PALS Pre-course Self-Assessment
1. Identify the rhythm by selecting the single best an- Torsades de Pointe
swer:
Clinical clues: heart rate 200/min; no detectable pulse.
2. Identify the rhythm by selecting the single best an- Normal Sinus Rhythm
swer:
Clinical clues: age 8 years; hear rate 78/min.
3. Identify the rhythm by selecting the single best an- Sinus bradycardia
swer:
Clinical clues: age 3 months; heart rate 65/min
4. Identify the rhythm by selecting the single best an- SVT converting to sinus
swer: rhythm after adenosine
administration.
Clinical clues: initial rhythm associated with heart rate
300/min
, PALS Pre-course Self-Assessment
5. Identify the rhythm by selecting the single best an- V-Fib with successful de-
swer: fibrillation and resumption
of organized rhythm.
Clinical clues: initial rhythm associated with no de-
tectable pulse.
6. Identify the rhythm by selecting the single best an- Supraventricular tachycar-
swer: dia (SVT)
Clinical clue: heart rate 300/min
7. Identify the rhythm by selecting the single best an- Sinus Tachycardia
swer:
Clinical clues: Febrile infant; heart rate 188/min
8. Identify the rhythm by selecting the single best an- Asystole
swer:
Clinical clues: no detectable pulse.
9. Identify the rhythm by selecting the single best an- Ventricular Fibrillation (VF)
swer:
Clinical clues: No consistent heart rate detected; no
detectable pulses.
10. Identify the rhythm by selecting the single best an- Wide-Complex Tachycar-
swer: dia
, PALS Pre-course Self-Assessment
Clinical clue: Heart rate 214/min
11. Identify the rhythm by selecting the single best an- Pulseless Electrical Activity
swer:
Clinical clue: Heart rate 44/min; no detectable pulses
12. Identify the rhythm by selecting the single best an- Sinus Bradycardia
swer:
Clinical clues: Age 7 years; heart rate 38/min.
13. Identify the rhythm by selecting the single best an- Wide-Complex Tachycar-
swer: dia
Clinical clues: heart rate 150/min.
14. Initial impression of a 2-year-old girl shows her to be Humidified oxygen as tol-
alert with mild breathing difficulty during inspiration erated.
and pale skin color. On primary assessment, she makes
high-pitched inspiratory sounds (mild stridor) when
agitated; otherwise, her breathing is quiet. Her SP02
is 92% on room air, and she has mild inspiratory inter-
costal retractions. Lung auscultation reveals transmit-
ted upper airway sounds with adequate distal breath
sounds bilaterally Which is the most appropriate initial
intervention for this child?
15. A previously healthy infant with a history of vomiting Administer a bolus of iso-
and diarrhea is brought to the emergency department tonic crystalloid 20mL/kg
by her parents. During your assessment, you find that over 5 to 20 minutes, and
the infant responds only too painful stimulation. The also give D25W 2 to 4
infant's respiratory rate is 40 breaths per minute, and mL/kg IV.
1. Identify the rhythm by selecting the single best an- Torsades de Pointe
swer:
Clinical clues: heart rate 200/min; no detectable pulse.
2. Identify the rhythm by selecting the single best an- Normal Sinus Rhythm
swer:
Clinical clues: age 8 years; hear rate 78/min.
3. Identify the rhythm by selecting the single best an- Sinus bradycardia
swer:
Clinical clues: age 3 months; heart rate 65/min
4. Identify the rhythm by selecting the single best an- SVT converting to sinus
swer: rhythm after adenosine
administration.
Clinical clues: initial rhythm associated with heart rate
300/min
, PALS Pre-course Self-Assessment
5. Identify the rhythm by selecting the single best an- V-Fib with successful de-
swer: fibrillation and resumption
of organized rhythm.
Clinical clues: initial rhythm associated with no de-
tectable pulse.
6. Identify the rhythm by selecting the single best an- Supraventricular tachycar-
swer: dia (SVT)
Clinical clue: heart rate 300/min
7. Identify the rhythm by selecting the single best an- Sinus Tachycardia
swer:
Clinical clues: Febrile infant; heart rate 188/min
8. Identify the rhythm by selecting the single best an- Asystole
swer:
Clinical clues: no detectable pulse.
9. Identify the rhythm by selecting the single best an- Ventricular Fibrillation (VF)
swer:
Clinical clues: No consistent heart rate detected; no
detectable pulses.
10. Identify the rhythm by selecting the single best an- Wide-Complex Tachycar-
swer: dia
, PALS Pre-course Self-Assessment
Clinical clue: Heart rate 214/min
11. Identify the rhythm by selecting the single best an- Pulseless Electrical Activity
swer:
Clinical clue: Heart rate 44/min; no detectable pulses
12. Identify the rhythm by selecting the single best an- Sinus Bradycardia
swer:
Clinical clues: Age 7 years; heart rate 38/min.
13. Identify the rhythm by selecting the single best an- Wide-Complex Tachycar-
swer: dia
Clinical clues: heart rate 150/min.
14. Initial impression of a 2-year-old girl shows her to be Humidified oxygen as tol-
alert with mild breathing difficulty during inspiration erated.
and pale skin color. On primary assessment, she makes
high-pitched inspiratory sounds (mild stridor) when
agitated; otherwise, her breathing is quiet. Her SP02
is 92% on room air, and she has mild inspiratory inter-
costal retractions. Lung auscultation reveals transmit-
ted upper airway sounds with adequate distal breath
sounds bilaterally Which is the most appropriate initial
intervention for this child?
15. A previously healthy infant with a history of vomiting Administer a bolus of iso-
and diarrhea is brought to the emergency department tonic crystalloid 20mL/kg
by her parents. During your assessment, you find that over 5 to 20 minutes, and
the infant responds only too painful stimulation. The also give D25W 2 to 4
infant's respiratory rate is 40 breaths per minute, and mL/kg IV.
