• Author / Uploaded
• Santiago Basto Cruz

Citation preview

Accreditation (https://nhcps.com/category-1-amacredits/)

logout/)

 (888) 688-3545 

Free Resources 

PALS Certi cation Exam Quiz Group Discounts (https://nhcps.com/group-rate-new-2/)

Congratulations! You have passed this quiz achieving 92%

Reset Quiz

. True or False: A respiratory rate consistently less than 10 or greater than 60 breaths per minute in a child of any age is abnormal and suggests the presence of a potentially serious problem. True False Correct . True or False: Shock may occur with a normal, increased, or decreased systemic arterial pressure. True False Correct . True or False: Medication administration via ET tube is preferred due to its consistency. True False Correct . True or False: Early signs of obstructive shock always resemble distributive shock. True False Correct . True or False: Atrial utter is a very common heart rhythm in children. True False Correct . The initial assessment consists of assessing all of the following EXCEPT: Deformity Breathing Consciousness Color /

Correct . What item is NOT a sign of increased respiratory e ort? Chest retractions Head bobbing or seesaw respirations Nasal aring Delayed capillary re ll time Correct . In assessing level of responsiveness, the AVPU scale consists of all of the following ratings EXCEPT: Airway Alert Unresponsive Voice Correct . Hypoxemia can be indicated in a child when a room air SpO2 reading is less than _____. 90% 88% 97% 94% Correct . Which of the following symptoms demonstrate increased work of breathing? Grunting Nasal aring Use of accessory thoracic muscles All of the above Correct . Abnormal breath sounds associated with upper airway obstruction include: Decreased breath sounds Stridor Absent breath sounds Crackles Correct . Croup medications used for treatment are the following: Dexamethasone /

Nebulized epinephrine Heliox (Oxygen) All of the above Correct . Common causes of lower airway obstruction include: Bronchiolitis and asthma Foreign body aspiration and croup Pleural e usion and bronchospasm Pneumonia and pulmonary edema Correct . Types of shock include all of the following EXCEPT: Hypovolemic shock Hypothermic shock Cardiogenic shock Distributive shock Correct . Which type of shock leads to uid loss due to diarrhea? Cardiogenic Distributive Obstructive Hypovolemic Correct . The most common forms of distributive shock include all of the following EXCEPT: Anaphylactic shock Cardiogenic shock Septic shock Neurogenic shock Correct . The type of shock associated with inadequate tissue perfusion resulting from myocardial dysfunction is: Obstructive shock Cardiogenic shock Hypovolemic shock /

Distributive shock Incorrect - Right Answer: Cardiogenic shock . The acute treatment of shock consists of all of the following EXCEPT: Improving volume and distribution of cardiac output Correcting metabolic imbalances Increasing O2 demand Optimizing oxygen content of the blood Correct . E ectiveness of uid resuscitation and medication therapy should be frequently monitored by which of the following? Heart rate Blood pressure Mental status All of the above Correct . For uid resuscitation in hemorrhagic shock, give about _____ of crystalloid for every _____ of blood lost. 2 mL, 3 mL 3 mL, 2 mL 3 mL, 1 mL 1 mL, 3 mL Correct . What is the primary therapy for hypovolemic shock? Vasopressors Fluid resuscitation Antibiotics Correction of metabolic derangements Correct . If bradycardia (heart rate less than 60 beats per minute) with a pulse is associated with cardiopulmonary compromise despite e ective oxygenation and ventilation, what is the next step in management? Consider cardiac pacing. Administer atropine. Perform CPR. /

Administer epinephrine. Correct . The rst energy dose recommended for synchronized cardioversion for unstable SVT or VT with a pulse that causes cardiovascular instability is: 3 to 5 Joules per kg 0.5 to 1 Joules per kg 0.1 to 0.5 Joules per kg 1 to 2 Joules per kg Incorrect - Right Answer: 0.5 to 1 Joules per kg . Any organized electrical activity observed on an ECG or cardiac monitor in a individual with no palpable pulse is referred to as: Ventricular brillation Asystole PEA (pulseless electrical activity) Ventricular tachycardia without pulses Incorrect - Right Answer: PEA (pulseless electrical activity) . In an individual with ventricular brillation (VF), what should occur immediately following a shock? Check pulse. Administer epinephrine. Resume CPR. Analyze rhythm. Correct . All of the following are signs of cardiogenic shock EXCEPT: Declined respiratory function in response to uid therapy Signs of increased respiration, often times including extended neck veins Improved tissue perfusion in response to uid therapy Signs of pulmonary or systemic venous congestion Correct . Which statement is correct concerning pharmacological support during post-resuscitation management? In infants, with signi cant circulatory instability and hypotensive shock, do not administer epinephrine. Milrinone and inamrinone always increase heart rate and myocardial demand. Treat hypotension with vasopressors if needed, titrated to BP.

/

Dobutamine generally decreases myocardial contractility. Correct . Initial management of respiratory distress or failure include: Opening and supporting the airway Assessing oxygenation with a pulse oximeter Suctioning and providing supplemental oxygen All of the above Correct . All of the following are causes of obstructive shock EXCEPT: Tension pneumothorax Acute blood loss Congenital heart malformations Cardiac tamponade Correct . Which statement regarding compensated versus hypotensive shock is correct? Individuals with compensated shock may maintain normal blood pressure. A child with shock is always hypotensive. Confusion and deteriorating mental status are indications of hypotensive shock. Normal blood pressure always implies that the child is stable. Correct . Which statement concerning cardiac arrest is NOT correct? Pediatric individuals in cardiac arrest often have poor outcomes and poor survival rates. High-quality CPR always produces good outcomes for pediatric cardiac arrest individuals. Cell death within the brain often causes irreversible neurological damage. An individual may display signs of agonal breathing in stages of cardiac arrest. Correct . A complete heart block is also known as: Mobitz type II block Mobitz type I block First degree AV block Third degree AV block Correct . Indicators of adequate tissue perfusion include: Increased lactate

/

Pulse oximetry below 90% Urine ouput above one mL/kg per hour Capillary re ll time more than four seconds Correct . Which of the following is a common sign of hypovolemic shock? Hypoglycemia High blood pressure Normal urine output Tachypnea with mildly elevated work of breathing Correct . Which statement about dexamethasone is NOT correct? Dexamethasone is a corticosteroid. Dexamethasone commonly causes hypotension. Dexamethasone is indicated for mild to severe croup. Dexamethasone reduces the number and activation of lymphocytes, eosinophils, mast cells, and macrophages. Correct . Common signs of compensated shock include: Increased heart rate Wide pulse pressure Increased urine output Hypertension Correct . Cardiac arrest in pediatrics is most commonly caused by ____________. Injury Respiratory problems Exercise Poor diet Correct . When should cardiac pacing be administered to an individual with symptomatic bradycardia with a pulse? If the individual does not respond to CPR If the individual does not respond to CPR and pharmacological support /

None of the above If the bradycardia is the result of a complete heart block or an abnormal sinus node function Incorrect - Right Answer: If the bradycardia is the result of a complete heart block or an abnormal sinus node function . Which statement is correct with concerns to PEA? An individual in PEA has no electrical activity. An individual in PEA has a detectable pulse. PEA always converts to asystole. Reversible conditions, including hypovolemia and cardiac tamponade, can cause PEA. Correct . Which statement about shock is NOT correct? Decreased urine output is not a symptom of shock. Secondary conditions such as fever, infection, respiratory distress, and pain also contribute to shock. Children in shock can progress to cardiac failure. Children in shock may become disorientated. Correct . What is the best vasoactive agent for severe warm septic shock? Phenylephrine Dobutamine Norepinephrine Milrinone Correct . Which statement about hydrocortisone is NOT correct? Hydrocortisone inhibits vascular leak due to proin ammatory mediators. A common side e ect is hyperglycemia. Hydrocortisone is classi ed as a corticosteroid. Hydrocortisone cannot be used for adrenal insu ciency associated with septic shock. Correct . Amiodarone is indicated for all of the following EXCEPT: Supraventricular tachycardia Pulseless arrest /

Ventricular brillation Sinus tachycardia Correct . All of the following are signs of upper airway obstruction EXCEPT: Wheezing Stridor Croup Grunting Correct . You should immediately begin chest compressions on a bradycardic individual if they: A. Have heart rate below 60 bpm B. Show signs of respiratory distress C. Show signs of poor perfusion D. Both A and C Correct . The purpose of post-resuscitation care of a PALS individual is to: Optimize ventilation Optimize circulation Preserve organ and tissue function All of the above Correct . Which statement is correct concerning neurological assessment during post-resuscitation management? Seizures should not be treated. Prolonged hypoventilation is suggested for imminent cerebral herniation. Hypothermia should be strictly avoided. Dilated unresponsive pupils, hypertension, bradycardia, respiratory irregularities, or apnea may indicate cerebral herniation. Correct . Which statement about albumin is NOT correct? Albumin is a plasma volume expander. Albumin should be used by mouth only. Albumin is indicated for shock, trauma, and burns. /

Albumin is used in hypovolemia. Correct . All of the following are signs of cardiorespiratory distress EXCEPT: Fatigue Jaundice Irregular heart rhythm Tachypnea Correct . When can post-resuscitation management be necessary? After cardiac arrest After severe shock After respiratory failure All of the above Correct

Reset Quiz

Back to: PALS Certi cation Exam (https://nhcps.com/lesson/pals-certi cation-exam/)

Courses and Certi cations Advanced Cardiac Life Support (https://nhcps.com/acls-online-certi cation-renewal/) Pediatric Advanced Life Support (https://nhcps.com/pals-online-certi cation-renewal/) Basic Life Support (https://nhcps.com/bls-online-certi cation-renewal/) CPR, AED & First Aid (https://nhcps.com/cpr- rst-aid-online-certi cation-renewal/) Bloodborne Pathogens (https://nhcps.com/bloodborne-pathogens-online-certi cation-renewal/) For Life Certi cations (https://nhcps.com/for-life-certi cations/) Bundle & Save (https://nhcps.com/bundles/)

Quick Links

/

Frequently Asked Questions (https://nhcps.com/faq/) Money Back Guarantee (https://nhcps.com/hassle-free-refund-policy/) A liate Program (https://nhcps.com/acls-pals-bls-cpr-bbp-a liate-program/) Journal Articles (https://nhcps.com/journal-articles/) Shopping Cart (https://nhcps.com/cart/) Testimonials (https://nhcps.com/testimonials/) Privacy (https://nhcps.com/privacy-policy/) Terms (https://nhcps.com/terms-conditions/)

Resources Study Guides ACLS Study Guide (https://nhcps.com/course/acls-advanced-cardiac-life-support-certi cation-course/) PALS Study Guide (https://nhcps.com/course/pals-pediatric-advanced-life-support-certi cationcourse/) BLS Study Guide (https://nhcps.com/course/bls-basic-life-support-certi cation-course/) CPR & First Aid Study Guide (https://nhcps.com/course/cpr-aed- rst-aid-certi cation-course/) Bloodborne Pathogens Study Guide (https://nhcps.com/course/bloodborne-pathogens-certi cationcourse/) Practice Tests ACLS Practice Test (https://nhcps.com/acls-practice-quiz/) PALS Practice Test (https://nhcps.com/pals-practice-quiz/) BLS Practice Test (https://nhcps.com/bls-practice-quiz/) CPR & First Aid Practice Test (https://nhcps.com/cpr- rst-aid-practice-quiz/) Bloodborne Pathogens Practice Test (https://nhcps.com/bloodborne-pathogens-practice-test/) Megacodes ACLS Megacodes (https://nhcps.com/acls-megacodes/) PALS Megacodes (https://nhcps.com/pals-megacodes/) Algorithms (https://nhcps.com/algorithms/) Mobile Apps (https://nhcps.com/life-saving-acls-mobile-apps/) Free Webinar Training (https://nhcps.com/free-webinar-training/) eBooks (https://nhcps.com/free-ebooks-download/)

NHCPS About Us (/about/) Contact Us (/contact-us/) Help Center (https://satorisupport.zendesk.com/hc/en-us) /

Customer Service: Mon-Fri: 24 Hrs Sat-Sun: 9AM-1AM EST (888) 688-3545 (tel:8886883545) [email protected] (mailto:[email protected]) Site Updated: 06/2020

Follow  (https://www.facebook.com/NationalHealthCareProviderSolutions)  (https://twitter.com/NHCPS)  (https://www.linkedin.com/company/national-health-care-providersolutions)  (https://instagram.com/nhcps)  (https://www.pinterest.com/nhcps/)  (https://itunes.apple.com/us/artist/national-health-careprovider/id603877028)  (https://play.google.com/store/apps/developer? id=National+Health+Care+Provider+Solutions,+LLC) (http://www.amazon.com/Dr.-KarlDisque/e/B00J0YSK5Y/ref=sr_ntt_srch_lnk_1?qid=1402431947&sr=8-1)

Accreditations (https://www.trustpilot.com/review/nhcps.com)

(https://nhcps.com/category-1-ama-credits/)

/

(https://www.guidestar.org/pro le/45-5522355)

(https://www.charitynavigator.org/index.cfm?bay=search.pro le&ein=455522355) (https://www.glassdoor.com/Overview/Working-at-National-Health-Care-Provider-SolutionsEI_IE986236.11,50.htm)

(https://www.healthonnet.org/HONcode/Conduct.html?HONConduct917458) (https://www.bbb.org/southern-nevada/business-reviews/cpr-certi cation/national-healthcare-provider-solutions-in-las-vegas-nv-90020143#bbbseal)

(https://nhcps.com/hassle-free-refund-policy/)

/