PALS POST TEST QUESTIONS AND CORRECT ANSWERS

PALS POST TEST QUESTIONS AND
CORRECT ANSWERS

10A2secondsA2-A2Ans--
AA26A2monthA2oldA2infantA2isA2unresponsive.A2YouA2beginA2checkingA2forA2breathingA2atA2t
heA2sameA2timeA2youA2checkA2forA2theA2infantsA2pulse.A2WhichA2isA2theA2maximumA2timeA2
youA2shouldA2spendA2whenA2tryingA2toA2simultaneouslyA2checkA2forA2breathingA2andA2palp
ateA2theA2infantsA2pulseA2beforeA2startingA2CPR?

DisorderedA2ControlA2ofA2BreathingA2-A2Ans--
AA24A2yearA2oldA2childA2isA2broughtA2toA2theA2emergencyA2departmentA2forA2seizures.A2Th
eA2seizuresA2stoppedA2aA2fewA2minutesA2ago,A2butA2theA2childA2continuesA2toA2haveA2slow
A2andA2irregularA2respirations.A2WhichA2conditionA2isA2mostA2consistentA2withA2yourA2asse
ssment?

bloodA2glucoseA2-A2Ans--
AnA28A2yearA2oldA2childA2isA2broughtA2toA2theA2emergencyA2departmentA2withA2aA22A2dayA2
historyA2ofA2lethargyA2andA2polyuria.A2TheA2childA2hasA2newA2onsetA2rapid,A2deep,A2andA2l
aboredA2breathing.A2WhichA2diagnosticA2testA2shouldA2youA2orderA2first?

RepositionA2theA2patient,A2andA2insertA2anA2oralA2airwayA2-A2Ans--
AfterA2rectalA2administrationA2ofA2diazepam,A2anA28A2yearA2oldA2boyA2withA2aA2historyA2ofA2
seizuresA2isA2noA2unresponsiveA2toA2painfulA2stimuli.A2HisA2respirationsA2areA2shallow,A2at
A2aA2rateA2ofA210/
min.A2HisA2OxygenA2saturationA2isA294%A2onA22LA2ofA2NCA2oxygen.A2OnA2examination,A2t
heA2childA2isA2snoringA2withA2poorA2chestA2riseA2andA2poorA2airA2entryA2bilaterally.A2WhatA2
actionA2shouldA2youA2takeA2next?

ProvideA2bagA2maskA2ventilationA2-A2Ans--
AfterA2rectalA2administrationA2ofA2diazepam,A2anA28A2yearA2oldA2boyA2withA2aA2historyA2ofA2
seizuresA2isA2noA2unresponsiveA2toA2painfulA2stimuli.A2HisA2respirationsA2areA2shallow,A2at
A2aA2rateA2ofA210/
min.A2HisA2OxygenA2saturationA2isA294%A2onA22LA2ofA2NCA2oxygen.A2OnA2examination,A2t
heA2childA2isA2snoringA2withA2poorA2chestA2riseA2andA2poorA2airA2entryA2bilaterally.A2AfterA2r
epositioningA2theA2patientA2andA2youA2insertA2anA2OralA2airway,A2theA2patientA2continuesA2
toA2deteriorate.A2WhatA2nextA2stepA2isA2theA2mostA2appropriate?

15:2A2-A2Ans--
AA26A2yearA2oldA2childA2isA2foundA2unresponsive,A2notA2breathing,A2andA2withoutA2aA2pulse
.A2oneA2healthA2careA2workerA2leavesA2toA2activateA2theA2emergencyA2responseA2systemA2
andA2getA2theA2resuscitationA2equipment.A2YouA2andA2anotherA2healthcareA2providerA2im
mediatlyA2beginA2CPR.A2WhichA2compressionA2toA2ventilationA2ratioA2doA2youA2use?

, 94%-99%A2-A2Ans--
InA2postA2resuscitationA2managementA2afterA2cardiacA2arrest,A2extraA2careA2shouldA2beA2t
akenA2toA2avoidA2repercussionA2injury.A2whatA2shouldA2theA2idealA2oxygenA2saturationA2ra
ngeA2mostA2likelyA2be?

"resumeA2compressions"A2-A2Ans--
AA23A2yearA2oldA2childA2isA2inA2cardiacA2arrest,A2andA2highA2qualityA2CPRA2isA2inA2progress
.A2YouA2areA2theA2teamA2leader.A2TheA2firstA2rhythmA2checkA2revealsA2theA2rhythmA2show
nA2here.A2DefibrillationA2isA2attemptedA2withA2aA2shockA2doseA2ofA22A2J/
kg.A2afterA2administrationA2ofA2theA2shock,A2whatA2shouldA2youA2sayA2toA2youA2teamA2me
mbers?

2-4A2J/kgA2-A2Ans--
AA24A2yearA2oldA2childA2inA2cardiacA2arrestA2isA2broughtA2toA2theA2emergencyA2department
A2byA2ambulance.A2HighA2qualityA2CPRA2isA2beingA2performed.A2TheA2cardiacA2monitorA2di
splaysA2theA2rhythmA2stripA2shownA2here.A2TheA2estimatedA2weightA2ofA2theA2childA2isA220
A2kg.A2WhatA2doseA2rangeA2shouldA2youA2useA2forA2theA2initialA2defibrillation?


40A2JoulesA2-A2Ans--
AA24A2yearA2oldA2childA2inA2cardiacA2arrestA2isA2broughtA2toA2theA2emergencyA2department
A2byA2ambulance.A2HighA2qualityA2CPRA2isA2beingA2performed.A2TheA2cardiacA2monitorA2di
splaysA2theA2rhythmA2stripA2shownA2here.A2TheA2estimatedA2weightA2ofA2theA2childA2isA220
A2kg.A2AsA2theA2teamA2leader,A2howA2manyA2joulesA2doA2youA2tellA2yourA2teamA2memberA2t
oA2useA2toA2performA2initialA2Defib?

AllowingA2completeA2chestA2wallA2recoilA2afterA2eachA2compressionA2-A2Ans--
YouA2areA2theA2teamA2leaderA2duringA2aA2pediatricA2resuscitationA2attempt.A2whichA2actio
nA2isA2anA2elementA2ofA2highA2qualityA2CPR?

bloodA2pressureA2-A2Ans--
YouA2areA2caringA2forA2aA23A2monthA2oldA2boyA2withA2aA22A2dayA2historyA2ofA2fever,A2vomiti
ngA2andA2diarrhea.A2HisA2parentsA2stateA2thatA2heA2hasA2beenA2sleepingA2muchA2more.A2
HisA2HRA2isA2190/
min,A2tempA2isA238.3A2degreesA2CA2(101A2F)A2bloodA2pressureA2isA259/29A2mmHg,A2RespA
2rateA2isA270/
minA2andA2shallow,A2andA2oxygenA2satA2isA294%A2onA2100%A2oxygen.A2HisA2capillaryA2refi
llsA2timeA2isA24-
5A2seconds,A2andA2heA2hasA2mottled,A2coolA2extremities.A2TheA2infantA2weighsA26A2Kg.A2
WhichA2assessmentA2findingA2indicatesA2thatA2theA2infantA2isA2inA2hypotensiveA2shock?

hypovolemicA2shockA2-A2Ans--
YouA2areA2caringA2forA2aA23A2monthA2oldA2boyA2withA2aA22A2dayA2historyA2ofA2fever,A2vomiti
ngA2andA2diarrhea.A2HisA2parentsA2stateA2thatA2heA2hasA2beenA2sleepingA2muchA2more.A2
HisA2HRA2isA2190/
min,A2tempA2isA238.3A2degreesA2CA2(101A2F)A2bloodA2pressureA2isA259/29A2mmHg,A2RespA
2rateA2isA270/