PALS AHA Version A Questions and Answers
1. You are caring for a 9-month-old patient with pronounced
respiratory distress. You initiated high-flow oxygen using a
nonrebreathing mask about 10 minutes ago and established
intravenous access. Initially the infant's heart rate was in the 150/min
range with strong pulses. Suddenly the infant's respiratory rate falls
to 6/min with significant intercostals retractions, and little air
movement is heard. The infant becomes cyanotic and the heart
rate decreases to 95/min.
Which of the following treatments would be best for you to
provide now?
Administer epinephrine IV
Provide bag-mask
ventilation Administer
magnesium sulfate IV
Intubate and ventilate: Provide bag-mask ventilation
2. Which of the following is likely to be the most helpful
technique to identify potentially reversible metabolic and toxic
causes during the attempted resuscitation of a young child in
cardiac arrest?
Obtaining a urine sample for toxicology screen
1/
13
, Obtaining chest and abdominal radiographs
Soliciting a history from the caregiver or
family
Obtaining a venous blood gas: Soliciting a history from the caregiver or family
3. 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 at the
midclavicular 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 at the midclavicular
line
4. 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?
2/
13
1. You are caring for a 9-month-old patient with pronounced
respiratory distress. You initiated high-flow oxygen using a
nonrebreathing mask about 10 minutes ago and established
intravenous access. Initially the infant's heart rate was in the 150/min
range with strong pulses. Suddenly the infant's respiratory rate falls
to 6/min with significant intercostals retractions, and little air
movement is heard. The infant becomes cyanotic and the heart
rate decreases to 95/min.
Which of the following treatments would be best for you to
provide now?
Administer epinephrine IV
Provide bag-mask
ventilation Administer
magnesium sulfate IV
Intubate and ventilate: Provide bag-mask ventilation
2. Which of the following is likely to be the most helpful
technique to identify potentially reversible metabolic and toxic
causes during the attempted resuscitation of a young child in
cardiac arrest?
Obtaining a urine sample for toxicology screen
1/
13
, Obtaining chest and abdominal radiographs
Soliciting a history from the caregiver or
family
Obtaining a venous blood gas: Soliciting a history from the caregiver or family
3. 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 at the
midclavicular 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 at the midclavicular
line
4. 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?
2/
13
