PALS Pre Assessment 1

When performing single-provider CPR on Theo, Amy was correct to use a compression-to-ventilation ratio of 30:2. True or false? True False

True

Amy recognized that Theo was in cardiac arrest and initiated CPR. If Amy had determined that Theo were in respiratory arrest with a central pulse of ≤ 60 bpm and signs of poor perfusion, which action would she take? Provide 1 ventilation every 2 to 3 seconds. Start CPR immediately.

Start CPR immediately.

After Ana-Lisa took over compressions, Joe and Amy worked together to operate the BVM. Joe maintained an open airway and sealed the mask with both hands in the E-C position, while Amy delivered ventilations. This is the recommended technique for operating the BVM when enough providers are available. True or false? True False

True

At the same time, Amy should scan the body for life-threatening bleeding. True or false? True False

True

The Pediatric In-Hospital Cardiac Chain of Survival and the Pediatric Out-of-Hospital Cardiac Chain of Survival each contain how many links? 4 5 6 8

6

The provider would use pediatric AED pads for which children? 10-year-old weighing 80 lbs (36 kg). 6-year-old weighing 55 lbs (25 kg). 2-year-old weighing 33 lbs (15 kg). 14-year-old weighing 100 lbs (45 kg). 7-year-old weighing 50 lbs (23 kg)

6-year-old weighing 55 lbs (25 kg). 2-year-old weighing 33 lbs (15 kg). 7-year-old weighing 50 lbs (23 kg)

The healthcare provider uses which acronym when completing the PALS primary assessment on a pediatric patient? AVPU ABCDE ABC SAMPLE

ABCDE

After the shock is delivered, Ana-Lisa will immediately resume chest compressions. Which compression-to-ventilation ratio should the team use? 15:2 30:2

15:2

A provider is using a BVM to administer ventilations during CPR. The provider should make sure that each ventilation has which characteristics? Lasts long enough to keep the chest at full capacity for 2 seconds Lasts about 1 second and delivers an appropriate volume to make the chest begin to rise Lasts about 3 seconds and delivers enough volume to make the chest rise about halfway Lasts about 5 seconds and delivers full volume to make the chest rise fully

Lasts about 1 second and delivers an appropriate volume to make the chest begin to rise

After determining that Theo is unresponsive, Amy must tell Joe to activate the rapid response team and get the AED and resuscitation equipment. Then, she must simultaneously check for breathing, pulse and life-threatening bleeding. To accurately assess breathing, she should open the airway to a ________ position using the head-tilt/chin-lift technique. Neutral Past-neutral Slightly past-neutral

Slightly past-neutral

If Theo had an advanced airway in place during CPR, how often should the team deliver ventilations? Every 2 to 3 seconds Every 3 to 5 seconds Every 5 to 6 seconds Every 6 to 8 seconds

Every 2 to 3 seconds

When applying the AED pads, Ana-Lisa used an anterior/posterior placement. When should providers use this placement method for a child? If the patient is 8 years old or younger or weighs less than 55 pounds, always use anterior/posterior placement. If the manufacturer recommends the use of an anterior/posterior pad placement. If the patient is older than 8 years or weighs more than 55 pounds, always use anterior/posterior placement. If the AED pads risk touching each other.

If the manufacturer recommends the use of an anterior/posterior pad placement. If the AED pads risk touching each other.

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 False

True

If Theo were a smaller child or toddler, Amy could use a one-hand technique to perform high-quality chest compressions. True or false? True False

True

TEAM RESPONSESCENARIO THEO JAMES

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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? 1 ventilation every 3 to 5 seconds 2 ventilations every 8 to 10 seconds 1 ventilation every 2 to 3 seconds 2 ventilations every 10 to 12 seconds

1 ventilation every 2 to 3 seconds

Two providers are performing CPR on a pediatric patient in cardiac arrest. Which chest compression rate is correct? 50 to 60 compressions per minute 60 to 80 compressions per minute 80 to 100 compressions per minute 100 to 120 compressions per minute

100 to 120 compressions per minute

Two healthcare providers are performing CPR on a child. The providers correctly deliver compressions and ventilations at which rate? 15:1 30:1 15:2 30:2

15:2

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? ½ inch 1 inch 1½ inches 2 inches

1½ inches

Amy performed high-quality chest compressions on Theo. What is the correct chest compression depth for a child?

2 inches

During single-provider CPR for an infant, what is the preferred hand position? Two-fingers technique Encircling thumbs technique Two hands, one on top of the other, fingers interlaced

Encircling thumbs technique

Which characteristics contribute to an effective, high-performance PALS team? The team includes at least two physicians. The team practices mock codes together regularly. The team holds debriefing sessions after each resuscitation event. Team members avoid assisting each other and only focus on their own responsibilities. Team members all work in the same department/unit.

The team practices mock codes together regularly. The team holds debriefing sessions after each resuscitation event.

The team continued to provide high-quality CPR until the rapid response team arrived and relieved them. In which situations would the team stop performing CPR? The AED prompts, "Shock delivered." Theo spontaneously moves. The AED prompts, "No shock advised." Joe detects agonal breaths (isolated, infrequent gasps).

Theo spontaneously moves. You should continue cycles of CPR/AED until: The team leader tells you to stop. You are presented with a valid DNR order. Other trained providers arrive to relieve you. You see signs of ROSC. You are too exhausted to continue. The situation becomes unsafe.

Next, Amy must simultaneously check for breathing and a pulse. Choose the recommended location to perform the pulse check.

Amy should simultaneously check for breathing and a carotid pulse for no more than 10 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? Continue to repeat the request until the medication member responds. Confirm that the medication member received the message after IV administration. Allow the medication member to administer the IV medication. Ask for feedback to ensure the medication member received the message.

Ask for feedback to ensure the medication member received the message.

While performing a rapid assessment on a child, the nurse notes skin mottling and life-threatening bleeding. Which action should the nurse take first? Collect the patient's vital signs. Attempt to stop the bleeding. Call for additional help. Administer a fluid bolus.

Attempt to stop the bleeding.

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? Upper half of the chest to the left of the sternum Center of the chest on the lower half of the sternum Center of the chest on the upper half of the sternum Upper half of the chest to the right of the sternum

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? Start CPR. Prepare to intubate the patient. Attach 12-lead electrocardiography. Check for responsiveness.

Check for responsiveness.

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? Consider a referral to a qualified mental health professional. Speak to your supervisor about your feelings. Debrief with your co-workers to identify changes that could be made to improve future outcomes. Take some time off to alleviate your stress.

Consider a referral to a qualified mental health professional.

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? Critical thinking Communication Debriefing Problem solving

Critical thinking