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AHA PEDIATRIC ADVANCED LIFE SUPPORT EXAM 2024 ACTUAL EXAM TEST BANK 60 QUESTIONS AND ANSWE, Exams of Medicine

Wilkes Community CollegeMedicine

AHA PEDIATRIC ADVANCED LIFE SUPPORT EXAM 2024 ACTUAL EXAM TEST BANK 60 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED A+||NEWEST VERSION

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2024/2025

Available from 12/01/2024

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AHA PEDIATRIC ADVANCED LIFE SUPPORT EXAM
2024 ACTUAL EXAM TEST BANK 60 QUESTIONS AND
CORRECT DETAILED ANSWERS WITH RATIONALES
(VERIFIED ANSWERS) |ALREADY GRADED
A+||NEWEST VERSION
The PALS systemic approach algorithm begins with the initial impression. This is an assessment of which
3 characteristics? - answer-1. Consciousness
2. Breathing
3. Color
The right branch of the systemic approach algorithm focuses on what sequence to prevent
cardiopulmonary arrest? - answer-Evaluate, Identify, Intervene
The evaluate portion of the sequence consists of three assessment tools: - answer-1. Primary
2. Secondary
3. Diagnostic
What is included in the secondary assessment of a patient? - answer-Focused history and a focused
physical exam
The initial impression of the PALS systematic approach algorithm includes which of the following
characteristics? (Choose all correct answers.)
1. Appearance
2. Breathing
3. Restlessness
4. Color
5. Pain - answer-1, 2, 4
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pf4
pf5
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pf9
pfa
pfd

Partial preview of the text

Download AHA PEDIATRIC ADVANCED LIFE SUPPORT EXAM 2024 ACTUAL EXAM TEST BANK 60 QUESTIONS AND ANSWE and more Exams Medicine in PDF only on Docsity!

AHA PEDIATRIC ADVANCED LIFE SUPPORT EXAM

2024 ACTUAL EXAM TEST BANK 6 0 QUESTIONS AND

CORRECT DETAILED ANSWERS WITH RATIONALES

(VERIFIED ANSWERS) |ALREADY GRADED

A+||NEWEST VERSION

The PALS systemic approach algorithm begins with the initial impression. This is an assessment of which 3 characteristics? - answer-1. Consciousness

  1. Breathing
  2. Color The right branch of the systemic approach algorithm focuses on what sequence to prevent cardiopulmonary arrest? - answer-Evaluate, Identify, Intervene The evaluate portion of the sequence consists of three assessment tools: - answer-1. Primary
  3. Secondary
  4. Diagnostic What is included in the secondary assessment of a patient? - answer-Focused history and a focused physical exam The initial impression of the PALS systematic approach algorithm includes which of the following characteristics? (Choose all correct answers.)
  5. Appearance
  6. Breathing
  7. Restlessness
  8. Color
  9. Pain - answer-1, 2, 4

The second box of the PALS systematic approach algorithm contains a question. (Fill in the blank to complete the question.) Is the child ____________ or is immediate intervention needed? - answer-unresponsive In the PALS systematic approach algorithm, if the child is determined to be unresponsive or immediate intervention is needed what will be your next step?

  1. Start CPR
  2. Apply breathing with a bag valve mask
  3. Activate emergency response
  4. Check for a pulse - answer-3. After the emergency response is activated, the next intervention is to ____________.
  5. Lightly shake the child's shoulders.
  6. Look, listen, and feel.
  7. Open the airway.
  8. Check for breathing and a pulse - answer-4. After it is determined that the child has no pulse, what should be done?
  9. Call for help
  10. Begin CPR
  11. Provide 2 rescue breaths
  12. Start an IV - answer-2. A child is unresponsive and is not breathing. You have activated the emergency response system and your pulse check reveals that the child has a pulse. What should you do now?
  13. Perform a brief head to toe assessment.
  14. Place the child in the recovery position.
  15. Give epinephrine 1mg IV push
  16. Open the airway and provide ventilations and oxygen. - answer-4.

The primary objective of the Airway assessment in the ABCDE model is to assess airway _________.

  1. effort of breathing
  2. rate of breathing
  3. disease
  4. patency - answer-4. Within the EVALUATE portion of the evaluate-identify-intervene sequence, The primary assessment uses the ABCDE model for a hands-on evaluation of the critically ill child. What does ABCDE stand for? (Fill in the blanks) A B C D E - answer-Airway Breathing Circulation Disability Exposure Simple measures for maintaining airway patency include all of the following EXCEPT which intervention?
  5. Continuous positive airway pressure
  6. Head tilt chin lift
  7. Jaw thrust
  8. Nasopharyngeal airway - answer-1.

Assessment of Breathing includes evaluation of:

  1. Respiratory rate and effort
  2. Chest expansion in air movement
  3. Lung and airway sounds
  4. O2 saturation
  5. All of the above - answer-5. Tachypnea can have both respiratory and non-respiratory causes. Select all of the non-respiratory cause of tachypnea.
  6. Croup
  7. Pneumonia
  8. Bronchiolitis
  9. High Fever
  10. Asthma
  11. Severe pain
  12. Anemia - answer-4, 6, 7 (True or False) Stridor is a sign of lower airway problem.
  13. True
  14. False - answer-2. (True or False) Grunting is often a sign of lung tissue disease resulting from small airway collapse, alveolar collapse or both.
  15. True
  16. False - answer-1. Match each lung and airway sound with the appropriate definition. (drag and drop) A. Coarse, usually higher pitched breathing sound typically heard on inspiration

(True or False) Tachycardia is a normal physiologic response in the critically ill child?

  1. True
  2. False - answer-1. An observed decrease in systolic blood pressure of ________ mm Hg from baseline should prompt serial evaluations for additional signs of shock.
  3. 5 mm Hg
  4. 10 mm Hg
  5. 15 mm Hg
  6. 20 mm Hg - answer-2. In healthy children, the heart rate may fluctuate with the respiratory cycle. The heart rate __________ with inspiration and __________ with expiration. (fill in each blank with a single word) - answer-increases, decreases (True or False) When assessing circulation, it is only necessary to assess the central pulses.
  7. True
  8. False - answer-2. What is a common cause of vasoconstriction and can result in a discrepancy between the peripheral and central pulses in children? (Choose all correct answers)
  9. hot environment
  10. cold environment
  11. environmental stress
  12. tachyarrhythmias - answer-2. Normal capillary refill time in children is ___________.
  13. ≤ 5 seconds
  14. ≤ 3 seconds
  15. < 2 seconds
  1. ≤ 2 seconds - answer-4. Skin color can be an indication of tissue perfusion. Match the skin characteristics with the correct definitions. A. Irregular or patchy discoloration of the skin which may be caused hypoxemia, hypovolemia, or shock. B. Paleness, lack of normal color in the skin or mucous membrane. C. Blue discoloration of the skin and mucous membranes D. Bluish discoloration of the hands and feet commonly seen during the newborn period. E. Bluish discoloration of the hands and feet seen beyond the newborn period. - answer-A. Pallor B. Mottling C. Cyanosis D. Acrocyanosis E. Peripheral Cyanosis (True or False) A low hemoglobin (anemia) may make it harder to detect in cyanosis in a critically ill child.
  2. True
  3. False - answer-1. The D(disability) of the primary assessment is a quick evaluation of ________________.
  4. ability to ambulate
  5. the need for defibrillation
  6. neurologic function
  7. handicap status of the patient - answer-3. Which of the following signs may be present with sudden and severe cerebral hypoxia? (Choose all correct answers)
  8. Decreased level of consciousness
  9. Loss of muscular tone
  10. Generalized seizures
  1. Glasgow coma scale
  2. Pupil response to light
  3. NIH stroke scale
  4. Blood glucose test - answer-1, 2, 3, 5 The E of the ABCDE primary assessment acronym stands for ________________.
  5. Evidence
  6. Emergency
  7. Evaluate
  8. Exposure - answer-4. After completion of the primary assessment, if the child does not have a life-threatening condition, the secondary assessment should be completed. The secondary assessment consists of which of the following components? (Choose all correct answers)
  9. General physical exam
  10. Family medical history
  11. Focused history
  12. Focused physical exam - answer-3, 4 The final aspect of the evaluate component for the evaluate - identify - intervene sequence is diagnostic tests. What is the primary diagnostic test for assessing the severity of respiratory problems?
  13. Central venous oxygen saturation
  14. Hemoglobin concentration
  15. Arterial blood gas
  16. Arterial lactate - answer-3. Within the evaluate-identify-intervene sequence, there are 3 clinical assessments that occur. The 3 clinical assessments are primary assessment, secondary assessment, and _________ tests. (fill in the blank with the correct answer) - answer-Diagnostic

An arterial blood gas is a diagnostic test that measures amounts of certain gasses and other constituents in the arterial blood. Match each result with the proper definition. A. This value tells us about the acid-base balance. B. This value tells us whether oxygenation is adequate. C. This value tells us whether ventilation is adequate. D. This value is used to determine if the source of an acid-base disturbance is respiratory or metabolic. E. This value tells us the percentage of hemoglobin saturated with oxygen. - answer-A. pH (7.35-7.45) B. PaO2 (80-100) C. PaCO2 (35-45) D. HCO3 (22-26) E. SaO2 (80-100) (True or False) Hemoglobin concentration determines the oxygen-carrying capacity of the blood.

  1. True
  2. False - answer-1. In the seriously ill or injured child, the arterial lactate level can __________ as a result of tissue hypoxia and anaerobic metabolism.
  3. Fall
  4. Rise - answer-2. (True or False) Pediatric cardiac arrest typically has a primary cause that is related to respiratory failure or shock.
  5. True
  6. False - answer-1. Pediatric cardiac arrest is typically the result of _________ resulting from respiratory failure and/or shock.
  7. coronary occlusion
  8. tissue hypoxia
  1. brachial - answer-1, 3 (True or False) To ensure proper treatment of cardiac arrest, the rhythm must be identified before initiating CPR.
  2. True
  3. False - answer-2. In children, a pulse check should be limited to _____________.
  4. no more than 5 seconds
  5. no more than 10 seconds
  6. no more than 15 seconds
  7. no more than 20 seconds - answer-2. Choose the scenarios that would require immediate CPR.
  8. 3-year-old. not responsive, shallow breathing, weak pulse, HR 70
  9. 7-year-old, not responsive, not breathing, weak pulse, poor perfusion, HR 55
  10. 1-year-old, opens eyes, lethargic, rapid breathing, HR 55
  11. 4-year-old, not responsive, agonal breathing, no pulse - answer-2, 4