c c c c c c c c
%Verified;PALS Final Exam (Actual Exam)
c c c c
AcchildcbeingccaredcforcincthecpediatricctelemetrycunitcsuddenlycdisplayscthecfollowingcECGcwavefo
rm.cThecprovidercpreparesctocintervenecbecausecthecchildciscdemonstratingcwhichctypecofcarrhyth
mia?
Selectctheccorrectcanswerctocthiscquestion.
Atrialcflutter
Monomorphiccventricularctachycardiac
SupraventricularctachycardiacBradycar
dia
Supraventricularctachycardia
Thecemergencycresponsecteamciscprovidingccarectocacpreschoolercwhociscexperiencingcshock.cThec
primarycgoal,ccommonctocallctypescofcshock,cisctocrestorecacfavorablecbalancecbetweenctissuecperf
usioncandcmetaboliccdemandcwithcacfocusconcwhat?
Selectctheccorrectcanswerctocthiscquestion.c
Acnormalcrestingcheartcrate
OxygencdeliverycandcoxygencdemandcO
xygencandccarboncdioxideclevelscRestor
ingcbloodcpressure
Oxygencdeliverycandcoxygencdemand
Acproviderciscassessingcacchildcwithcsuspectedcshock.cWhichcstatementccorrectlycdescribeschypotensio
ncandcshock?
Selectctheccorrectcanswerctocthiscquestion.
,Hypotensioncaffectscchildrencwithcshockcmorecoftencthancadults.cHypotension
iscnotcacconsistentcfeaturecofcshockcpresentationcincchildren.cHypotensionciscus
c
uallycancearlycmarkercofcshockcincchildren.
Hypotensioncduringcshockcincchildrenciscrarelycaccausecofcconcern.cHypotensio
nciscnotcacconsistentcfeaturecofcshockcpresentationcincchildren.
WhichcactioncwouldcthecPALScteamcinitiatectocmanagecincreasedcintracranialcpressurecincacpediat
riccpatient?
Selectctheccorrectcanswerctocthiscquestion.c
Administerchypotoniccfluids.
Maintaincthecheadcincmidlinecposition.cAvoi
dcgivingchypertoniccsalinecorcmannitol.
Ensurechyperstimulationctocmaintaincconsciousness.c
Maintaincthecheadcincmidlinecposition.
ThecPALScteamciscprovidingcpost-cardiaccarrestccarectocanc8-year-
oldcchildcincthecpediatriccintensiveccarecunit.cWhichcinterventioncwouldcthecteamcimplementctocac
hievecthecprimarycgoalcofcpost-
cardiaccarrestccare,caftercassuringcadequatecoxygenationcandcventilation?
Selectctheccorrectcanswerctocthiscquestion.
Inducecshiveringcwithctherapeuticchypothermia.cIncre
asecthecchild'scintracranialcpressure.
Administercglucosectocpromotechyperglycemia.cEnsur
ecadequatecmeancarterialcpressure.
Ensurecadequatecmeancarterialcpressure.
, Ac7-year-
oldcchildccollapsesconcthecplaygroundcatcschool.cThecschoolcnursecisccalledctocthecscenecandcdeter
minescthatcthecchildciscunresponsivecandciscnotcbreathingcandchascnocpulse.cThecnursecinitiatescCP
R.cAtcwhatcratecandcdepthcwouldcthecnursecdeliverccompressionsctocthiscchild?
Selectctheccorrectcanswerctocthiscquestion.
100ctoc120ccompressionscpercminutecatcacdepthcofcaboutc1½cinchesc12
0ctoc140ccompressionscpercminutecatcacdepthcofcaboutc1½cinchesc100ct
oc120ccompressionscpercminutecatcacdepthcofcaboutc2cinchesc120ctoc14
0ccompressionscpercminutecatcacdepthcofcaboutc2cinchesc100ctoc120cco
mpressionscpercminutecatcacdepthcofcaboutc2cinches
Ancadvancedcairwaycwascplacedcincac5-year-
oldcchild.cWhichcaction(s)cwouldcbecmostcappropriatecforcthecteamctoctakectocconfirmccorrectcpla
cement?
Selectcallccorrectcoptionscthatcapply.
Auscultatecoverctheclungscandcepigastriumcforcaircmovement.cLo
okcforcfoggingcincthectube.
Observecforcbilateralcchestcrise.cAss
esscforcimprovedcperfusion.cEvalua
tecresultscofccapnography.
Auscultatecoverctheclungscandcepigastriumcforcaircmovement.cObserve
c forcbilateralcchestcrise.
Evaluatecresultscofccapnography.
Laboratoryctestscarecorderedcforcacchildcwhochascbeencvomitingcforc3cdayscandciscdiaphoretic,ctachypn
eic,clethargiccandcpale.cWhichctestcwouldcthecprovidercusectocdeterminecthecadequacycofcperfusioncan
dcoxygencdelivery?
Selectctheccorrectcanswerctocthiscquestion.