PALS Questions and Correct Answers
Epinephrine IV/IO dose - correct answers:0.01 mg/kg of the 0.1 mg/mL concentration. Repeat every 3-5
minutes.
Epinephrine ET dose - correct answers:0.1 mg/kg (0.1 mL/kg of the 1 mg/kg concentration). Repeat
every 3-5 minutes.
Amiodarone IV/IO dose - correct answers:5 mg/kg bolus during cardiac arrest, may repeat up to 2 times
for refractory VF/pulseless VT
Lidocaine IV/IO dose - correct answers:Initial: 1 mg/kg leading dose
Maintenance: 20-50 mcg/kg per minute infusion (repeat bolus if infusion initiated >15 min after initial
bolus therapy)
Shock Energy for Defibrillation - correct answers:First shock: 2 J/kg
Second shock: 4 J/kg
Subsequent shock: ≥ 4 J/kg
Max dose: 10 J/kg
Breath rate with advanced airway - correct answers:Continuous compressions with 1 breath every 6
seconds.
H's and T's - correct answers:Hypovolemia
Hypoxia
Hydrogen Ion (acidosis)
Hypoglycemia
Hypo/Hyperkalemia
Hypothermia
Tension Pneumo
, Tamponade, cardiac
Toxins
Thrombosis, pulmonary
Thrombosis, coronary
Epinephrine uses in peds code - correct answers:pulseless arrest, symptomatic bradycardia
Etomidate uses in peds - correct answers:RSI (rapid sequence intubation)
Lidcaine uses - correct answers:VF/pulseless VT, wide-complex tachy w/ pulses
Adenosine uses and dosage - correct answers:1st: 0.1 mg/kg IV/IO rapid push (max 6 mg)
2nd: 0.2 mg/kg IV/IO rapid push (max 12 mg)
Amiodarone uses - correct answers:SVT, VT with pulses
Atropine uses and dosage - correct answers:Symptomatic bradycardia, toxins/overdose
0.02 mg/kg; may repeat once. Minimum dose 0.1 mg and max single dose 0.5 mg
Dextrose uses - correct answers:Hypoglycemia
Role as a PALS provider - correct answers:Teamwork
Communication
Critical thinking
Problem solving
Pediatric cardiac chain of survival - correct answers:Prevention of arrest
Early/High-quality CPR
Early activation of emergency response team
Epinephrine IV/IO dose - correct answers:0.01 mg/kg of the 0.1 mg/mL concentration. Repeat every 3-5
minutes.
Epinephrine ET dose - correct answers:0.1 mg/kg (0.1 mL/kg of the 1 mg/kg concentration). Repeat
every 3-5 minutes.
Amiodarone IV/IO dose - correct answers:5 mg/kg bolus during cardiac arrest, may repeat up to 2 times
for refractory VF/pulseless VT
Lidocaine IV/IO dose - correct answers:Initial: 1 mg/kg leading dose
Maintenance: 20-50 mcg/kg per minute infusion (repeat bolus if infusion initiated >15 min after initial
bolus therapy)
Shock Energy for Defibrillation - correct answers:First shock: 2 J/kg
Second shock: 4 J/kg
Subsequent shock: ≥ 4 J/kg
Max dose: 10 J/kg
Breath rate with advanced airway - correct answers:Continuous compressions with 1 breath every 6
seconds.
H's and T's - correct answers:Hypovolemia
Hypoxia
Hydrogen Ion (acidosis)
Hypoglycemia
Hypo/Hyperkalemia
Hypothermia
Tension Pneumo
, Tamponade, cardiac
Toxins
Thrombosis, pulmonary
Thrombosis, coronary
Epinephrine uses in peds code - correct answers:pulseless arrest, symptomatic bradycardia
Etomidate uses in peds - correct answers:RSI (rapid sequence intubation)
Lidcaine uses - correct answers:VF/pulseless VT, wide-complex tachy w/ pulses
Adenosine uses and dosage - correct answers:1st: 0.1 mg/kg IV/IO rapid push (max 6 mg)
2nd: 0.2 mg/kg IV/IO rapid push (max 12 mg)
Amiodarone uses - correct answers:SVT, VT with pulses
Atropine uses and dosage - correct answers:Symptomatic bradycardia, toxins/overdose
0.02 mg/kg; may repeat once. Minimum dose 0.1 mg and max single dose 0.5 mg
Dextrose uses - correct answers:Hypoglycemia
Role as a PALS provider - correct answers:Teamwork
Communication
Critical thinking
Problem solving
Pediatric cardiac chain of survival - correct answers:Prevention of arrest
Early/High-quality CPR
Early activation of emergency response team