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PALS - RED CROSS FINAL EXAM 2024
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PALS - RED CROSS FINAL EXAM 2024
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PALS - RED CROSS FINAL EXAM 2024Laboratory 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? - Answers -Lactate
A provider is forming an initial impression of a child using the Pediatric Assessment
Triangle (PAT). During which step of the PAT may the provider use the mnemonic
TICLS to assess the patient? - Answers -Appearance
A child being cared for in the pediatric telemetry unit suddenly displays the following
ECG waveform. The provider prepares to intervene because the child is demonstrating
which type of arrhythmia? - Answers -Supraventricular tachycardia
A 2-year-old child of unknown weight arrives at the emergency department in cardiac
arrest. When preparing to administer medications, which action would be appropriate for
the team to take? - Answers -Estimate weight using a length-based resuscitation tape.
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? - Answers -Respiratory failure
A 5-year-old child with a history of a chronic neuromuscular disease is experiencing
respiratory distress. The child is breathing spontaneously and receiving supplemental
oxygen. Which additional intervention is a critical component of airway management for
this patient? - Answers -Airway clearance
An 8-year-old child being treated in the emergency department has significant
respiratory distress. The child also exhibits hives, wheezing, angioedema, tachycardia
and tachypnea. The parents state that the child, who is allergic to peanuts, had eaten
some popcorn that had peanuts in it. The team initiates care, preparing to administer
which agent first? - Answers -Epinephrine
A 12-lead ECG is ordered for a child complaining of a "racing heart." When placing the
electrodes on the child, at which location would the lead for V4 be placed? - Answers -
Fifth intercostal space at midclavicular line, left side
A 10-year-old child has collapsed in the gym of the elementary school. The school
nurse arrives and determines that the child is unresponsive. The school nurse then
simultaneously checks for breathing and a central pulse, limiting this assessment to
which time frame? - Answers -At least 5 seconds, but no more than 10
The PALS team leader is conducting a debriefing session with the team. Which topic(s)
would the team leader most likely address during the session? - Answers -1.
Identification of ways to improve
, 2. Discussion of the pros and cons of the interventions
3. Summary of the event, including what actions were taken
4. Evaluation of the objective data gathered during the event
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? - Answers -
Second-degree atrioventricular (AV) block, type I
A provider is assessing a child with suspected shock. Which statement correctly
describes hypotension and shock? - Answers -Hypotension is not a consistent feature
of shock in children.
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? - Answers -Albuterol
plus ipratropium bromide
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? - Answers -Synchronized
cardioversion
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? - Answers -First-degree
atrioventricular (AV) block
A 4-year-old patient presents with tachycardia, tachypnea, cold extremities and weak
pulses. Assessment also reveals an enlarged liver and neck vein distension. The
provider interprets these assessment findings as suggesting which type of shock? -
Answers -Cardiogenic
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)? - Answers -1. Fever
2. Hyperglycemia
3. Hypotension
Assessment of a 3-month-old infant admitted with respiratory distress reveals fever,
grunting and a wet, "junky" cough. The infant's parents said the child had a recent
respiratory infection with a fever. A rapid respiratory syncytial virus (RSV) test is
positive. Which condition would the provider most likely suspect as the cause? -
Answers -Bronchiolitis
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