PALS Updated Final Exam 50 Questions & Answers!Rated A+ Answers, Exams of Public Health

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PALS post test2 - quiz

Intro Nutrition: Allied Health (City College of San Francisco)

PALS Updated FINAL EXAM

1. 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?: second degree
2. Laboratory tests are ordered for a child who has been vomiting for 3 days and is diaphoretic, tachypneic, lethargic and pale. Which test would the provider use to determine the adequacy of oxygen delivery?: Lactate
3. A 9-year-old patient is presenting with decreased breath sounds, brady- cardia, slowed respiratory rate and a low O2 saturation level. The provider interprets these findings as indicating which condition?: Respiratory failure
4. A 4-year-old child is brought to the emergency department by the parents. Assessment reveals that the child has only gasping respirations and the pulse rate is 65 beats per minute. Which action would the provider initiate first?: Deliver 1 BVM ventilation every 3 to 5 seconds.
5. A 15-year-old patient is being evaluated during a follow-up visit after being diagnosed with Lyme disease 2 months ago. A rhythm strip is obtained as shown below. The provider interprets this rhythm as indicating which arrhythmia?: First-degree atrioventricular (AV) block
6. 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)?: Hypotension Fever Hyperglycemia
7. A 2-year-old child arrives at the emergency department with the parents. The child is unresponsive, is not breathing and has no pulse. Two emer- gency department providers begin high-quality CPR. Which action(s) by the providers demonstrates high-quality CPR?: Allowing the chest to recoil fully after each compression Providing ventilations that last about 1 second each Compressing the chest about 2 inches Giving 2 ventilations to every 15 compressions

PALS Updated FINAL EXAM lowing waveform, and primary assessment findings indicate that the child is hemodynamically unstable. Which primary assessment findings indicate this?: Difficulty breathing Hypotension Mottling Decreased level of consciousnes

17. 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?: croup
18. A 6-year-old child is brought to the emergency department. The child has been experiencing extremely watery stools over the past several days. After completing the assessment, the healthcare provider suspects that the child may be experiencing shock. Which type of shock would the provider most likely suspect?: hypovolemic
19. While performing a rapid assessment and formulating an initial impres- sion using the Pediatric Assessment Triangle (PAT), the provider assesses the child's circulation. Which information would be important to consider?- : When assessing the adequacy of circulation, consider skin color and visible mucous membranes for pallor (or gray/dusky color), cyanosis, mottling or flushing and evidence of any bleeding, including life-threatening bleeding.
20. 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?: bronchiolitis
21. PALS resuscitation team notes the following ECG waveform and the child does not have a pulse. The team prepares to intervene to address which arrhythmia?: torsades
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?: The primary goal in shock, regardless of cause, is to restore a favorable balance between tissue perfusion and metabolic demand with a focus on oxygen delivery and oxygen demand.

PALS Updated FINAL EXAM

23. The PALS resuscitation team is providing care to an intubated child in cardiac arrest. Which result best determines the adequacy of the team's chest compressions?: End-tidal carbon dioxide level between 15 and 20 mmHg
24. The PALS team leader is conducting a debriefing session with the team. Which topic(s) would the team leader most likely address during the ses- sion?: Summary of the event, including what actions were taken, Discussion of the pros and cons of the interventions, Identification of ways to improve, Evaluation of the objective data gathered during the event
25. Assessment of a 7-year-old patient with septic shock reveals capillary refill of 3 seconds, diminished pulses, narrow pulse pressure and cool, mottled extremities. The emergency response team interprets these findings as indicating which type of septic shock?: Most children in septic shock pre- sent with cold shock (i.e., delayed capillary refill, diminished pulses, peripheral vasoconstriction, narrow pulse pressure, and cool, mottled extremities) instead of warm shock.
26. Primary assessment of a 10-year-old child reveals septic shock. As part of the secondary assessment, laboratory testing is completed to evaluate the child's status. Which laboratory tests would be ordered for this child?: Labo- ratory testing for the child in septic shock may include CBC, blood cultures, blood gasses, coagulation panel, renal function tests, liver function panel and lactate level.
27. A 4-year-old patient presents with tachycardia, tachypnea, cold extremi- ties and weak pulses. Assessment also reveals an enlarged liver and neck vein distension. The provider interprets these assessment findings as sug- gesting which type of shock?: cardio
28. A 10-year-old child has collapsed in the gym of the elementary school. The school nurse arrives and determines that the child is unresponsive. The school nurse then simultaneously checks for breathing and a central pulse, limiting this assessment to which time frame?: 5 seconds, but no more than 10.
29. 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?: Supraventricular tachycar- dia
30. A 6-year-old patient is brought to the emergency department after a bicycle accident. Assessment reveals tracheal deviation to the left side, chest pain on inspiration and decreased breath sounds on the right side. 4 / 7

PALS Updated FINAL EXAM ment?: Auscultate over the lungs and epigastrium for air movement, Observe for bilateral chest rise, Evaluate results of capnography.

40. A 12-lead ECG is ordered for a child complaining of a "racing heart." When placing the electrodes on the child, at which location would the lead for V4 be placed?: fifth intercostal space at the midclavicular line on the patient's left side.
41. A 7-year-old child collapses on the playground at school. The school nurse is called to the scene and determines that the child is unresponsive and is not breathing and has no pulse. The nurse initiates CPR. At what rate and depth would the nurse deliver compressions to this child?: 100 to 120 compressions per minute at a depth of about 2 inch
42. Which action would the PALS team initiate to manage increased intracra- nial pressure in a pediatric patient?: Maintain the head in midline position with 30-degree elevation
43. child is experiencing shock. The emergency response team prepares for imminent cardiac arrest when assessment reveals which finding(s)?: Hy- potension, Bradycardia, Diminished central pulses
44. A 30-month old child has been diagnosed with moderate croup. Which medication(s) would the provider administer?: Corticosteroids, Racemic epi- nephrine
45. After ROSC, a child is experiencing post-cardiac arrest hemodynamic instability. The PALS resuscitation team would administer which element to restore intravascular volume and optimize preload?: Isotonic fluid boluses
46. 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?: Airway clearance
47. A provider is forming an initial impression of a child using the Pediatric Assessment Triangle (PAT). During which step of the PAT may the provider use the mnemonic TICLS to assess the patient?: appearance
48. 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: Monomorphic pulseless ventricular tachycardia
49. A child experiencing unstable bradycardia is receiving CPR. Despite efforts with CPR, including assuring oxygenation and ventilation, the child's 6 / 7

PALS Updated FINAL EXAM status remains unchanged. Which medication would the emergency re- sponse team expect to administer next?: epi

50. 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?: rapid