AND ANSWERS
A 5-year-old child with a history of a chronic neuromuscular disease is
experiencing respiratory distress. The child is breathing spontaneously and
receiving supplemental oxygen. Which additional intervention is a critical
component of airway management for this patient? Ans - Airway
clearance (e.g., suctioning)
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? Ans - Supraventricular
tachycardia
A child in cardiac arrest experiences return of spontaneous circulation but is
exhibiting signs of post-cardiac arrest syndrome (PCAS). The PALS
resuscitation team determines that the child is experiencing a systemic
response to ischemia/reperfusion. The team bases this determination on
which finding(s)? Ans - Hypotension, fever, hyperglycemia
An 11-year-old soccer player is brought to the emergency department. After
a quick assessment, the team realizes this patient is experiencing a severe
asthma exacerbation. Which medication would the team administer
immediately? Ans - Albuterol with or without ipratropium bromide
After ROSC, a child is experiencing post-cardiac arrest hypoperfusion. The
PALS resuscitation team would administer which element to restore
intravascular volume and optimize preload? Ans - Isotonic fluid boluses
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? Ans - Estimate weight using
a length-based resuscitation tape.
A 4-year-old child is brought to the emergency department by the parents.
Assessment reveals that the child has only gasping respirations and the
pulse rate is 65 beats per minute. Which action would the provider initiate
first? Ans - Deliver 1 BVM ventilation every 2 to 3 seconds.
The PALS team leader is conducting a debriefing session with the team.
Which topic(s) would the team leader most likely address during the session?
Ans - Discussion of the pros and cons of the interventions
Evaluation of the objective data gathered during the event, Summary of the
event, including what actions were taken, Identification of ways to improve