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PALS TEST QUESTIONS AND ANSWERS
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PALS TEST QUESTIONS AND ANSWERS
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PALS TEST QUESTIONS AND ANSWERSAn extremity with slow capillary refill time.
In which of the following situations may IO access be used?
It is Hypotensive
A 2 - week old infant is being evaluated irritability and poor feeding. His blood pressure
is 55/40 mm Hg and capillary refill time is 5 seconds. Which statement best describes
your assessment of this infants blood pressure?
A child who is grunting
You are caring for patients in the emergency department. Which two year old requires
immediate interventions?
Increased inspiratory effort with retractions
A 3 year old child is having difficulty breathing. What finding would most likely lead you
to expect an upper airway obstruction in this child?
Ask for a new task or role.
A team member is unable to perform an assigned task because it is beyond the team
member's scope of practice. What action should the team member take?
Allow complete chest wall recoil after each compression.
You are the team lead during a pediatric resuscitation attempt. Which action is high
quality CPR?
Upper airy way obstruction
A 8 year old child is brought to the emergency department by his mother for difficultly
breathing. He has a history is asthma and nut allergies. His mother tells you that he has
recently ate a cookie at a family picnic. Which condition is most likely present with this
child?
Decreased level of consciousness
An 8-year-old child is brought to the emergency department by ambulance after being
involved in a motor vehicle collision. What finding would suggest that immediate
intervention is needed?
15:2
A 6-year-old child is found unresponsive, not breathing, and without a pulse. One
healthcare worker leaves to activate the emergency response system and get the
, resuscitation equipment. You and another healthcare provider immediately begin
performing CPR. What compression-to-ventilation -ratio do you use?
Resume compressions
A 3-year-old child is in cardiac arrest, and high-quality CPR is in progress. You are the
Team Leader. The first rhythm check reveals the rhythm shown here. Defibrillation is
attempted with a shock dose of 2 J/kg. After shock administration, what should you say
to your team members?
Oxygen Saturation
You are caring for a 5-year-old boy with a 4-day history of high fever and cough.
He is having increasing lethargy, grunting, and sleepiness. Now he is difficult to
arouse and is unresponsive to voice commands. His oxygen saturation is 72% on
room air and 89% when on a nonrebreathing oxygen mask. He has shallow
respirations with a respiratory rate of 38/min. Auscultation of the lungs reveals
bilateral crackles.
What assessment finding is consistent with respiratory failure in this child?
Antibiotics
You are caring for a 5-year-old boy with a 4-day history of high fever and cough.
He is having increasing lethargy, grunting, and sleepiness. Now he is difficult to
arouse and is unresponsive to voice commands. His oxygen saturation is 72% on
room air and 89% when on a nonrebreathing oxygen mask. He has shallow
respirations with a respiratory rate of 38/min. Auscultation of the lungs reveals
bilateral crackles.
What medication would be most appropriate?
I think the correct dose is 0.01 mg/kg. Should I give that dose instead?'
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?
10 seconds
A 6-month-old infant is unresponsive. You begin checking for breathing at the same
time you check for the infant's pulse. What is the maximum time you should spend
trying to simultaneously check for breathing and palpate the infant's pulse before
starting CPR?
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