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PALS TEST
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 6-month-old infant is being evaluated for bradycardia. What is the most likely cause of bradycardia?
Answer:
Hypoxia Question 2: The parents of a 7-year-old child who is undergoing chemotherapy report that the child has been febrile and has not been feeling well, with recent onset of lethargy. Assessment reveals that the child is difficult to arouse, and her skin color is pale. The child's heart rate is 160/min, respiratory rate is 38/min, blood pressure is 76/45 mm Hg, capillary refill time is 5 to 6 seconds, and temperature is 39.4°C (103°F). I access has been established, and blood cultures have been obtained. What is the most appropriate intervention?
Answer:
Administer 10 to 20 mL/kg of isotonic crystalloid over 5 to 10 minutes Question 3: If the patient continues to snore and exhibit poor chest rise and poor air entry bilaterally after your initial intervention, what next step is most appropriate?
Answer:
Provide bag-mask ventilation
Question 4: You are the team lead during a pediatric resuscitation attempt. Which action is high quality CPR?
Answer:
Allow complete chest wall recoil after each compression.Question 5: A 3-year-old boy is brought to the emergency department by his mother. He is lethargic, with retractions and nasal flaring. He has a respiratory rate of 70/min, with warm extremities and brisk capillary refill. Which immediate life-threatening condition could this child's condition most likely progress to if left untreated?
Answer:
Respiratory Failure Question 6: A 2 - week old infant is being evaluated irritability and poor feeding. His blood pressure is 55/40 mm Hg and capillary refill time is 5 seconds. Which statement best describes your assessment of this infants blood pressure?
Answer:
It is Hypotensive Question 7: An unresponsive 14-year-old girl is pale and cool to the touch. Her blood pressure is 70/45 mm Hg, heart rate is 190/min, and respiratory rate is 12/min. The Spoz is not detectable.Capillary refill time is 5 seconds. An IV is in place. The cardiac monitor displays the rhythm shown here.
Answer:
Supraventricular tachycardia Question 8: A 5-year-old child is brought to the emergency department by ambulance after being involved in a motor vehicle collision. You are using the primary assessment to evaluate the child. When assessing the child's neurologic status, you note that he has spontaneous eye opening, is fully oriented, and is able to follow commands. How would you document this child's AVPU (Alert, Voice, Painful, Unresponsive) Pediatric Response Scale finding?
Answer:
Alert Question 9: What condition is characterized by a prolonged expiratory phase and wheezing?
Answer:
Lower airway obstruction
Question 10: 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 temperature is 39°C (102.2°F), heart rate is 118/min, respiratory rate is 36/min, blood pressure is 100/40 mm Hg, and oxygen saturation is 96% on room air.Your assessment reveals mild increase in work of breathing and bounding pulses. The child is receiving 100% oxygen by nonrebreathing mask.In addition to oxygen administration and appropriate fluid resuscitation, what additional early intervention should you provide to this patient?
Answer:
Antibiotic administration Question 11: A 6-year-old child is found unresponsive, not breathing, and without a pulse. One healthcare worker leaves to activate the emergency response system and get the resuscitation equipment. You and another healthcare provider immediately begin performing CPR. What compression-to-ventilation -ratio do you use?
Answer:
15:2
Question 12: A 3-year-old child is in cardiac arrest, and high-quality CPR is in progress. You are the Team Leader. The first rhythm check reveals the rhythm shown here. Defibrillation is attempted with a shock dose of 2 J/kg. After shock administration, what should you say to your team members?
Answer:
Resume compressions Question 13: 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 temperature is 39°C (102.2°F), heart rate is 118/min, respiratory rate is 36/min, blood pressure is 100/40 mm Hg, and oxygen saturation is 96% on room air.Your assessment reveals mild increase in work of breathing and bounding pulses. The child is receiving 100% oxygen by nonrebreathing mask.What assessment finding is most important in your determination of the severity of the patient's condition?
Answer:
Blood pressure
Question 14: In management of post-cardiac arrest patients, extra care should be taken to avoid reperfusion injury. What should the ideal oxygen saturation range most likely be?
Answer:
94%- 99%
Question 15: A 3 year old child is having difficulty breathing. What finding would most likely lead you to expect an upper airway obstruction in this child?
Answer:
Increased inspiratory effort with retractions Question 16: You are caring for a 5-year-old boy with a 4-day history of high fever and cough.He is having increasing lethargy, grunting, and sleepiness. Now he is difficult to arouse and is unresponsive to voice commands. His oxygen saturation is 72% on room air and 89% when on a nonrebreathing oxygen mask. He has shallow respirations with a respiratory rate of 38/min.Auscultation of the lungs reveals bilateral crackles.
- What assessment finding is consistent with respiratory failure in this child?
Answer:
Oxygen Saturation Question 17: An unresponsive 9-year-old boy was given a dose of rectal valium by his caretaker for a prolonged seizure. His blood pressure is 80/40 mm Hg, heart rate is 45/min, respiratory rate is 6/min, and Spoz is 60% on room air. He is unresponsive and cyanotic.What action do you take next?
Answer:
Provide bag-mask ventilation with 100% oxygen Question 18: A 7-year-old child in cardiac arrest is brought to the emergency department by ambulance. No palpable pulses are detected. The child's ECG is shown here. How would you characterize this child's rhythm?
Answer:
Pulseless electrical activity Question 19: A 10-year-old child is brought to the emergency department for fever and cough.You obtain an oxygen saturation on the child. What oxygen saturation would indicate that immediate intervention is needed?
Answer:
88% on 4 L/min of nasal oxygen
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