Docsity
Docsity
Prepare for your exams
Prepare for your exams

Study with the several resources on Docsity

Earn points to download
Earn points to download

Earn points by helping other students or get them with a premium plan

Guidelines and tips
Guidelines and tips
Sell on Docsity
Sell on Docsity
Docsity AI
Docsity AI
Log inSign up

Prepare for your exams

Study with the several resources on Docsity

Find documents

Prepare for your exams with the study notes shared by other students like you on Docsity

Search for your university

Find the specific documents for your university's exams

Docsity AINEW

Summarize your documents, ask them questions, convert them into quizzes and concept maps

Explore questions

Clear up your doubts by reading the answers to questions asked by your fellow students

Earn points to download

Earn points by helping other students or get them with a premium plan

Share documents
download point icon20 Points

For each uploaded document

Answer questions
download point icon5 Points

For each given answer (max 1 per day)

All the ways to get free points
Get points immediately

Choose a premium plan with all the points you need

Study Opportunities

Choose your next study program

Get in touch with the best universities in the world. Search through thousands of universities and official partners

Community

Ask the community

Ask the community for help and clear up your study doubts

Free resources

Our save-the-student-ebooks!

Download our free guides on studying techniques, anxiety management strategies, and thesis advice from Docsity tutors

PALS VERSION B UPDATED TEST 2026, Exams of Nursing

Chamberlain College of NursingNursing

PALS VERSION B UPDATED TEST 2026

Typology: Exams

2025/2026

Available from 05/17/2026

Prof.-Robert-Atkins
Prof.-Robert-Atkins 🇺🇸

5

(2)

14K documents

1 / 10

Toggle sidebar

This page cannot be seen from the preview

Don't miss anything!

bg1
PALS VERSION B UPDATED
TEST 2026
You are treating an 8-year-old with ventricular tachycardia (VT)
with pulses and adequate perfusion. You attempted
synchronized cardioversion without success. While seeking
expert consultation, it would be most appropriate to:
Administer a loading dose of milrinone
Initiate overdrive pacing transcutaneously
Consider possible metabolic and toxicologic causes
Deliver an unsynchronized shock - ANSWER-Consider possible
metabolic and toxicologic causes
You are caring for a patient who developed a tension
pneumothorax after several hours of positive-pressure
ventilation. Which of the following would be the most
appropriate site for needle decompression?
Over the third rib (ie, second intercostal space) at the mid-
clavicular line
Under the eighth rib at the midaxillary line
Over the fifth rib at the sternal border
Under the sixth rib at the midclavicular line - ANSWER-Over the
third rib (ie, second intercostal space) at the mid-clavicular line
You are initiating treatment for a child with septic shock and
hypotension. While administering high-flow oxygen, you
determine that the child's respirations are adequate and SpO2
is 100%. You have just established vascular access and obtained
pf3
pf4
pf5
pf8
pf9
pfa

Partial preview of the text

Download PALS VERSION B UPDATED TEST 2026 and more Exams Nursing in PDF only on Docsity!

PALS VERSION B UPDATED

TEST 2026

You are treating an 8-year-old with ventricular tachycardia (VT) with pulses and adequate perfusion. You attempted synchronized cardioversion without success. While seeking expert consultation, it would be most appropriate to: Administer a loading dose of milrinone Initiate overdrive pacing transcutaneously Consider possible metabolic and toxicologic causes Deliver an unsynchronized shock - ANSWER-Consider possible metabolic and toxicologic causes You are caring for a patient who developed a tension pneumothorax after several hours of positive-pressure ventilation. Which of the following would be the most appropriate site for needle decompression? Over the third rib (ie, second intercostal space) at the mid- clavicular line Under the eighth rib at the midaxillary line Over the fifth rib at the sternal border Under the sixth rib at the midclavicular line - ANSWER-Over the third rib (ie, second intercostal space) at the mid-clavicular line You are initiating treatment for a child with septic shock and hypotension. While administering high-flow oxygen, you determine that the child's respirations are adequate and SpO is 100%. You have just established vascular access and obtained

blood samples. Which of the following is the next most appropriate therapy to support systemic perfusion? Administer repeated fluid boluses of isotonic colloidge Administer repeated fluid boluses of isotonic crystalloid Begin immediate dopamine infusion Begin immediate dobutamine infusion - ANSWER-Administer repeated fluid boluses of isotonic crystalloid You are caring for a 5-year-old patient with supraventricular tachycardia (SVT) (heart rate is 220/min). The child is lethargic. The skin is pale and cool with delayed capillary refill. Distal pulses are not palpable. Which of the following would be the best treatment to provide without delay? Provide synchronized cardioversion at 0.5 to 1 J/kg Place cold packs on the distal upper and lower extremities Ask the child to blow through a small straw Exert light pressure on the eyes bilaterally - ANSWER-Provide synchronized cardioversion at 0.5 to 1 J/kg You attempted synchronized cardioversion for an infant with SVT and poor perfusion. The SVT persists after the initial shock of 1 J/kg. Which of the following should you attempt now? Synchronized cardioversion at a dose of 4 J/kg Synchronized cardioversion at a dose of 2 J/kg Unsynchronized cardioversion at a dose of 2 J/kg Unsynchronized cardioversion at a dose of 4 J/kg - ANSWER- Synchronized cardioversion at a dose of 2 J/kg You are caring for a 2-year-old unconscious patient who is intubated and receiving mechanical ventilation. The child's heart rate suddenly drops to 40/min and his color becomes mottled. You should respond to these changes by:

Tension pneumothorax Cardiac asthma - ANSWER-Tension pneumothorax Which of the following is likely to be the most helpful technique to identify potentially reversible metabolic and toxic causes during the attempted resuscitation of a young child in cardiac arrest? Soliciting a history from the caregiver or family Obtaining a urine sample for toxicology screen Obtaining chest and abdominal radiographs Obtaining a venous blood gas - ANSWER-Soliciting a history from the caregiver or family Which of the following rhythms is shown on this ECG rhythm strip? Sinus bradycardia Ventricular fibrillation (VF) Asystole Supraventricular tachycardia) - ANSWER-Ventricular fibrillation (VF) You are caring for an 8-month-old with bradycardia and very poor perfusion that has persisted despite effective ventilations with high-flow oxygen. You should begin chest compressions if the heart rate is: More than 200/min More than 150/min Less than 100/min Less than 60/min - ANSWER-Less than 60/min You are caring for a 3-year-old with myocarditis and heart failure. She has become poorly responsive to a sternal rub and

is difficult to rouse. She has a sinus rhythm with a heart rate of 175/min, and a blood pressure of 88/65 mm Hg. Her skin is cool and mottled, capillary refill time is 5 seconds and she has barely palpable distal pulses. Oxygen saturation is 90% on high-flow, high-concentration oxygen by face mask. Her respirations are labored at 50/min with moderate retractions, and crackles are heard at the bases. Which of the following would be the most appropriate therapy for this child? Obtain a STAT echocardiogram and chest x-ray Perform synchronized cardioversion at 0.5 joules/kg Provide assisted ventilations with 100% oxygen and prepare for endotracheal intubation Administer epinephrine 0.1 mL/kg of 1:10,000 solution IV - ANSWER-Provide assisted ventilations with 100% oxygen and prepare for endotracheal intubation You are treating a 5-month-old with a 2-day history of vomiting and diarrhea. The patient is listless. The respiratory rate is 52/min and unlabored. The heart rate is 170/min and pulses are present but weak. Capillary refill is delayed. You are administering high-flow oxygen and intravenous access is in place. At this point the most important therapy is to: Administer an epinephrine bolus Begin bag-mask ventilation Provide a rapid 20 mL/kg isotonic crystalloid fluid bolus Administer a bolus of 0.5 g/kg of dextrose - ANSWER-Provide a rapid 20 mL/kg isotonic crystalloid fluid bolus Which of the following groups of clinical findings would be most consistent with categorizing a patient with compensated shock?

Attempt endotracheal intubation Obtain intravenous access Attempt defibrillation Change the compression-to-ventilation ratio from 30:2 to 15:2 - ANSWER-Attempt defibrillation You are caring for a child in persistent VF. Which of the following would best describe the child's cardiac condition? The heart is not pumping blood at all The heart is beating too slowly to maintain circulation There is no electrical activity in the heart The heart is pumping so fast that it cannot fill completely between beats - ANSWER-The heart is not pumping blood at all You are called to treat a 5-year-old with a 3-day history of worsening respiratory distress. The child responds only to pain. The heart rate is initially 45/min and regular with poor capillary refill. You provide bag-mask ventilation with high-flow oxygen, which produces good chest rise with full and clear bilateral breath sounds. The heart rate rises in response to ventilation, but after you suction the posterior pharynx, bradycardia recurs (40/min). Which of the following interventions would be most appropriate for you to do first? Perform transcutaneous pacing Resume bag-mask ventilation Administer epinephrine IV Administer atropine IV - ANSWER-Resume bag-mask ventilation You are caring for a 7-year-old with respiratory distress that has worsened over the past few hours. The child is alert and in moderate respiratory distress with prolonged exhalation time. The respiratory rate is 28/min with bilateral expiratory wheezes.

The heart rate is 112/min with good capillary refill. The wheezing in this patient indicates: Disordered control of breathing Lung tissue (parenchymal) lung disease Lower airway obstruction Upper airway obstruction - ANSWER-Lower airway obstruction Which of the following assessments is most useful in evaluating the effectiveness of bagmask ventilation? Hearing an air leak around the mask when the bag is fully compressed Seeing the abdomen rise during ventilationcation Observation of visible chest rise A normal systolic, diastolic, and mean arterial pressure - ANSWER-Observation of visible chest rise You are assessing a 6-year-old child who appears to be unconscious after striking his head on a concrete step. You pinch the patient's chest and the patient grabs your hand. You would document this response as: Localization of a painful stimulus Withdrawal from a painful stimulus Decerebrate posturing Decorticate posturing - ANSWER-Localization of a painful stimulus You are treating a 10-year-old victim of multisystem trauma. The child is very anxious and confused. The respiratory rate is 44/min and unlabored. The pulse is rapid and weak. Capillary refill is delayed. High-flow oxygen and an intravenous line are in place. The most appropriate initial fluid for rapid volume expansion is:

You are caring for a 2-year-old with a 1-day history of respiratory distress and stridor. The patient is alert. The child's respiratory rate is 32/min with good chest rise. Spot is 98% in room air. The heart rate is 128/min and capillary refill is normal. Skin is warm, pink, and dry. At this point you should: Keep the patient calm and comfortable Assist ventilations with a bag-mask devicecation Give IV methylprednisolone (Solumedrol) Use a nonrebreathing mask with a tight mask seal - ANSWER- Keep the patient calm and comfortable