2020 Pals Exam A
Study online at https://quizlet.com/_eg44iz
1. In 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: D. An extremity with slow a
capillary refill time
2. 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: C. It is Hypotensive
3. You are caring for patients in the emergency department. Which 2 year old
child requires immediate intervention?
A. A child who is grunting
B. A child with an Sp02 of 95% on room air
C. A child with a systolic blood pressure of 92 mm Hg
D. A child with a temperature of 37.4 C (99.3 F): A. A child who is grunting
4. A 3 year old child is having difficulty breathing. Which finding would most
likely lead you to suspect an upper airway obstruction in this child?
A. Expiratory breath sounds
B. Decreased expiratory effort
C. Increased inspiratory effort with retractions
D. Normal inspiratory sounds: C. Increased inspiratory effort with retractions
5. A team member is unable to perform an assigned task because it is beyond
the team members scope of practice. Which action should the team member
take?
A. Ask for a new task or role
B. Refuse to perform the task
C. Do it anyway
D. Seek expert consultation: A. Ask for a new task or role
6. You are the team leader during a pediatric resuscitation attempt. which
action is an element of high quality CPR?
, 2020 Pals Exam A
Study online at https://quizlet.com/_eg44iz
A. Providing a compression depth of one fourth the depth of the chest
B. Providing a compression rate of 80 to 100/min
C. Allowing complete chest wall recoil after each compression
D. Performing pulse checks every minute: C. Allowing complete chest wall recoil
after each compression
7. An 8 year old child is brought to the ED by his mother for difficulty breathing.
He has a history of asthma and nut allergies. He's mother tells you that he
recently ate a cookie at a family picnic. Which condition is most likely to be
present in this child?
A. Disordered control of breathing
B. Hypovolemic shock
C. Lung tissue disease
D. upper airway obstruction: D. upper airway obstruction
8. An 8 year old child is brought to the ED by ambulance after being involved in
a MVC. Which finding would suggest that immediate intervention is needed?
A. Decreased level of consciousness
B. Systolic blood pressure of 106 mm Hg
C. Temperature of 38.1 C (100.5 F)
D. Warm, moist skin: A. Decreased level of consciousness
9. A 6 year old child is found unresponsive, not breathing, and without a pulse.
one health care worker leaves to activate the emergency response system
and get the resuscitation equipment. You and another healthcare provider
immediatly begin CPR. Which compression to ventilation ratio do you use?
A. 15:1
B. 30:1
C. 15:2
D. 30:2: C. 15:2
10. 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 administration of
the shock, what should you say to you team members?
A. Check for a pulse
B. Give epinephrine 0.01 mg/kg
Study online at https://quizlet.com/_eg44iz
1. In 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: D. An extremity with slow a
capillary refill time
2. 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: C. It is Hypotensive
3. You are caring for patients in the emergency department. Which 2 year old
child requires immediate intervention?
A. A child who is grunting
B. A child with an Sp02 of 95% on room air
C. A child with a systolic blood pressure of 92 mm Hg
D. A child with a temperature of 37.4 C (99.3 F): A. A child who is grunting
4. A 3 year old child is having difficulty breathing. Which finding would most
likely lead you to suspect an upper airway obstruction in this child?
A. Expiratory breath sounds
B. Decreased expiratory effort
C. Increased inspiratory effort with retractions
D. Normal inspiratory sounds: C. Increased inspiratory effort with retractions
5. A team member is unable to perform an assigned task because it is beyond
the team members scope of practice. Which action should the team member
take?
A. Ask for a new task or role
B. Refuse to perform the task
C. Do it anyway
D. Seek expert consultation: A. Ask for a new task or role
6. You are the team leader during a pediatric resuscitation attempt. which
action is an element of high quality CPR?
, 2020 Pals Exam A
Study online at https://quizlet.com/_eg44iz
A. Providing a compression depth of one fourth the depth of the chest
B. Providing a compression rate of 80 to 100/min
C. Allowing complete chest wall recoil after each compression
D. Performing pulse checks every minute: C. Allowing complete chest wall recoil
after each compression
7. An 8 year old child is brought to the ED by his mother for difficulty breathing.
He has a history of asthma and nut allergies. He's mother tells you that he
recently ate a cookie at a family picnic. Which condition is most likely to be
present in this child?
A. Disordered control of breathing
B. Hypovolemic shock
C. Lung tissue disease
D. upper airway obstruction: D. upper airway obstruction
8. An 8 year old child is brought to the ED by ambulance after being involved in
a MVC. Which finding would suggest that immediate intervention is needed?
A. Decreased level of consciousness
B. Systolic blood pressure of 106 mm Hg
C. Temperature of 38.1 C (100.5 F)
D. Warm, moist skin: A. Decreased level of consciousness
9. A 6 year old child is found unresponsive, not breathing, and without a pulse.
one health care worker leaves to activate the emergency response system
and get the resuscitation equipment. You and another healthcare provider
immediatly begin CPR. Which compression to ventilation ratio do you use?
A. 15:1
B. 30:1
C. 15:2
D. 30:2: C. 15:2
10. 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 administration of
the shock, what should you say to you team members?
A. Check for a pulse
B. Give epinephrine 0.01 mg/kg
