PALS PreAssessment 5
A child in cardiac arrest presents with the ECG rhythm seen in the following
image, but a central pulse cannot be palpated. The provider correctly identifies
this as which rhythm?
Torsades de pointes
Pulseless electrical activity (PEA)
Pulseless ventricular tachycardia (pVT)
Sinus bradycardia - ANS - Pulseless ventricular tachycardia (pVT)
\A healthcare provider suspects that hyperkalemia may be the cause of the
patient's cardiac arrest. Which should the provider order to confirm
hyperkalemia?
Select the correct answer to this question.
Complete blood count
Serum electrolyte panel
Cardiac enzymes
Chest radiograph - ANS - Serum electrolyte panel
\A patient admitted to the pediatric emergency department is in cardiac arrest.
The rhythm on the defibrillator monitor is ventricular fibrillation (VF). Which
energy dose should the team leader order to administer an initial shock?
Select the correct answer to this question.
1 J/kg
2 J/kg
5 J/kg
10 J/kg - ANS - 2 J/kg
\A patient in asystole is receiving high-quality CPR and vascular access has been
achieved. Which action should the team leader order?
Select the correct answer to this question.
Administer epinephrine 0.01 mg/kg
Administer lidocaine 1 mg/kg
Administer a shock with 10 J/kg
Administer amiodarone 5 mg/kg - ANS - Administer epinephrine 0.01 mg/kg
\After achievement of return of spontaneous circulation (ROSC), an indwelling
arterial catheter is placed in the patient and connected to the cardiac monitor.
, Which finding should the provider report to the team leader given its association
with poor outcomes after cardiac arrest?
Select the correct answer to this question.
Hypotension
Tachycardia
Polyuria
Hypertension - ANS - Hypotension
\After completing a focused physical examination post-return of spontaneous
circulation (ROSC), the provider suspects that a seizure may have caused cardiac
arrest in an assigned patient. Which diagnostic test will the provider likely order?
Select the correct answer to this question.
Echocardiogram
Computed tomography
Electroencephalogram
Chest radiography - ANS - Electroencephalogram
\After determining that the infant is not breathing and does not have a central
pulse, which of the following should the nurses start immediately?
Perform defibrillation.
Achieve IO access.
Administer epinephrine.
Perform high-quality CPR.
Provide ventilations with high flow 100% O2 via BVM. - ANS - Perform
high-quality CPR.
Provide ventilations with high flow 100% O2 via BVM.
\After reconnecting Sophia to the mechanical ventilator, Jenny adjusts the
settings for the ventilator knowing which of the following are appropriate
interventions to optimize oxygenation and ventilation after cardiac arrest?
Select all correct options that apply.
Minimize tidal volume to the minimal needed to provide adequate ventilation.
Maximize tidal volume.
Maintain normocapnia (PaCO2 of 35 to 45 mmHg).
Avoid hyperventilation.
Maintain O2 saturation of 94% to 99%. - ANS - Minimize tidal volume to the
minimal needed to provide adequate ventilation.
Maintain normocapnia (PaCO2 of 35 to 45 mmHg).
Avoid hyperventilation.
A child in cardiac arrest presents with the ECG rhythm seen in the following
image, but a central pulse cannot be palpated. The provider correctly identifies
this as which rhythm?
Torsades de pointes
Pulseless electrical activity (PEA)
Pulseless ventricular tachycardia (pVT)
Sinus bradycardia - ANS - Pulseless ventricular tachycardia (pVT)
\A healthcare provider suspects that hyperkalemia may be the cause of the
patient's cardiac arrest. Which should the provider order to confirm
hyperkalemia?
Select the correct answer to this question.
Complete blood count
Serum electrolyte panel
Cardiac enzymes
Chest radiograph - ANS - Serum electrolyte panel
\A patient admitted to the pediatric emergency department is in cardiac arrest.
The rhythm on the defibrillator monitor is ventricular fibrillation (VF). Which
energy dose should the team leader order to administer an initial shock?
Select the correct answer to this question.
1 J/kg
2 J/kg
5 J/kg
10 J/kg - ANS - 2 J/kg
\A patient in asystole is receiving high-quality CPR and vascular access has been
achieved. Which action should the team leader order?
Select the correct answer to this question.
Administer epinephrine 0.01 mg/kg
Administer lidocaine 1 mg/kg
Administer a shock with 10 J/kg
Administer amiodarone 5 mg/kg - ANS - Administer epinephrine 0.01 mg/kg
\After achievement of return of spontaneous circulation (ROSC), an indwelling
arterial catheter is placed in the patient and connected to the cardiac monitor.
, Which finding should the provider report to the team leader given its association
with poor outcomes after cardiac arrest?
Select the correct answer to this question.
Hypotension
Tachycardia
Polyuria
Hypertension - ANS - Hypotension
\After completing a focused physical examination post-return of spontaneous
circulation (ROSC), the provider suspects that a seizure may have caused cardiac
arrest in an assigned patient. Which diagnostic test will the provider likely order?
Select the correct answer to this question.
Echocardiogram
Computed tomography
Electroencephalogram
Chest radiography - ANS - Electroencephalogram
\After determining that the infant is not breathing and does not have a central
pulse, which of the following should the nurses start immediately?
Perform defibrillation.
Achieve IO access.
Administer epinephrine.
Perform high-quality CPR.
Provide ventilations with high flow 100% O2 via BVM. - ANS - Perform
high-quality CPR.
Provide ventilations with high flow 100% O2 via BVM.
\After reconnecting Sophia to the mechanical ventilator, Jenny adjusts the
settings for the ventilator knowing which of the following are appropriate
interventions to optimize oxygenation and ventilation after cardiac arrest?
Select all correct options that apply.
Minimize tidal volume to the minimal needed to provide adequate ventilation.
Maximize tidal volume.
Maintain normocapnia (PaCO2 of 35 to 45 mmHg).
Avoid hyperventilation.
Maintain O2 saturation of 94% to 99%. - ANS - Minimize tidal volume to the
minimal needed to provide adequate ventilation.
Maintain normocapnia (PaCO2 of 35 to 45 mmHg).
Avoid hyperventilation.
