PALS POST TEST EXAM QUESTIONS

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PALS POST TEST EXAM QUESTIONS

Actual Qs and Ans Expert-Verified Explanation

This Exam contains:

-Guarantee passing score -50 Questions and Answers -format set of multiple-choice -Expert-Verified Explanation

Question 1: Provide bag-mask ventilation with 100% oxygen

Answer:

An unresponsive 9 year old boy was given a dose of rectal valium by his caretaker for a prolonged seizure. His BP is 80/40 mmHg, HR is 45/min, respiratory rate is 6/min, and SpO2 is 60% no room air.He is unresponsive and cyanotic. The cardiac monitor displays the rhythm shown here. What is your next action?

Question 2: Hypoxia

Answer:

A 6 month old infant is being evaluated for bradycardia. Which is the most likely cause of bradycardia?

Question 3: crackles

Answer:

Which abnormality helps identify children with acute respiratory distress caused by lung tissue disease?

Question 4: Epinephrine, nebulized

Answer:

You are Caring for a 9 month old girl who has increased work of breathing, a fever, and a cough. On assessment, you find an alert infant with stridor and retractions. The infants SpO2 is 94% On auscultation, the lungs are clear bilaterally. Which medication should you administer first?

Question 5: Heart rate of 88/min

Answer:

A 10 year old child is being evaluated for a head ache. Which is a normal finding for this 10 year old child?Question 6: Begin CPR for 2 mins before leaving to activate the emergency response system.

Answer:

You respond to an infant who is unresponsive, in not breathing, and doe not have a pulse. You shout for nearby help, but no one arrives. What action should you take next?

Question 7: Ask for a new task or role

Answer:

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?

Question 8: cardiac arrest

Answer:

Which condition in a child would IO access most likely be attempted before vascular access?

Question 9: 20 ml/kg normal saline

Answer:

You are caring for a 3 month old boy with a 2 day history of fever, vomiting and diarrhea. His parents state that he has been sleeping much more. His HR is 190/min, temp is 38.3 degrees C (101 F) blood pressure is 59/29 mmHg, Resp rate is 70/min and shallow, and oxygen sat is 94% on 100% oxygen. His capillary refills time is 4-5 seconds, and he has mottled, cool extremities. The infant weighs 6 Kg. You have decided that this infant Needs fluid resuscitation. How much fluid should you administer?

Question 10: 20 ml/kg

Answer:

You are caring for a 12 year old girl with acute lymphoblastic leukemia. She is responsive but she does not feel well and appears to be flushed. Her Temp is 39 degrees C (102.2 F), HR is 118/min, respiratory rate is 36/min, BP is 100/40 mmHg, and oxygen sat is 96% on room air. Your assessment reveals mild increase in work of breathing and bounding pulses. The child is receiving 100% Oxygen by NRB mask.--- Which NS bolus is most appropriate for this patient?

Question 11: 2-4 J/kg

Answer:

A 4 year old child in cardiac arrest is brought to the emergency department by ambulance. High quality CPR is being performed. The cardiac monitor displays the rhythm strip shown here. The estimated weight of the child is 20 kg. What dose range should you use for the initial defibrillation?Question 12: 15:2

Answer:

A 6 year old child is found unresponsive, not breathing, and without a pulse. one health care worker leaves to activate the emergency response system and get the resuscitation equipment. You and another healthcare provider immediatly begin CPR. Which compression to ventilation ratio do you use?

Question 13: It is Hypotensive

Answer:

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?

Question 14: Provide bag mask ventilation

Answer:

After rectal administration of diazepam, an 8 year old boy with a history of seizures is no unresponsive to painful stimuli. His respirations are shallow, at a rate of 10/min. His Oxygen saturation is 94% on 2L of NC oxygen. On examination, the child is snoring with poor chest rise and poor air entry bilaterally.After repositioning the patient and you insert an Oral airway, the patient continues to deteriorate. What next step is the most appropriate?

Question 15: 94%-99%

Answer:

In post resuscitation management after cardiac arrest, extra care should be taken to avoid repercussion injury. what should the ideal oxygen saturation range most likely be?

Question 16: inspiratory stridor

Answer:

You are performing the airway component of the primary assessment. Which finding would lead you to conclude that the child has an upper airway obstruction?

Question 17: Reposition the patient, and insert an oral airway

Answer:

After rectal administration of diazepam, an 8 year old boy with a history of seizures is no unresponsive to painful stimuli. His respirations are shallow, at a rate of 10/min. His Oxygen saturation is 94% on 2L of NC oxygen. On examination, the child is snoring with poor chest rise and poor air entry bilaterally.What action should you take next?

Question 18: The child has signs of probable respiratory failure

Answer:

You are evaluating a 1 yer old child for respiratory distress. His HR is 168/min, and his respiratory rate has decreased from 65/min to 30/min. He now appears more lethargic and continues to have severe subcostal retractions. On the basis of your assessment, which is the most likely reason for this change in the Childs condition.

Question 19: Alert

Answer:

A 5 year old child is brought to the emergency department by ambulance after being involved in a MVC.You are using the primary assessment to evaluate the child. When assessing the Childs neurological status, you note that he has spontaneous eye opening, is fully oriented, and is able to follow command.How would you document this Childs AVPU pediatric response scale finding?

Question 20: Give 30 compressions to 2 breaths

Answer:

What ratio for compressions to breaths should be used for 1 rescuer infant CPR

Question 21: Audible inspiratory stridor

Answer:

A 6 year old boy is being evaluated for difficulty breathing. Which finding would suggest this child has respiratory distress?

Question 22: 88% on 4L of Nasal oxygen

Answer:

A 10 year old child is brought to the ED for fever and cough. You obtain an O2 sat on the child. Which oxygen saturation would indicate that immediate intervention is needed?