Pediatric Advanced Life Support Updated FINAL EXAM
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Pediatric Advanced Life Support
Institution
Pediatric Advanced Life Support
Pediatric Advanced Life Support Updated FINAL EXAM
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? Correct Answer: second degree
Laboratory tests are ordered for a child who has be...
Pediatric Advanced Life Support Updated
FINAL EXAM 2024-2025
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? Correct Answer: 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? Correct Answer: 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? Correct Answer: 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? Correct Answer: 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? Correct Answer: 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)? Correct Answer: 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? Correct
Answer:
>>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? Correct Answer: VF and pVT are shockable
cardiac arrest rhythms.
A provider is assessing a child with suspected shock. Which statement correctly describes
hypotension and shock? Correct Answer: 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? Correct Answer: 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? Correct Answer: 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? Correct
Answer: 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? Correct Answer: 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 of cardiac arrest in an infant of this age?
Correct Answer: Sudden infant death syndrome
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