{"id":116839,"date":"2023-08-26T09:14:15","date_gmt":"2023-08-26T09:14:15","guid":{"rendered":"https:\/\/learnexams.com\/blog\/?p=116839"},"modified":"2023-08-26T09:14:17","modified_gmt":"2023-08-26T09:14:17","slug":"pals-bundled-exams-questions-and-answers-with-complete-solutionsall-graded-a","status":"publish","type":"post","link":"https:\/\/www.learnexams.com\/blog\/2023\/08\/26\/pals-bundled-exams-questions-and-answers-with-complete-solutionsall-graded-a\/","title":{"rendered":"PALS Bundled Exams Questions and Answers with Complete Solutions(All Graded A+)"},"content":{"rendered":"\n<p>PALS- Pediatric Advanced Life Support<br>Questions and Answers Already Passed<br>The PALS systemic approach algorithm begins with the initial impression. This is an assessment<br>of which 3 characteristics? Correct Answer-1. Consciousness<\/p>\n\n\n\n<ol class=\"wp-block-list\" start=\"2\">\n<li>Breathing<\/li>\n\n\n\n<li>Color<br>The right branch of the systemic approach algorithm focuses on what sequence to prevent<br>cardiopulmonary arrest? Correct Answer-Evaluate, Identify, Intervene<br>The evaluate portion of the sequence consists of three assessment tools: Correct Answer-1.<br>Primary<\/li>\n\n\n\n<li>Secondary<\/li>\n\n\n\n<li>Diagnostic<br>What is included in the primary assessment of a patient? Correct Answer-A<br>B<br>C<br>D<br>E<br>Vitals<br>What is included in the secondary assessment of a patient? Correct Answer-Focused history and<br>a focused physical exam<br>The initial impression of the PALS systematic approach algorithm includes which of the<br>following characteristics? (Choose all correct answers.)<\/li>\n\n\n\n<li>Appearance<\/li>\n\n\n\n<li>Breathing<\/li>\n\n\n\n<li>Restlessness<\/li>\n\n\n\n<li>Color<\/li>\n\n\n\n<li>Pain Correct Answer-1, 2, 4<br>The second box of the PALS systematic approach algorithm contains a question. (Fill in the<br>blank to complete the question.)<br>Is the child <strong><em><strong>__<\/strong><\/em><\/strong> or is immediate intervention needed? Correct Answer-unresponsive<br>In the PALS systematic approach algorithm, if the child is determined to be unresponsive or<br>immediate intervention is needed what will be your next step?<\/li>\n\n\n\n<li>Start CPR<\/li>\n\n\n\n<li>Apply breathing with a bag valve mask<\/li>\n\n\n\n<li>Activate emergency response<\/li>\n\n\n\n<li>Check for a pulse Correct Answer-3.<br>After the emergency response is activated, the next intervention is to <strong><em><strong>__<\/strong><\/em><\/strong>.<\/li>\n\n\n\n<li>Lightly shake the child&#8217;s shoulders.<\/li>\n\n\n\n<li>Look, listen, and feel.<\/li>\n\n\n\n<li>Open the airway.<\/li>\n\n\n\n<li>Check for breathing and a pulse Correct Answer-4.<br>After it is determined that the child has no pulse, what should be done?<\/li>\n\n\n\n<li>Call for help<\/li>\n\n\n\n<li>Begin CPR<\/li>\n\n\n\n<li>Provide 2 rescue breaths<\/li>\n\n\n\n<li>Start an IV Correct Answer-2.<br>A child is unresponsive and is not breathing. You have activated the emergency response system<br>and your pulse check reveals that the child has a pulse. What should you do now?<\/li>\n\n\n\n<li>Perform a brief head to toe assessment.<\/li>\n\n\n\n<li>Place the child in the recovery position.<br><\/li>\n<\/ol>\n\n\n\n<p>PALS &#8211; Written Test and Case Study<br>Review Material Latest Updated 2022<br>CPR Sequence Correct Answer-C-A-B<br>Circulation-Airway-Breathing<br>Core Case Action Order<br>(A,I,I) Correct Answer-Assess<br>Identify<br>Intervene<br>CBC<br>(Assessment part 1 aka initial assessment) Correct Answer-Consciousness<br>Breathing<br>Color<br>ABCDE<br>(Assessment part 2 aka primary assessment) Correct Answer-Airway<br>Breathing<br>Circulation<br>Disability<br>Exposure<br>SAMPLE<br>(Assessment part 3) Correct Answer-S\/Sx<br>Allergies<br>Medications<br>Past medical hx<br>Last meal\/drink<br>Events leading to situation<\/p>\n\n\n\n<p>Reversible Causes of Pediatric Cardiac Arrest (H&amp;T&#8217;s)<br>6 H&#8217;s<br>(G,K,T,V,X,DRO) Correct Answer-1. Hypo-Glycemia<\/p>\n\n\n\n<ol class=\"wp-block-list\" start=\"2\">\n<li>Hypo\/hyper-Kalemia<\/li>\n\n\n\n<li>Hypo-Thermia<\/li>\n\n\n\n<li>Hypo-Volemia<\/li>\n\n\n\n<li>Hypo-Xia<\/li>\n\n\n\n<li>HyDROgen ion (acidosis)<br>Reversible Causes of Pediatric Cardiac Arrest (H&amp;T&#8217;s)<br>5 T&#8217;s<br>(A,E,HC,HP,O) Correct Answer-1. Tamponade, cardiac<\/li>\n\n\n\n<li>Tension pneumothorax<\/li>\n\n\n\n<li>Thrombosis, coronary<\/li>\n\n\n\n<li>Thrombosis, pulmonary<\/li>\n\n\n\n<li>Toxins<br>UAO: Presentation, Causes, TX Correct Answer-Stridor on inspiration, High pitched inspiration<br>(Anaphylaxis, Croup, Foreign Body)<br>Humid Oxygen, Neb Epi, Removal<br>Croup presentation Tx Correct Answer-O2<br>Racemic epinephrine (0.25mg\/kg)<br>Humidified epi (0.5 ml\/kg\/3cc&#8217;s NS<br>Core Case Resp 1: UAO (Anaphylaxis) Correct Answer-Open airway<br>Admin O2 100% non-rebreather, re-assess<br>AED, Vitals (cardiac rhythm = sinus tachy)<br>S\/sx of UAO, resp distress<br>TX: Epi IM, Steroids, CPAP<br><\/li>\n<\/ol>\n\n\n\n<p>PALS RED CROSS FINAL EXAM<br>QUESTIONS AND ANSWERS ALREADY<br>PASSED<br>A 5-year-old child with a history of a chronic neuromuscular disease is experiencing respiratory<br>distress. The child is breathing spontaneously and receiving supplemental oxygen. Which<br>additional intervention is a critical component of airway management for this patient? Correct<br>Answer-Airway clearance (e.g., suctioning)<br>A child being cared for in the pediatric telemetry unit suddenly displays the following ECG<br>waveform. The provider prepares to intervene because the child is demonstrating which type of<br>arrhythmia? Correct Answer-Supraventricular tachycardia<br>A child in cardiac arrest experiences return of spontaneous circulation but is exhibiting signs of<br>post-cardiac arrest syndrome (PCAS). The PALS resuscitation team determines that the child is<br>experiencing a systemic response to ischemia\/reperfusion. The team bases this determination on<br>which finding(s)? Correct Answer-Hypotension, fever, hyperglycemia<br>An 11-year-old soccer player is brought to the emergency department. After a quick assessment,<br>the team realizes this patient is experiencing a severe asthma exacerbation. Which medication<br>would the team administer immediately? Correct Answer-Albuterol with or without ipratropium<br>bromide<br>After ROSC, a child is experiencing post-cardiac arrest hypoperfusion. The PALS resuscitation<br>team would administer which element to restore intravascular volume and optimize preload?<br>Correct Answer-Isotonic fluid boluses<br>A 2-year-old child of unknown weight arrives at the emergency department in cardiac arrest.<br>When preparing to administer medications, which action would be appropriate for the team to<br>take? Correct Answer-Estimate weight using a length-based resuscitation tape.<\/p>\n\n\n\n<p>A 4-year-old child is brought to the emergency department by the parents. Assessment reveals<br>that the child has only gasping respirations and the pulse rate is 65 beats per minute. Which<br>action would the provider initiate first? Correct Answer-Deliver 1 BVM ventilation every 2 to 3<br>seconds.<br>The PALS team leader is conducting a debriefing session with the team. Which topic(s) would<br>the team leader most likely address during the session? Correct Answer-Discussion of the pros<br>and cons of the interventions<br>Evaluation of the objective data gathered during the event, Summary of the event, including what<br>actions were taken, Identification of ways to improve<br>The PALS resuscitation team notes the following ECG waveform and the child does not have a<br>pulse. The team prepares to intervene to address which arrhythmia? Correct Answer-Torsades de<br>pointes<br>What is the correct IV\/IO dose of epinephrine for a pediatric patient in cardiac arrest? Correct<br>Answer-0.01 mg\/kg every 3 to 5 min (max single dose 1 mg)<br>Assessment of a 3-month-old infant admitted with respiratory distress reveals fever, grunting and<br>a wet, &#8220;junky&#8221; cough. The infant&#8217;s parents said the child had a recent respiratory infection with a<br>fever. A rapid respiratory syncytial virus (RSV) test is positive. Which condition would the<br>provider most likely suspect as the cause? Correct Answer-Bronchiolitis<br>A child is experiencing supraventricular tachycardia (SVT) with adequate perfusion and is to<br>receive treatment. Which initial treatment would the provider administer? Correct Answer-Vagal<br>maneuvers<br>A healthcare provider notices petechiae on the arms and legs while performing a rapid skin<br>assessment of a child with a high fever and respiratory distress. Based on this assessment, which<br>condition should the provider consider? Correct Answer-Life-threatening systemic infection<br><\/p>\n\n\n\n<p>PALS &#8211; Red Cross Final Exam 2021<br>Already Passed<br>Laboratory tests are ordered for a child who has been vomiting for 3 days and is diaphoretic,<br>tachypneic, lethargic and pale. Which test would the provider use to determine the adequacy of<br>oxygen delivery? Correct Answer-Lactate<br>A provider is forming an initial impression of a child using the Pediatric Assessment Triangle<br>(PAT). During which step of the PAT may the provider use the mnemonic TICLS to assess the<br>patient? Correct Answer-Appearance<br>A child being cared for in the pediatric telemetry unit suddenly displays the following ECG<br>waveform. The provider prepares to intervene because the child is demonstrating which type of<br>arrhythmia? Correct Answer-Supraventricular tachycardia<br>A 2-year-old child of unknown weight arrives at the emergency department in cardiac arrest.<br>When preparing to administer medications, which action would be appropriate for the team to<br>take? Correct Answer-Estimate weight using a length-based resuscitation tape.<br>A 9-year-old patient is presenting with decreased breath sounds, bradycardia, slowed respiratory<br>rate and a low O2 saturation level. The provider interprets these findings as indicating which<br>condition? Correct Answer-Respiratory failure<br>A 5-year-old child with a history of a chronic neuromuscular disease is experiencing respiratory<br>distress. The child is breathing spontaneously and receiving supplemental oxygen. Which<br>additional intervention is a critical component of airway management for this patient? Correct<br>Answer-Airway clearance<br>An 8-year-old child being treated in the emergency department has significant respiratory<br>distress. The child also exhibits hives, wheezing, angioedema, tachycardia and tachypnea. The<\/p>\n\n\n\n<p>parents state that the child, who is allergic to peanuts, had eaten some popcorn that had peanuts<br>in it. The team initiates care, preparing to administer which agent first? Correct AnswerEpinephrine<br>A 12-lead ECG is ordered for a child complaining of a &#8220;racing heart.&#8221; When placing the<br>electrodes on the child, at which location would the lead for V4 be placed? Correct Answer-Fifth<br>intercostal space at midclavicular line, left side<br>A 10-year-old child has collapsed in the gym of the elementary school. The school nurse arrives<br>and determines that the child is unresponsive. The school nurse then simultaneously checks for<br>breathing and a central pulse, limiting this assessment to which time frame? Correct Answer-At<br>least 5 seconds, but no more than 10<br>A 30-month old child has been diagnosed with moderate croup. Which medication(s) would the<br>provider administer? Correct Answer-1. Racemic epinephrine<\/p>\n\n\n\n<ol class=\"wp-block-list\" start=\"2\">\n<li>Corticosteroids<br>A child is experiencing shock. The emergency response team prepares for imminent cardiac<br>arrest when assessment reveals which finding(s)? Correct Answer-1. Bradycardia<\/li>\n\n\n\n<li>Diminished central pulses<\/li>\n\n\n\n<li>Hypotension<br>A PALS resuscitation team is preparing to defibrillate a child experiencing cardiac arrest. For<br>which rhythm(s) would this action be appropriate? Correct Answer-1. Ventricular fibrillation<br>(VF)<\/li>\n\n\n\n<li>Pulseless ventricular tachycardia (pVT)<br>A child is experiencing stable supraventricular tachycardia (SVT) and is to receive treatment.<br>Which initial treatment would the provider administer? Correct Answer-Vagal maneuvers<br><\/li>\n<\/ol>\n\n\n\n<p>AHA PALS Practice exam Questions and<br>Answers Rated A<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li>A 5-year-old child presents with lethargy, increased work of breathing, and pale color. The<br>primary assessment reveals that the airway is open and the respiratory rate is 30\/min, with<br>crackles heard on auscultation. The cardiac monitor shows sinus tachycardia at a rate of 165\/min.<br>The pulse oximeter displays an oxygen saturation of 95% and a pulse rate of 93\/min. On the<br>basis of this information, which of the following provides the best interpretation of the oxygen<br>saturation of 95% by pulse oximetry?<br>A. Reliable; no supplementary oxygen is indicated B. Reliable; supplementary oxygen should be<br>administered<br>C. Unreliable; no supplementary oxygen is indicated<br>D. Unreliable; supplementary oxygen should be administered Correct Answer-Unreliable;<br>supplementary oxygen should be administered<\/li>\n\n\n\n<li>A 3-year-old child was recently diagnosed with leukemia and has been treated with<br>chemotherapy. The child presents with lethargy and a high fever. Heart rate is 195\/min,<br>respiratory rate is 36\/min, blood pressure is 85\/40 mm Hg, and capillary refill time is less than 2<br>seconds. What is the child&#8217;s most likely condition?<br>A. Septic shock<br>B. Hypovolemic shock<br>C. Significant bradycardia<br>D. Cardiogenic shock Correct Answer-Septic shock<\/li>\n\n\n\n<li>A 2-week-old infant presents with irritability and a history of poor feeding. Blood pressure is<br>55\/40 mm Hg. What term describes this infant&#8217;s blood pressure?<br>A. Hypotensive<br>B. Normal<br>C. Hypertensive<br>D. Compensated Correct Answer-Hypotensive<\/li>\n\n\n\n<li>During a resuscitation attempt, the team leader orders an initial dose of epinephrine at 0.1<br>mg\/kg to be given 10. What should the team member do?<br>A. Administer the drug as ordered<br>B. Administer 0.01 mg\/kg of epinephrine<br>C. Respectfully ask the team leader to clarify the dose<br>D. Refuse to administer the drug Correct Answer-Respectfully ask the team leader to clarify the<br>dose<\/li>\n\n\n\n<li>Which of the following is a characteristic of respiratory failure?<br>A. Inadequate oxygenation and\/or ventilation<br>B. Hypotension<br>C. An increase in serum pH (alkalosis)<br>D. Abnormal respiratory sounds Correct Answer-Inadequate oxygenation and\/or ventilation<\/li>\n\n\n\n<li>Which of the following is most likely to produce a prolonged expiratory phase and wheezing?<br>A. Disordered control of breathing<br>B. Hypovolemic shock<br>C. Lower airway obstruction<br>D. Upper airway obstruction Correct Answer-Lower airway obstruction<\/li>\n\n\n\n<li>A 4-year-old child presents with seizures and irregular respirations. The seizures stopped a<br>few minutes ago. Which of the following most likely to be abnormal?<br>A. Vascular resistance<br>B. Pulse rate<br>C. Lung compliance<br>D. Control of breathing Correct Answer-Control of breathing<\/li>\n\n\n\n<li>What abnormality is most likely to be present in children with acute respiratory distress caused<br>by lung tissue disease?<br>A. Decreased oxygen saturation<\/li>\n<\/ol>\n\n\n\n<p>B. Stridor<br>C. Normal respiratory rate<br>D. Decreased respiratory effort Correct Answer-Decreased oxygen saturation<\/p>\n\n\n\n<ol class=\"wp-block-list\" start=\"9\">\n<li>An alert 2-year-old child with an increased work of breathing and pink color is being<br>evaluated. Heart rate is 110\/min, and respiratory rate is 30\/min. What would best describe this<br>patient&#8217;s condition? A. Respiratory distress<br>B. Respiratory arrest<br>C. Respiratory failure<br>D. Disordered control of breathing Correct Answer-Respiratory distress<\/li>\n\n\n\n<li>The parents of a 7-year-old child who is undergoing chemotherapy report that the child has<br>been febrile and has not been feeling well, with recent onset of lethargy. Assessment reveals the<br>following: The child is difficult to arouse, with pale color. The child&#8217;s heart rate is 160\/min,<br>respiratory rate is 30\/min, blood pressure is 76\/45 mm Hg, capillary refill time is 5 to 6 seconds,<br>and temperature is 103\u00b0F (39.4\u00b0C). What is the most appropriate intervention?<br>A. Obtain vascular access and administer 20 mL\/kg of isotonic crystalloid over 30 minutes<br>B. Obtain vascular access and administer 20 mL\/kg of isotonic crystalloid over 5 to 10 minutes<br>C. Obtain immediate blood cultures and chest x-ray D. Obtain expert consultation with an<br>oncologist to determine the chemotherapeutic regimen Correct Answer-Obtain vascular access<br>and administer 20 mL\/kg of isotonic crystalloid over 5 to 10 minutes<\/li>\n\n\n\n<li>A 2-year-old child presents with a 4-day history of vomiting. The initial impression reveals<br>an unresponsive child with intermittent apnea and mottled color. Heart rate is 166\/min,<br>respiratory rate is now being supported with bag-mask ventilation, capillary refill time is 5 to 6<br>seconds, and temperature is 102\u00b0F (38.9\u00b0C). What is the best method of establishing immediate<br>vascular access? A. Two providers may attempt peripheral vascular access twice each<br>B. Three providers may attempt peripheral vascular access once each<br>C. Place a central venous line<br>D. Place an intraosseous line Correct Answer-Place an intraosseous line<\/li>\n<\/ol>\n\n\n\n<p>PALS Updated FINAL EXAM QUESTONS<br>AND ANSWERS WITH COMPLETE<br>SOLUTIONS<br>A 12-year-old child being evaluated in the pediatric intensive care unit displays the following<br>ECG waveform. The team interprets this as which arrhythmia? Correct Answer-second degree<br>Laboratory tests are ordered for a child who has been vomiting for 3 days and is diaphoretic,<br>tachypneic, lethargic and pale. Which test would the provider use to determine the adequacy of<br>oxygen delivery? Correct Answer-Lactate<br>A 9-year-old patient is presenting with decreased breath sounds, bradycardia, slowed respiratory<br>rate and a low O2 saturation level. The provider interprets these findings as indicating which<br>condition? Correct Answer-Respiratory failure<br>A 4-year-old child is brought to the emergency department by the parents. Assessment reveals<br>that the child has only gasping respirations and the pulse rate is 65 beats per minute. Which<br>action would the provider initiate first? Correct Answer-Deliver 1 BVM ventilation every 3 to 5<br>seconds.<br>A 15-year-old patient is being evaluated during a follow-up visit after being diagnosed with<br>Lyme disease 2 months ago. A rhythm strip is obtained as shown below. The provider interprets<br>this rhythm as indicating which arrhythmia? Correct Answer-First-degree atrioventricular (AV)<br>block<br>A child in cardiac arrest experiences return of spontaneous circulation but is exhibiting signs of<br>post-cardiac arrest syndrome (PCAS). The PALS resuscitation team determines that the child is<br>experiencing a systemic response to ischemia\/reperfusion. The team bases this determination on<br>which finding(s)? Correct Answer-Hypotension<\/p>\n\n\n\n<p>Fever<br>Hyperglycemia<br>A 2-year-old child arrives at the emergency department with the parents. The child is<br>unresponsive, is not breathing and has no pulse. Two emergency department providers begin<br>high-quality CPR. Which action(s) by the providers demonstrates high-quality CPR? Correct<br>Answer-Allowing the chest to recoil fully after each compression<br>Providing ventilations that last about 1 second each<br>Compressing the chest about 2 inches<br>Giving 2 ventilations to every 15 compressions<br>A PALS resuscitation team is preparing to defibrillate a child experiencing cardiac arrest. For<br>which rhythm(s) would this action be appropriate? Correct Answer-VF and pVT are shockable<br>cardiac arrest rhythms.<br>A provider is assessing a child with suspected shock. Which statement correctly describes<br>hypotension and shock? Correct Answer-Hypotension is not a consistent feature of shock;<br>A provider is caring for a 4-year-old child in the urgent care clinic. Primary assessment reveals<br>difficulty breathing and an oxygen saturation of 91%. The provider administers oxygen by nasal<br>cannula with the goal of improving the child&#8217;s oxygen saturation above what percentage? Correct<br>Answer-Supplemental oxygen should be administered as needed to maintain an oxygen<br>saturation above 94%.<br>An 11-year-old soccer player is brought to the emergency department. After a quick assessment,<br>the team realizes this patient is experiencing a severe asthma exacerbation. Which medication<br>would the team administer first? Correct Answer-Albuterol plus ipratropium bromid<\/p>\n\n\n\n<p>PALS Questions and Answers Latest<br>Updated 2022 Rated A<br>Ratio of compressions to ventilations for two rescuer CPR on infant or child? Correct Answer15:2<br>Pedi SBP HOTN formula for ages 1-10? Correct Answer-70 + (2x age in years)<br>Hypoglycemia infant? Correct Answer-&lt;60 mg\/dl<br>Hypoglycemia Neonate? Correct Answer-&lt;45 mg\/dl<br>HOTN SBP Infant? Correct Answer-70 mm hg<br>HOTN SBP Neonate? Correct Answer-60 mm hg<br>Uncuffed tube size formula Correct Answer-Age in years \/ 4+4<br>Possible\/Probable rate issue in infants Correct Answer-220 bpm<br>Possible\/ Probable rate issue Child Correct Answer-180 bpm<br>PEDI Sync Cardioversion Dosage Correct Answer-First dose 0.5 &#8211; 1 J\/KG.<br>Subsequent dosage is 2 J\/KG<br>PEDI Defib Dosage Correct Answer-First is 2 j\/kg.<br>Second is 4j\/kg<br>Subsequent dosage is 8 j\/kg<br>Sudden deterioration in an intubate patient Correct Answer-DOPE<br><\/p>\n\n\n\n<p>PALS Questions and Answers with<br>Complete Solutions Latest Updated<br>2022; Already Passed<br>You are caring for a child who was resuscitated after a drowning event. The child is intubated<br>and ventilated with 100% oxygen with equal breath sounds and exhaled CO2 detected. The heart<br>rate is slow and the monitor shows sinus bradycardia. The skin is cool, mottled, and moist; distal<br>pulses are not palpable and the central pulses are weak. Intravenous access has been established.<br>The core temperature is 37.3oC. Based on the PALS bradycardia algorithm, which of the<br>following should be provided first?<br>Epinephrine IV<br>Transcutaneous pacing<br>Atropine IV<br>Dobutamine IV infusion Correct Answer-Epinephrine IV<br>You are caring for a 5-year-old patient with supraventricular tachycardia (heart rate = 220\/min).<br>The child is lethargic. The skin is pale and cool with delayed capillary refill. Distal pulses are not<br>palpable. Which of the following would be the best treatment to provide without delay?<br>Place cold packs on the distal upper and lower extremities<br>Ask the child to blow through a small straw<br>Exert light pressure on the eyes bilaterally<br>Provide synchronized cardioversion at 0.5 to 1 J\/kg Correct Answer-Provide synchronized<br>cardioversion at 0.5 to 1 J\/kg<br>You are initiating treatment for a child with septic shock and hypotension. While administering<br>high-flow oxygen you determine that the child&#8217;s respirations are adequate and SpO2 is 100%.<br>You have just established vascular access and obtained blood samples. Which of the following is<br>the next most appropriate therapy to support systemic perfusion?<\/p>\n\n\n\n<p>Administer repeated fluid boluses of isotonic colloid<br>Administer repeated fluid boluses of isotonic crystalloid<br>Begin immediate dopamine infusion<br>Begin immediate dobutamine infusion Correct Answer-Administer repeated fluid boluses of<br>isotonic crystalloid<br>You are treating an 8-year-old with ventricular tachycardia with pulses and adequate perfusion.<br>You attempted synchronized cardioversion without success. While seeking expert consultation, it<br>would be most appropriate to:<br>Administer a loading dose of milrinone<br>Consider possible metabolic and toxicologic causes<br>Initiate overdrive pacing transcutaneously<br>Deliver an unsynchronized shock Correct Answer-Consider possible metabolic and toxicologic<br>causes<br>You are caring for a 2-year-old unconscious patient who is intubated and receiving mechanical<br>ventilation. The child&#8217;s heart rate suddenly drops to 40\/min and his color becomes mottled. You<br>should respond to these changes by:<br>Increasing the ventilator rate<br>Increasing tidal volume<br>Increasing positive end-expiratory pressure (PEEP)<br>Using a resuscitation bag provide manual ventilation with 100% oxygen Correct Answer-Using a<br>resuscitation bag provide manual ventilation with 100% oxygen<br>You are caring for a 9-month-old patient with pronounced respiratory distress. You initiated<br>high-flow oxygen using a nonrebreathing mask about 10 minutes ago and established<br>intravenous access. Initially the infant&#8217;s heart rate was in the 150\/min range with strong pulses.<br>Suddenly the infant&#8217;s respiratory rate falls to 6\/min with significant intercostals retractions, and<\/p>\n\n\n\n<p>little air movement is heard. The infant becomes cyanotic and the heart rate decreases to 95\/min.<br>Which of the following treatments would be best for you to provide now?<br>Administer epinephrine IV<br>Provide bag-mask ventilation<br>Administer magnesium sulfate IV<br>Intubate and ventilate Correct Answer-Provide bag-mask ventilation<br>Which of the following is likely to be the most helpful technique to identify potentially<br>reversible metabolic and toxic causes during the attempted resuscitation of a young child in<br>cardiac arrest?<br>Obtaining a urine sample for toxicology screen<br>Obtaining chest and abdominal radiographs<br>Soliciting a history from the caregiver or family<br>Obtaining a venous blood gas Correct Answer-Soliciting a history from the caregiver or family<br>You are caring for a patient who developed a tension pneumothorax after several hours of<br>positive-pressure ventilation. Which of the following would be the most appropriate site for<br>needle decompression?<br>Over the third rib at the midclavicular line<br>Under the eighth rib at the midaxillary line<br>Over the fifth rib at the sternal border<br>Under the sixth rib at the midclavicular line Correct Answer-Over the third rib at the<br>midclavicular line<br>You attempted synchronized cardioversion for an infant with supraventricular tachycardia (SVT)<br>and poor perfusion. The SVT persists after the initial 1 J\/kg shock. Which of the following<br>should you attempt now?<\/p>\n\n\n\n<p>PALS PreTest Questions and Answers<br>Latest Updated 2022 Graded A+<br>You are called to help treat an infant with severe symptomatic bradycardia (heart rate 66\/min)<br>associated with respiratory distress. The bradycardia persists despite establishment of an<br>effective airway, oxygenation, and ventilation. There is no heart block present. Which is the first<br>drug you should administer? Correct Answer-Epinephrine<br>Initial impression of a 2yo girl shows her to be alert with mild breathing difficulty during<br>inspiration and pale skin color. On primary assessment, she makes high-pitched inspiratory<br>sounds (mild stridor) when agitated; otherwise, her breathing is quiet. Her spO2 is 92% on room<br>air, and she has mild inspiratory intercostal retractions. Lung auscultation reveals transmitted<br>upper airway sounds with adequate distal breath sounds bilaterally. Which is the most<br>appropriate initial intervention for this child? Correct Answer-Humidified oxygen as tolerated<br>You are part of a team attempting to resuscitate a child with ventricular fibrillation cardiac arrest.<br>You delivered 2 unsynchronized shocks. A team member established IO access, so you give a<br>dose of epinephrine, 0.01 mg\/kg IO. At the next rhythm check, persistent ventricular fibrillation<br>is present. You administer a 4 J\/kg shock and resume CPR. Which drug and dose should be<br>administered next? Correct Answer-Amiodarone 5 mg\/kg IO<br>Which statement is correct about the effects of epinephrine during attempted resuscitation?<br>Correct Answer-Epinephrine stimulates spontaneous contractions when asystole is present<br>A previously healthy infant with a history of vomiting and diarrhea is brought to the emergency<br>department by her parents. During your assessment, you find that the infant responds only to<br>painful stimulation. Correct Answer-Administer a bolus of isotonic crystalloid 20 ml\/kg over 5-<br>20 minutes, and also give D25W 2-4 ml\/kg IV<\/p>\n\n\n\n<p>Which statement is correct about endotracheal drug administration during resuscitative efforts<br>for pediatric patients? Correct Answer-It is the least desirable route of administration<br>Which statement is correct about the use of calcium chloride in pediatric patients? Correct<br>Answer-Routine administration is not indicated during cardiac arrest<br>A 9yo boy is agitated and leaning forward on the bed in obvious respiratory distress. Correct<br>Answer-Albuterol<br>Which oxygen delivery system most reliably delivers a high (90% or greater) concentration of<br>inspired oxygen to a 7yo child? Correct Answer-Nonrebreathing face mask<br>Paramedics are called to the home of a 1yo child. Their initial assessment reveals a child who<br>responds only to painful stimuli and has irregular breathing, faint central pulses, bruises over the<br>abdomen, abdominal distention, and cyanosis Correct Answer-Rapid bolus of 20ml\/kg of<br>isotonic crystalloid<br>A 7yo boy is found unresponsive, apneic, and pulseless. CPR is ongoing Correct AnswerIdentify and treat reversible causes<br>You are preparing to use a manual defibrillator in the pediatric setting. Which best describes<br>when it is appropriate to use the smaller, pediatric-sized paddles? Correct Answer-If the child<br>weighs less than 10kg or is less than 1 year old<br>What compression-to-ventilation ratio should be used for 2-rescuer infant CPR? Correct Answer15 compressions to 2 breaths<br>You find an infant who is unresponsive, is not breathing, and does not have a pulse. You shout<br>for nearby help, but no one arrives. What action should you take next? Correct Answer-Provide<br>CPR for about 2 minutes before leaving to activate the emergency response system<br><\/p>\n\n\n\n<p>PALS 2021 Questions and Answers with<br>Complete Solutions<br>10 seconds Correct Answer-A 6 month old infant is unresponsive. You begin checking for<br>breathing at the same time you check for the infants pulse. Which is the maximum time you<br>should spend when trying to simultaneously check for breathing and palpate the infants pulse<br>before starting CPR?<br>Disordered Control of Breathing Correct Answer-A 4 year old child is brought to the emergency<br>department for seizures. The seizures stopped a few minutes ago, but the child continues to have<br>slow and irregular respirations. Which condition is most consistent with your assessment?<br>blood glucose Correct Answer-An 8 year old child is brought to the emergency department with<br>a 2 day history of lethargy and polyuria. The child has new onset rapid, deep, and labored<br>breathing. Which diagnostic test should you order first?<br>Reposition the patient, and insert an oral airway Correct Answer-After rectal administration of<br>diazepam, an 8 year old boy with a history of seizures is no unresponsive to painful stimuli. His<br>respirations are shallow, at a rate of 10\/min. His Oxygen saturation is 94% on 2L of NC oxygen.<br>On examination, the child is snoring with poor chest rise and poor air entry bilaterally. What<br>action should you take next?<br>Provide bag mask ventilation Correct Answer-After rectal administration of diazepam, an 8 year<br>old boy with a history of seizures is no unresponsive to painful stimuli. His respirations are<br>shallow, at a rate of 10\/min. His Oxygen saturation is 94% on 2L of NC oxygen. On<br>examination, the child is snoring with poor chest rise and poor air entry bilaterally. After<br>repositioning the patient and you insert an Oral airway, the patient continues to deteriorate. What<br>next step is the most appropriate?<\/p>\n\n\n\n<p>15:2 Correct Answer-A 6 year old child is found unresponsive, not breathing, and without a<br>pulse. one health care worker leaves to activate the emergency response system and get the<br>resuscitation equipment. You and another healthcare provider immediatly begin CPR. Which<br>compression to ventilation ratio do you use?<br>94%-99% Correct Answer-In post resuscitation management after cardiac arrest, extra care<br>should be taken to avoid repercussion injury. what should the ideal oxygen saturation range most<br>likely be?<br>&#8220;resume compressions&#8221; Correct Answer-A 3 year old child is in cardiac arrest, and high quality<br>CPR is in progress. You are the team leader. The first rhythm check reveals the rhythm shown<br>here. Defibrillation is attempted with a shock dose of 2 J\/kg. after administration of the shock,<br>what should you say to you team members?<br>2-4 J\/kg Correct Answer-A 4 year old child in cardiac arrest is brought to the emergency<br>department by ambulance. High quality CPR is being performed. The cardiac monitor displays<br>the rhythm strip shown here. The estimated weight of the child is 20 kg. What dose range should<br>you use for the initial defibrillation?<br>40 Joules Correct Answer-A 4 year old child in cardiac arrest is brought to the emergency<br>department by ambulance. High quality CPR is being performed. The cardiac monitor displays<br>the rhythm strip shown here. The estimated weight of the child is 20 kg. As the team leader, how<br>many joules do you tell your team member to use to perform initial Defib?<br>Allowing complete chest wall recoil after each compression Correct Answer-You are the team<br>leader during a pediatric resuscitation attempt. which action is an element of high quality CPR?<br>blood pressure Correct Answer-You are caring for a 3 month old boy with a 2 day history of<br>fever, vomiting and diarrhea. His parents state that he has been sleeping much more. His HR is<br>190\/min, temp is 38.3 degrees C (101 F) blood pressure is 59\/29 mmHg, Resp rate is 70\/min and<br>shallow, and oxygen sat is 94% on 100% oxygen. His capillary refills time is 4-5 seconds, and he<\/p>\n\n\n\n<p>PALS Test Questions and Answers<br>Latest 2022 Already Passed<br>Chest Compression depth: Infant Correct Answer-1.5 inch or 4 cm (1\/3 AP Diameter)<br>Chest Compression depth: Child Correct Answer-2 inches or 5 cm (1\/3 AP Diameter)<br>Maximum Compression depth: Infant Correct Answer-2.4 in or 6cm<br>Infant\/children\/adolescent compression rate Correct Answer-100-120 compressions a minute<br>Ratio for single rescuer Correct Answer-30 compressions 2 breaths<br>Ratio for 2 rescuer Correct Answer-15 compressions 2 breaths<br>Rate of rescue breathing Correct Answer-1 breath every 6-8 seconds or 8-10 breaths\/min<br>Isotonic Crystalloids 2 examples Correct Answer-NS &amp; Lactated Ringers<br>Fluid challenge is how much (in hypotension)? Correct Answer-20mL\/kg (18kg gets 260 mL)<br>BP parameters for PALS (minimum systolic in 4 age groups) Correct Answer-0-1month old=<br>min 60 systolic<br>1 month-1 year= min 70 systolic<br>1 year-10 year= min 70+(2xage) systolic<br>over 10 years= min 90 systolic<br>Atropine dose pre-intubation Correct Answer-Atropine 0.02 mg\/kg<\/p>\n\n\n\n<p>PALS version A<br>You are caring for a child who was resuscitated after a drowning event. The child is intubated<br>and ventilated with 100% oxygen with equal breath sounds and exhaled CO2 detected. The heart<br>rate is slow and the monitor shows sinus bradycardia. The skin is cool, mottled, and moist; distal<br>pulses are not palpable and the central pulses are weak. Intravenous access has been established.<br>The core temperature is 37.3oC. Based on the PALS bradycardia algorithm, which of the<br>following should be provided first?<br>Epinephrine IV<br>Transcutaneous pacing<br>Atropine IV<br>Dobutamine IV infusion Correct Answer-Epinephrine IV<br>You are caring for a 5-year-old patient with supraventricular tachycardia (heart rate = 220\/min).<br>The child is lethargic. The skin is pale and cool with delayed capillary refill. Distal pulses are not<br>palpable. Which of the following would be the best treatment to provide without delay?<br>Place cold packs on the distal upper and lower extremities<br>Ask the child to blow through a small straw<br>Exert light pressure on the eyes bilaterally<br>Provide synchronized cardioversion at 0.5 to 1 J\/kg Correct Answer-Provide synchronized<br>cardioversion at 0.5 to 1 J\/kg<br>You are initiating treatment for a child with septic shock and hypotension. While administering<br>high-flow oxygen you determine that the child&#8217;s respirations are adequate and SpO2 is 100%.<br>You have just established vascular access and obtained blood samples. Which of the following is<br>the next most appropriate therapy to support systemic perfusion?<br>Administer repeated fluid boluses of isotonic colloid<\/p>\n\n\n\n<p>Administer repeated fluid boluses of isotonic crystalloid<br>Begin immediate dopamine infusion<br>Begin immediate dobutamine infusion Correct Answer-Administer repeated fluid boluses of<br>isotonic crystalloid<br>You are treating an 8-year-old with ventricular tachycardia with pulses and adequate perfusion.<br>You attempted synchronized cardioversion without success. While seeking expert consultation, it<br>would be most appropriate to:<br>Administer a loading dose of milrinone<br>Consider possible metabolic and toxicologic causes<br>Initiate overdrive pacing transcutaneously<br>Deliver an unsynchronized shock Correct Answer-Consider possible metabolic and toxicologic<br>causes<br>You are caring for a 2-year-old unconscious patient who is intubated and receiving mechanical<br>ventilation. The child&#8217;s heart rate suddenly drops to 40\/min and his color becomes mottled. You<br>should respond to these changes by:<br>Increasing the ventilator rate<br>Increasing tidal volume<br>Increasing positive end-expiratory pressure (PEEP)<br>Using a resuscitation bag provide manual ventilation with 100% oxygen Correct Answer-Using a<br>resuscitation bag provide manual ventilation with 100% oxygen<br>You are caring for a 9-month-old patient with pronounced respiratory distress. You initiated<br>high-flow oxygen using a nonrebreathing mask about 10 minutes ago and established<br>intravenous access. Initially the infant&#8217;s heart rate was in the 150\/min range with strong pulses.<br>Suddenly the infant&#8217;s respiratory rate falls to 6\/min with significant intercostals retractions, and<br>little air movement is heard. The infant becomes cyanotic and the heart rate decreases to 95\/min.<br>Which of the following treatments would be best for you to provide now?<\/p>\n","protected":false},"excerpt":{"rendered":"<p>PALS- Pediatric Advanced Life SupportQuestions and Answers Already PassedThe PALS systemic approach algorithm begins with the initial impression. This is an assessmentof which 3 characteristics? Correct Answer-1. Consciousness PALS &#8211; Written Test and Case StudyReview Material Latest Updated 2022CPR Sequence Correct Answer-C-A-BCirculation-Airway-BreathingCore Case Action Order(A,I,I) Correct Answer-AssessIdentifyInterveneCBC(Assessment part 1 aka initial assessment) Correct Answer-ConsciousnessBreathingColorABCDE(Assessment part [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[25],"tags":[],"class_list":["post-116839","post","type-post","status-publish","format-standard","hentry","category-exams-certification"],"_links":{"self":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/116839","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/comments?post=116839"}],"version-history":[{"count":0,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/116839\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/media?parent=116839"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/categories?post=116839"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/tags?post=116839"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}