Exam (elaborations)
PALS-Pretest
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Exam of 6 pages for the course PALS at PALS (PALS-Pretest)
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PALS POST TESTWITH COMPLETE
SOLUTIONS
10 seconds - correct answer-A 6 month old infant is unresponsive. You begin
checking for breathing at the same time you check for the infants pulse. Which is the
maximum time you should spend when trying to simultaneously check for breathing
and palpate the infants pulse before starting CPR?
Disordered Control of Breathing - correct answer-A 4 year old child is brought to the
emergency department for seizures. The seizures stopped a few minutes ago, but
the child continues to have slow and irregular respirations. Which condition is most
consistent with your assessment?
blood glucose - correct answer-An 8 year old child is brought to the emergency
department with a 2 day history of lethargy and polyuria. The child has new onset
rapid, deep, and labored breathing. Which diagnostic test should you order first?
Reposition the patient, and insert an oral airway - correct 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?
, Provide bag mask ventilation - correct 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?
15:2 - correct 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?
94%-99% - correct 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?
"resume compressions" - correct answer-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 administration of the shock, what should you say to you team members?
2-4 J/kg - correct 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?
40 Joules - correct 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. As the team leader, how many joules do you tell your team member to
use to perform initial Defib?
Allowing complete chest wall recoil after each compression - correct answer-You are
the team leader during a pediatric resuscitation attempt. which action is an element
of high quality CPR?
blood pressure - correct 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. Which assessment finding indicates that the infant is in
hypotensive shock?
hypovolemic shock - correct 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
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