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ee DOWNLOAD) 1.A 12-year-old child being evaluated in the pediatric intensive care unit displays the following ECG waveform. The team interprets this as which ar- rhythmia? Answer second degree 2. 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 3. A 9-year-old patient is presenting with decreased breath sounds, brady- cardia, slowed respiratory rate and a low O2 saturation level. The provider determination on which finding(s)? Answer> Hypotension Fever Hyperglycemia 7. A 2-year-old child arrives at the emergency department withtheparents. The child is unresponsive, is not breathing and has no pulse. Two emergency de- partment providers begin high-quality CPR.Which action(s) by the providers demonstrates high-quality CPR? Answer» Allowing the chest to recoil fully after each compression Providing ventilations that last about 1 second each Compressing the chest about 2 inches Giving 2 ventilations to every 15 compressions team administer first? Unswer> Albuterol plus ipratropium bromid 12.A child in the pediatric step-down unit is exhibiting signs of respiratory distress. When assessing this child, which circulation finding might be pre- sent? Answer* Pallor is a circulation finding that may be seen in patients with respiratory distress. 13. 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? Answer> Nasal flaring, use of accessory muscles to breathe and intercostal, substernal or suprasternal retractions are all indicators of increased work or effort of breathing. Grunting and inspiratory stridor are abnormal breath sounds. 14. An 11-year-old child develops unstable wide-complex tachycardia. As- sessment reveals signs of significant hemodynamic compromise, but compromise are apparent. 15.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 16. 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 hemo- dynamically unstable.Which primary assessment findings indicate this? Answer> bif- ficulty breathing Hypotension Mottling Decreased level of consciousnes 17. 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. 10/ During the rapid assessment of the child, the provider hears audible inspiratory stridor. Which ul/ reveals fever, grunting and a wet, "junky" cough. The infant's parents said the child had a recent respiratory infection with a fever. A rapid respiratory syncytialvirus(RSV) test is positive. Which conditionwould the provider most likely suspect as the cause? Answer> bronchiolitis 21. 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 22. 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 witha focus on what? Answer> Theprimary goal inshock, regardless of cause, is to restore a favorable balance between tissue perfusion and metabolic demand with a focus on oxygen delivery and oxygen demand. 23. The PALS resuscitation team is providing care to an intubated child in 14/ compressions? Answer> End-tidal carbon dioxide level between 15 and 20 mmHg 24. The PALS team leader is conducting a debriefing session with the team. Which topic(s) would the team leadermostlikely addressduring the session? - Answer> Summary of the event, including what actions were taken, Discussion of the pros and cons of the interventions, Identification of ways to improve, Evaluation of the objective data gathered during the event 25. Assessment of a 7-year-old patientwithseptic shock revealscapillaryrefill of 3 seconds, diminished pulses, narrow pulsepressure and cool, mottled ex- tremities. The emergency response team interprets these findings as indicat- ing which type of septic shock? Answer>) Most children in septic shock present with cold shock (i.e., delayed capillary refill, diminished pulses, peripheral vasoconstriction, narrow pulse pressure, and cool, mottled extremities) instead of warm shock. 26. 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 laboratory tests would be ordered for this child? Answer>)Labo- ratory testing for the child in septic shock may include CBC, blood cultures, blood gasses, coagulation panel, renal function tests, liver function panel 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? Answer> cardio 28. 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> 5 seconds, but no more than 10. 29. 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 30.A 6-year-old patient is brought totheemergency department afterabicycle accident. Assessment reveals tracheal deviation to the left side, chest pain on inspiration and decreased breath sounds on the right 19/ side. The provider suspects obstructive shock caused by what condition? 
