, Question 1
During a simulated pediatric code, the team leader orders epinephrine 0.01
mg/kg IV push for a child in pulseless ventricular tachycardia. The patient
weighs 22 kg. The available concentration is 0.1 mg/mL. Which volume
should the nurse administer?
A. 0.22 mL
B. 2.2 mL
C. 22 mL
D. 0.022 mL
Correct Answer: B - 2.2 mL
RATIONALE
Dose = 0.01 mg/kg × 22 kg = 0.22 mg. Volume = 0.22 mg / 0.1
mg/mL = 2.2 mL. Options A, C, and D reflect decimal errors or
incorrect concentration use.
Question 2
In the Jasmine Anand Activity Report, which metric best reflects effective
closed-loop communication during a pediatric complex simulation?
A. Number of orders given per minute
B. Percentage of orders repeated back with confirmation
C. Time from scenario start to first intervention
D. Total number of team members speaking
Correct Answer: B - Percentage of orders repeated back with
confirmation
RATIONALE
Closed-loop communication is defined by the sender verifying that the
receiver heard and will execute the order, typically measured by
repeat-back confirmation. Other metrics reflect efficiency or
participation, not communication loop closure.
Page 2
, Question 3
A simulated pediatric patient develops sudden hypotension and tachycardia
after central line placement. Which complication should be prioritized in the
immediate differential?
A. Pneumothorax
B. Hyperkalemia
C. Septic shock
D. Anaphylaxis
Correct Answer: A - Pneumothorax
RATIONALE
Central line placement carries risk of pneumothorax, which can cause
acute hypotension and tachycardia due to impaired venous return and
oxygenation. Hyperkalemia, septic shock, and anaphylaxis are less
directly linked to the procedural timing.
Question 4
In the Sentinel U APS Pediatric Complex Simulation, which debriefing
approach best promotes reflective practice and systems thinking?
A. Instructor-led critique of each error
B. Peer-led ranking of team performance
C. Structured self-assessment with guided inquiry
D. Checklist-based scoring without discussion
Correct Answer: C - Structured self-assessment with guided
inquiry
RATIONALE
Structured self-assessment with guided inquiry aligns with best
practices in simulation debriefing (e.g., PEARLS, Plus-Delta) to foster
reflection and systems thinking. Instructor critique, peer ranking, and
checklists alone do not promote deep reflection.
Page 3
During a simulated pediatric code, the team leader orders epinephrine 0.01
mg/kg IV push for a child in pulseless ventricular tachycardia. The patient
weighs 22 kg. The available concentration is 0.1 mg/mL. Which volume
should the nurse administer?
A. 0.22 mL
B. 2.2 mL
C. 22 mL
D. 0.022 mL
Correct Answer: B - 2.2 mL
RATIONALE
Dose = 0.01 mg/kg × 22 kg = 0.22 mg. Volume = 0.22 mg / 0.1
mg/mL = 2.2 mL. Options A, C, and D reflect decimal errors or
incorrect concentration use.
Question 2
In the Jasmine Anand Activity Report, which metric best reflects effective
closed-loop communication during a pediatric complex simulation?
A. Number of orders given per minute
B. Percentage of orders repeated back with confirmation
C. Time from scenario start to first intervention
D. Total number of team members speaking
Correct Answer: B - Percentage of orders repeated back with
confirmation
RATIONALE
Closed-loop communication is defined by the sender verifying that the
receiver heard and will execute the order, typically measured by
repeat-back confirmation. Other metrics reflect efficiency or
participation, not communication loop closure.
Page 2
, Question 3
A simulated pediatric patient develops sudden hypotension and tachycardia
after central line placement. Which complication should be prioritized in the
immediate differential?
A. Pneumothorax
B. Hyperkalemia
C. Septic shock
D. Anaphylaxis
Correct Answer: A - Pneumothorax
RATIONALE
Central line placement carries risk of pneumothorax, which can cause
acute hypotension and tachycardia due to impaired venous return and
oxygenation. Hyperkalemia, septic shock, and anaphylaxis are less
directly linked to the procedural timing.
Question 4
In the Sentinel U APS Pediatric Complex Simulation, which debriefing
approach best promotes reflective practice and systems thinking?
A. Instructor-led critique of each error
B. Peer-led ranking of team performance
C. Structured self-assessment with guided inquiry
D. Checklist-based scoring without discussion
Correct Answer: C - Structured self-assessment with guided
inquiry
RATIONALE
Structured self-assessment with guided inquiry aligns with best
practices in simulation debriefing (e.g., PEARLS, Plus-Delta) to foster
reflection and systems thinking. Instructor critique, peer ranking, and
checklists alone do not promote deep reflection.
Page 3
