PALS VERSION B EXAM
Questions and Answers
1. You are treating an 8-year-old with ventricular tachycardia (VT)
with pulses and adequate perfusion. You attempted synchronized
cardioversion without success. While seeking expert consultation,
it would be most appropriate to:
Administer a loading dose of
milrinone Initiate overdrive pacing
transcutaneously
Consider possible metabolic and toxicologic causes
Deliver an unsynchronized shock: Consider possible metabolic and toxicologic causes
2. You are caring for a patient who developed a tension
pneumothorax after several hours of positive-pressure ventilation.
Which of the following would be the most appropriate site for
needle decompression?
Over the third rib (ie, second intercostal space) at the mid-clavicular
line Under the eighth rib at the midaxillary line
Over the fifth rib at the sternal border
Under the sixth rib at the midclavicular line: Over the third rib (ie, second
intercostal space) at the mid-clavicular line
1/
15
, 3. You are initiating treatment for a child with septic shock and
hypotension. While administering high-flow oxygen, you determine
that the child's respi- rations 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
colloidge 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 caring for a 5-year-old patient with supraventricular
tachycardia (SVT) (heart rate is 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?
Provide synchronized cardioversion at 0.5 to 1 J/kg
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
2/
15
Questions and Answers
1. You are treating an 8-year-old with ventricular tachycardia (VT)
with pulses and adequate perfusion. You attempted synchronized
cardioversion without success. While seeking expert consultation,
it would be most appropriate to:
Administer a loading dose of
milrinone Initiate overdrive pacing
transcutaneously
Consider possible metabolic and toxicologic causes
Deliver an unsynchronized shock: Consider possible metabolic and toxicologic causes
2. You are caring for a patient who developed a tension
pneumothorax after several hours of positive-pressure ventilation.
Which of the following would be the most appropriate site for
needle decompression?
Over the third rib (ie, second intercostal space) at the mid-clavicular
line Under the eighth rib at the midaxillary line
Over the fifth rib at the sternal border
Under the sixth rib at the midclavicular line: Over the third rib (ie, second
intercostal space) at the mid-clavicular line
1/
15
, 3. You are initiating treatment for a child with septic shock and
hypotension. While administering high-flow oxygen, you determine
that the child's respi- rations 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
colloidge 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 caring for a 5-year-old patient with supraventricular
tachycardia (SVT) (heart rate is 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?
Provide synchronized cardioversion at 0.5 to 1 J/kg
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
2/
15
