PALS Final Exam Answers Latest Version/ American Red Cross Pals Final Exam Completed 2023-2024
A 4-year-old child suddenly collapses in the playroom of the facility. A healthcare provider observes the event and hurries over to assess the child. The healthcare provider completes which assessment first? ---------- Correct Answer ----------- Rapid assessment
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
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. 1 / 2
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
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.
While formulating initial impressions using the Pediatric Assessment Triangle, the provider assesses the child's circulation. Which information would be important to consider? ---------- Correct Answer ----------- Skin pallor (or gray/dusky color), Evidence of bleeding, Flushing of the skin
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? ---------- Correct Answer ----------- Second-degree atrioventricular (AV) block, type I
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? ---------- Correct Answer ----------- Tension pneumothorax
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