Download Peds ACLS 100+ questions with verified answers graded A+ and more Exams Nursing in PDF only on Docsity! Peds ACLS A pediatric nurse is preparing to deliver chest compressions to a child in cardiac arrest. In which location should the nurse's hands be placed? - correct answer Center of the chest on the lower half of the sternum While conducting a rapid assessment, the healthcare provider notes the patient appears unresponsive. What is the provider's next initial action? - correct answer check for responsiveness The pediatric clinical team is caring for a pediatric patient in cardiac arrest. During the resuscitation, the team leader notes changes in the patient's ECG rhythm and physical appearance. After quickly evaluating these new findings, the leader determines a new course of action. Which technique is the leader demonstrating? - correct answer critical thinking A provider is using a BVM to administer ventilations during CPR. The provider should make sure that each ventilation has which characteristics? - correct answer Lasts about 1 second and delivers an appropriate volume to make the chest begin to rise After participating in a resuscitation event in which the pediatric patient did not survive, you are feeling very stressed and having difficulty with daily activities. What is the best action to help you cope with the stress? - correct answer Consider a referral to a qualified mental health professional. While performing CPR on a 7-month-old infant, the team leader reminds the compressor to maintain appropriate chest compression depth. The team member understands compressions should be delivered at about which depth? - correct answer 1.5 Two providers are performing CPR on a pediatric patient in cardiac arrest. Which chest compression rate is correct? - correct answer 100-120 Two healthcare providers are performing CPR on a child. The providers correctly deliver compressions and ventilations at which rate? - correct answer 15:2 Both the Pediatric In-Hospital Cardiac Chain of Survival and the Pediatric Out-of- Hospital Cardiac Chain of Survival include a link emphasizing the importance of continued followed-up during the recovery process. True or False? - correct answer T Peds ACLS The provider would use pediatric AED pads for which children? - correct answer 8 and under and 55lbs and under The Pediatric In-Hospital Cardiac Chain of Survival and the Pediatric Out-of- Hospital Cardiac Chain of Survival each contain how many links? - correct answer Pediatric In-Hospital Cardiac Chain of Survival - correct answer 6 links While performing a rapid assessment on a child, the nurse notes skin mottling and life-threatening bleeding. Which action should the nurse take first? - correct answer attempt to stop the bleeding During CPR in a cardiac arrest situation, the pediatric patient was successfully intubated with an endotracheal tube. At which rate should the respiratory therapist deliver ventilations? - correct answer 1 breath every 2-3 seconds During a resuscitation event, the team leader instructs the medication team member to prepare IV epinephrine. The medication member prepares medication and approaches the patient for administration. Following closed-loop communication, which is the best action by the team leader to perform prior to the administration of medication? - correct answer Ask for feedback to ensure the medication member received the message. The healthcare provider uses which acronym when completing the PALS primary assessment on a pediatric patient? - correct answer ABCDE Which characteristics contribute to an effective, high-performance PALS team? - correct answer The team practices mock codes together regularly. The team holds debriefing sessions after each resuscitation event. A 5-year-old patient is brought to the emergency department with a temperature of 102.4° F and a cough. Upon assessment, the healthcare provider observes decreased breath sounds and localized crackles and tachycardia. The provider suspects these findings most likely indicate which disorder? - correct answer PNA The healthcare provider suspects impending respiratory failure in a recently admitted school-aged child. Which new assessment finding would the healthcare Peds ACLS knee surgery. Which of the following might be an appropriate intervention? - correct answer naloxone The nurse notes a change in the patient's breath sounds and suspects impending respiratory failure. Which new finding does the nurse most likely assess? - correct answer diminished breath sounds The healthcare provider is preparing treatment for a child with a moderate asthma exacerbation. Which medication does the provider anticipate to be included in the initial care measures? - correct answer nebulized albuterol A child is being treated for mild croup in the urgent care clinic and is breathing warm, humidified air. Which additional medication does the healthcare provider consider giving? - correct answer corticosteroids Upon entering a patient room, the pediatric healthcare provider notes audible wheezing. The provider initially collects this specific finding during which assessment stage? - correct answer Based on the primary assessment, Mark suspects which of the following is the cause of Sullivan's respiratory distress? - correct answer croup Which of the following interventions should Mark include in next steps of care for Sullivan? - correct answer epi and dexamethasone Before you call the respiratory therapist, is there any other therapy that you might consider using at this point? - correct answer heliox Which types of shock are classified as distributive? - correct answer neurogenic, anaphylactic, and septic A 4-year-old patient is being treated for hypoglycemia. Assessment findings include tachycardia, pallor, irritability and refusal to eat or drink. Which intervention is most appropriate? - correct answer IV dextrose A parent presents to the emergency department and states, "My baby has had diarrhea and has been vomiting for days now." The healthcare provider understands the infant is at risk for which type of shock? - correct answer hypovolemic Peds ACLS A toddler is experiencing hemorrhagic shock and did not respond to an initial fluid bolus. What is the immediate next step of care? - correct answer PRBC or whole blood transfusion A 7-year-old patient is in obstructive shock after a bicycle accident. Assessment findings reveal hyperresonance and decreased breath sounds on the left side. These assessment findings most likely indicate which complication? - correct answer tension pneumothorax A pediatric patient is brought to the emergency department experiencing anaphylactic shock from exposure to an allergen. Which symptoms would the healthcare provider expect to assess in this patient? - correct answer tachycardia and hypotension The healthcare provider determines that a patient is experiencing septic shock. Which assessment findings can be characteristic of septic shock? - correct answer increased and decreased body temp and AMS The PALS medication team member is unsuccessful with placing an IV for a fluid bolus in a patient experiencing shock. The team member understands which statement is true regarding what step to take next? - correct answer IO access Children and infants who remain in shock despite adequate fluid resuscitation or who cannot tolerate ongoing aggressive fluid therapy are candidates for which type of supportive therapy? - correct answer vasopressors The PALS team understands that the key treatment for most types of shock, in addition to supporting oxygenation and ventilation, includes which intervention? - correct answer fluids Decreased cardiac output in cardiogenic shock is typically caused by which disorder of the heart's function? - correct answer impaired contractility of the heart The PALS team leader consults with the pediatric critical care team regarding medication therapy for fluid-refractory septic shock. Which medications would be most appropriate to initially administer? - correct answer epi or levo Cardiac tamponade is a common cause of which type of shock? - correct answer obstructive shock Peds ACLS nurse is following the Pediatric Assessment Triangle (PAT) to assess a patient. The PAT is used during which stage of patient assessment? - correct answer rapid Which assessment findings would the healthcare provider expect to note in a patient experiencing compensated shock? - correct answer Irritability, tachypnea and capillary refill of 3 seconds Hypotension is a key characteristic of which type of shock? - correct answer decompensated shock The PALS team is preparing a fluid bolus for a patient in cardiogenic shock. How many mL/kg should the team prepare to administer? - correct answer 5-10 elevated lactate - correct answer insufficient perfusion and O2 delivery A child has been experiencing vomiting and diarrhea for over 36 hours. A bedside glucose test reveals a blood glucose of 20 mg/dl. A blood glucose level of 20 mg/dl indicates that the child is which of the following? - correct answer hypoglycemic An epinephrine infusion has been administered to a patient in septic shock. Reassessment reveals that the patent has not met therapeutic endpoints and remains in septic shock. Septic shock that does not respond to an initial epinephrine infusion is called which of the following? - correct answer catecholamine resistant shock The healthcare provider identifies that a pediatric patient is experiencing tachycardia with inadequate perfusion and 12-lead ECG reveals wide QRS complex ventricular tachycardia. What is the first action the provider should implement? - correct answer synchronized cardioversion The healthcare provider is caring for a patient with bradycardia with inadequate perfusion. While providing BVM ventilations with O2, the heart rate decreases to 51 bpm. Which is the priority action the provider should implement? - correct answer initiate CPR A patient's ECG reveals the following image. Which pharmacologic treatments may be initially recommended by the cardiologist if the patient has adequate perfusion? - correct answer amio Peds ACLS Dr. Lewis arrived and received information from Ann and the team. Based on her review of the ECG findings and Noah's current condition, what will Dr. Lewis choose for first line intervention in this case? - correct answer Tell Ann to instruct Noah to perform a vagal maneuver by instructing him to "bear down" as if trying to pass a bowel movement for 20 seconds (while the team prepares for adenosine administration). How many mg of adenosine would Dr. Lewis order based on Noah's weight of 33 kilograms? - correct answer 3.3 After a brief asystole, the rhythm returned to SVT and remains SVT. Dr. Lewis orders an additional dose of adenosine, Ann confirms the order and is preparing to give an additional dose of adenosine. How many mg would Dr. Lewis order based on Noah's weight of 33 kilograms? - correct answer 6.6 After the second dose of adenosine, Noah's heart rhythm showed a brief period of AV block and then went back to SVT, but he still has adequate perfusion. Dr. Lewis consults with a pediatric cardiologist who says to proceed with pharmacologic cardioversion since Noah remains in SVT with adequate perfusion. What are medications the cardiologist may ask the team to prepare? - correct answer amio and procainamide Just before administering the pharmacological cardioversion, Ann had re-assessed Noah and verbally reports that Noah is breathing faster with a respiratory rate of 30, his blood pressure is now lower at 90/50, he looks dusky (pale) and diaphoretic and he seems sleepier. What is the correct next order for Dr. Lewis to give? - correct answer Decide to immediately initiate synchronized electrical cardioversion. Dr. Lewis administered 0.5 joule/kg for the first dose. Since Noah is still experiencing SVT with inadequate perfusion, she will administer a second dose. Which of the following doses of energy should she consider administering to Noah? - correct answer 2 Which neuroprotective measures should the provider implement after achievement of return of spontaneous circulation (ROSC)? - correct answer Initiate TTM and optimize cerebral perfusion Peds ACLS Which statement correctly describes the completion of the typical ABCDE primary assessment of a patient in cardiac arrest? - correct answer The primary assessment (typical ABCDE) should be delayed in order to provide prompt CPR and cardiac arrest care, and should be performed as soon as resources permit The PALS team is actively attempting to resuscitate a 9-kg infant in cardiac arrest. The team leader instructs the monitor team member to administer a second defibrillation. How many joules should the team member administer? - correct answer 9 x 4 = 36 Which finding indicates adequate end-organ and tissue perfusion? - correct answer Urine output normal for age (1.5-2 mL/kg/h for infants and young children and 1 mL/kg/h for adolescents) A patient in asystole is receiving high-quality CPR and vascular access has been achieved. Which action should the team leader order? - correct answer epi Which cardiac arrest rhythms does the healthcare provider correctly identify as "nonshockable" rhythms? - correct answer asystole and PEA Which of the following is used to monitor chest compression adequacy in a patient experiencing cardiac arrest? - correct answer ETCO2 Which is the primary goal and focus of post-cardiac arrest care? - correct answer preservation of neurologic function Ensuring an adequate mean arterial pressure (MAP) post-cardiac arrest is critical to optimizing which factor? - correct answer cerebral perfusion A patient admitted to the pediatric emergency department is in cardiac arrest. The rhythm on the defibrillator monitor is ventricular fibrillation (VF). Which energy dose should the team leader order to administer an initial shock? - correct answer 2j/kg Which statement correctly describes one of the uses of a length-based resuscitation tape? - correct answer dosages of meds In children and infants, cardiac arrest most often arises from which complication? - correct answer respiratory failure Peds ACLS While performing post-cardiac arrest care, the healthcare provider observes seizure activity. What should the provider do? - correct answer anti convulsant The healthcare provider notes that an infant receiving post-cardiac arrest care has an increase in temperature. The provider should do which of the following? - correct answer adminster antipyretics or implement active cooling Which statement correctly describes the goal of O2 administration after return of spontaneous circulation (ROSC)? - correct answer Administer at the lowest concentration required to maintain O2 saturation of 94% to 99%. Which medications may be used in the cardiac arrest care of a patient with a "shockable" rhythm? - correct answer epi, amio, lidocaine The PALS team leader correctly alternates the chest compressor role after which duration? - correct answer 2 The healthcare provider understands that an ischemia/reperfusion response during post-cardiac arrest syndrome (PCAS) is manifested by fever, hyperglycemia, infection, multiorgan failure and which additional key finding? - correct answer hypotension During a resuscitative event of a child in cardiac arrest, the team leader orders amiodarone to be administered. The medication team member determines which dose to be correct? - correct answer 5 After achievement of return of spontaneous circulation (ROSC), an indwelling arterial catheter is placed in the patient and connected to the cardiac monitor. Which finding should the provider report to the team leader given its association with poor outcomes after cardiac arrest? - correct answer hypotension During a resuscitative event, the PALS team notes a change in cardiac rhythm on the defibrillator monitor. The monitor team member assesses for a central pulse, but notes that no pulse is present. The PALS team correctly identifies this as which rhythm? - correct answer respiratory failure and airway obstruction After completing a focused physical examination post-return of spontaneous circulation (ROSC), the provider suspects that a seizure may have caused cardiac arrest in an assigned patient. Which diagnostic test will the provider likely order? - correct answer eeg