PALS EXAM QUESTIONS - This Exam contains: -Guarantee passing score -9...

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PALS EXAM QUESTIONS

Actual Qs and Ans Expert-Verified Explanation

This Exam contains:

-Guarantee passing score -99 Questions and Answers -format set of multiple-choice -Expert-Verified Explanation Question 1: When suctioning a patient, which of the following should be monitored?

Answer:

Clinical appearance Oxygen saturation Heart rate

Question 2: How are effective oxygenation & ventilation assessed?

Answer:

Oxygen saturation Exhaled carbon dioxide Visible chest rise w/ each breath Question 3: What actions are appropriate when providing 1-person bag-mask ventilation?

Answer:

Perform a head tilt, insert an oral airway, & squeeze the bag until chest rise Question 4: Which interventions may be included in the management of disordered control of breathing due to increased intracranial pressure?

Answer:

Adequate oxygenation & ventilation

Question 5: What is the most appropriate treatment for severe anaphylaxis?

Answer:

Administer IM epinephrine

Question 6: When may pulse oximetry be inaccurate?

Answer:

The displayed heart rate does not correlate with the child's heart rate

Question 7: Which are ideal characteristics of face masks for ventilation?

Answer:

Covers mouth & nose Has a soft rim Transparent Question 8: You are dispatched to the local elementary school for a 6-year-old boy w/ difficulty breathing, wheezing, & a cough that began during recess. His inhaler failed to improve the condition, & he is now in the nurse's office.He presents sitting in a chair w/ initial vital signs of HR 118/min, BP 125/82 mm Hg, RR 30, SpO2 92%, temperature 37 degrees C[98.6 degrees F]; he is conscious & responsive. His father, who arrived at the school at the same time that you arrived, states that his son became sick w/ a cold about 2 days ago & has really had to use his inhaler a lot recently. The child can complete phrases when h speaks but cannot speak in complete sentences.

Answer:

Upon assessment, you find that the child has retractions, a prolonged expiratory phase, a lot of wheezing in the chest, & an SpO2 of 92% w/high-flow O2. On the basis of the initial indications, what is the most likely diagnosis for this patient?Asthma On the basis of the presentation of the child, what is your assessment of his clinical severity?Moderate Initial treatment for moderate asthma includes the administration of humidified O2 & the administration of what medication[s]?Albuterol & Ipratropium The anticipated results of the nebulizer treatment should include which of the following improvements in the patient?Decreased airway edema Decreased bronchoconstriction Decreased respiratory effort If the patient does not improve w/ medication, what is your next intervention to ensure oxygenation?Noninvasive positive-pressure ventilation

Question 9: Low blood pressure in children is defined as systolic blood pressure less than the [blank] percentile for age.

Answer:

Fifth Question 10: If cardiac output is compromised, signs of poor perfusion will be [blank] even if blood pressure is normal.

Answer:

Present

Question 11: What are the major function[s] of the cardiopulmonary system?

Answer:

Delivers oxygen to body tissues Removes metabolic by-products of cellular metabolism Question 12: What should you do to help reduce the risk of hypoxemia during suctioning?

Answer:

Limit suction attempts to 10 seconds or less

Question 13: What are the characteristics of shock?

Answer:

Decreased level of consciousness Inadequate peripheral perfusion Decreased end-organ perfusion

Question 14: What are the typical clinical findings with compensated shock?

Answer:

Tachycardia Delayed capillary refill Decreased urine output

Question 15: What is the treatment for a mild allergic reaction?

Answer:

Remove the offending agent Consider an antihistamine

Question 16: What should you do if you cannot achieve effective ventilation with a bag-mask device?

Answer:

Reposition the airway Verify the mask size Question 17: For a nonrebreathing mask to be effective, the oxygen flow rate must be at least [blank] L/min.

Answer:

10

Question 18: Why may excessive ventilation during CPR be harmful?

Answer:

It impedes venous return It increases intrathoracic pressure

Question 19: What is the most accurate definition of shock?

Answer:

Inadequate tissue perfusion Question 20: What is the first step for an intubated child whose condition deteriorates?

Answer:

Support oxygenation & ventilation Question 21: A child presents with a barking cough, good air entry during auscultation, a pulse oximetry reading of 93% on room air, & retractions at rest.What are appropriate initial interventions?

Answer:

Administer oxygen & nebulized epinephrine Consider dexamethasone Question 22: During the secondary assessment, the parents share that the barking cough started a couple of hours ago & the child has been afebrile. They contacted their pediatrician, who advised them to call an ambulance. the parents reported that their son has no allergies & takes no medications.

Breathing Assessment:

Increased work of breathing & occasional barking cough. The respiratory rate is 33/min w/ nasal faring & high-pitched noises from the airway. You see retractions & the use of accessory muscles. The patient's SpO2 is 93% on room air.