |for |a |new |task |or |role
B. |Refuse |to |perform |the |task
C. |Do |it |anyway
D. |Seek |expert |consultation |- |correct |answer | |A. |Ask |for |a |new |task |or |role
You |are |the |team |leader |during |a |pediatric |resuscitation |attempt. |which |action |is |an |element |of |high |
quality |CPR?
A. |Providing |a |compression |depth |of |one |fourth |the |depth |of |the |chest
B. |Providing |a |compression |rate |of |80 |to |100/min
C. |Allowing |complete |chest |wall |recoil |after |each |compression
D. |Performing |pulse |checks |every |minute |- |correct |answer | |C. |Allowing |complete |chest |wall |recoil |
after |each |compression
An |8 |year |old |child |is |brought |to |the |ED |by |his |mother |for |difficulty |breathing. |He |has |a |history |of |
asthma |and |nut |allergies. |He's |mother |tells |you |that |he |recently |ate |a |cookie |at |a |family |picnic. |
Which |condition |is |most |likely |to |be |present |in |this |child?
A. |Disordered |control |of |breathing
B. |Hypovolemic |shock
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answers
In |which |of |the |following |situations |may |IO |access |be |used?
A. |An |extremity |with |signs |of |infection
B. |An |extremity |with |a |sign |of |a |crush |injury
C. |An |extremity |with |a |previous |unsuccessful |IO |attempt
D. |An |extremity |with |slow |a |capillary |refill |time |- |correct |answer | |D. |An |extremity |with |slow |a |
capillary |refill |time
A |2 |week |old |infant |is |being |evaluated |for |irritability |and |poor |feeding. |His |BP |is |55/40 |mmHg, |and |
cap |refill |time |is |5 |seconds. |Which |statement |best |describes |your |assessment |of |this |infants |BP?
A. |It |represents |compensated |shock
B. |It |is |hypertensive
C. |It |is |Hypotensive
D. |It |is |normal |- |correct |answer | |C. |It |is |Hypotensive
You |are |caring |for |patients |in |the |emergency |department. |Which |2 |year |old |child |requires |immediate |
intervention?
A. |A |child |who |is |grunting
B. |A |child |with |an |Sp02 |of |95% |on |room |air
C. |A |child |with |a |systolic |blood |pressure |of |92 |mm |Hg
D. |A |child |with |a |temperature |of |37.4 |C |(99.3 |F) |- |correct |answer | |A. |A |child |who |is |grunting
, A |3 |year |old |child |is |having |difficulty |breathing. |Which |finding |would |most |likely |lead |you |to |suspect |
an |upper |airway |obstruction |in |this |child?
A. |Expiratory |breath |sounds
B. |Decreased |expiratory |effort
C. |Increased |inspiratory |effort |with |retractions
D. |Normal |inspiratory |sounds |- |correct |answer | |C. |Increased |inspiratory |effort |with |retractions
A |team |member |is |unable |to |perform |an |assigned |task |because |it |is |beyond |the |team |members |
scope |of |practice. |Which |action |should |the |team |member |take?
A. |Ask |for |a |new |task |or |role
B. |Refuse |to |perform |the |task
C. |Do |it |anyway
D. |Seek |expert |consultation |- |correct |answer | |A. |Ask |for |a |new |task |or |role
You |are |the |team |leader |during |a |pediatric |resuscitation |attempt. |which |action |is |an |element |of |high |
quality |CPR?
A. |Providing |a |compression |depth |of |one |fourth |the |depth |of |the |chest
B. |Providing |a |compression |rate |of |80 |to |100/min
C. |Allowing |complete |chest |wall |recoil |after |each |compression
D. |Performing |pulse |checks |every |minute |- |correct |answer | |C. |Allowing |complete |chest |wall |recoil |
after |each |compression
An |8 |year |old |child |is |brought |to |the |ED |by |his |mother |for |difficulty |breathing. |He |has |a |history |of |
asthma |and |nut |allergies. |He's |mother |tells |you |that |he |recently |ate |a |cookie |at |a |family |picnic. |
Which |condition |is |most |likely |to |be |present |in |this |child?
A. |Disordered |control |of |breathing
B. |Hypovolemic |shock
