10/17/24, 10:49 AM
PALS version B 2024 with 100% correct answers
Terms in this set (25)
You are treating an 8-year-old with Consider possible metabolic and toxicologic causes
ventricular tachycardia (VT) 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
Initiate overdrive pacing transcutaneously
Consider possible metabolic and
toxicologic causes
Deliver an unsynchronized shock
You are caring for a patient who developed Over the third rib (ie, second intercostal space) at the mid-clavicular line
a tension pneumothorax after several hours
of positive-pressure ventilation. Which of
the following would be the most
appropriate site for needle
decompression?
Over the third rib (ie, second intercostal
space) at the mid-clavicular line
Under the eighth rib at the midaxillary line
Over the fifth rib at the sternal border
Under the sixth rib at the midclavicular line
1/9
, 10/17/24, 10:49 AM
You are initiating treatment for a child with Administer repeated fluid boluses of isotonic crystalloid
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 colloidge
Administer repeated fluid boluses of
isotonic crystalloid
Begin immediate dopamine infusion
Begin immediate dobutamine infusion
You are caring for a 5-year-old patient with Provide synchronized cardioversion at 0.5 to 1 J/kg
supraventricular tachycardia (SVT) (heart
rate is 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?
Provide synchronized cardioversion at 0.5
to 1 J/kg
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
You attempted synchronized cardioversion Synchronized cardioversion at a dose of 2 J/kg
for an infant with SVT and poor perfusion.
The SVT persists after the initial shock of 1
J/kg. Which of the following should you
attempt now?
Synchronized cardioversion at a dose of 4
J/kg
Synchronized cardioversion at a dose of 2
J/kg
Unsynchronized cardioversion at a dose of
2 J/kg
Unsynchronized cardioversion at a dose of
4 J/kg
2/9
PALS version B 2024 with 100% correct answers
Terms in this set (25)
You are treating an 8-year-old with Consider possible metabolic and toxicologic causes
ventricular tachycardia (VT) 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
Initiate overdrive pacing transcutaneously
Consider possible metabolic and
toxicologic causes
Deliver an unsynchronized shock
You are caring for a patient who developed Over the third rib (ie, second intercostal space) at the mid-clavicular line
a tension pneumothorax after several hours
of positive-pressure ventilation. Which of
the following would be the most
appropriate site for needle
decompression?
Over the third rib (ie, second intercostal
space) at the mid-clavicular line
Under the eighth rib at the midaxillary line
Over the fifth rib at the sternal border
Under the sixth rib at the midclavicular line
1/9
, 10/17/24, 10:49 AM
You are initiating treatment for a child with Administer repeated fluid boluses of isotonic crystalloid
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 colloidge
Administer repeated fluid boluses of
isotonic crystalloid
Begin immediate dopamine infusion
Begin immediate dobutamine infusion
You are caring for a 5-year-old patient with Provide synchronized cardioversion at 0.5 to 1 J/kg
supraventricular tachycardia (SVT) (heart
rate is 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?
Provide synchronized cardioversion at 0.5
to 1 J/kg
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
You attempted synchronized cardioversion Synchronized cardioversion at a dose of 2 J/kg
for an infant with SVT and poor perfusion.
The SVT persists after the initial shock of 1
J/kg. Which of the following should you
attempt now?
Synchronized cardioversion at a dose of 4
J/kg
Synchronized cardioversion at a dose of 2
J/kg
Unsynchronized cardioversion at a dose of
2 J/kg
Unsynchronized cardioversion at a dose of
4 J/kg
2/9
