PALS FINAL EXAM UPDATED EXAM WITH
VERIFIED SOLUTIONS.
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
The PALS team is providing post-cardiac arrest care to an 8-year-
old child in the pediatric intensive care unit. Which intervention
would the team implement to achieve the primary goal of post-
cardiac arrest care, after assuring adequate oxygenation and
ventilation? - correct answer -Ensure adequate mean arterial
pressure.
An advanced airway was placed in a 5-year-old child. Which
action(s) would be most appropriate for the team to take to
confirm correct placement? - correct answer -Auscultate over the
lungs and epigastrium for air movement.
Observe for bilateral chest rise.
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Evaluate results of capnography.
A provider is forming an initial impression of a child using the
Pediatric Assessment Triangle (PAT). For which part of the PAT
may the provider use the mnemonic TICLS to assess the patient?
- correct answer -Appearance
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
perfusion and oxygen delivery? - correct answer -Lactate
The PALS resuscitation team notes the following ECG waveform
and the child does not have a pulse. The team prepares to
intervene to address which arrhythmia? - correct answer -
Torsades de pointes
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? - correct answer -Bronchiolitis