PSI COSMETOLOGY PRACTICE TEST
FINAL TEST 2026 QUESTIONS WITH
CORRECT ANSWERS GRADED A+
◍ Parents of a 1-year-old female phoned EMS when they picked up their
daughter from the babysitter. Paramedics perform an initial impression
revealing an obtunded infant with irregular breathing, bruises over the
abdomen, abdominal distension, and cyanosis. Assisted bag-mask
ventilation with 100% oxygen is initiated. On primary assessment heart rate
is 36/min, peripheral pulses cannot be palpated, and central pulses are barely
palpable. Cardiac monitor shows sinus bradycardia. Chest compressions are
started at 15:2. In the ED the infant is intubated and ventilated, and IV
access is established. The heart rate is now up to 150/min, but there are
weak central pulses and no distal pulses. Systolic BP is 74. Of the following,
which would be most useful in management of this infant?
A. Synchronized cardioversion
B. Epinephrine 0.01 mg/kg (0.1 mL/kg of 1:10,000 dilution) IV
C. Rapid bolus of 20 mL/kg of isotonic crystalloid
D. Atropine 0.02 mg/kg IV.
Answer: C
◍ You enter a room to perform an initial impression of a previously stable
10-year-old male and find him unresponsive and apneic. A code is called
and bag-mask ventilation is performed with 100% oxygen. The cardiac
monitor shows a wide-complex tachycardia. The boy has no detectable
pulses so compressions and ventilations are provided. As soon as the
defibrillator arrives you deliver an unsynchronized shock with 2 J/kg. The
rhythm check after 2 minutes of CPR reveals V
F. You then deliver a shock of 4 J/kg and resume immediate CPR beginning
, with compressions. A team member has established IO access, so you give a
dose of epi, 0.01 mg/kg (0.1 mL/kg of 1:10,000 dilution) IO after second
shock. At the next rhythm check, persistent VF is present. You administer
another 4 J/kg shock and resume CP
R. Based on the PALS Pulseless Arrest Algorithm, what is the next drug and
dose to administer when CPR is restarted?
A. Magnesium sulfate 25-50 mg/kg IO
B. Atropine 0.02 mg/kg IO
C. Epinephrine 0.1 mg/kg of 1:10,000 dilution IO
D. Amiodarone 5 mg/kg IO.
Answer: D
◍ Which oxygen delivery system most reliably delivers a high (90% or
greater) concentration of inspired oxygen to a 7-year-old child?.
Answer: Nonrebreathing face mask
◍ Which statement is correct about the effects of epinephrine during attempted
resuscitation?.
Answer: Epinephrine stimulates spontaneous contractions when asystole is
present
◍ You are part of a team attempting to resuscitate a child with ventricular
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 I
O. At the next rhythm check, persistent ventricular fibrillation is present.
You administer a 4-J/kg shock and resume CP
R. Which drug and dose should be administered next..
Answer: Amiodarone 5 mg/kg IO
◍ 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?.
, Answer: Epinephrine
◍ 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.
The infant's respiratory rate is 40 breaths per minute and central pulses are
rapid and weak. The infant has good bilateral breath sounds, cool
extremities, and capillary refill time of more than 5 seconds. The infant's
blood pressure is 85/65 mm Hg, and glucose is 30 mg/dL (1.65 mmol/L).
You administer 100% oxygen via face mask and start an I
V. Which treatment is the most appropriate for this infant?.
Answer: Administer a bolus of isotonic crystalloid 20 mL/kg over 5 to 20
minutes, and also give D25W 2 to 4 mL/kg IV
◍ Which of the following statements about calcium is true?
A. Calcium chloride 10% has the same bioavailability of elemental calcium
as calcium gluconate in critically ill children
B. The recommended dose is 1-2 mg/kg of calcium chloride.
C. Indications for administration of calcium include hypercalcemia,
hypokalemia, and hypomagnesemia.
D. Routine administration of calcium is not indicated during cardiac arrest..
Answer: D
◍ Initial impression of a 9-year-old male with increased work of breathing
reveals the boy to be agitated and leaning forward on the bed with obvious
respiratory distress. You administer 100% oxygen by nonrebreathing mask.
The patient is speaking in short phrases and tells you that he has asthma but
does not carry an inhaler. He has nasal flaring, severe suprasternal and
intercostal retractions, and decreased air movement with prolonged
expiratory time and wheezing. His SpO2 is 96% (on nonrebreathing mask).
What is the next medical therapy to provide to this patient?
A. Adenosine 0.1 mg/kg
B. Amiodarone 5 mg/kg IV/IO
C. Albuterol by nebulization
FINAL TEST 2026 QUESTIONS WITH
CORRECT ANSWERS GRADED A+
◍ Parents of a 1-year-old female phoned EMS when they picked up their
daughter from the babysitter. Paramedics perform an initial impression
revealing an obtunded infant with irregular breathing, bruises over the
abdomen, abdominal distension, and cyanosis. Assisted bag-mask
ventilation with 100% oxygen is initiated. On primary assessment heart rate
is 36/min, peripheral pulses cannot be palpated, and central pulses are barely
palpable. Cardiac monitor shows sinus bradycardia. Chest compressions are
started at 15:2. In the ED the infant is intubated and ventilated, and IV
access is established. The heart rate is now up to 150/min, but there are
weak central pulses and no distal pulses. Systolic BP is 74. Of the following,
which would be most useful in management of this infant?
A. Synchronized cardioversion
B. Epinephrine 0.01 mg/kg (0.1 mL/kg of 1:10,000 dilution) IV
C. Rapid bolus of 20 mL/kg of isotonic crystalloid
D. Atropine 0.02 mg/kg IV.
Answer: C
◍ You enter a room to perform an initial impression of a previously stable
10-year-old male and find him unresponsive and apneic. A code is called
and bag-mask ventilation is performed with 100% oxygen. The cardiac
monitor shows a wide-complex tachycardia. The boy has no detectable
pulses so compressions and ventilations are provided. As soon as the
defibrillator arrives you deliver an unsynchronized shock with 2 J/kg. The
rhythm check after 2 minutes of CPR reveals V
F. You then deliver a shock of 4 J/kg and resume immediate CPR beginning
, with compressions. A team member has established IO access, so you give a
dose of epi, 0.01 mg/kg (0.1 mL/kg of 1:10,000 dilution) IO after second
shock. At the next rhythm check, persistent VF is present. You administer
another 4 J/kg shock and resume CP
R. Based on the PALS Pulseless Arrest Algorithm, what is the next drug and
dose to administer when CPR is restarted?
A. Magnesium sulfate 25-50 mg/kg IO
B. Atropine 0.02 mg/kg IO
C. Epinephrine 0.1 mg/kg of 1:10,000 dilution IO
D. Amiodarone 5 mg/kg IO.
Answer: D
◍ Which oxygen delivery system most reliably delivers a high (90% or
greater) concentration of inspired oxygen to a 7-year-old child?.
Answer: Nonrebreathing face mask
◍ Which statement is correct about the effects of epinephrine during attempted
resuscitation?.
Answer: Epinephrine stimulates spontaneous contractions when asystole is
present
◍ You are part of a team attempting to resuscitate a child with ventricular
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 I
O. At the next rhythm check, persistent ventricular fibrillation is present.
You administer a 4-J/kg shock and resume CP
R. Which drug and dose should be administered next..
Answer: Amiodarone 5 mg/kg IO
◍ 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?.
, Answer: Epinephrine
◍ 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.
The infant's respiratory rate is 40 breaths per minute and central pulses are
rapid and weak. The infant has good bilateral breath sounds, cool
extremities, and capillary refill time of more than 5 seconds. The infant's
blood pressure is 85/65 mm Hg, and glucose is 30 mg/dL (1.65 mmol/L).
You administer 100% oxygen via face mask and start an I
V. Which treatment is the most appropriate for this infant?.
Answer: Administer a bolus of isotonic crystalloid 20 mL/kg over 5 to 20
minutes, and also give D25W 2 to 4 mL/kg IV
◍ Which of the following statements about calcium is true?
A. Calcium chloride 10% has the same bioavailability of elemental calcium
as calcium gluconate in critically ill children
B. The recommended dose is 1-2 mg/kg of calcium chloride.
C. Indications for administration of calcium include hypercalcemia,
hypokalemia, and hypomagnesemia.
D. Routine administration of calcium is not indicated during cardiac arrest..
Answer: D
◍ Initial impression of a 9-year-old male with increased work of breathing
reveals the boy to be agitated and leaning forward on the bed with obvious
respiratory distress. You administer 100% oxygen by nonrebreathing mask.
The patient is speaking in short phrases and tells you that he has asthma but
does not carry an inhaler. He has nasal flaring, severe suprasternal and
intercostal retractions, and decreased air movement with prolonged
expiratory time and wheezing. His SpO2 is 96% (on nonrebreathing mask).
What is the next medical therapy to provide to this patient?
A. Adenosine 0.1 mg/kg
B. Amiodarone 5 mg/kg IV/IO
C. Albuterol by nebulization
