PALS Test Practice Questions & Answers 100% Correct

You are caring for a child who was resuscitated after a drowning event. The child is intubated & ventilated with 100% oxygen with equal breath sounds & exhaled C02 detected. The HR is slow & the monitor shows sinus bradycardia. The skin is cool, mottled, & moist; distal pulses are not palpable & the central pulses are weak. Intravenous access has been established. The core temperature is 37.3oC. Based on the PALS bradycardia algorithm, which of the following should be provided first? - ANSWER-Epinephrine IV You are caring for a 5 yo patient with SVT. The child is lethargic. The skin is pale & cool with delayed capillary refill. Distal pulses are not palpable. Which of the following would be the best treatment to provide without delay? - ANSWER-Provide synchronized cardioversion at 0.5 to 1 J/kg You are initiating treatment for a child with septic shock & hypotension. While administering high-flow oxygen you determine that the child's respirations are adequate & Sp02 is 100%. You have just established vascular access & obtained blood samples. Which of the following is the next most appropriate therapy to support systemic perfusion? - ANSWER-Administer repeated fluid boluses of isotonic crystalloid You are treating an 8 yo with ventricular tachycardia with pulses & adequate perfusion. You attempted synchronized cardioversion without success. While seeking expert consultation, it would be most appropriate to: - ANSWER-Consider possible metabolic & toxicologic causes You are caring for a 2 yo unconscious pt who is intubated & receiving mechanical ventilation. The child's HR suddenly drops to 40/min & his color becomes mottled. You should respond to these changes by: - ANSWER-Using a resuscitation bag provide manual ventilation with 100% oxygen