PALS Exam Prep: Clinical Ethics & Systemic Management

PALS Test 05: Assessment & Protocols

This exam reviews Potassium Norms, Neuro Scoring, and Emergency Foreign Body Removal.

Button Batteries: If a child swallows a button battery and it gets stuck in the food pipe, it is an emergency. It must be removed within 2 hours.
AVPU Scale: Use this for quick checks. The "P" stands for Pain, meaning the child only reacts when they feel a painful stimulus.
Potassium Levels: A normal level is 3.5 to 5.0. If it goes too high, it can cause the heart to stop beating correctly.
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Q:1A patient has a "do not resuscitate" (DNR) order. Which action is least appropriate?
Endotracheal intubation is a life-sustaining measure that is typically excluded by a DNR order. Other supportive care measures are often not limited by DNR orders.
Q:2Which of the following is the most common cause of sudden cardiac arrest in children?
Unlike adults, children most often experience cardiac arrest due to progressive respiratory failure or shock, which leads to asystole or PEA, not a primary cardiac event.
Q:3Which of the following is considered a normal serum potassium level in mEq/L?
A normal serum potassium range is typically 3.5-5.0 mEq/L. Levels above or below this range can cause dangerous cardiac arrhythmias.
Q:4You are resuscitating a child in cardiac arrest. The recommended dose of epinephrine is:
The recommended dose of epinephrine for pediatric cardiac arrest is 0.01 mg/kg. This corresponds to 0.1 mL/kg of the 1:10,000 concentration. The 1:1000 concentration is a much higher dose and is not used for cardiac arrest.
Q:5Which is a common arrhythmia that can ... [Show Full Question 5]
Q:6Which physical finding is most indicative ... [Show Full Question 6]
Q:7Which statement about the treatment ... [Show Full Question 7]
Q:8What is the best position for a child experiencing ... [Show Full Question 8]
Q:9Which of the following is required for the ... [Show Full Question 9]
Q:10What does a palpable central pulse (carotid or femoral) ... [Show Full Question 10]
Q:11A 13-year-old with a known substance abuse problem is brought in with tachycardia and ... [Show Full Question 11]
Q:12A 17-year-old with a gunshot wound to the head has a GCS of 7. ... [Show Full Question 12]
Q:13What is an additional medication, beyond epinephrine, that is effective ... [Show Full Question 13]
Q:14A child in cardiac arrest with asystole receives a dose ... [Show Full Question 14]
Q:15What is the term for a PR interval on an ECG that ... [Show Full Question 15]
Q:16A child with a button battery in the esophagus ... [Show Full Question 16]
Q:17In the AVPU mnemonic for assessing consciousness, ... [Show Full Question 17]
Q:18What is the primary goal of fluid resuscitation ... [Show Full Question 18]
Q:19What is the definitive treatment for pulseless ... [Show Full Question 19]
Q:20What is the main purpose of Magill ... [Show Full Question 20]

Test 05 Study Summary

1. Anaphylaxis Care Always give Epinephrine first for severe allergies. You can give Diphenhydramine later to help with itchy skin or rashes.
2. Respiratory Failure Medical failure is defined by a CO2 level over 50 or an Oxygen level under 60. This means the lungs can no longer work.
3. GCS and Intubation If a child has a Glasgow Coma Scale score of 8 or less, they cannot protect their own airway and must be intubated.

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