PALS Version A Study Exam Test.
1. You are caring for a child who was resuscitated Provide
af- ter a drowning event. The child is intubated synchronize
and ven- tilated with 100% oxygen with equal d
cardioversio
breath sounds and exhaled CO2 detected. The
n at 0.5 to 1
heart rate is slow and J/kg
the monitor shows sinus bradycardia. The skin
is cool, mottled, and moist; distal pulses are 3. You are
not palpable and the central pulses are weak. initiating
Intravenous access has been established. The treatment
for a child
core temperature is 37.3oC. Based on the PALS
with septic
bradycardia algorithm, which of the following
should be provided first?
Epinephrine IV
Transcutaneous
pacing Atropine IV
Dobutamine IV
infusion
2. You are caring for a 5-year-old patient with
supraven- tricular tachycardia (heart rate =
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?
Place cold packs on the distal upper and lower
extrem- ities
Ask the child to blow through a small
straw Exert light pressure on the
eyes bilaterally
1/
18
, PALS Version A Study Exam Test.
Epinephrine IV
Provide synchronized car-
dioversion at 0.5 to 1
J/kg
Administer repeated fluid
shock and hypotension. While administering high-flow boluses of
isotonic crystal-
oxygen you determine that the child's respirations are loid
2/
18
, PALS Version A Study Exam Test.
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
colloid Administer repeated fluid boluses of
isotonic crystal- loid
Begin immediate dopamine infusion
Begin immediate dobutamine
infusion Consider possible
meta- bolic and
4. You are treating an 8-year-old with ventricular toxicologic caus- es
tachy- cardia with pulses and adequate
perfusion. You at- tempted synchronized
cardioversion without success. While seeking
expert consultation, it would be most
appropriate to:
Administer a loading dose of milrinone
Consider possible metabolic and toxicologic
causes Initiate overdrive pacing Using a resuscitation
transcutaneously bag
Deliver an unsynchronized shock
5. You are caring for a 2-year-old unconscious
patient
who is intubated and receiving mechanical ventilation. provide
manual ventilation The child's heart rate suddenly drops to 40/min
and his with 100% oxygen color becomes mottled. You should
respond to these
changes by:
3/
18
1. You are caring for a child who was resuscitated Provide
af- ter a drowning event. The child is intubated synchronize
and ven- tilated with 100% oxygen with equal d
cardioversio
breath sounds and exhaled CO2 detected. The
n at 0.5 to 1
heart rate is slow and J/kg
the monitor shows sinus bradycardia. The skin
is cool, mottled, and moist; distal pulses are 3. You are
not palpable and the central pulses are weak. initiating
Intravenous access has been established. The treatment
for a child
core temperature is 37.3oC. Based on the PALS
with septic
bradycardia algorithm, which of the following
should be provided first?
Epinephrine IV
Transcutaneous
pacing Atropine IV
Dobutamine IV
infusion
2. You are caring for a 5-year-old patient with
supraven- tricular tachycardia (heart rate =
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?
Place cold packs on the distal upper and lower
extrem- ities
Ask the child to blow through a small
straw Exert light pressure on the
eyes bilaterally
1/
18
, PALS Version A Study Exam Test.
Epinephrine IV
Provide synchronized car-
dioversion at 0.5 to 1
J/kg
Administer repeated fluid
shock and hypotension. While administering high-flow boluses of
isotonic crystal-
oxygen you determine that the child's respirations are loid
2/
18
, PALS Version A Study Exam Test.
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
colloid Administer repeated fluid boluses of
isotonic crystal- loid
Begin immediate dopamine infusion
Begin immediate dobutamine
infusion Consider possible
meta- bolic and
4. You are treating an 8-year-old with ventricular toxicologic caus- es
tachy- cardia with pulses and adequate
perfusion. You at- tempted synchronized
cardioversion without success. While seeking
expert consultation, it would be most
appropriate to:
Administer a loading dose of milrinone
Consider possible metabolic and toxicologic
causes Initiate overdrive pacing Using a resuscitation
transcutaneously bag
Deliver an unsynchronized shock
5. You are caring for a 2-year-old unconscious
patient
who is intubated and receiving mechanical ventilation. provide
manual ventilation The child's heart rate suddenly drops to 40/min
and his with 100% oxygen color becomes mottled. You should
respond to these
changes by:
3/
18
