Pals All Questions And Answers.

Pals All Questions And Answers v v v v




You are caring for a child who was resuscitated after a drowning event. The child is
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intubated and ventilated with 100% oxygen with equal breath sounds and exhaled CO2
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detected. The heart rate is slow and the monitor shows sinus bradycardia. The skin is
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cool, mottled, and moist; distal pulses are not palpable and the central pulses are weak.
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Intravenous access has been established. The core temperature is 37.3oC. Based on
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the PALS bradycardia algorithm, which of the following should be provided first?
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Epinephrine IV vB




Transcutaneous pacing vB




Atropine IV vB




Dobutamine IV infusion - CORRECT ANSWER-Epinephrine IV
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You are caring for a 5-year-old patient with supraventricular tachycardia (heart rate =
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220/min). The child is lethargic. The skin is pale and cool with delayed capillary refill.
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Distal pulses are not palpable. Which of the following would be the best treatment to
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provide without delay?
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Place cold packs on the distal upper and lower extremities
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Ask the child to blow through a small straw
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Exert light pressure on the eyes bilaterally
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Provide synchronized cardioversion at 0.5 to 1 J/kg - CORRECT ANSWER-Provide
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synchronized cardioversion at 0.5 to 1 J/kg
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You are initiating treatment for a child with septic shock and hypotension. While
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administering high-flow oxygen you determine that the child's respirations are adequate
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and SpO2 is 100%. You have just established vascular access and obtained blood
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samples. Which of the following is the next most appropriate therapy to support systemic
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perfusion?
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Administer repeated fluid boluses of isotonic colloid
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Administer repeated fluid boluses of isotonic crystalloid
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Begin immediate dopamine infusion
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, Begin immediate dobutamine infusion - CORRECT ANSWER-Administer repeated fluid
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boluses of isotonic crystalloid
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You are treating an 8-year-old with ventricular tachycardia with pulses and adequate
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perfusion. You attempted synchronized cardioversion without success. While seeking
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expert consultation, it would be most appropriate to:
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Administer a loading dose of milrinone vB vB vB vB vB




Consider possible metabolic and toxicologic causes vB vB vB vB vB




Initiate overdrive pacing transcutaneously
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Deliver an unsynchronized shock - CORRECT ANSWER-Consider possible metabolic
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and toxicologic causes
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You are caring for a 2-year-old unconscious patient who is intubated and receiving
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mechanical ventilation. The child's heart rate suddenly drops to 40/min and his color
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becomes mottled. You should respond to these changes by:
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Increasing the ventilator rate vB vB vB




Increasing tidal volume vB vB




Increasing positive end-expiratory pressure (PEEP) vB vB vB vB




Using a resuscitation bag provide manual ventilation with 100% oxygen - CORRECT
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ANSWER-Using a resuscitation bag provide manual ventilation with 100% oxygen
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You are caring for a 9-month-old patient with pronounced respiratory distress. You
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initiated high-flow oxygen using a nonrebreathing mask about 10 minutes ago and
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established intravenous access. Initially the infant's heart rate was in the 150/min range
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with strong pulses. Suddenly the infant's respiratory rate falls to 6/min with significant
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intercostals retractions, and little air movement is heard. The infant becomes cyanotic
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and the heart rate decreases to 95/min. Which of the following treatments would be best
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for you to provide now?
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Administer epinephrine IV vB vB




Provide bag-mask ventilation vB vB




Administer magnesium sulfate IV vB vB vB




Intubate and ventilate - CORRECT ANSWER-Provide bag-mask ventilation
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Which of the following is likely to be the most helpful technique to identify potentially
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reversible metabolic and toxic causes during the attempted resuscitation of a young
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child in cardiac arrest?
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Obtaining a urine sample for toxicology screen vB vB vB vB vB vB




Obtaining chest and abdominal radiographs vB vB vB vB




Soliciting a history from the caregiver or family vB vB vB vB vB vB vB




Obtaining a venous blood gas - CORRECT ANSWER-Soliciting a history from the
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caregiver or family
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