PALS PreTest Questions With
Comprehensive Answers Newest
Version 2024
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? - CORRECT ANSWER-
Epinephrine
Initial impression of a 2yo girl shows her to be alert with mild breathing difficulty during
inspiration and pale skin color. On primary assessment, she makes high-pitched
inspiratory sounds (mild stridor) when agitated; otherwise, her breathing is quiet. Her
spO2 is 92% on room air, and she has mild inspiratory intercostal retractions. Lung
auscultation reveals transmitted upper airway sounds with adequate distal breath
sounds bilaterally. Which is the most appropriate initial intervention for this child? -
CORRECT ANSWER-Humidified oxygen as tolerated
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 IO. At the next rhythm check,
persistent ventricular fibrillation is present. You administer a 4 J/kg shock and resume
CPR. Which drug and dose should be administered next? - CORRECT ANSWER-
Amiodarone 5 mg/kg IO
Which statement is correct about the effects of epinephrine during attempted
resuscitation? - CORRECT ANSWER-Epinephrine stimulates spontaneous contractions
when asystole is present
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. - CORRECT ANSWER-Administer a bolus of
isotonic crystalloid 20 ml/kg over 5-20 minutes, and also give D25W 2-4 ml/kg IV
, Which statement is correct about endotracheal drug administration during resuscitative
efforts for pediatric patients? - CORRECT ANSWER-It is the least desirable route of
administration
Which statement is correct about the use of calcium chloride in pediatric patients? -
CORRECT ANSWER-Routine administration is not indicated during cardiac arrest
A 9yo boy is agitated and leaning forward on the bed in obvious respiratory distress. -
CORRECT ANSWER-Albuterol
Which oxygen delivery system most reliably delivers a high (90% or greater)
concentration of inspired oxygen to a 7yo child? - CORRECT ANSWER-Nonrebreathing
face mask
Paramedics are called to the home of a 1yo child. Their initial assessment reveals a
child who responds only to painful stimuli and has irregular breathing, faint central
pulses, bruises over the abdomen, abdominal distention, and cyanosis - CORRECT
ANSWER-Rapid bolus of 20ml/kg of isotonic crystalloid
A 7yo boy is found unresponsive, apneic, and pulseless. CPR is ongoing - CORRECT
ANSWER-Identify and treat reversible causes
You are preparing to use a manual defibrillator in the pediatric setting. Which best
describes when it is appropriate to use the smaller, pediatric-sized paddles? -
CORRECT ANSWER-If the child weighs less than 10kg or is less than 1 year old
What compression-to-ventilation ratio should be used for 2-rescuer infant CPR? -
CORRECT ANSWER-15 compressions to 2 breaths
You find an infant who is unresponsive, is not breathing, and does not have a pulse.
You shout for nearby help, but no one arrives. What action should you take next? -
CORRECT ANSWER-Provide CPR for about 2 minutes before leaving to activate the
emergency response system
Comprehensive Answers Newest
Version 2024
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? - CORRECT ANSWER-
Epinephrine
Initial impression of a 2yo girl shows her to be alert with mild breathing difficulty during
inspiration and pale skin color. On primary assessment, she makes high-pitched
inspiratory sounds (mild stridor) when agitated; otherwise, her breathing is quiet. Her
spO2 is 92% on room air, and she has mild inspiratory intercostal retractions. Lung
auscultation reveals transmitted upper airway sounds with adequate distal breath
sounds bilaterally. Which is the most appropriate initial intervention for this child? -
CORRECT ANSWER-Humidified oxygen as tolerated
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 IO. At the next rhythm check,
persistent ventricular fibrillation is present. You administer a 4 J/kg shock and resume
CPR. Which drug and dose should be administered next? - CORRECT ANSWER-
Amiodarone 5 mg/kg IO
Which statement is correct about the effects of epinephrine during attempted
resuscitation? - CORRECT ANSWER-Epinephrine stimulates spontaneous contractions
when asystole is present
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. - CORRECT ANSWER-Administer a bolus of
isotonic crystalloid 20 ml/kg over 5-20 minutes, and also give D25W 2-4 ml/kg IV
, Which statement is correct about endotracheal drug administration during resuscitative
efforts for pediatric patients? - CORRECT ANSWER-It is the least desirable route of
administration
Which statement is correct about the use of calcium chloride in pediatric patients? -
CORRECT ANSWER-Routine administration is not indicated during cardiac arrest
A 9yo boy is agitated and leaning forward on the bed in obvious respiratory distress. -
CORRECT ANSWER-Albuterol
Which oxygen delivery system most reliably delivers a high (90% or greater)
concentration of inspired oxygen to a 7yo child? - CORRECT ANSWER-Nonrebreathing
face mask
Paramedics are called to the home of a 1yo child. Their initial assessment reveals a
child who responds only to painful stimuli and has irregular breathing, faint central
pulses, bruises over the abdomen, abdominal distention, and cyanosis - CORRECT
ANSWER-Rapid bolus of 20ml/kg of isotonic crystalloid
A 7yo boy is found unresponsive, apneic, and pulseless. CPR is ongoing - CORRECT
ANSWER-Identify and treat reversible causes
You are preparing to use a manual defibrillator in the pediatric setting. Which best
describes when it is appropriate to use the smaller, pediatric-sized paddles? -
CORRECT ANSWER-If the child weighs less than 10kg or is less than 1 year old
What compression-to-ventilation ratio should be used for 2-rescuer infant CPR? -
CORRECT ANSWER-15 compressions to 2 breaths
You find an infant who is unresponsive, is not breathing, and does not have a pulse.
You shout for nearby help, but no one arrives. What action should you take next? -
CORRECT ANSWER-Provide CPR for about 2 minutes before leaving to activate the
emergency response system
