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PEDS ACLS EXAM 2025 WITH 100% ACCURATE
ANSWERS
A pediatric nurse is preparing to deliver chest compressions to a child in cardiac arrest. In which location should the nurse's hands be placed? - correct answers ✔✔Center of the chest on the lower half of the sternum While conducting a rapid assessment, the healthcare provider notes the patient appears unresponsive. What is the provider's next initial action? - correct answers ✔✔check for responsiveness The pediatric clinical team is caring for a pediatric patient in cardiac arrest. During the resuscitation, the team leader notes changes in the patient's ECG rhythm and physical appearance. After quickly evaluating these new findings, the leader determines a new course of action. Which technique is the leader demonstrating? - correct answers ✔✔critical thinking A provider is using a BVM to administer ventilations during CPR. The provider should make sure that each ventilation has which characteristics? - correct answers ✔✔Lasts about 1 second and delivers an appropriate volume to make the chest begin to rise After participating in a resuscitation event in which the pediatric patient did not survive, you are feeling very stressed and having difficulty with daily activities. What is the best action to help you cope with the stress? - correct answers ✔✔Consider a referral to a qualified mental health professional. While performing CPR on a 7-month-old infant, the team leader reminds the compressor to maintain appropriate chest compression depth. The team member understands compressions should be delivered at about which depth? - correct answers ✔✔1.
Two providers are performing CPR on a pediatric patient in cardiac arrest. Which chest compression rate is correct? - correct answers ✔✔100- Two healthcare providers are performing CPR on a child. The providers correctly deliver compressions and ventilations at which rate? - correct answers ✔✔15: Both the Pediatric In-Hospital Cardiac Chain of Survival and the Pediatric Out-of-Hospital Cardiac Chain of Survival include a link emphasizing the importance of continued followed-up during the recovery process. True or False? - correct answers ✔✔T The provider would use pediatric AED pads for which children? - correct answers ✔✔8 and under and 55lbs and under The Pediatric In-Hospital Cardiac Chain of Survival and the Pediatric Out-of-Hospital Cardiac Chain of Survival each contain how many links? - correct answers ✔✔ Pediatric In-Hospital Cardiac Chain of Survival - correct answers ✔✔6 links While performing a rapid assessment on a child, the nurse notes skin mottling and life- threatening bleeding. Which action should the nurse take first? - correct answers ✔✔attempt to stop the bleeding During CPR in a cardiac arrest situation, the pediatric patient was successfully intubated with an endotracheal tube. At which rate should the respiratory therapist deliver ventilations? - correct answers ✔✔1 breath every 2-3 seconds During a resuscitation event, the team leader instructs the medication team member to prepare IV epinephrine. The medication member prepares medication and approaches the patient for
correct answers ✔✔A term for a respiratory problem with symptoms including hoarseness, possibly stridor and barking cough A child was admitted to the pediatric intensive care unit (PICU) after a severe head injury and has been placed on mechanical ventilation. The healthcare provider is most concerned about increasing intracranial pressure if which assessment findings are present? - correct answers ✔✔ You and additional providers have been caring for an infant in respiratory arrest with a central pulse rate of 50 bpm and inadequate perfusion despite adequate oxygenation and ventilation. After 2 minutes, you reassess the infant for breathing and a central pulse. What should you do if the central pulse rate increases to 65 bpm and perfusion improves? - correct answers ✔✔Stop CPR but continue ventilations (1 every 2 to 3 seconds) until the patient is ventilating sufficiently. Providers have been assisting ventilation and ensuring oxygenation for a child in respiratory failure in the emergency department. Despite these measures, the child's pulse falls to 60 bpm and there are signs of inadequate perfusion. What is the priority action for the healthcare provider to take? - correct answers ✔✔begin compressions A patient with respiratory distress caused by increased intracranial pressure (ICP) is being treated in the pediatric intensive care unit. You know you need to ensure adequate cerebral perfusion pressure (CPP). Which of the following are measures used to ensure adequate CPP? - correct answers ✔✔Ensure adequate CPP (head midline, pharmacologic therapy for ICP, avoid hypotension, aggressively treat fever) The physician is informed by the nurse of a patient with possible partial upper airway obstruction. When examining the patient, which breath sound does the provider most likely anticipate? - correct answers ✔✔stridor A child is admitted to the pediatric intensive care unit with pulmonary edema (non-cardiogenic). Which of the following are included in the treatment for this lung tissue disease? - correct answers ✔✔Manage oxygenation and ventilation according to protocols for PARDS
Correct hypoxemia with ventilation strategies and PEEP Consider hypercapnia, as indicated A newly admitted infant has been diagnosed with bronchiolitis. The provider understands bronchiolitis is most often caused by which pathogen? - correct answers ✔✔RSV The healthcare provider understands that characteristics of asthma include which findings? - correct answers ✔✔Inflammation and spasm of the lower airways Which of the following oxygen delivery devices may be preferred for children younger than 5 years in respiratory distress who only need low concentration to maintain O2 saturation of 94% to 99%? - correct answers ✔✔NC A PALS team member caring for a patient experiencing a respiratory emergency suggests collecting a sputum culture and performing a chest x-ray. During which assessment stage should these actions be performed? - correct answers ✔✔secondary assessment The parents of a child in respiratory failure told the PALS team that their child ingested some of a grandparent's opioid pain medication that was left over from knee surgery. Which of the following might be an appropriate intervention? - correct answers ✔✔naloxone The nurse notes a change in the patient's breath sounds and suspects impending respiratory failure. Which new finding does the nurse most likely assess? - correct answers ✔✔diminished breath sounds
A parent presents to the emergency department and states, "My baby has had diarrhea and has been vomiting for days now." The healthcare provider understands the infant is at risk for which type of shock? - correct answers ✔✔hypovolemic A toddler is experiencing hemorrhagic shock and did not respond to an initial fluid bolus. What is the immediate next step of care? - correct answers ✔✔PRBC or whole blood transfusion A 7-year-old patient is in obstructive shock after a bicycle accident. Assessment findings reveal hyperresonance and decreased breath sounds on the left side. These assessment findings most likely indicate which complication? - correct answers ✔✔tension pneumothorax A pediatric patient is brought to the emergency department experiencing anaphylactic shock from exposure to an allergen. Which symptoms would the healthcare provider expect to assess in this patient? - correct answers ✔✔tachycardia and hypotension The healthcare provider determines that a patient is experiencing septic shock. Which assessment findings can be characteristic of septic shock? - correct answers ✔✔increased and decreased body temp and AMS The PALS medication team member is unsuccessful with placing an IV for a fluid bolus in a patient experiencing shock. The team member understands which statement is true regarding what step to take next? - correct answers ✔✔IO access Children and infants who remain in shock despite adequate fluid resuscitation or who cannot tolerate ongoing aggressive fluid therapy are candidates for which type of supportive therapy? - correct answers ✔✔vasopressors The PALS team understands that the key treatment for most types of shock, in addition to supporting oxygenation and ventilation, includes which intervention? - correct answers ✔✔fluids
Decreased cardiac output in cardiogenic shock is typically caused by which disorder of the heart's function? - correct answers ✔✔impaired contractility of the heart The PALS team leader consults with the pediatric critical care team regarding medication therapy for fluid-refractory septic shock. Which medications would be most appropriate to initially administer? - correct answers ✔✔epi or levo Cardiac tamponade is a common cause of which type of shock? - correct answers ✔✔obstructive shock nurse is following the Pediatric Assessment Triangle (PAT) to assess a patient. The PAT is used during which stage of patient assessment? - correct answers ✔✔rapid Which assessment findings would the healthcare provider expect to note in a patient experiencing compensated shock? - correct answers ✔✔Irritability, tachypnea and capillary refill of 3 seconds Hypotension is a key characteristic of which type of shock? - correct answers ✔✔decompensated shock The PALS team is preparing a fluid bolus for a patient in cardiogenic shock. How many mL/kg should the team prepare to administer? - correct answers ✔✔5- elevated lactate - correct answers ✔✔insufficient perfusion and O2 delivery A child has been experiencing vomiting and diarrhea for over 36 hours. A bedside glucose test reveals a blood glucose of 20 mg/dl. A blood glucose level of 20 mg/dl indicates that the child is which of the following? - correct answers ✔✔hypoglycemic
The pediatric charge nurse is training a newly hired RN. The charge nurse notes that the new hire documents a 10-year-old patient's heart rate is "within normal limits for age." The charge nurse would question this documentation when noting the patient's heart rate to be which value? - correct answers ✔✔< 60 A 9-year-old patient is experiencing supraventricular tachycardia (SVT) with adequate perfusion, but vagal maneuvers have been unsuccessful. Which pharmacologic treatment should be initiated? - correct answers ✔✔adenosine A newly admitted patient's ECG reveals a wide-complex tachycardia and the patient has adequate perfusion. Which initial pharmacologic intervention could be considered for this arrhythmia if the rhythm is regular and QRS monomorphic? - correct answers ✔✔adenosine A child is brought to the emergency department by the parents with complaints of a rapid heart rate and sweating. Cardiac monitoring and 12-lead ECG reveal the following rhythm. Vagal maneuvers and administration of adenosine have been unsuccessful and the child is now displaying signs of inadequate perfusion. Which intervention should be performed next? - correct answers ✔✔Synchronized electrical cardioversion A newly admitted patient's ECG reveals the following image. Which intervention is recommended for this arrhythmia? - correct answers ✔✔Identifying and treating the underlying cause When reviewing the data of a pediatric patient, the healthcare provider notes the child has a history of second-degree AV block, type I. The provider understands this is which type of arrhythmia? - correct answers ✔✔bradyarrhythmi Which action should the healthcare provider perform to best assess the adequacy of perfusion in a child with an arrhythmia? - correct answers ✔✔Check the capillary refill.
Vagal maneuvers are appropriately used as an initial therapy for which cardiac arrhythmia? - correct answers ✔✔Supraventricular tachycardia (SVT) with adequate perfusion. The healthcare provider understands that which rhythm is the most common symptomatic arrhythmia in children? - correct answers ✔✔Narrow-complex tachycardias (i.e., sinus tachycardia and supraventricular tachycardia) Which statement correctly describes the progression of first degree to third degree atrioventricular (AV) block? - correct answers ✔✔NOT linear COLTON ADAMS, what rhythm - correct answers ✔✔sinus bradycardia Perfusion - correct answers ✔✔inadequate What is the next immediate action the team should implement? - correct answers ✔✔Ensure adequate oxygenation and assist ventilation as needed. She asks the respiratory therapist Marta, who has by now entered the room, to begin bag-valve- mask ventilation. After 30 seconds of effective ventilation and despite being adequately oxygenated, Colton's heart rate falls to 53 bpm with continued inadequate perfusion. - correct answers ✔✔CPR The team continues high-quality cardiopulmonary resuscitation (CPR). Dr. Kane asks Marco to stop chest compressions so that she can reassess Colton's rhythm. He continues to be bradycardic with a heart rate of 55 bpm and inadequate perfusion. - correct answers ✔✔epi he team understands that an important part of care for a child with bradycardia with inadequate perfusion includes which action? - correct answers ✔✔Identify and treat underlying causes.
Dr. Lewis administered 0.5 joule/kg for the first dose. Since Noah is still experiencing SVT with inadequate perfusion, she will administer a second dose. Which of the following doses of energy should she consider administering to Noah? - correct answers ✔✔ 2 Which neuroprotective measures should the provider implement after achievement of return of spontaneous circulation (ROSC)? - correct answers ✔✔Initiate TTM and optimize cerebral perfusion Which statement correctly describes the completion of the typical ABCDE primary assessment of a patient in cardiac arrest? - correct answers ✔✔The primary assessment (typical ABCDE) should be delayed in order to provide prompt CPR and cardiac arrest care, and should be performed as soon as resources permit The PALS team is actively attempting to resuscitate a 9-kg infant in cardiac arrest. The team leader instructs the monitor team member to administer a second defibrillation. How many joules should the team member administer? - correct answers ✔✔9 x 4 = 36 Which finding indicates adequate end-organ and tissue perfusion? - correct answers ✔✔Urine output normal for age (1.5-2 mL/kg/h for infants and young children and 1 mL/kg/h for adolescents) A patient in asystole is receiving high-quality CPR and vascular access has been achieved. Which action should the team leader order? - correct answers ✔✔epi Which cardiac arrest rhythms does the healthcare provider correctly identify as "nonshockable" rhythms? - correct answers ✔✔asystole and PEA Which of the following is used to monitor chest compression adequacy in a patient experiencing cardiac arrest? - correct answers ✔✔ETCO
Which is the primary goal and focus of post-cardiac arrest care? - correct answers ✔✔preservation of neurologic function Ensuring an adequate mean arterial pressure (MAP) post-cardiac arrest is critical to optimizing which factor? - correct answers ✔✔cerebral perfusion A patient admitted to the pediatric emergency department is in cardiac arrest. The rhythm on the defibrillator monitor is ventricular fibrillation (VF). Which energy dose should the team leader order to administer an initial shock? - correct answers ✔✔2j/kg Which statement correctly describes one of the uses of a length-based resuscitation tape? - correct answers ✔✔dosages of meds In children and infants, cardiac arrest most often arises from which complication? - correct answers ✔✔respiratory failure While performing post-cardiac arrest care, the healthcare provider observes seizure activity. What should the provider do? - correct answers ✔✔anti convulsant The healthcare provider notes that an infant receiving post-cardiac arrest care has an increase in temperature. The provider should do which of the following? - correct answers ✔✔adminster antipyretics or implement active cooling Which statement correctly describes the goal of O2 administration after return of spontaneous circulation (ROSC)? - correct answers ✔✔Administer at the lowest concentration required to maintain O2 saturation of 94% to 99%.
While reassessing an intubated patient receiving mechanical ventilation, the respiratory therapist notes the patient suddenly begins deteriorating and suspects a problem with the advanced airway therapy. The respiratory therapist uses which mnemonic to assess for complications? - correct answers ✔✔DOPE What are the components of post-cardiac arrest syndrome (PCAS)? - correct answers ✔✔brain injury, systemic response to ischemia/reperfusion, myocardial dysfunction A healthcare provider suspects that hyperkalemia may be the cause of the patient's cardiac arrest. Which should the provider order to confirm hyperkalemia? - correct answers ✔✔serum electrolyte panel The pediatric intensive care team is caring for a child post-cardiac arrest. During which assessment should the need for an advanced airway be determined? - correct answers ✔✔primary What is considered inadequate perfusion when assessing/caring for a pediatric patient with an arrhythmia? - correct answers ✔✔AMS, hypotension, diminished peripheral pulses A 9-year-old child is brought to the emergency department because the child suddenly collapsed at school. The child's ECG reveals the following waveform, and primary assessment findings indicate that the child has inadequate perfusion. Which primary assessment findings indicate this? - correct answers ✔✔AMS, hypotension, signs of shock
