PALS PRETEST PEDIATRIC ADVANCED
LIFE SUPPORT EXAMINATION TEST
QUESTIONS AND SOLUTIONS GRADED A+
●● Initial impression of a 2yo girl shows her to be alert with mild
breathing difficulty during inspiration and pale skin color. On primary
assessment, she makes high-pitched inspiratory sounds (mild stridor)
when agitated; otherwise, her breathing is quiet. Her spO2 is 92% on
room air, and she has mild inspiratory intercostal retractions. Lung
auscultation reveals transmitted upper airway sounds with adequate
distal breath sounds bilaterally. Which is the most appropriate initial
intervention for this child?.
Answer: Humidified oxygen as tolerated
●● You are part of a team attempting to resuscitate a child with
ventricular fibrillation cardiac arrest. You delivered 2 unsynchronized
shocks. A team member established IO access, so you give a dose of
epinephrine, 0.01 mg/kg IO. At the next rhythm check, persistent
ventricular fibrillation is present. You administer a 4 J/kg shock and
resume CPR. Which drug and dose should be administered next?.
Answer: Amiodarone 5 mg/kg IO
●● Which statement is correct about the effects of epinephrine during
attempted resuscitation?.
, Answer: Epinephrine stimulates spontaneous contractions when asystole
is present
●● A previously healthy infant with a history of vomiting and diarrhea is
brought to the emergency department by her parents. During your
assessment, you find that the infant responds only to painful
stimulation..
Answer: Administer a bolus of isotonic crystalloid 20 ml/kg over 5-20
minutes, and also give D25W 2-4 ml/kg IV
●● Which statement is correct about endotracheal drug administration
during resuscitative efforts for pediatric patients?.
Answer: It is the least desirable route of administration
●● Which statement is correct about the use of calcium chloride in
pediatric patients?.
Answer: Routine administration is not indicated during cardiac arrest
●● A 9yo boy is agitated and leaning forward on the bed in obvious
respiratory distress..
Answer: Albuterol
●● Which oxygen delivery system most reliably delivers a high (90% or
greater) concentration of inspired oxygen to a 7yo child?.
LIFE SUPPORT EXAMINATION TEST
QUESTIONS AND SOLUTIONS GRADED A+
●● Initial impression of a 2yo girl shows her to be alert with mild
breathing difficulty during inspiration and pale skin color. On primary
assessment, she makes high-pitched inspiratory sounds (mild stridor)
when agitated; otherwise, her breathing is quiet. Her spO2 is 92% on
room air, and she has mild inspiratory intercostal retractions. Lung
auscultation reveals transmitted upper airway sounds with adequate
distal breath sounds bilaterally. Which is the most appropriate initial
intervention for this child?.
Answer: Humidified oxygen as tolerated
●● You are part of a team attempting to resuscitate a child with
ventricular fibrillation cardiac arrest. You delivered 2 unsynchronized
shocks. A team member established IO access, so you give a dose of
epinephrine, 0.01 mg/kg IO. At the next rhythm check, persistent
ventricular fibrillation is present. You administer a 4 J/kg shock and
resume CPR. Which drug and dose should be administered next?.
Answer: Amiodarone 5 mg/kg IO
●● Which statement is correct about the effects of epinephrine during
attempted resuscitation?.
, Answer: Epinephrine stimulates spontaneous contractions when asystole
is present
●● A previously healthy infant with a history of vomiting and diarrhea is
brought to the emergency department by her parents. During your
assessment, you find that the infant responds only to painful
stimulation..
Answer: Administer a bolus of isotonic crystalloid 20 ml/kg over 5-20
minutes, and also give D25W 2-4 ml/kg IV
●● Which statement is correct about endotracheal drug administration
during resuscitative efforts for pediatric patients?.
Answer: It is the least desirable route of administration
●● Which statement is correct about the use of calcium chloride in
pediatric patients?.
Answer: Routine administration is not indicated during cardiac arrest
●● A 9yo boy is agitated and leaning forward on the bed in obvious
respiratory distress..
Answer: Albuterol
●● Which oxygen delivery system most reliably delivers a high (90% or
greater) concentration of inspired oxygen to a 7yo child?.
