PALS 2023 FINAL EXAM Updated Questions And Answers
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Course
PALS 2023
Institution
PALS 2023
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? Ans - Deliver 1 BVM ventilation every 3 to 5 seconds.
A 12-year-ol...
pals 2023 final exam updated questions and answers
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 pul
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PALS 2023 FINAL EXAM Updated Questions And
Answers
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? Ans - second degree
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? Ans -
Lactate
A 9-year-old patient is presenting with decreased breath sounds,
bradycardia, slowed respiratory rate and a low O2 saturation level. The
provider interprets these findings as indicating which condition? Ans -
Respiratory failure
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? Ans - Deliver 1 BVM ventilation every 3 to 5 seconds.
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? Ans - First-degree atrioventricular (AV) block
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)? Ans - Hypotension
Fever
Hyperglycemia
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 emergency
department providers begin high-quality CPR. Which action(s) by the
providers demonstrates high-quality CPR? Ans - 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
A PALS resuscitation team is preparing to defibrillate a child experiencing
cardiac arrest. For which rhythm(s) would this action be appropriate? Ans
- VF and pVT are shockable cardiac arrest rhythms.
A provider is assessing a child with suspected shock. Which statement
correctly describes hypotension and shock? Ans - Hypotension is not a
consistent feature of shock;
A provider is caring for a 4-year-old child in the urgent care clinic. Primary
assessment reveals difficulty breathing and an oxygen saturation of 91%.
The provider administers oxygen by nasal cannula with the goal of improving
the child's oxygen saturation above what percentage? Ans -
Supplemental oxygen should be administered as needed to maintain an
oxygen saturation above 94%.
An 11-year-old soccer player is brought to the emergency department. After
a quick assessment, the team realizes this patient is experiencing a severe
asthma exacerbation. Which medication would the team administer first?
Ans - Albuterol plus ipratropium bromid
A child in the pediatric step-down unit is exhibiting signs of respiratory
distress. When assessing this child, which circulation finding might be
present? Ans - Pallor is a circulation finding that may be seen in
patients with respiratory distress.
A healthcare provider is performing a primary assessment of a child in
respiratory distress. The provider documents increased work of breathing
when which findings are observed? Ans - Nasal flaring, use of
accessory muscles to breathe and intercostal, substernal or suprasternal
retractions are all indicators of increased work or effort of breathing.
Grunting and inspiratory stridor are abnormal breath sounds.
An 11-year-old child develops unstable wide-complex tachycardia.
Assessment reveals signs of significant hemodynamic compromise, but the
child has a pulse. The PALS team would prepare the child for which
intervention? Ans - First-line treatment for unstable wide-complex
tachycardias consists of synchronized electrical cardioversion, particularly
when signs of hemodynamic compromise are apparent.
A 4-month old infant is brought to the emergency department in cardiac
arrest. Which condition would the team identify as the most common cause
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