PALS Version A Questions and Answers
1. You are caring for a child who was resuscitated after a drowning
event.
The child is intubated and ventilated with 100% oxygen with equal
breath sounds and exhaled CO2 detected. The heart rate is slow and
the monitor shows sinus bradycardia. The skin is cool, mottled, and
moist; distal pulses are not palpable and the central pulses are
weak. Intravenous access has been established.
The core temperature is 37.3oC. Based on the PALS bradycardia
algorithm,
which of the following should be provided first?
Epinephrine IV
Transcutaneous
pacing Atropine IV
Dobutamine IV infusion: Epinephrine IV
2. You are caring for a 5-year-old patient with supraventricular
tachycardia (heart rate = 220/min). The child is lethargic. The
skin is pale and cool with delayed capillary refill. Distal pulses are
not palpable.
Which of the following would be the best treatment to provide
without delay?
1/
14
, Place cold packs on the distal upper and lower
extremities Ask the child to blow through a small
straw
Exert light pressure on the eyes bilaterally
Provide synchronized cardioversion at 0.5 to 1 J/kg: Provide synchronized
cardioversion at 0.5 to 1 J/kg
3. You are initiating treatment for a child with septic shock and
hypotension. While administering high-flow oxygen you determine
that the child's respirations are adequate and SpO2 is 100%. You
have just established vascular access and obtained blood samples.
Which of the following is the next most appropriate therapy to
support systemic perfusion?
Administer repeated fluid boluses of isotonic
colloid Administer repeated fluid boluses of isotonic
crystalloid Begin immediate dopamine infusion
Begin immediate dobutamine infusion: Administer repeated fluid boluses of isotonic
crystalloid
4. You are treating an 8-year-old with ventricular tachycardia with
pulses and adequate perfusion. You attempted synchronized
cardioversion without success. While seeking expert consultation, it
would be most appropriate to:
2/
14
1. You are caring for a child who was resuscitated after a drowning
event.
The child is intubated and ventilated with 100% oxygen with equal
breath sounds and exhaled CO2 detected. The heart rate is slow and
the monitor shows sinus bradycardia. The skin is cool, mottled, and
moist; distal pulses are not palpable and the central pulses are
weak. Intravenous access has been established.
The core temperature is 37.3oC. Based on the PALS bradycardia
algorithm,
which of the following should be provided first?
Epinephrine IV
Transcutaneous
pacing Atropine IV
Dobutamine IV infusion: Epinephrine IV
2. You are caring for a 5-year-old patient with supraventricular
tachycardia (heart rate = 220/min). The child is lethargic. The
skin is pale and cool with delayed capillary refill. Distal pulses are
not palpable.
Which of the following would be the best treatment to provide
without delay?
1/
14
, Place cold packs on the distal upper and lower
extremities Ask the child to blow through a small
straw
Exert light pressure on the eyes bilaterally
Provide synchronized cardioversion at 0.5 to 1 J/kg: Provide synchronized
cardioversion at 0.5 to 1 J/kg
3. You are initiating treatment for a child with septic shock and
hypotension. While administering high-flow oxygen you determine
that the child's respirations are adequate and SpO2 is 100%. You
have just established vascular access and obtained blood samples.
Which of the following is the next most appropriate therapy to
support systemic perfusion?
Administer repeated fluid boluses of isotonic
colloid Administer repeated fluid boluses of isotonic
crystalloid Begin immediate dopamine infusion
Begin immediate dobutamine infusion: Administer repeated fluid boluses of isotonic
crystalloid
4. You are treating an 8-year-old with ventricular tachycardia with
pulses and adequate perfusion. You attempted synchronized
cardioversion without success. While seeking expert consultation, it
would be most appropriate to:
2/
14
