PALS Final Red Cross Questions with Certified and Well Defined Solutions, Exams of Health sciences

Download PALS Final Red Cross Questions with Certified and Well Defined Solutions and more Exams Health sciences in PDF only on Docsity! PALS FINAL RED CROSS QUESTIONS WITH CERTIFIED AND WELL DEFINED SOLUTIONS [100% pass ] A 4-month old infant is brought to the emergency department in cardiac arrest. Which condition would the team identify as the most common cause of cardiac arrest in an infant of this age? -Correct Answer sudden infant death syndrome is the most common cause in infants younger than 6 months of age. The PALS resuscitation team is providing care to an intubated child in cardiac arrest. Which result best determines the adequacy of the team's chest compressions? -Correct Answer End-tidal carbon dioxide level between 15 and 20 mmHg The emergency response team is providing care to a preschooler who is experiencing shock. Which therapeutic goal, common to all types of shock, does the team work to achieve? -Correct Answer The primary therapeutic goal in shock, regardless of cause, is to restore a favorable balance between oxygen delivery and oxygen demand. 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 is hemodynamically unstable. Which primary assessment findings indicate this? -Correct Answer Decreased level of consciousness, Hypotension, Difficulty breathing, Mottling PALS FINAL RED CROSS QUESTIONS WITH CERTIFIED AND WELL DEFINED SOLUTIONS [100% pass ] A child is experiencing shock. The emergency response team prepares for imminent cardiac arrest when assessment reveals which finding(s)? -Correct Answer Hypotension, Bradycardia, Diminished central pulses An 11-year-old soccer player is brought to the emergency department. After a quick assessment, the team realizes this patient is experiencing a severe asthma exacerbation. Which medication would the team administer first? -Correct Answer Albuterol plus ipratropium bromide 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? -Correct Answer Ensuring adequate mean arterial pressure child in the pediatric intensive care unit displays the following ECG waveform and does not have a palpable central pulse. The resuscitation team interprets this as which arrhythmia? -Correct Answer pulseless ventricular tachycardia (pVT) Which action would the PALS resuscitation team initiate to minimize increased intracranial pressure after cardiac arrest? -Correct Answer Maintain the head in midline position with 30-degree elevation PALS FINAL RED CROSS QUESTIONS WITH CERTIFIED AND WELL DEFINED SOLUTIONS [100% pass ] A child being cared for in the pediatric telemetry unit suddenly displays the following ECG waveform. The provider prepares to intervene because the child is demonstrating which type of arrhythmia? -Correct Answer Supraventricular tachycardia A 30-month old child has been diagnosed with moderate croup. Which medication(s) would the provider administer? -Correct Answer Corticosteroids, Racemic epinephrine A child in the pediatric step-down unit is exhibiting signs of respiratory distress. When assessing this child, which finding would be considered a late sign for this condition? -Correct Answer Cyanosis Assessment of a 7-year-old patient with septic shock reveals capillary refill of 3 seconds, diminished pulse and narrow pulse pressure. The emergency response team interprets these findings as indicating which type of septic shock? -Correct Answer hypotensive A 4-year-old patient presents with tachycardia, tachypnea, cold extremities and weak pulses. Assessment also reveals an enlarged liver and neck vein distension. The provider interprets these assessment findings as suggesting which type of shock? -Correct Answer cardiogenic shock PALS FINAL RED CROSS QUESTIONS WITH CERTIFIED AND WELL DEFINED SOLUTIONS [100% pass ] An 8-year-old child being treated in the emergency department has significant respiratory distress. The child also exhibits hives, wheezing, angioedema, tachycardia and tachypnea. 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? -Correct Answer Epinephrine 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? -Correct Answer 5 seconds, but no more than 10. A 12-lead ECG is ordered for a child complaining of a "racing heart." When placing the electrodes on the child, at which location would the lead for V4 be placed? - Correct Answer fifth intercostal space at the midclavicular line on the patient's left side. A child who is stable and exhibiting a wide-complex tachycardia is to receive adenosine. The provider would be alert for which result after administering this medication? -Correct Answer Transient asystole PALS FINAL RED CROSS QUESTIONS WITH CERTIFIED AND WELL DEFINED SOLUTIONS [100% pass ] 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 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? -Correct Answer Estimate weight using a length- based resuscitation tape. A healthcare provider is performing a primary assessment of a child in respiratory distress. The provider documents increased work of breathing when which findings are observed? -Correct Answer Sternal retractions, Nasal flaring, Accessory muscle use Primary assessment of a 10-year-old child reveals septic shock. As part of the secondary assessment, laboratory testing is completed to evaluate the child's status. Which finding(s) would support the diagnosis? -Correct Answer Elevated creatinine level, Elevated lactate level, Prolonged prothrombin time (PT) A provider is assessing a child with suspected shock. Which statement correctly describes hypotension and shock? -Correct Answer Hypotension is not a consistent feature of shock in children. PALS FINAL RED CROSS QUESTIONS WITH CERTIFIED AND WELL DEFINED SOLUTIONS [100% pass ] 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? -Correct Answer Allowing the chest to recoil fully after each compression, Giving 2 ventilations to every 15 compressions, Providing ventilations that last about 1 second each, Compressing the chest about 2 inches 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? -Correct Answer 100 to 120 compressions per minute at a depth of about 2 inches An unresponsive 7-year-old child with no pulse is brought to the pediatric urgent care center by his parents and CPR is initiated. The cardiac monitor reveals ventricular fibrillation. Which action would the PALS team take first? -Correct Answer Initiate defibrillation with 2 J/kg. Following a cardiac arrest, a child is experiencing post-cardiac arrest hemodynamic instability. The PALS resuscitation team would administer which element to restore intravascular volume and optimize preload? -Correct Answer Isotonic fluid boluses PALS FINAL RED CROSS QUESTIONS WITH CERTIFIED AND WELL DEFINED SOLUTIONS [100% pass ] A child experiencing unstable bradycardia is receiving CPR. Despite efforts with CPR, the child's status remains unchanged. Which medication would the emergency response team expect to administer next? -Correct Answer Epinephrine An 11-year-old child develops unstable wide complex tachycardia. Assessment reveals signs of significant hemodynamic compromise, but the child has a pulse. The PALS team would prepare the child for which intervention? -Correct Answer Synchronized cardioversion A provider is caring for a 4-year-old child in the urgent care clinic. Primary assessment reveals difficulty breathing and an oxygen saturation of 91%. The provider administers oxygen by nasal cannula with the goal of improving the child's oxygen saturation to at least what percentage? -Correct Answer 94% A child is experiencing stable supraventricular tachycardia (SVT) and is to receive treatment. Which initial treatment would the provider administer? -Correct Answer Vagal maneuvers A 2-year-old child is brought to the pediatric urgent care clinic by the parent who says that the child has had a barking cough for two days. During the rapid PALS FINAL RED CROSS QUESTIONS WITH CERTIFIED AND WELL DEFINED SOLUTIONS [100% pass ] assessment of the child, the provider hears audible inspiratory stridor. Which diagnosis would the provider most likely suspect? Select the correct Correct Answer to this -Correct Answer Croup 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 oxygen delivery? -Correct Answer Lactate