AHA PALS FINAL EXAM 4 PAPER UPDATED
ACTUAL QUESTIONS AND CORRECT ANSWERS
◉ You are caring for a 5-year-old patient with supraventricular
tachycardia (heart rate = 220/min). The child is lethargic. The skin is
pale and cool with delayed capillary refill. Distal pulses are not
palpable. Which of the following would be the best treatment to
provide without delay?
- Place cold packs on the distal upper and lower extremities
- Ask the child to blow through a small straw
- Exert light pressure on the eyes bilaterally
- Provide synchronized cardioversion at 0.5 to 1 J/kg. Answer:
Provide synchronized cardioversion at 0.5 to 1 J/kg
◉ You are initiating treatment for a child with septic shock and
hypotension. While administering high-flow oxygen you determine
that the child's respirations are adequate and SpO2 is 100%. You
have just established vascular access and obtained blood samples.
Which of the following is the next most appropriate therapy to
support systemic perfusion?
- Administer repeated fluid boluses of isotonic colloid
- Administer repeated fluid boluses of isotonic crystalloid
, - Begin immediate dopamine infusion
- Begin immediate dobutamine infusion. Answer: Administer
repeated fluid boluses of isotonic crystalloid
◉ You are treating an 8-year-old with ventricular tachycardia with
pulses and adequate perfusion. You attempted synchronized
cardioversion without success. While seeking expert consultation, it
would be most appropriate to:
- Administer a loading dose of milrinone
- Consider possible metabolic and toxicologic causes
- Initiate overdrive pacing transcutaneously
- Deliver an unsynchronized shock. Answer: Consider possible
metabolic and toxicologic causes
◉ You are caring for a 2-year-old unconscious patient who is
intubated and receiving mechanical ventilation. The child's heart
rate suddenly drops to 40/min and his color becomes mottled. You
should respond to these changes by:
- Increasing the ventilator rate
- Increasing tidal volume
- Increasing positive end-expiratory pressure (PEEP)
ACTUAL QUESTIONS AND CORRECT ANSWERS
◉ You are caring for a 5-year-old patient with supraventricular
tachycardia (heart rate = 220/min). The child is lethargic. The skin is
pale and cool with delayed capillary refill. Distal pulses are not
palpable. Which of the following would be the best treatment to
provide without delay?
- Place cold packs on the distal upper and lower extremities
- Ask the child to blow through a small straw
- Exert light pressure on the eyes bilaterally
- Provide synchronized cardioversion at 0.5 to 1 J/kg. Answer:
Provide synchronized cardioversion at 0.5 to 1 J/kg
◉ You are initiating treatment for a child with septic shock and
hypotension. While administering high-flow oxygen you determine
that the child's respirations are adequate and SpO2 is 100%. You
have just established vascular access and obtained blood samples.
Which of the following is the next most appropriate therapy to
support systemic perfusion?
- Administer repeated fluid boluses of isotonic colloid
- Administer repeated fluid boluses of isotonic crystalloid
, - Begin immediate dopamine infusion
- Begin immediate dobutamine infusion. Answer: Administer
repeated fluid boluses of isotonic crystalloid
◉ You are treating an 8-year-old with ventricular tachycardia with
pulses and adequate perfusion. You attempted synchronized
cardioversion without success. While seeking expert consultation, it
would be most appropriate to:
- Administer a loading dose of milrinone
- Consider possible metabolic and toxicologic causes
- Initiate overdrive pacing transcutaneously
- Deliver an unsynchronized shock. Answer: Consider possible
metabolic and toxicologic causes
◉ You are caring for a 2-year-old unconscious patient who is
intubated and receiving mechanical ventilation. The child's heart
rate suddenly drops to 40/min and his color becomes mottled. You
should respond to these changes by:
- Increasing the ventilator rate
- Increasing tidal volume
- Increasing positive end-expiratory pressure (PEEP)
