PALS - Red Cross Final Exam 2024 | Exams Nursing

PALS - Red Cross Final Exam 2024

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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? - ANSWER Lactate

A provider is forming an initial impression of a child using the Pediatric Assessment

Triangle (PAT). During which step of the PAT may the provider use the mnemonic

TICLS to assess the patient? - ANSWER Appearance

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? - ANSWER Supraventricular tachycardia

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? - ANSWER Estimate weight using a length-based resuscitation tape.

A 9-year-old patient is presenting with decreased breath sounds, bradycardia, slowed

respiratory rate and a low O2 saturation level. The provider interprets these findings as

indicating which condition? - ANSWER Respiratory failure

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? - ANSWER Airway clearance

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? - ANSWER Epinephrine

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? - ANSWER

Fifth intercostal space at midclavicular line, left side

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? - ANSWER At least 5 seconds, but no more than 10

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PALS - Red Cross Final Exam 2024

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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? - ANSWER Lactate A provider is forming an initial impression of a child using the Pediatric Assessment Triangle (PAT). During which step of the PAT may the provider use the mnemonic TICLS to assess the patient? - ANSWER Appearance 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? - ANSWER Supraventricular tachycardia 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? - ANSWER Estimate weight using a length-based resuscitation tape. A 9-year-old patient is presenting with decreased breath sounds, bradycardia, slowed respiratory rate and a low O2 saturation level. The provider interprets these findings as indicating which condition? - ANSWER Respiratory failure 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? - ANSWER Airway clearance 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? - ANSWER Epinephrine 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? - ANSWER Fifth intercostal space at midclavicular line, left side 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? - ANSWER At least 5 seconds, but no more than 10

A 30-month old child has been diagnosed with moderate croup. Which medication(s) would the provider administer? - ANSWER 1. Racemic epinephrine

Corticosteroids A child is experiencing shock. The emergency response team prepares for imminent cardiac arrest when assessment reveals which finding(s)? - ANSWER 1. Bradycardia
Diminished central pulses
Hypotension A PALS resuscitation team is preparing to defibrillate a child experiencing cardiac arrest. For which rhythm(s) would this action be appropriate? - ANSWER 1. Ventricular fibrillation (VF)
Pulseless ventricular tachycardia (pVT) A child is experiencing stable supraventricular tachycardia (SVT) and is to receive treatment. Which initial treatment would the provider administer? - ANSWER Vagal maneuvers A 4-year-old child is brought to the emergency department by the parents. Assessment reveals that the child is gasping and the pulse rate is 65 beats per minute. Which action would the provider initiate first? - ANSWER Deliver 1 BVM ventilation every 3 to 5 seconds. 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? - ANSWER Torsades de pointes 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? - ANSWER Transient asystole 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? - ANSWER 1. Identification of ways to improve
Discussion of the pros and cons of the interventions
Summary of the event, including what actions were taken
Evaluation of the objective data gathered during the event A 12-year-old child being evaluated in the pediatric intensive care unit displays the following ECG waveform. The team interprets this as which arrhythmia? - ANSWER Second-degree atrioventricular (AV) block, type I A provider is assessing a child with suspected shock. Which statement correctly describes hypotension and shock? - ANSWER Hypotension is not a consistent feature of shock in children.

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 assessment of the child, the provider hears audible inspiratory stridor. Which diagnosis would the provider most likely suspect? - ANSWER Croup An advanced airway was placed in a 5-year-old child. Which action(s) would be most appropriate for the team to take to confirm correct placement? - ANSWER 1. Auscultate over the lungs and epigastrium for air movement.

Observe for bilateral chest rise.
Evaluate results of capnography. 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? - ANSWER Epinephrine 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? - ANSWER Ensure adequate mean arterial pressure. 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? - ANSWER End-tidal carbon dioxide level between 15 and 20 mmHg A child requires cardiac monitoring. A three-electrode system is being used. At which location would the provider place the red electrode? - ANSWER On the lower left abdomen A 12-year-old is being treated in the urgent care clinic. The mother reports that the child came home from school yesterday with a high fever, vomiting and multiple episodes of watery diarrhea. The healthcare provider obtains a rhythm strip and notes the following waveform. The provider interprets this as which type of arrhythmia? - ANSWER Sinus tachycardia 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? - ANSWER 100 to 120 compressions per minute at a depth of about 2 inches 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? - ANSWER Restore balance between oxygen delivery and demand. 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? - ANSWER 1. 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 6-year-old patient is brought to the emergency department after a bicycle accident. Assessment reveals tracheal deviation to the left side, chest pain on inspiration and decreased breath sounds on the right side. The provider suspects obstructive shock caused by what condition? - ANSWER Tension pneumothorax 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? - ANSWER Initiate defibrillation with 2 J/kg. 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? - ANSWER 1. Prolonged prothrombin time (PT)
Elevated lactate level
Elevated creatinine level 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? - 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? - ANSWER Cold 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? - ANSWER Sudden infant death syndrome While formulating initial impressions using the Pediatric Assessment Triangle, the provider assesses the child's circulation. Which information would be important to consider? - ANSWER 1. Skin pallor (or gray/dusky color)
Evidence of bleeding
Flushing of the skin 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? - ANSWER Hypovolemic

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PALS - Red Cross Final Exam 2024

Latest Update!!