PALS RED CROSS CRITICAL EXAM -

PALS RED CROSS CRITICAL EXAM -

CTUAL EXAM 100 QUESTIONS AND CORRECT

ANSWERS|ALREADY GARDED A+

What is the correct IV/IO dose of epinephrine for a pediatric patient in cardiac arrest? - ANSWER- 0.01 mg/kg every 3 to 5 min (max single dose 1 mg)

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? - ANSWER- Bronchiolitis

A child is experiencing supraventricular tachycardia (SVT) with adequate perfusion and is to receive treatment. Which initial treatment would the provider administer? - ANSWER- Vagal maneuvers

A healthcare provider notices petechiae on the arms and legs while performing a rapid skin assessment of a child with a high fever and respiratory distress. Based on this assessment, which condition should the provider consider? - ANSWER- Life-threatening systemic infection

A 7-year-old patient with septic shock has received three balanced/buffered crystalloid fluid boluses (60-mL/kg) and reassessment reveals capillary refill of 3 seconds, diminished pulses, narrow pulse pressure and cool, mottled extremities.The emergency response team interprets these findings as indicating which type of septic shock? - ANSWER- Fluid-refractory

A 30-month old child has been diagnosed with moderate croup. Which medication(s) would the provider administer? - ANSWER- Nebulized epinephrine, Corticosteroids

A child exhibiting a narrow-complex tachycardia with adequate perfusion is to receive adenosine. The provider would be alert for which result after administering this medication? - ANSWER- Transient asystole

A child experiencing bradycardia with inadequate perfusion despite supporting oxygenation and ventilation is receiving compressions. Despite these efforts, the

child's status remains unchanged. Which medication would the emergency response team expect to administer next? - ANSWER- Epinephrine

A child in the pediatric intensive care unit displays the following ECG waveform.The child has no pulse. The resuscitation team interprets this as which arrhythmia?

• ANSWER- Monomorphic pulseless ventricular tachycardia

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? - ANSWER- First-degree atrioventricular (AV) block

A healthcare provider is performing a primary assessment of a child in respiratory distress. The provider documents increased work of breathing when which findings are observed? - ANSWER- Nasal flaring Intercostal, substernal or suprasternal retractions Accessory muscle use

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? - ANSWER- Cardiogenic

A 6-year-old child is brought to the emergency department. The child has been experiencing extremely watery stools over the past several days. After completing the assessment, the healthcare provider suspects that the child may be experiencing shock. Which type of shock would the provider most likely suspect? - ANSWER- Hypovolemic

A child is experiencing shock. The emergency response team prepares for imminent cardiac arrest when assessment reveals which finding(s)? - ANSWER- Bradycardia Diminished central pulses Hypotension

Primary assessment of a 10-year-old child reveals septic shock. As part of the secondary assessment, if not already done as part of initial sepsis care, laboratory testing is completed to evaluate the child's status. Which laboratory tests would be ordered for this child? - ANSWER- Complete blood count (CBC) Lactate level

A 4-month old infant is brought to the emergency department in cardiac arrest.Which condition would the team identify as the most common cause of cardiac arrest in an infant of this age?sudden infant death syndrome is the most common cause in infants younger than

• months of age.

The PALS resuscitation team is providing care to an intubated child in cardiac arrest. Which result best determines the adequacy of the team's chest compressions?End-tidal carbon dioxide level between 15 and 20 mmHg

The emergency response team is providing care to a preschooler who is experiencing shock. Which therapeutic goal, common to all types of shock, does the team work to achieve?The primary therapeutic goal in shock, regardless of cause, is to restore a favorable balance between oxygen delivery and oxygen demand.

A 9-year-old child is brought to the emergency department because the child suddenly collapsed at school. The child's ECG reveals the following waveform, and primary assessment findings indicate that the child is hemodynamically unstable. Which primary assessment findings indicate this?Decreased level of consciousness, Hypotension, Difficulty breathing, Mottling

A child is experiencing shock. The emergency response team prepares for imminent cardiac arrest when assessment reveals which finding(s)?Hypotension, Bradycardia, Diminished central pulses

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?Albuterol plus ipratropium bromide

The PALS team is providing post-cardiac arrest care to an 8-year-old child in the pediatric intensive care unit. Which intervention would the team implement to achieve the primary goal of post-cardiac arrest care?Ensuring adequate mean arterial pressure

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?pulseless ventricular tachycardia (pVT)

Which action would the PALS resuscitation team initiate to minimize increased intracranial pressure after cardiac arrest?Maintain the head in midline position with 30-degree elevation

A 4-year-old child suddenly collapses in the playroom of the facility. A healthcare provider observes the event and hurries over to assess the child. The healthcare provider completes which assessment first?Rapid assessment

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?Appearance

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?Respiratory failure

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?Bronchiolitis

A PALS resuscitation team is preparing to defibrillate a child experiencing cardiac arrest. For which rhythm(s) would this action be appropriate?Ventricular fibrillation (VF), Pulseless ventricular tachycardia (pVT),

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?Deliver 1 BVM ventilation every 3 to 5 seconds

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?Summary of the event, including what actions were taken, Discussion of the pros and cons of the interventions, Identification of ways to improve, Evaluation of the objective data gathered during the event

An advanced airway was placed in a 5-year-old child. Which action(s) would be most appropriate for the team to take to confirm correct placement?Auscultate over the lungs and epigastrium for air movement, Observe for bilateral chest rise, Evaluate results of capnography.

A 12-year-old is being treated in the urgent care clinic. The mother reports that the child came home from school yesterday with a high fever, vomiting and multiple episodes of watery diarrhea. The healthcare provider obtains a rhythm strip and