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2025/2026

Institution AHA PALS

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PALS PRECOURSE SELF-ASSESSMENT

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PALS PRECOURSE SELF-
ASSESSMENT

Identify57the57rhythm.57-57answer--Ventricular57Fibrillation57(VF)

Identify57the57rhythm.57-57answer--Normal57Sinus57Rhythm

Identify57the57rhythm.57-57answer--
VF57with57successful57defibrillation57and57resumption57of57organized57rhythm

Identify57the57rhythm.57-57answer--
SVT57converting57to57sinus57rhythm57after57adenosine57administration

Identify57the57rhythm.57-57answer--Torsades57de57pointes

Identify57the57rhythm.57-57answer--Supreaventricular57Tachycardia57(SVT)

Identify57the57rhythm.57-57answer--Sinus57Tachycardia

Identify57the57rhythm.57-57answer--Sinus57Bradycardis

Identify57the57rhythm.57-57answer--Asystole

Identify57the57rhythm.57-57answer--Wide-Complex57Tachycardia

Identify57the57rhythm.57-57answer--Pulseless57Electrical57Activity

Which57statement57is57correct57about57endotracheal57drug57administration57during57resu
scitative57efforts57for57pediatric
patients?57-57answer--It57is57the57least57desirable57route57of57administration

Which57oxygen57delivery57system57most57reliably57delivers57a57high57(90%57or57greater)
57concentration57of57inspired57oxygen57to57a577-year-old57child?57-57answer--
Nonrebreathing57face57mask

Paramedics57are57called57to57the57home57of57a571-year-
old57child.57Their57initial57assessment57reveals57a57child57who57responds57only57to57pain
ful57stimuli57and57has57irregular57breathing,57faint57central57pulses,57bruises57over57the57
abdomen,57abdominal57distention,57and57cyanosis.57Bag-

, mask57ventilation57with57100%57oxygen57is57initiated.57The57child's57heart57rate57is5736/
min.57Peripheral57pulses57cannot57be57palpated,57and57central57pulses57are57barely57pal
pable.57The57cardiac57monitor57shows57sinus57bradycardia.57Two-
rescuer57CPR57is57started.57Upon57arrival57to57the57emergency57department,57the57child
57is57intubated57and57ventilated57with57100%57oxygen,57and57IV57access57is57establishe
d.57The57heart57rate57is57now57150/min57with57weak57central57pulses57but57no57distal57p
ulses.57Systolic57blood57pressure57is577457mm57Hg.57Which57intervention57should57be57p
rovided57next?57-57answer--Rapid57bolus57of572057mL/kg57of57isotonic57crystalloid

A57previously57healthy57infant57with57a57history57of57vomiting57and57diarrhea57is57brough
t57to57the57emergency57department57by57her57parents.57During57your57assessment,57you
57find57that57the57infant57responds57only57to57painful57stimulation.57The57infant's57respirat
ory57rate57is574057breaths57per57minute,57and57central57pulses57are57rapid57and57weak.57
The57infant57has57good57bilateral57breath57sounds,57cool57extremities,57and57a57capillary
57refill57time57of57more57than57557seconds.57The57infant's57blood57pressure57is5785/6557m
m57Hg,57and57glucose57is573057mg/dL57(1.6557mol/L).57You57administer57100%57oxygen5
7via57face57mask57and57start57an57IV.57Which57treatment57is57the57most57appropriate57fo
r57this57infant?57-57answer--
Administer57a57bolus57of57isotonic57crystalloid572057mL/kg57over57557to572057minutes,57a
nd57also57give57D2;W 57257to57457mL/kg57IV

A579-year-
old57boy57is57agitated57and57leaning57forward57on57the57bed57in57obvious57respiratory57di
stress.57The57patient57is57speaking57in57short57phrases57and57tells57you57that57he57has57
asthma57but57does57not57carry57an57inhaler.57He57has57nasal57flaring,57severe57supraste
rnal57and57intercostal57retractions,57and57decreased57air57movement57with57prolonged57
expiratory57time57and57wheezing.57You57administer57100%57oxygen57by57a57nonrebreat
hing57mask.57His57SpO,57is5792%.57Which57medication57do57you57prepare57to57give57to57
this57patient?57-57answer--Albuterol

You57are57part57of57a57team57attempting57to57resuscitate57a57child57with57ventricular57fibr
illation57cardiac57arrest.57You57delivered57257unsynchronized57shocks.57A57team57memb
er57established57I57access,57so57you57give57a57dose57of57epinephrine,570.0157mg/kg57IO.
57At57the57next57rhythm57check,57persistent57ventricular57fibrillation57is57present.57You57a
dminister57a574-
J/kg57shock57and57resume57CPR.57Which57drug57and57dose57should57be57administered5
7next?57-57answer--Amiodarone57557mq/kg57IO

You57are57called57to57help57treat57an57infant57with57severe57symptomatic57bradycardia57(
heart57rate5766/min)57associated57with57respiratory57distress.57The57bradycardia57persist
s57despite57establishment57of57an57effective57airway,57oxygenation,57and57ventilation.57T
here57is57no57heart57block57present.57Which57is57the57first57drug57you57should57administ
er?57-57answer--Epinephrine

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