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PALS 2021 QUESTIONS AND ANSWERS
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PALS 2021 QUESTIONS AND ANSWERS
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PALS 2021 QUESTIONS AND ANSWERS106seconds6-6ans--
A666month6old6infant6is6unresponsive.6You6begin6checking6for6breathing6at6the6same6time
6you6check6for6the6infants6pulse.6Which6is6the6maximum6time6you6should6spend6when6tryi
ng6to6simultaneously6check6for6breathing6and6palpate6the6infants6pulse6before6starting6C
PR?
Disordered6Control6of6Breathing6-6ans--
A646year6old6child6is6brought6to6the6emergency6department6for6seizures.6The6seizures6st
opped6a6few6minutes6ago,6but6the6child6continues6to6have6slow6and6irregular6respirations
.6Which6condition6is6most6consistent6with6your6assessment?
blood6glucose6-6ans--
An686year6old6child6is6brought6to6the6emergency6department6with6a626day6history6of6letha
rgy6and6polyuria.6The6child6has6new6onset6rapid,6deep,6and6labored6breathing.6Which6di
agnostic6test6should6you6order6first?
Reposition6the6patient,6and6insert6an6oral6airway6-6ans--
After6rectal6administration6of6diazepam,6an686year6old6boy6with6a6history6of6seizures6is6no
6unresponsive6to6painful6stimuli.6His6respirations6are6shallow,6at6a6rate6of610/
min.6His6Oxygen6saturation6is694%6on62L6of6NC6oxygen.6On6examination,6the6child6is6sn
oring6with6poor6chest6rise6and6poor6air6entry6bilaterally.6What6action6should6you6take6nex
t?
Provide6bag6mask6ventilation6-6ans--
After6rectal6administration6of6diazepam,6an686year6old6boy6with6a6history6of6seizures6is6no
6unresponsive6to6painful6stimuli.6His6respirations6are6shallow,6at6a6rate6of610/
min.6His6Oxygen6saturation6is694%6on62L6of6NC6oxygen.6On6examination,6the6child6is6sn
oring6with6poor6chest6rise6and6poor6air6entry6bilaterally.6After6repositioning6the6patient6an
d6you6insert6an6Oral6airway,6the6patient6continues6to6deteriorate.6What6next6step6is6the6m
ost6appropriate?
15:26-6ans--
A666year6old6child6is6found6unresponsive,6not6breathing,6and6without6a6pulse.6one6health6
care6worker6leaves6to6activate6the6emergency6response6system6and6get6the6resuscitatio
n6equipment.6You6and6another6healthcare6provider6immediatly6begin6CPR.6Which6compr
ession6to6ventilation6ratio6do6you6use?
, 94%-99%6-6ans--
In6post6resuscitation6management6after6cardiac6arrest,6extra6care6should6be6taken6to6avo
id6repercussion6injury.6what6should6the6ideal6oxygen6saturation6range6most6likely6be?
"resume6compressions"6-6ans--
A636year6old6child6is6in6cardiac6arrest,6and6high6quality6CPR6is6in6progress.6You6are6the6t
eam6leader.6The6first6rhythm6check6reveals6the6rhythm6shown6here.6Defibrillation6is6atte
mpted6with6a6shock6dose6of626J/
kg.6after6administration6of6the6shock,6what6should6you6say6to6you6team6members?
2-46J/kg6-6ans--
A646year6old6child6in6cardiac6arrest6is6brought6to6the6emergency6department6by6ambulan
ce.6High6quality6CPR6is6being6performed.6The6cardiac6monitor6displays6the6rhythm6strip6
shown6here.6The6estimated6weight6of6the6child6is6206kg.6What6dose6range6should6you6us
e6for6the6initial6defibrillation?
406Joules6-6ans--
A646year6old6child6in6cardiac6arrest6is6brought6to6the6emergency6department6by6ambulan
ce.6High6quality6CPR6is6being6performed.6The6cardiac6monitor6displays6the6rhythm6strip6
shown6here.6The6estimated6weight6of6the6child6is6206kg.6As6the6team6leader,6how6many6j
oules6do6you6tell6your6team6member6to6use6to6perform6initial6Defib?
Allowing6complete6chest6wall6recoil6after6each6compression6-6ans--
You6are6the6team6leader6during6a6pediatric6resuscitation6attempt.6which6action6is6an6ele
ment6of6high6quality6CPR?
blood6pressure6-6ans--
You6are6caring6for6a636month6old6boy6with6a626day6history6of6fever,6vomiting6and6diarrhea
.6His6parents6state6that6he6has6been6sleeping6much6more.6His6HR6is6190/
min,6temp6is638.36degrees6C6(1016F)6blood6pressure6is659/296mmHg,6Resp6rate6is670/
min6and6shallow,6and6oxygen6sat6is694%6on6100%6oxygen.6His6capillary6refills6time6is64-
56seconds,6and6he6has6mottled,6cool6extremities.6The6infant6weighs666Kg.6Which6assess
ment6finding6indicates6that6the6infant6is6in6hypotensive6shock?
hypovolemic6shock6-6ans--
You6are6caring6for6a636month6old6boy6with6a626day6history6of6fever,6vomiting6and6diarrhea
.6His6parents6state6that6he6has6been6sleeping6much6more.6His6HR6is6190/
min,6temp6is638.36degrees6C6(1016F)6blood6pressure6is659/296mmHg,6Resp6rate6is670/
min6and6shallow,6and6oxygen6sat6is694%6on6100%6oxygen.6His6capillary6refills6time6is64-
56seconds,6and6he6has6mottled,6cool6extremities.6The6infant6weighs666Kg.6On6the6basis6o
f6this6infants6presentation,6which6type6of6shock6does6this6infant6have?
206ml/kg6normal6saline6-6ans--
You6are6caring6for6a636month6old6boy6with6a626day6history6of6fever,6vomiting6and6diarrhea
.6His6parents6state6that6he6has6been6sleeping6much6more.6His6HR6is6190/
min,6temp6is638.36degrees6C6(1016F)6blood6pressure6is659/296mmHg,6Resp6rate6is670/
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