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PALS EXAM A QUESTIONS AND ANSWERS
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PALS EXAM A QUESTIONS AND ANSWERS
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PALS EXAM A QUESTIONS AND ANSWERSIn which of the following situations may IO access be used?
A. An extremity with signs of infection
B. An extremity with a sign of a crush injury
C. An extremity with a previous unsuccessful IO attempt
D. An extremity with slow a capillary refill time - Answers -D. An extremity with slow a
capillary refill time
A 2 week old infant is being evaluated for irritability and poor feeding. His BP is 55/40
mmHg, and cap refill time is 5 seconds. Which statement best describes your
assessment of this infants BP?
A. It represents compensated shock
B. It is hypertensive
C. It is Hypotensive
D. It is normal - Answers -C. It is Hypotensive
During a resuscitation attempt, the team leader asks you to administer an initial dose of
Epinephrine at 0.1 mg/kg to be given IO. How should you respond?
A. "I can't administer the drug at the dose you ordered
B. "OK, but will administer epinephrine 0.01 mg/kg"
C. "OK, I will administer epinephrine 0.1 mg/kg
D. "I think the correct dose is 0.01 mg/kg. should I give that dose instead?" - Answers -
D. "I think the correct dose is 0.01 mg/kg. should I give that dose instead?"
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?
A. 10 seconds
B. 15 seconds
C. 30 seconds
D. 60 seconds - Answers -A. 10 seconds
A 10 year old child is being evaluated for a head ache. Which is a normal finding for this
10 year old child?
A. Blood pressure of 60/50 mm Hg
B. Heart rate of 88/min
C. Respiratory of 8/min
D. Temperature of 39.6 C (103.2 F) - Answers -B. Heart rate of 88/min
, A 6 year old boy is being evaluated for difficulty breathing. Which finding would suggest
this child has respiratory distress?
A. Audible inspiratory stridor
B. Decreased respiratory effort
C. Oxygen saturation of 95%
D. Respiratory rate of 8/min - Answers -A. Audible inspiratory stridor
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?
A. 0.5 to 2 J/kg
B. 4 to 6 J/kg
C. 6 to 8 J/kg
D. 2-4 J/kg - Answers -D. 2-4 J/kg
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?
A. 10 Joules
B. 40 Joules
C. 100 Joules
D. 140 Joules - Answers -B. 40 Joules
You respond to an infant who is unresponsive, in not breathing, and doe not have a
pulse. You shout for nearby help, but no one arrives. What action should you take next?
A Begin CPR for 2 mins before leaving to activate the emergency response system.
B. Begin CPR for 1 minute before leaving to activate the emergency response system
C. Activate the emergency response system after giving CPR for 10 minutes
D. Activate the emergency response system after giving CPR for 5 minutes - Answers -
A Begin CPR for 2 mins before leaving to activate the emergency response system.
What ratio for compressions to breaths should be used for 1 rescuer infant CPR
A. Give 30 compressions to 2 breaths
B. Give 5 compressions to 1 breath
C. Give 20 compressions to 2 breaths
D. Give 15 compressions to 2 breaths - Answers -A. Give 30 compressions to 2 breaths
A 3 year old boy is brought to the ED by his mother. His is lethargic, with retractions and
nasal flaring. He has a respiratory rate of 70/min, with warm extremities and brisk cap
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