PALS Test Questions with 100% Complete Answers, A+

infant has vomiting and diarrhea, RR 40, pulses are rapid and weak, cool extremities, BP 85/65, glucose 30 you administer oxygen 100% and start an IV what treatment is most appropriate for this infant? - Administer a bolus of isotonic crystalloid 20 ml/kg over 5-20 minutes, and also give D25W 2-4 ml/kg IV 9 yo boy is agitated and leaning forward b/c of resp. distress, nasal flaring you administer 100% O2, his SPO2 is 92% which med do you prepare to give this pt? - albuterol 1 yo child has irregular breathing, bruises over abdomen, distention, cyanosis, SBP is 74, HR after 100% O2 is 150 what should you do next? - Rapid bolus of 20ml/kg of isotonic crystalloid Severe symptomatic bradycardia (HR 66) assoc. with respiratory distress what is the first drug you administer? - epi what is correct about the use of calcium chloride in PEDS pt? - Routine administration is not indicated during cardiac arrest what is correct about ET tube drug administration during resuscitative efforts for PEDS pt? - It is the least desirable route of administration 2 yo girl, mild breathing difficulty during inspiration, pale skin, high pitched inspiratory sounds (stridor), SpO2 is 92% room air, retractions which is the most appropriate initial intervention? - Humidified oxygen as tolerated child with vfib cardiac arrest, 2 shocks delivered, IO access, gave epi, 4 j/kg shock and resume CPR which drug & dose should be given next? - Amiodarone 5 mg/kg IO Which oxygen delivery system most reliably delivers a high (90% or greater) concentration of inspired oxygen to a 7yo child? - Nonrebreathing face mask Which statement is correct about the effects of epinephrine during attempted resuscitation? - Epinephrine stimulates spontaneous contractions when asystole is present 10 mo infant, lethargic, pale, slow respirations, weak pulses, HR 38, BP 58/38, compressions started what med should be given next? - Epinephrine 0.01 mg/kg IV/IO 7 yo boy unresponsive and apneic and pulseless, CPR, intubated, HR 45, initial dose of epi given which intervention should be done next? - Identify and treat reversible causes 10 yo boy unresponsive, not breathing, no pulse, begin CPR, defibrillate, 1 dose of epi given, vfib/vtach which drug should be given next? - Lidocaine 1 mg/kg IV 3 yo boy multi system trauma, MVC, unresponsive, RR 5, HR 170, SBP 60, spo2 75% on room air which action should you take first? - While a colleague provides spinal motion restriction, open the airway with a jaw thrust and provide bag-mask ventilation you are alone and witness a child collapse, 30 compressions delivered what should your next action be? - Open the airway with a head tilt-chin lift maneuver and give 2 breaths you and another rescuer begin CPR, compression rate is too slow what should you say to your colleague to offer constructive feedback? - "You need to compress at a rate of 100-120 per minute."