AHA PALS precourse assessment Exam
Questions Answered Correctly Graded A+
- correct answer SVT converting to sinus rhythm after adenosine administration
- correct answer Sinus bradycardia
- correct answer Sinus bradycardia - version 2
- correct answer Normal sinus rhythm
- correct answer Asystole
- correct answer Wide complex tachycardia
- correct answer Wide complex tachycardia - version 2
- correct answer Torsades de pointes
- correct answer Supraventricular tachycardia
- correct answer VF with successful defib and resumption of organized rhythm
- correct answer Pulseless electrical activity
- correct answer Ventricular fibrillation
- correct answer Sinus tachycardia
, Administer a bolus of isotonic crystalloid 20 ml/kg over 5-20 minutes, and also give D25W 2-4 ml/kg IV -
correct answer 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 mmHg, and glucose is 30 mg/dL (1.65
mmol/L). You administer 100% oxygen via face mask and start an IV. Which treatment is most
appropriate for this infant?
Albuterol (duh) - correct answer A 9yo 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 spO2 is 92%. Which med do you prepare to give to this patient?
Rapid bolus of 20ml/kg of isotonic crystalloid - correct answer Paramedics are called to the home of a
1yo 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 mmHg. Which intervention should be provided next?
Epinephrine - correct answer You are called to help treat an infant with severe symptomatic
bradycardia (heart rate 66/min) associated with respiratory distress. The bradycardia persists despite
establishment of an effective airway, oxygenation, and ventilation. There is no heart block present.
Which is the first drug you should administer?
Routine administration is not indicated during cardiac arrest - correct answer Which statement is
correct about the use of calcium chloride in pediatric patients?
It is the least desirable route of administration - correct answer Which statement is correct about
endotracheal drug administration during resuscitative efforts for pediatric patients?
Humidified oxygen as tolerated - correct answer Initial impression of a 2yo girl shows her to be alert
with mild breathing difficulty during inspiration and pale skin color. On primary assessment, she makes
high-pitched inspiratory sounds (mild stridor) when agitated; otherwise, her breathing is quiet. Her spO2
Questions Answered Correctly Graded A+
- correct answer SVT converting to sinus rhythm after adenosine administration
- correct answer Sinus bradycardia
- correct answer Sinus bradycardia - version 2
- correct answer Normal sinus rhythm
- correct answer Asystole
- correct answer Wide complex tachycardia
- correct answer Wide complex tachycardia - version 2
- correct answer Torsades de pointes
- correct answer Supraventricular tachycardia
- correct answer VF with successful defib and resumption of organized rhythm
- correct answer Pulseless electrical activity
- correct answer Ventricular fibrillation
- correct answer Sinus tachycardia
, Administer a bolus of isotonic crystalloid 20 ml/kg over 5-20 minutes, and also give D25W 2-4 ml/kg IV -
correct answer 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 mmHg, and glucose is 30 mg/dL (1.65
mmol/L). You administer 100% oxygen via face mask and start an IV. Which treatment is most
appropriate for this infant?
Albuterol (duh) - correct answer A 9yo 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 spO2 is 92%. Which med do you prepare to give to this patient?
Rapid bolus of 20ml/kg of isotonic crystalloid - correct answer Paramedics are called to the home of a
1yo 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 mmHg. Which intervention should be provided next?
Epinephrine - correct answer You are called to help treat an infant with severe symptomatic
bradycardia (heart rate 66/min) associated with respiratory distress. The bradycardia persists despite
establishment of an effective airway, oxygenation, and ventilation. There is no heart block present.
Which is the first drug you should administer?
Routine administration is not indicated during cardiac arrest - correct answer Which statement is
correct about the use of calcium chloride in pediatric patients?
It is the least desirable route of administration - correct answer Which statement is correct about
endotracheal drug administration during resuscitative efforts for pediatric patients?
Humidified oxygen as tolerated - correct answer Initial impression of a 2yo girl shows her to be alert
with mild breathing difficulty during inspiration and pale skin color. On primary assessment, she makes
high-pitched inspiratory sounds (mild stridor) when agitated; otherwise, her breathing is quiet. Her spO2
