PALS FINAL EXAM WITH LATEST QUESTIONS AND 100% CORRECT ANSWERS ALREADY GRADED A+

PALS FINAL EXAM WITH LATEST QUESTIONS AND 100% CORRECT ANSWERS ALREADY GRADED A+ A provider is assessing a child with suspected shock. Which statement correctly describes hypotension and shock? - ANS-Hypotension is not a consistent feature of shock presentation in children. 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? - ANS-No more than 10 seconds A 4-year-old child is brought to the emergency department by the parents. Assessment reveals that the child has only gasping respirations and the pulse rate is 65 beats per minute. Which action would the provider initiate first? - ANS-Deliver 1 BVM ventilation every 2 to 3 seconds. A 7-year-old child collapses on the playground at school. The school nurse is called to the scene and determines that the child is unresponsive and is not breathing and has no pulse. The nurse initiates CPR. At what rate and depth would the nurse deliver compressions to this child? - ANS-100 to 120 compressions per minute at a depth of about 2 inches 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? - ANS-Discussion of the pros and cons of the interventionsEvaluation of the objective data gathered during the event, Summary of the event, including what actions were taken, Identification of ways to improve A healthcare provider notices petechiae on the arms and legs while performing a rapid skin assessment of a child with a high fever and respiratory distress. Based on this assessment, which condition should the provider consider? - ANS-Life-threatening systemic infection What is considered inadequate perfusion when assessing/caring for a pediatric patient with an arrhythmia? - ANS-Diminished peripheral pulses Acutely altered mental status Hypotension A 9-year-old child is brought to the emergency department because the child suddenly collapsed at school. The child's ECG reveals the following waveform, and primary assessment findings indicate that the child has inadequate perfusion. Which primary assessment findings indicate this? - ANS-Signs of shock Acutely altered mental status Hypotension A 9-year-old patient is presenting with diminished breath sounds, bradycardia, slowed respiratory rate and a low O2 saturation level. The provider interprets these findings as indicating which condition? - ANS-Respiratory failure A 6-year-old child is brought to the emergency department. The child has been experiencing extremely watery stools over the past several days. After completing the assessment, the healthcare provider suspects that the child may be experiencing shock. Which type of shock would the provider most likely suspect? - ANS-Hypovolemia 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? - ANSEstimate weight using a length-based resuscitation tape. An 11-year-old child develops ventricular tachycardia with a pulse with inadequate perfusion. The PALS team would prepare the child for which intervention? - ANS-Synchronized electrical cardioversion 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? - ANS-Airway clearance (e.g., suctioning) Primary assessment of a 10-year-old child reveals septic shock. As part of the secondary assessment, if not already done as part of initial sepsis care, laboratory testing is completed to evaluate the child's status. Which laboratory tests would be ordered for this child? - ANS-Complete blood count (CBC) Lactate level Blood cultures A 6-year-old patient is brought to the emergency department after a bicycle accident. Assessment reveals chest pain on inspiration, diminished breath sounds on the right side, and respiratory distress. The provider suspects obstructive shock caused by what condition? - ANS-Tension pneumothorax A child exhibiting a narrow-complex tachycardia with adequate perfusion is to receive adenosine. The provider would be alert for which result after administering this medication? - ANS-Transient asystole The emergency response team is providing care to a preschooler who is experiencing shock. The primary goal, common to all types of shock, is to restore a favorable balance between tissue perfusion and metabolic demand with a focus on what? - ANS-Oxygen delivery and oxygen demand An 8-year-old child being treated in the emergency department has significant respiratory distress. The child also exhibits hives, wheezing, angioedema, tachycardia and dyspnea. 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? - ANS-Epinephrine A child in the pediatric intensive care unit displays the following ECG waveform. The child has no pulse. The resuscitation team interprets this as which arrhythmia? - ANS-Monomorphic pulseless ventricular tachycardia A 2-year-old child arrives at the emergency department with the parents. The child is unresponsive, is not breathing and has no pulse. Two emergency department providers begin high-quality CPR. Which action(s) by the providers demonstrates high-quality CPR? - ANS-Compressing the chest about 2 inches