PALS RED CROSS FINAL EXAM EXAM QUESTIONS

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PALS RED CROSS FINAL EXAM 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: A 30-month old child has been diagnosed with moderate croup. Which

medication(s) would the provider administer?

Answer:

Nebulized epinephrine, Corticosteroids Question 2: A 2-year-old child is brought to the pediatric urgent care clinic by the parent who says that the child has had a barking cough for two days. During the rapid assessment of the child, the provider hears audible inspiratory stridor. Which common cause of partial upper airway obstruction in children would the provider most likely suspect?

Answer:

Croup Question 3: After ROSC, a child is experiencing post-cardiac arrest hypoperfusion. The PALS resuscitation team would administer which element to restore intravascular volume and optimize preload?

Answer:

Isotonic fluid boluses

Question 4: A 2-year-old child of unknown weight arrives at the emergency department in cardiac arrest. When preparing to administer medications, which action would be appropriate for the team to take?

Answer:

Estimate weight using a length-based resuscitation tape.Question 5: 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 Question 6: 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 Question 7: 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?

Answer:

Rapid assessment Question 8: A 12-year-old child being evaluated in the pediatric intensive care unit displays the following ECG waveform. The team interprets this as which arrhythmia?

Answer:

Second-degree atrioventricular (AV) block, type I Question 9: The PALS resuscitation team is providing care to an intubated child in cardiac arrest. Which of the following can be used to monitor the adequacy of the team's chest compressions?

Answer:

End-tidal carbon dioxide levels Presence of an arterial waveform or arterial blood pressure in patients with indwelling arterial catheters

Question 10: Which action would the PALS team initiate to manage increased intracranial pressure in a pediatric patient?

Answer:

Maintain the head in midline position.Question 11: A provider is assessing a child with suspected shock. Which statement correctly describes hypotension and shock?

Answer:

Hypotension is not a consistent feature of shock presentation in children.Question 12: A child being cared for in the pediatric telemetry unit suddenly displays the following ECG waveform. The provider prepares to intervene because the child is demonstrating which type of arrhythmia?

Answer:

Supraventricular tachycardia Question 13: 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 Question 14: 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 Question 15: A 6-year-old patient is brought to the emergency department after a bicycle accident. Assessment reveals chest pain on inspiration, diminished breath sounds on the right side, and respiratory distress. The provider suspects obstructive shock caused by what condition?

Answer:

Tension pneumothorax Question 16: What is considered inadequate perfusion when assessing/caring for a pediatric patient with an arrhythmia?

Answer:

Diminished peripheral pulses Acutely altered mental status

Hypotension Question 17: 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) Question 18: A child in cardiac arrest experiences return of spontaneous circulation but is exhibiting signs of post-cardiac arrest syndrome (PCAS). The PALS resuscitation team determines that the child is experiencing a systemic response to ischemia/reperfusion. The team bases this determination on which finding(s)?

Answer:

Hypotension, fever, hyperglycemia Question 19: A 5-year-old child with a history of a chronic neuromuscular disease is experiencing respiratory distress. The child is breathing spontaneously and receiving supplemental oxygen. Which additional intervention is a critical component of airway management for this patient?

Answer:

Airway clearance (e.g., suctioning) Question 20: A provider is forming an initial impression of a child using the Pediatric Assessment Triangle (PAT). For which part of the PAT may the provider use the mnemonic TICLS to assess the patient?

Answer:

Appearance Question 21: 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?

Answer:

Discussion of the pros and cons of the interventions Evaluation of the objective data gathered during the event, Summary of the event, including what actions were taken, Identification of ways to improve Question 22: The emergency response team is providing care to a preschooler who is experiencing shock. The primary goal, common to all types of shock, is to restore a favorable balance between tissue perfusion and metabolic demand with a focus on what?

Answer:

Oxygen delivery and oxygen demand