PALS PRECOURSE SELF
ASSESSMENT TEST
QUESTIONS WITH
VERIFIED CORRECT
ANSWERS
, PALS PRECOURSE SELF ASSESSMENT TEST QUESTIONS
WITH VERIFIED CORRECT ANSWERS
A 10-month-old infant boy is brought to the emergency department. Your initial assessment
reveals a lethargic, pale infant with slow respirations and slow, weak central pulses. One team
member begins ventilation with a bag-mask device with 100% oxygen. A second team member
attaches the monitor/defibrillator and obtains vital signs while a third team member attempts to
establish IV/O access. The patient's heart rate is 38/min with the rhythm shown here. The
infant's blood pressure is 58/38 mm Hg, and capillary refill is 4 seconds. His central pulses
remain weak, and distal pulses cannot be palpated. Chest compressions are started and I0
access is obtained. Which medication do you anticipate will be given next? - -Answer--
Epinephrine 0.01 mg/kg IV/IO
A 3-year-old boy presents with multiple-system trauma. The child was an unrestrained
passenger in a high-speed motor vehicle crash. On primary assessment, he is unresponsive to
voice or painful stimulation. His respiratory rate is 5/min, heart rate and pulses are 170/min,
systolic blood pressure is 60 mm Hg, capillary refill is 5 seconds, and SpOz is 75% on room air.
Which action should you take first? - -Answer--While a colleague provides spinal motion
restriction, open the airway with a jaw thrust and provide bag-mask ventilation
A 3-year-old unresponsive, apneic child is brought to the emergency department. EMS
personnel report that the child became unresponsive as they arrived at the hospital. The child is
receiving CPR with bag-mask ventilation. The rhythm shown here is on the cardiac monitor. A
biphasic manual defibrillator is present. You quickly use the length from head to heel of the child
on a color-coded length-based resuscitation tape to estimate the approximate weight as 15 kg.
Which therapy is most appropriate for this child at this time? - -Answer--Attempt defibrillation at
30 J, and then resume CPR, and resume chest compressions
A 4-year-old boy is in pulseless arrest in the pediatric intensive care unit. High-quality CPR is in
progress. You quickly review his chart and find that his baseline-corrected OT interval on a 12-
lead ECG is prolonged. The monitor shows recurrent episodes of the rhythm shown here. The
patient has received 1 dose of epinephrine 0.01 mg/kg, but the rhythm shown here continues. If
this rhythm persists at the next rhythm check, which medication would be most appropriate to
administer at that time? - -Answer--Magnesium sulfate 25 to 50 mg/kg IV
A 7-year-old boy is found unresponsive, apneic, and pulseless. CPR is ongoing. The child is
intubated, and vascular access is established. The ECG monitor shows an organized rhythm
with a heart rate of 45/min, but a pulse check reveals no palpable pulses. High-quality CPR is
resumed, and an initial IV dose of epinephrine is administered. Which intervention should you
perform next? - -Answer--Identify and treat reversible causes
A 9-year-old boy is agitated and leaning forward on the bed in obvious respiratory distress. The
patient is speaking in short phrases and tells you that he has asthma but does not carry an
inhaler. He has nasal flaring, severe suprasternal and intercostal retractions, and decreased air
movement with prolonged expiratory time and wheezing. You administer 100% oxygen by a
nonrebreathing mask. His SpO, is 92%. Which medication do you prepare to give to this
patient? - -Answer--Albuterol
A child becomes unresponsive in the emergency department and is not breathing. You are
uncertain if a faint pulse is present. You shout for help and provide ventilation with 100%
ASSESSMENT TEST
QUESTIONS WITH
VERIFIED CORRECT
ANSWERS
, PALS PRECOURSE SELF ASSESSMENT TEST QUESTIONS
WITH VERIFIED CORRECT ANSWERS
A 10-month-old infant boy is brought to the emergency department. Your initial assessment
reveals a lethargic, pale infant with slow respirations and slow, weak central pulses. One team
member begins ventilation with a bag-mask device with 100% oxygen. A second team member
attaches the monitor/defibrillator and obtains vital signs while a third team member attempts to
establish IV/O access. The patient's heart rate is 38/min with the rhythm shown here. The
infant's blood pressure is 58/38 mm Hg, and capillary refill is 4 seconds. His central pulses
remain weak, and distal pulses cannot be palpated. Chest compressions are started and I0
access is obtained. Which medication do you anticipate will be given next? - -Answer--
Epinephrine 0.01 mg/kg IV/IO
A 3-year-old boy presents with multiple-system trauma. The child was an unrestrained
passenger in a high-speed motor vehicle crash. On primary assessment, he is unresponsive to
voice or painful stimulation. His respiratory rate is 5/min, heart rate and pulses are 170/min,
systolic blood pressure is 60 mm Hg, capillary refill is 5 seconds, and SpOz is 75% on room air.
Which action should you take first? - -Answer--While a colleague provides spinal motion
restriction, open the airway with a jaw thrust and provide bag-mask ventilation
A 3-year-old unresponsive, apneic child is brought to the emergency department. EMS
personnel report that the child became unresponsive as they arrived at the hospital. The child is
receiving CPR with bag-mask ventilation. The rhythm shown here is on the cardiac monitor. A
biphasic manual defibrillator is present. You quickly use the length from head to heel of the child
on a color-coded length-based resuscitation tape to estimate the approximate weight as 15 kg.
Which therapy is most appropriate for this child at this time? - -Answer--Attempt defibrillation at
30 J, and then resume CPR, and resume chest compressions
A 4-year-old boy is in pulseless arrest in the pediatric intensive care unit. High-quality CPR is in
progress. You quickly review his chart and find that his baseline-corrected OT interval on a 12-
lead ECG is prolonged. The monitor shows recurrent episodes of the rhythm shown here. The
patient has received 1 dose of epinephrine 0.01 mg/kg, but the rhythm shown here continues. If
this rhythm persists at the next rhythm check, which medication would be most appropriate to
administer at that time? - -Answer--Magnesium sulfate 25 to 50 mg/kg IV
A 7-year-old boy is found unresponsive, apneic, and pulseless. CPR is ongoing. The child is
intubated, and vascular access is established. The ECG monitor shows an organized rhythm
with a heart rate of 45/min, but a pulse check reveals no palpable pulses. High-quality CPR is
resumed, and an initial IV dose of epinephrine is administered. Which intervention should you
perform next? - -Answer--Identify and treat reversible causes
A 9-year-old boy is agitated and leaning forward on the bed in obvious respiratory distress. The
patient is speaking in short phrases and tells you that he has asthma but does not carry an
inhaler. He has nasal flaring, severe suprasternal and intercostal retractions, and decreased air
movement with prolonged expiratory time and wheezing. You administer 100% oxygen by a
nonrebreathing mask. His SpO, is 92%. Which medication do you prepare to give to this
patient? - -Answer--Albuterol
A child becomes unresponsive in the emergency department and is not breathing. You are
uncertain if a faint pulse is present. You shout for help and provide ventilation with 100%
