PALS PRE-TEST QUESTIONS AND
ANSWERS
1. 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?-
: Epinephrine
2. 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 is 92% on room air, and she has mild inspiratory intercostal
retractions. Lung auscultation reveals transmitted upper airway
sounds with adequate distal breath sounds bilaterally. Which is the
most appropriate initial intervention for this child?: Humidified oxygen as
tolerated
3. You are part of a team attempting to resuscitate a child with
ventricular
1/
10
, fibrillation cardiac arrest. You delivered 2 unsynchronized shocks. A
team member established IO 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?:
Amiodarone 5 mg/kg IO
4. Which statement is correct about the effects of epinephrine during
attempted resuscitation?: Epinephrine stimulates spontaneous contractions when asystole is
present
5. 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.: Administer a bolus of isotonic crystalloid 20 ml/kg over 5-20 minutes, and
also give D25W 2-4 ml/kg IV
6. Which statement is correct about endotracheal drug
administration during resuscitative efforts for pediatric patients?: It is the
least desirable route of administration
7. Which statement is correct about the use of calcium chloride in
pediatric patients?: Routine administration is not indicated during cardiac arrest
2/
10
ANSWERS
1. 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?-
: Epinephrine
2. 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 is 92% on room air, and she has mild inspiratory intercostal
retractions. Lung auscultation reveals transmitted upper airway
sounds with adequate distal breath sounds bilaterally. Which is the
most appropriate initial intervention for this child?: Humidified oxygen as
tolerated
3. You are part of a team attempting to resuscitate a child with
ventricular
1/
10
, fibrillation cardiac arrest. You delivered 2 unsynchronized shocks. A
team member established IO 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?:
Amiodarone 5 mg/kg IO
4. Which statement is correct about the effects of epinephrine during
attempted resuscitation?: Epinephrine stimulates spontaneous contractions when asystole is
present
5. 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.: Administer a bolus of isotonic crystalloid 20 ml/kg over 5-20 minutes, and
also give D25W 2-4 ml/kg IV
6. Which statement is correct about endotracheal drug
administration during resuscitative efforts for pediatric patients?: It is the
least desirable route of administration
7. Which statement is correct about the use of calcium chloride in
pediatric patients?: Routine administration is not indicated during cardiac arrest
2/
10
