PALS Precourse Self-Assessment exam with verified
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answers
Identify |the |rhythm. |- |correct |answer | |Ventricular |Fibrillation |(VF)
Identify |the |rhythm. |- |correct |answer | |Normal |Sinus |Rhythm
Identify |the |rhythm. |- |correct |answer | |VF |with |successful |defibrillation |and |resumption |of |organized |
rhythm
Identify |the |rhythm. |- |correct |answer | |SVT |converting |to |sinus |rhythm |after |adenosine |administration
Identify |the |rhythm. |- |correct |answer | |Torsades |de |pointes
Identify |the |rhythm. |- |correct |answer | |Supreaventricular |Tachycardia |(SVT)
Identify |the |rhythm. |- |correct |answer | |Sinus |Tachycardia
Identify |the |rhythm. |- |correct |answer | |Sinus |Bradycardis
Identify |the |rhythm. |- |correct |answer | |Asystole
Identify |the |rhythm. |- |correct |answer | |Wide-Complex |Tachycardia
Identify |the |rhythm. |- |correct |answer | |Pulseless |Electrical |Activity
Which |statement |is |correct |about |endotracheal |drug |administration |during |resuscitative |efforts |for |
pediatric
, patients? |- |correct |answer | |It |is |the |least |desirable |route |of |administration
Which |oxygen |delivery |system |most |reliably |delivers |a |high |(90% |or |greater) |concentration |of |inspired
|oxygen |to |a |7-year-old |child? |- |correct |answer | |Nonrebreathing |face |mask
Paramedics |are |called |to |the |home |of |a |1-year-old |child. |Their |initial |assessment |reveals |a |child |who |
responds |only |to |painful |stimuli |and |has |irregular |breathing, |faint |central |pulses, |bruises |over |the |
abdomen, |abdominal |distention, |and |cyanosis. |Bag-mask |ventilation |with |100% |oxygen |is |initiated. |
The |child's |heart |rate |is |36/min. |Peripheral |pulses |cannot |be |palpated, |and |central |pulses |are |barely |
palpable. |The |cardiac |monitor |shows |sinus |bradycardia. |Two-rescuer |CPR |is |started. |Upon |arrival |to |
the |emergency |department, |the |child |is |intubated |and |ventilated |with |100% |oxygen, |and |IV |access |is |
established. |The |heart |rate |is |now |150/min |with |weak |central |pulses |but |no |distal |pulses. |Systolic |
blood |pressure |is |74 |mm |Hg. |Which |intervention |should |be |provided |next? |- |correct |answer | |Rapid |
bolus |of |20 |mL/kg |of |isotonic |crystalloid
A |previously |healthy |infant |with |a |history |of |vomiting |and |diarrhea |is |brought |to |the |emergency |
department |by |her |parents. |During |your |assessment, |you |find |that |the |infant |responds |only |to |painful
|stimulation. |The |infant's |respiratory |rate |is |40 |breaths |per |minute, |and |central |pulses |are |rapid |and |
weak. |The |infant |has |good |bilateral |breath |sounds, |cool |extremities, |and |a |capillary |refill |time |of |
more |than |5 |seconds. |The |infant's |blood |pressure |is |85/65 |mm |Hg, |and |glucose |is |30 |mg/dL |(1.65 |
mol/L). |You |administer |100% |oxygen |via |face |mask |and |start |an |IV. |Which |treatment |is |the |most |
appropriate |for |this |infant? |- |correct |answer | |Administer |a |bolus |of |isotonic |crystalloid |20 |mL/kg |over |
5 |to |20 |minutes, |and |also |give |D2;W |2 |to |4 |mL/kg |IV
A |9-year-old |boy |is |agitated |and |leaning |forward |on |the |bed |in |obvious |respiratory |distress. |The |
patient |is |speaking |in |short |phrases |and |tells |you |that |he |has |asthma |but |does |not |carry |an |inhaler. |
He |has |nasal |flaring, |severe |suprasternal |and |intercostal |retractions, |and |decreased |air |movement |
with |prolonged |expiratory |time |and |wheezing. |You |administer |100% |oxygen |by |a |nonrebreathing |
mask. |His |SpO, |is |92%. |Which |medication |do |you |prepare |to |give |to |this |patient? |- |correct |answer | |
Albuterol
You |are |part |of |a |team |attempting |to |resuscitate |a |child |with |ventricular |fibrillation |cardiac |arrest. |
You |delivered |2 |unsynchronized |shocks. |A |team |member |established |I |access, |so |you |give |a |dose |of |
epinephrine, |0.01 |mg/kg |IO. |At |the |next |rhythm |check, |persistent |ventricular |fibrillation |is |present. |
You |administer |a |4-J/kg |shock |and |resume |CPR. |Which |drug |and |dose |should |be |administered |next? |- |
correct |answer | |Amiodarone |5 |mq/kg |IO
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answers
Identify |the |rhythm. |- |correct |answer | |Ventricular |Fibrillation |(VF)
Identify |the |rhythm. |- |correct |answer | |Normal |Sinus |Rhythm
Identify |the |rhythm. |- |correct |answer | |VF |with |successful |defibrillation |and |resumption |of |organized |
rhythm
Identify |the |rhythm. |- |correct |answer | |SVT |converting |to |sinus |rhythm |after |adenosine |administration
Identify |the |rhythm. |- |correct |answer | |Torsades |de |pointes
Identify |the |rhythm. |- |correct |answer | |Supreaventricular |Tachycardia |(SVT)
Identify |the |rhythm. |- |correct |answer | |Sinus |Tachycardia
Identify |the |rhythm. |- |correct |answer | |Sinus |Bradycardis
Identify |the |rhythm. |- |correct |answer | |Asystole
Identify |the |rhythm. |- |correct |answer | |Wide-Complex |Tachycardia
Identify |the |rhythm. |- |correct |answer | |Pulseless |Electrical |Activity
Which |statement |is |correct |about |endotracheal |drug |administration |during |resuscitative |efforts |for |
pediatric
, patients? |- |correct |answer | |It |is |the |least |desirable |route |of |administration
Which |oxygen |delivery |system |most |reliably |delivers |a |high |(90% |or |greater) |concentration |of |inspired
|oxygen |to |a |7-year-old |child? |- |correct |answer | |Nonrebreathing |face |mask
Paramedics |are |called |to |the |home |of |a |1-year-old |child. |Their |initial |assessment |reveals |a |child |who |
responds |only |to |painful |stimuli |and |has |irregular |breathing, |faint |central |pulses, |bruises |over |the |
abdomen, |abdominal |distention, |and |cyanosis. |Bag-mask |ventilation |with |100% |oxygen |is |initiated. |
The |child's |heart |rate |is |36/min. |Peripheral |pulses |cannot |be |palpated, |and |central |pulses |are |barely |
palpable. |The |cardiac |monitor |shows |sinus |bradycardia. |Two-rescuer |CPR |is |started. |Upon |arrival |to |
the |emergency |department, |the |child |is |intubated |and |ventilated |with |100% |oxygen, |and |IV |access |is |
established. |The |heart |rate |is |now |150/min |with |weak |central |pulses |but |no |distal |pulses. |Systolic |
blood |pressure |is |74 |mm |Hg. |Which |intervention |should |be |provided |next? |- |correct |answer | |Rapid |
bolus |of |20 |mL/kg |of |isotonic |crystalloid
A |previously |healthy |infant |with |a |history |of |vomiting |and |diarrhea |is |brought |to |the |emergency |
department |by |her |parents. |During |your |assessment, |you |find |that |the |infant |responds |only |to |painful
|stimulation. |The |infant's |respiratory |rate |is |40 |breaths |per |minute, |and |central |pulses |are |rapid |and |
weak. |The |infant |has |good |bilateral |breath |sounds, |cool |extremities, |and |a |capillary |refill |time |of |
more |than |5 |seconds. |The |infant's |blood |pressure |is |85/65 |mm |Hg, |and |glucose |is |30 |mg/dL |(1.65 |
mol/L). |You |administer |100% |oxygen |via |face |mask |and |start |an |IV. |Which |treatment |is |the |most |
appropriate |for |this |infant? |- |correct |answer | |Administer |a |bolus |of |isotonic |crystalloid |20 |mL/kg |over |
5 |to |20 |minutes, |and |also |give |D2;W |2 |to |4 |mL/kg |IV
A |9-year-old |boy |is |agitated |and |leaning |forward |on |the |bed |in |obvious |respiratory |distress. |The |
patient |is |speaking |in |short |phrases |and |tells |you |that |he |has |asthma |but |does |not |carry |an |inhaler. |
He |has |nasal |flaring, |severe |suprasternal |and |intercostal |retractions, |and |decreased |air |movement |
with |prolonged |expiratory |time |and |wheezing. |You |administer |100% |oxygen |by |a |nonrebreathing |
mask. |His |SpO, |is |92%. |Which |medication |do |you |prepare |to |give |to |this |patient? |- |correct |answer | |
Albuterol
You |are |part |of |a |team |attempting |to |resuscitate |a |child |with |ventricular |fibrillation |cardiac |arrest. |
You |delivered |2 |unsynchronized |shocks. |A |team |member |established |I |access, |so |you |give |a |dose |of |
epinephrine, |0.01 |mg/kg |IO. |At |the |next |rhythm |check, |persistent |ventricular |fibrillation |is |present. |
You |administer |a |4-J/kg |shock |and |resume |CPR. |Which |drug |and |dose |should |be |administered |next? |- |
correct |answer | |Amiodarone |5 |mq/kg |IO
